NURS 261: Exam #1 Study UPDATED
ACTUAL Questions and CORRECT
Answers
What are the different types of health assessments, and when would each be performed? - CORRECT
ANSWER - Comprehensive: detailed history and physical exam performed at onset of care in
primary care setting or on admission to a hospital/long-term facility: encompass health problems
experienced by patient; health promotion/prevention and assessment for health problems.
Focused: problem-focused, limited to specific problem or complaint (ex. sprained ankle), walk-in or
clinics, outpatient setting. consider health status
Screening: short, focused on disease detection. performed in health providers office ex. BP screening,
glucose screening, etc.
Follow-up: follow up from previous identified problem
What are the purposes of a nursing health assessment? - CORRECT ANSWER - gained
information to provide a complete, accurate, and descriptive documentation will improve plan of care.
Better developed plan of care and implement it
What are the steps in clinical judgement process? - CORRECT ANSWER - Noticing
Interpreting
Responding
Reflecting
What are the factors in symptom analysis? - CORRECT ANSWER - Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
, How does the nurse assess pain? - CORRECT ANSWER - Pain threshold/Pain tolerance
Characteristics
Aggravating factors
Alleviating factors/Treatment by patients
Related Symptoms
Severity
Response to pain
Pain reassessment
Compare health promotion and health protection. - CORRECT ANSWER - Health promotion:
behavior motivated to increase well-being and actualize human health potential
Health protection: behavior motivated by the desire to actively avoid illness, detect it early or maintain
functioning within its constraints.
Describe the differences between a screening assessment and a follow up assessment. - CORRECT
ANSWER - Screening: short, focused on disease detection. performed in health providers office
ex. BP screening, glucose screening, etc.
Follow-up: follow up from previous identified problem
Identify infection control procedures to be used when conducting a health assessment. (i.e. when do you
wear gloves, and when don't you) - CORRECT ANSWER - Hand Hygiene: bf/af direct contact
with patient and objected in patient care area, bf/af removing gloves, before eating, after using bathroom
PPE
- gloves: body fluid
- mask: protect from splashing or sprays
-Gowns: protect arms and exposed skin surfaces and prevent contamination of clothes
Managing Contaminated Patient Care Equipment: avoid touching equipments with blood
Environmental control: disinfect, clean to decontaminate area
Respiratory Hygiene: precaution to respiratoy secretion of patients and visitors
Patient Placement: single room if patient is suspected to have highly transmittable disease
ACTUAL Questions and CORRECT
Answers
What are the different types of health assessments, and when would each be performed? - CORRECT
ANSWER - Comprehensive: detailed history and physical exam performed at onset of care in
primary care setting or on admission to a hospital/long-term facility: encompass health problems
experienced by patient; health promotion/prevention and assessment for health problems.
Focused: problem-focused, limited to specific problem or complaint (ex. sprained ankle), walk-in or
clinics, outpatient setting. consider health status
Screening: short, focused on disease detection. performed in health providers office ex. BP screening,
glucose screening, etc.
Follow-up: follow up from previous identified problem
What are the purposes of a nursing health assessment? - CORRECT ANSWER - gained
information to provide a complete, accurate, and descriptive documentation will improve plan of care.
Better developed plan of care and implement it
What are the steps in clinical judgement process? - CORRECT ANSWER - Noticing
Interpreting
Responding
Reflecting
What are the factors in symptom analysis? - CORRECT ANSWER - Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
, How does the nurse assess pain? - CORRECT ANSWER - Pain threshold/Pain tolerance
Characteristics
Aggravating factors
Alleviating factors/Treatment by patients
Related Symptoms
Severity
Response to pain
Pain reassessment
Compare health promotion and health protection. - CORRECT ANSWER - Health promotion:
behavior motivated to increase well-being and actualize human health potential
Health protection: behavior motivated by the desire to actively avoid illness, detect it early or maintain
functioning within its constraints.
Describe the differences between a screening assessment and a follow up assessment. - CORRECT
ANSWER - Screening: short, focused on disease detection. performed in health providers office
ex. BP screening, glucose screening, etc.
Follow-up: follow up from previous identified problem
Identify infection control procedures to be used when conducting a health assessment. (i.e. when do you
wear gloves, and when don't you) - CORRECT ANSWER - Hand Hygiene: bf/af direct contact
with patient and objected in patient care area, bf/af removing gloves, before eating, after using bathroom
PPE
- gloves: body fluid
- mask: protect from splashing or sprays
-Gowns: protect arms and exposed skin surfaces and prevent contamination of clothes
Managing Contaminated Patient Care Equipment: avoid touching equipments with blood
Environmental control: disinfect, clean to decontaminate area
Respiratory Hygiene: precaution to respiratoy secretion of patients and visitors
Patient Placement: single room if patient is suspected to have highly transmittable disease
