Exam and All Correct Answers.
ASSESSMENT TECHNIQUE - Answer
What is the steps for a physical assessment - Answer - Inspection
-Palpation
-Percussion
-Auscultation
If patient has pain in one area what do you do for physical assessment? - Answer - skip the
area of pain and come last
When taking pulse what order should you follow for physical assessment? - Answer -
Inspection
- Palpation
- Auscultation
- Percussion
For inspection what do you look for? - Answer - symmetry in body and face
- good hygiene
- mood and attitude
- dressed correctly for the weather
- and more
In palpation what do you do and use? - Answer - touch lightly on the skin
- inspect the area with finger, or finger and thumb, back of the hand, or base of fingertips
- look for any abnormalities, moisture, temperature, lumps, redness, rashes, raised texture, etc.
In percussion what do you do and use? - Answer - Tapping person's skin with short, sharp
strokes to assess underlying structures
- use finger tips
- Mapping location and size of organs
- Signaling density of a structure by a characteristic note
- Detecting a superficial abnormal mass
, In Auscultation what do you do and use? - Answer - Listening to sounds produced by body
- with stethoscope diaphragm and bell
What type of precautions need to be used for physical assessment? - Answer - standard
precaution
- gloves, hand hygiene
Evidence Based Assessment - Answer
What should you do with initial assessment of patient? - Answer - use subjective data +
objective data + patient's record, and laboratory studies form the database.
What is diagnostic reasoning? - Answer the process of analyzing health data and drawing
conclusions to identify diagnoses
what do we use with diagnostic reasoning? list and explain - Answer - abductive
- inductive
- deductive
What is the clinical judgement model? - Answer structure nursing education to enhance
clinical judgment skills for novice nurses
What is the nursing process? and explain each step - Answer Assessment
Diagnosis
Planning
Implementation
Evaluation
What do we need to incorporate into the nursing process?
hint: (teamwork) - Answer interdisciplinary approach
Priority Level problems - Answer
List out each priority level - Answer - first priority
- second priority