Answers
What is the nursing process? Assessment, Diagnosis, Planning, Implementation, and Evaluation
Primary promotion preventing disease from developing through promoting healthy lifestyles
Secondary promotion screening efforts to promote early detection of disease
Tertiary promotion minimizing disability from acute or chronic illness or injury and allowing for most
protective life within limitations
comprehensive health assessment detailed history and physical examination performed at the onset of care in a
primary care setting or on admission to a hospital or long-term care facility
What does a comprehensive health assessment health problems experienced by the patient; health promotion, disease
encompass? prevention, and assessment for problems associated with known risk factors; or
assessment for age- and gender-specific health problems
Problem-based/focused assessment history and physical examination that is limited to a specific problem or complaint
Episodic/follow-up assessment This type of assessment is usually done when a patient is following up with a
health care provider for a previously identified problem
Shift assessment When individuals are hospitalized, nurses conduct assessments each shift
Screening assessment/examination This is a short examination focused on disease detection
What is the first phase of an interview? Introduction
What does the introduction portion of the interview Prepares patient for what to expect during interview
encompass?
What is the second phase to the interview process? Discussion
What does the discussion part of the interview Record health history and data
encompass?
What is the last phase of the interview process? Summary
What does the summary portion of the interview clarifications of data and provides validation of accurate findings, plan for next
encompass? steps
Open ended questions freeflowing, open response. More then one or two words.
, Close ended questions aka directive questions More precise data, leads patient to one set of thoughts
What is the most important factor for successful good communication skills
interviewing?
List techniques that enhance the interview Active listening, facilitation, clarification, restatement, reflection, confrontation,
interpretation, and summary
Behaviors the interfere with the interview process? Using med term, expressing value judgements, interrupting the patient, being
authoritarian, or paternalistic, asking "why" questions
Comprehensive health history Establishes complete data base. For new patients in any setting.
Problem based or focused health assessment Includes data limited to the scope of the problem
Episodic or follow up assessment focuses on specific problems for which patient is already receiving treatment
What are some of the components for comprehensive biographical data, reason for seeking care, history of present illness, present
health history health status, past medical history, family history, personal and psychosocial
history, review of all body systems
OLDCARTS onset, location, duration, characteristics, related symptoms, treatment, severity
When are standard precautions provided? In all aspects of health care and in all health care settings
What are the primary elements for standard precautions? Hand hygiene
• Personal protective equipment
• Respiratory hygiene/cough etiquette
• Appropriate patient placement
• Managing contaminated equipment (including sharps)
• Environmental infection control
When is using hand sanitizer appropriate? Cleaning the hands when they are not visibly dirty, should be 60% alcohol and
should take 20 seconds
When should one wash with soup and water? hands are visibly dirty or soiled
When should gloves be worn? Gloves should be worn when contact with a patient's blood or other body fluid is
possible or when handling equipment contaminated with blood or other body
fluids
when should Masks, eye protection, face shields be The nurse should wear a mask with eye protection or a face shield during
worn? procedures that may result in splashes or sprays of the patient's blood, body
fluids, secretions, or excretions.