COMPREHENSIVE STUDY GUIDE SOLVED
QUESTION SET ALL UNITS COVERED
◉ types of assessment. Answer: Emergency (center on immediate and
highest priority problem)
Comprehensive
General Survey
Focused
◉ emergency assessment. Answer: involves a life-threatening or
unstable situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
◉ comprehensive assessment. Answer: broad and complete; includes a
complete health history and physical assessment and all body systems
and areas; a patient's perception of health, strengths to build upon, risk
factors for illness, functional abilities, methods of coping, and support
systems
,◉ general survey assessment. Answer: begins immediately upon
meeting client and continues throughout assessment; no measurements
are done
-overall appearance, hygiene and dress, skin color, body structure and
development, behavior, facial expressions, posture, ROM, gait, speech,
LOC
◉ focused assesssment. Answer: based on the patient's health issues;
usually involves one or two body systems and is smaller in scope than
the comprehensive assessment, but more in-depth on the specific issue
or issues
example is a patient who presents to the clinic with a cough.
◉ levels of intervention to promote healthy change. Answer: Primary
prevention
Secondary prevention
Tertiary prevention
◉ primary prevention. Answer: involves strategies aimed at preventing
problems and focuses on people and groups. Examples: Immunizations,
health teaching, safety precautions, and nutrition counseling, family
planning services, providing poison-control information, and accident-
prevention education
, ◉ secondary prevention. Answer: focus on screening for early detection
of disease with prompt diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing,
scoliosis screening, and tuberculin skin testing
◉ tertiary prevention. Answer: focuses on preventing complications of
an existing disease and promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy,
medication, surgical treatment
◉ what is health assessment?. Answer: gathering information about the
health status of the patient, analyzing and synthesizing those data,
making judgments about nursing interventions based on the findings,
and evaluating patient care outcomes
◉ health assessment includes. Answer: healthy history and physical
assessment
◉ critical thinking in nursing. Answer: -Purposeful, outcome-directed
(result-oriented) thinking
-Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the
scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question