NSG 121 HEALTH ASSESSMENT EXAM 2 2026
FULL QUESTIONS AND VERIFIED 100%
CORRECT ANSWERS GRADED A+
◉ Orientation Phase. Answer: when the nurse and the patient meet and
get to know each other
◉ Working Phase. Answer: - Highly individualized
- The longest and most productive phase for the nursing- pt. relationship.
- Tasks include planning and implementation
- Major task is identification and resolution of the pts. problems.
◉ Termination Phase. Answer: - Summarize goals and objectives
achieved
- Discuss ways for pt. to incorporate new coping strategies learned
- Review situations of relationship
- Exploring the need for referrals post-discharge
- Establish plans for long-term post discharge functioning.
◉ Therapeutic Communication Includes:. Answer: - Active Listening
- Show Empathy
- Ask pt. to elaborate by asking "Tell me what you mean by you do not
believe."
,◉ Therapeutic Communication Techniques. Answer: Interviews
Offering Self
Using Empathy
Closed vs. Open Ended Questions
Use of Silence
Clarification
Reflection/Repeating/Parroting
Paraphrasing
Summarizing
Using Unfinished Statements
Giving Information
Stating Implied Thoughts & Feelings
◉ Technique for Measuring Orthostatic BP. Answer: - Use the same arm
- Wait at least 5 minutes btwn. measurements
- Lying, sitting, standing
◉ Orthostatic Hypotension If:. Answer: Fall of SBP ≥ 20 mmHg
Fall of DBP ≥ 10 mmHg
◉ Pulse 4-Point Scale. Answer: 0 absent
, 1+ palpable, but thready and weak; easily obliterated
2+ normal, easily identified; not easily obliterated
3+ increased pulse; moderate pressure for obliteration
4+ full, bounding; cannot obliterate
◉ Counting respirations. Answer: -Stay in pulse measuring position
-Watch the chest rise and fall.
-Determine quality- Depth (deep or shallow)
-Rhythm (regular or irregular)
- Count each inspiration and expiration as a part for 30 seconds and
multiply by 2.
Let the pt. think you are still taking the pulse while counting.
Example recording: Date, Time, R 18 deep and regular, Your signature
and title.
◉ Children Vital Sign. Answer: -HR is usually faster in children.
- If over 104 retake using the apical pulse.
◉ Pain Assessment. Answer: - Point to location of pain
- Use the pain scale by asking "On a scale from 1-10 how bad is the pain
now."
- How often fo you get the pain?- frequency.
FULL QUESTIONS AND VERIFIED 100%
CORRECT ANSWERS GRADED A+
◉ Orientation Phase. Answer: when the nurse and the patient meet and
get to know each other
◉ Working Phase. Answer: - Highly individualized
- The longest and most productive phase for the nursing- pt. relationship.
- Tasks include planning and implementation
- Major task is identification and resolution of the pts. problems.
◉ Termination Phase. Answer: - Summarize goals and objectives
achieved
- Discuss ways for pt. to incorporate new coping strategies learned
- Review situations of relationship
- Exploring the need for referrals post-discharge
- Establish plans for long-term post discharge functioning.
◉ Therapeutic Communication Includes:. Answer: - Active Listening
- Show Empathy
- Ask pt. to elaborate by asking "Tell me what you mean by you do not
believe."
,◉ Therapeutic Communication Techniques. Answer: Interviews
Offering Self
Using Empathy
Closed vs. Open Ended Questions
Use of Silence
Clarification
Reflection/Repeating/Parroting
Paraphrasing
Summarizing
Using Unfinished Statements
Giving Information
Stating Implied Thoughts & Feelings
◉ Technique for Measuring Orthostatic BP. Answer: - Use the same arm
- Wait at least 5 minutes btwn. measurements
- Lying, sitting, standing
◉ Orthostatic Hypotension If:. Answer: Fall of SBP ≥ 20 mmHg
Fall of DBP ≥ 10 mmHg
◉ Pulse 4-Point Scale. Answer: 0 absent
, 1+ palpable, but thready and weak; easily obliterated
2+ normal, easily identified; not easily obliterated
3+ increased pulse; moderate pressure for obliteration
4+ full, bounding; cannot obliterate
◉ Counting respirations. Answer: -Stay in pulse measuring position
-Watch the chest rise and fall.
-Determine quality- Depth (deep or shallow)
-Rhythm (regular or irregular)
- Count each inspiration and expiration as a part for 30 seconds and
multiply by 2.
Let the pt. think you are still taking the pulse while counting.
Example recording: Date, Time, R 18 deep and regular, Your signature
and title.
◉ Children Vital Sign. Answer: -HR is usually faster in children.
- If over 104 retake using the apical pulse.
◉ Pain Assessment. Answer: - Point to location of pain
- Use the pain scale by asking "On a scale from 1-10 how bad is the pain
now."
- How often fo you get the pain?- frequency.
