NSG 3160 HEALTH ASSESSMENT EXAM 1
QUESTIONS WITH VERIFIED ANSWERS
Purpose of a health assessment
To collect and analyze subjective + objective data to form a complete picture of a patient's health
and guide nursing judgment.
Six steps of the nursing process
Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation.
Evidence-Based Practice (EBP)
Integration of best current research, clinical expertise, patient preferences, and accurate
assessment data.
Five steps of EBP
Ask, Acquire, Appraise, Apply, Assess.
Complete (Total Health) database
Database gathered on admission for baseline data.
Emergency database
Database used in urgent, life-threatening situations.
Order of priority according to ABCs
Airway → Breathing → Circulation (then Disability & Exposure).
Holistic health model
Approach recognizing mind, body, spirit, and environment interact to affect health.
First-level priority problem example
Obstructed airway or absent respirations.
Outdated interventions
They increase risk for harm; EBP ensures safety and effectiveness.
Culture
A learned, shared set of values, beliefs, and norms guiding a group's thinking and behavior.
Acculturation vs. Assimilation
Acculturation = adapting while retaining identity; Assimilation = full adoption of dominant
culture.
, Three major illness-causation models
Biomedical (disease = germs), Naturalistic (balance of hot/cold or yin/yang), Magicoreligious
(supernatural forces).
Examples of traditional healers
Curandero (Hispanic), Shaman (Native American), Herbalist (Asian), Braucher (Amish).
Traditional objects for health protection
Amulets or charms (e.g., evil-eye bracelet, St. Christopher medal, jade pendant).
Five elements of cultural competence
Cultural Awareness, Knowledge, Skill, Encounters, Desire.
Interpreter requirement
Whenever language barriers exist; use a certified medical interpreter, not family.
Exploring a patient's health beliefs
Ask open-ended, respectful questions such as 'What do you think caused your illness?'
Primary purpose of the interview
To collect subjective data and establish rapport for accurate assessment.
Three phases of the interview
Introduction, Working, Closing.
Communication techniques that build rapport
Active listening, empathy, reflection, clarification, silence, summarizing.
Behaviors to avoid during an interview
False reassurance, interrupting, using medical jargon, leading or 'why' questions.
Type of question encouraging narrative responses
Open-ended question (e.g., 'Tell me what brings you in today.').
Phase where nurse summarizes findings
Closing phase.
Most common nonverbal sign of anxiety
Fidgeting hands or restless movements.
Communicating with an older adult
Speak clearly, allow extra response time, avoid elderspeak.
QUESTIONS WITH VERIFIED ANSWERS
Purpose of a health assessment
To collect and analyze subjective + objective data to form a complete picture of a patient's health
and guide nursing judgment.
Six steps of the nursing process
Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation.
Evidence-Based Practice (EBP)
Integration of best current research, clinical expertise, patient preferences, and accurate
assessment data.
Five steps of EBP
Ask, Acquire, Appraise, Apply, Assess.
Complete (Total Health) database
Database gathered on admission for baseline data.
Emergency database
Database used in urgent, life-threatening situations.
Order of priority according to ABCs
Airway → Breathing → Circulation (then Disability & Exposure).
Holistic health model
Approach recognizing mind, body, spirit, and environment interact to affect health.
First-level priority problem example
Obstructed airway or absent respirations.
Outdated interventions
They increase risk for harm; EBP ensures safety and effectiveness.
Culture
A learned, shared set of values, beliefs, and norms guiding a group's thinking and behavior.
Acculturation vs. Assimilation
Acculturation = adapting while retaining identity; Assimilation = full adoption of dominant
culture.
, Three major illness-causation models
Biomedical (disease = germs), Naturalistic (balance of hot/cold or yin/yang), Magicoreligious
(supernatural forces).
Examples of traditional healers
Curandero (Hispanic), Shaman (Native American), Herbalist (Asian), Braucher (Amish).
Traditional objects for health protection
Amulets or charms (e.g., evil-eye bracelet, St. Christopher medal, jade pendant).
Five elements of cultural competence
Cultural Awareness, Knowledge, Skill, Encounters, Desire.
Interpreter requirement
Whenever language barriers exist; use a certified medical interpreter, not family.
Exploring a patient's health beliefs
Ask open-ended, respectful questions such as 'What do you think caused your illness?'
Primary purpose of the interview
To collect subjective data and establish rapport for accurate assessment.
Three phases of the interview
Introduction, Working, Closing.
Communication techniques that build rapport
Active listening, empathy, reflection, clarification, silence, summarizing.
Behaviors to avoid during an interview
False reassurance, interrupting, using medical jargon, leading or 'why' questions.
Type of question encouraging narrative responses
Open-ended question (e.g., 'Tell me what brings you in today.').
Phase where nurse summarizes findings
Closing phase.
Most common nonverbal sign of anxiety
Fidgeting hands or restless movements.
Communicating with an older adult
Speak clearly, allow extra response time, avoid elderspeak.
