NURSING 6011 TEST 1 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTION.
comprehensive assessment Answer - An assessment that includes a complete
health history and physical assessment; it is done annually on an outpatient
basis, following admission to a hospital or long-term care facility, or every 8
hours for patients in intensive care.
focused assessment Answer - A type of physical assessment that is typically
performed on patients who have sustained nonsignificant mechanisms of injury
or on responsive medical patients. This type of examination is based on the
chief complaint and focuses on one body system or part.
The comprehensive assessment does more than assess body systems, it is the
source of what? Answer - fundamental and personalized knowledge about the
patient that strengthens the clinician-patient relationship
subjective data Answer - things a person tells you about that you cannot
observe through your senses; symptoms
objective data Answer - information that is seen, heard, felt, or smelled by an
observer; signs
Name some components of the comprehensive health history Answer -
reliability, chief complaints, present illness, past history, family history,
personal/social history, review of symptoms
,Identifying Data Answer - age, gender, occupation, marital status
Reliability Answer - trust of the patient
chief complaints Answer - Identify symptoms or concerns causing patient to
seek care
PATIENTS OWN WORDS
present illness Answer - The chief complaint, written in chronologic sequence,
with dates of onset.
includes patients thoughts and feelings
may include medications/allergies/tobacco use
past history Answer - childhood illness
accidents or injuries
serious or chronic illness
hospitalizations
operations
obstetric history
immunizations
last exam date
family history Answer - the record of a disease's presence and impact within a
family
Personal and Social History Answer - Evaluate education level, family and
household dynamics, spiritual practices, personal interests, sleep habits, and
,lifestyle (e.g. tobacco, alcohol and illicit drug use, sexual history, exercise, and
nutrition
review of symptoms Answer - description of individual body systems in order
to discover any symptoms not directly related to the main problem
What should each principle symptom have? Answer - location
quality
quantity or severity
timing--onset, duration, frequency
setting
factors that aggrevated or relieved symptoms
associated manifestations
what cancers should be evaluated in family history? Answer - breast, ovarian,
colon, prostate
tangential lighting Answer - a source of illumination directed from an angle to
the side of what is being examined; used to make a raised lesion cast a shadow,
for example
what equipment is necessary for the physical examination? Answer -
ophtalmoscope
otoscope
flashlight
tongue depressors
rule
thermometer
, watch
sphygmomanometer (BP cuff)
stethoscope
visual acuity card
reflex hammer
tuning forks--128 and 512 hz
cotton swabs
test tubes
gloves
lube
vaginal speculum if needed
what are some tips for draping the patient? Answer - goal is to visualize one
area of the body at a time
What are standard precautions? Answer - They are used during every patient
interaction. Includes: hand hygiene, use of PPE, respiratory hygiene, safe
injection practices, and disinfection of soiled surfaces and equipment.
When should you wash your hands? Answer - 1. before and after touching a
resident
2. after using the toilet
3. when arriving to work
4. before and after gloving
5. after touching contaminated items
6. after nose-blowing, sneezing or coughing
7. before and after eating
WITH COMPLETE SOLUTION.
comprehensive assessment Answer - An assessment that includes a complete
health history and physical assessment; it is done annually on an outpatient
basis, following admission to a hospital or long-term care facility, or every 8
hours for patients in intensive care.
focused assessment Answer - A type of physical assessment that is typically
performed on patients who have sustained nonsignificant mechanisms of injury
or on responsive medical patients. This type of examination is based on the
chief complaint and focuses on one body system or part.
The comprehensive assessment does more than assess body systems, it is the
source of what? Answer - fundamental and personalized knowledge about the
patient that strengthens the clinician-patient relationship
subjective data Answer - things a person tells you about that you cannot
observe through your senses; symptoms
objective data Answer - information that is seen, heard, felt, or smelled by an
observer; signs
Name some components of the comprehensive health history Answer -
reliability, chief complaints, present illness, past history, family history,
personal/social history, review of symptoms
,Identifying Data Answer - age, gender, occupation, marital status
Reliability Answer - trust of the patient
chief complaints Answer - Identify symptoms or concerns causing patient to
seek care
PATIENTS OWN WORDS
present illness Answer - The chief complaint, written in chronologic sequence,
with dates of onset.
includes patients thoughts and feelings
may include medications/allergies/tobacco use
past history Answer - childhood illness
accidents or injuries
serious or chronic illness
hospitalizations
operations
obstetric history
immunizations
last exam date
family history Answer - the record of a disease's presence and impact within a
family
Personal and Social History Answer - Evaluate education level, family and
household dynamics, spiritual practices, personal interests, sleep habits, and
,lifestyle (e.g. tobacco, alcohol and illicit drug use, sexual history, exercise, and
nutrition
review of symptoms Answer - description of individual body systems in order
to discover any symptoms not directly related to the main problem
What should each principle symptom have? Answer - location
quality
quantity or severity
timing--onset, duration, frequency
setting
factors that aggrevated or relieved symptoms
associated manifestations
what cancers should be evaluated in family history? Answer - breast, ovarian,
colon, prostate
tangential lighting Answer - a source of illumination directed from an angle to
the side of what is being examined; used to make a raised lesion cast a shadow,
for example
what equipment is necessary for the physical examination? Answer -
ophtalmoscope
otoscope
flashlight
tongue depressors
rule
thermometer
, watch
sphygmomanometer (BP cuff)
stethoscope
visual acuity card
reflex hammer
tuning forks--128 and 512 hz
cotton swabs
test tubes
gloves
lube
vaginal speculum if needed
what are some tips for draping the patient? Answer - goal is to visualize one
area of the body at a time
What are standard precautions? Answer - They are used during every patient
interaction. Includes: hand hygiene, use of PPE, respiratory hygiene, safe
injection practices, and disinfection of soiled surfaces and equipment.
When should you wash your hands? Answer - 1. before and after touching a
resident
2. after using the toilet
3. when arriving to work
4. before and after gloving
5. after touching contaminated items
6. after nose-blowing, sneezing or coughing
7. before and after eating
