NUR 3066C: HEALTH ASSESSMENT
QUESTIONS WITH ANSWERS
Assessment of Violence: Elder Abuse and Neglect - ANSWER-- Forms of elderly
abuse: neglect, physical abuse, sexual abuse, emotional abuse, financial abuse or
exploitation
YOU ARE A MANDATORY REPORTER AS HEALTH CARE PROVIDER!!!
A components of the comprehensive health history
Order of Assessment of the skin - ANSWER-Inspection - Look
Palpation - Touch
Percussion - Tap
Auscultation - Listen
Purpura - ANSWER-red-purple skin lesion due to blood in tissues from breaks in
blood vessels
Petechiae - ANSWER-a small red or purple spot caused by bleeding into the skin.
Hirsutism - ANSWER-Excessive hair growth over the body
Urticaria - ANSWER-Allergic reaction of the skin characterized by the eruption of
pale red, elevated patches called wheals or hives
Pustule - ANSWER-Raised spot on the skin containing pus
Common skin lesions in children - ANSWER-•Eczema
•Candidiasis
•Diaper dermatitis
•Impetigo
Anaphylaxis (shock) - ANSWER-Severe, potentially fatal allergic response that
occurs shortly after drug is given
Acrocyanosis - ANSWER-Temporary cyanotic condition, usually in newborns
resulting in a bluish color around the lips, hands and fingernails, feet and toenails.
May last for a few hours and disappear with warming.
Lanugo - ANSWER-fine, downy, unpigmented hair that appears on the fetus in the
last 3 months of development
Mongolian spot - ANSWER-A bluish-black pigmented area on the newborn's
buttocks or back. Seen in newborns with dark skin and typically fade over time. Can
easily be confused for bruising.
,Linea nigra - ANSWER-a dark line appearing on the abdomen and extending from
the pubis toward the umbilicus
Chloasma - ANSWER-Discoloration changes on face representing the "mask of
pregnancy"
Striae gravidarum - ANSWER-Stretch marks, which can develop over the abdomen,
breast, and thighs
Diphenhydramine - ANSWER-Benadryl
Antihistamine
Conjunctivae - ANSWER-Paper thin covering to the exposed portion of the white part
of the eye
Edema - ANSWER-Puffy swelling of tissue from the accumulation of fluid
Eczema - ANSWER-Noninfectious, inflammatory skin disease characterized by
redness, blisters, scabs, and itching
Vernix caseosa - ANSWER-Waxy or "cheesy" white substance found coating the
skin of newborn humans
Milia - ANSWER-Benign, keratin-filled cysts that can appear just under the epidermis
and have no visible opening.
Mucus membrane - ANSWER-an epithelial tissue that secretes mucus and that lines
many body cavities and tubular organs including the gut and respiratory passages.
H and P - ANSWER-History of Present Illness and Physical Exam
Explain the purpose of the health history - ANSWER--to collect subjective and
objective data
-picture of the person's past and present health
-screening tool for abnormal symptoms, health problems, and concerns
-records ways of responding to the health problems
- data to make a judgement or diagnosis about the health status of the individual
Comprehensive Health History - ANSWER-Includes biographic data, reason for
seeking care, present health status, past medical history, family history, personal
and psychosocial history, and a review of all body systems
Comprehensive Health History - ANSWER-Considers all of the information in the
health history sequence.
,Focused Health History - ANSWER-Involves questions that relate to the current
situation
Focused Health History - ANSWER-data only relate to a specific complaint
For example: Pain assessment (P Q R S T )
Pain assessment - ANSWER-Palliative (what makes it worse/better)
Quality or Quantity (For example, is the pain sharp or dull, throbbing?)
Region or Radiation (Location)
Severity Scale (Numeric pain intensity scale)
Timing (Onset)
Understand Patient's Perception (Activities of Daily Living assessment)
Provocative or Precipitating (Palliative) - ANSWER-The P in the PQRSTU
assessment stands for, what it feels like or what makes it worse or better.
Region or Radiation - ANSWER-The R in the PQRSTU assessment stands for, what
area do you feel the symptom.
Severity - ANSWER-The S in the PQRSTU assessment asks what level of pain are
your experiencing, on a scale of 0 to 10.
Timing - ANSWER-The T in the PQRSTU assessment stands for, when the pain
starts (onset) and does it come and go (frequency).
Understanding Patient's Perspective - ANSWER-The U in the PQRSTU assessment
stands for, the person's understanding of what's going on with their body.
What's the difference between a comprehensive and a focused health history? -
ANSWER-One assessment collects data on multiple areas of a patient's health
history. The other assessment focuses on one particular area.
Biographical Data - ANSWER-A components of the comprehensive health history:
name, address, phone number, age, DOB, sex, marital status, race, ethnic origin,
occupation.
The primary person is normally the patient.
Is it a Sign or Symptom?
Source of History - ANSWER-A components of the comprehensive health history:
Who provided the information? Is an interpreter needed? Is the person reliable?
HPI (History of Present Illness) - ANSWER-A components of the comprehensive
health history:
- Questions that are asked whether the HPI is about pain or a symptom
- This is a focused assessment in the area of pain. The nurse would you the
PQRSTU assessment tool.
, A components of the comprehensive health history:
Describe the components of the comprehensive health history - ANSWER-Chief
Complaint: Reason for seeking care (Brief statement in person's own words
describing reason for visit.
Example: Patient is complaining of chest pain for about 3 days that is worse with
activity and relieved with rest.
BE AS SPECIFIC AS POSSIBLE. MORE DETAILED INFORMAITON IS
EXPECTED. Include all of the information for a PQRSTU assessment.
R/O MI - ANSWER-Means rule out Myocardial Infarction (heart attack)
Review of systems (ROS): - ANSWER-A components of the comprehensive health
history:
- Ask patient questions about each system of the body
- General overall health state, skin, hair, head, eyes, ears, nose and sinuses, mouth
and throat, neck, breast, axilla, respiratory system, cardiovascular, gastrointestinal,
urinary system, genitalia, sexual health, endocrine system, etc...
Functional assessment including activities of daily living (ADLs): - ANSWER-1. self
esteem
2. exercise
3. sleep and rest
4. nutrition
5. elimination
6. spiritual resources
7. coping and stress management
8. tobacco and alcohol use
9. work hazards
10. interpersonal relationship
Assessment of alcohol use - ANSWER-CAGE screening questionnaire: Have you
ever...
(1) thought you should CUT down your drinking?
(2) been ANNOYED by criticism of your drinking?
(3) felt GUILTY about your drinking?
(4) Do you drink in the morning, an EYE opener?
CAGE questionnaire - ANSWER-A frequently used screening tool used to identify
patients who may have alcohol abuse
CAGE questionnaire - ANSWER-The purpose of this questionnaire is to identify any
excessive or uncontrolled drinking.
Assessment of illicit or street drug use - ANSWER-Ask about type of drug, frequency
of use, last time taken, effects on work and family.
QUESTIONS WITH ANSWERS
Assessment of Violence: Elder Abuse and Neglect - ANSWER-- Forms of elderly
abuse: neglect, physical abuse, sexual abuse, emotional abuse, financial abuse or
exploitation
YOU ARE A MANDATORY REPORTER AS HEALTH CARE PROVIDER!!!
A components of the comprehensive health history
Order of Assessment of the skin - ANSWER-Inspection - Look
Palpation - Touch
Percussion - Tap
Auscultation - Listen
Purpura - ANSWER-red-purple skin lesion due to blood in tissues from breaks in
blood vessels
Petechiae - ANSWER-a small red or purple spot caused by bleeding into the skin.
Hirsutism - ANSWER-Excessive hair growth over the body
Urticaria - ANSWER-Allergic reaction of the skin characterized by the eruption of
pale red, elevated patches called wheals or hives
Pustule - ANSWER-Raised spot on the skin containing pus
Common skin lesions in children - ANSWER-•Eczema
•Candidiasis
•Diaper dermatitis
•Impetigo
Anaphylaxis (shock) - ANSWER-Severe, potentially fatal allergic response that
occurs shortly after drug is given
Acrocyanosis - ANSWER-Temporary cyanotic condition, usually in newborns
resulting in a bluish color around the lips, hands and fingernails, feet and toenails.
May last for a few hours and disappear with warming.
Lanugo - ANSWER-fine, downy, unpigmented hair that appears on the fetus in the
last 3 months of development
Mongolian spot - ANSWER-A bluish-black pigmented area on the newborn's
buttocks or back. Seen in newborns with dark skin and typically fade over time. Can
easily be confused for bruising.
,Linea nigra - ANSWER-a dark line appearing on the abdomen and extending from
the pubis toward the umbilicus
Chloasma - ANSWER-Discoloration changes on face representing the "mask of
pregnancy"
Striae gravidarum - ANSWER-Stretch marks, which can develop over the abdomen,
breast, and thighs
Diphenhydramine - ANSWER-Benadryl
Antihistamine
Conjunctivae - ANSWER-Paper thin covering to the exposed portion of the white part
of the eye
Edema - ANSWER-Puffy swelling of tissue from the accumulation of fluid
Eczema - ANSWER-Noninfectious, inflammatory skin disease characterized by
redness, blisters, scabs, and itching
Vernix caseosa - ANSWER-Waxy or "cheesy" white substance found coating the
skin of newborn humans
Milia - ANSWER-Benign, keratin-filled cysts that can appear just under the epidermis
and have no visible opening.
Mucus membrane - ANSWER-an epithelial tissue that secretes mucus and that lines
many body cavities and tubular organs including the gut and respiratory passages.
H and P - ANSWER-History of Present Illness and Physical Exam
Explain the purpose of the health history - ANSWER--to collect subjective and
objective data
-picture of the person's past and present health
-screening tool for abnormal symptoms, health problems, and concerns
-records ways of responding to the health problems
- data to make a judgement or diagnosis about the health status of the individual
Comprehensive Health History - ANSWER-Includes biographic data, reason for
seeking care, present health status, past medical history, family history, personal
and psychosocial history, and a review of all body systems
Comprehensive Health History - ANSWER-Considers all of the information in the
health history sequence.
,Focused Health History - ANSWER-Involves questions that relate to the current
situation
Focused Health History - ANSWER-data only relate to a specific complaint
For example: Pain assessment (P Q R S T )
Pain assessment - ANSWER-Palliative (what makes it worse/better)
Quality or Quantity (For example, is the pain sharp or dull, throbbing?)
Region or Radiation (Location)
Severity Scale (Numeric pain intensity scale)
Timing (Onset)
Understand Patient's Perception (Activities of Daily Living assessment)
Provocative or Precipitating (Palliative) - ANSWER-The P in the PQRSTU
assessment stands for, what it feels like or what makes it worse or better.
Region or Radiation - ANSWER-The R in the PQRSTU assessment stands for, what
area do you feel the symptom.
Severity - ANSWER-The S in the PQRSTU assessment asks what level of pain are
your experiencing, on a scale of 0 to 10.
Timing - ANSWER-The T in the PQRSTU assessment stands for, when the pain
starts (onset) and does it come and go (frequency).
Understanding Patient's Perspective - ANSWER-The U in the PQRSTU assessment
stands for, the person's understanding of what's going on with their body.
What's the difference between a comprehensive and a focused health history? -
ANSWER-One assessment collects data on multiple areas of a patient's health
history. The other assessment focuses on one particular area.
Biographical Data - ANSWER-A components of the comprehensive health history:
name, address, phone number, age, DOB, sex, marital status, race, ethnic origin,
occupation.
The primary person is normally the patient.
Is it a Sign or Symptom?
Source of History - ANSWER-A components of the comprehensive health history:
Who provided the information? Is an interpreter needed? Is the person reliable?
HPI (History of Present Illness) - ANSWER-A components of the comprehensive
health history:
- Questions that are asked whether the HPI is about pain or a symptom
- This is a focused assessment in the area of pain. The nurse would you the
PQRSTU assessment tool.
, A components of the comprehensive health history:
Describe the components of the comprehensive health history - ANSWER-Chief
Complaint: Reason for seeking care (Brief statement in person's own words
describing reason for visit.
Example: Patient is complaining of chest pain for about 3 days that is worse with
activity and relieved with rest.
BE AS SPECIFIC AS POSSIBLE. MORE DETAILED INFORMAITON IS
EXPECTED. Include all of the information for a PQRSTU assessment.
R/O MI - ANSWER-Means rule out Myocardial Infarction (heart attack)
Review of systems (ROS): - ANSWER-A components of the comprehensive health
history:
- Ask patient questions about each system of the body
- General overall health state, skin, hair, head, eyes, ears, nose and sinuses, mouth
and throat, neck, breast, axilla, respiratory system, cardiovascular, gastrointestinal,
urinary system, genitalia, sexual health, endocrine system, etc...
Functional assessment including activities of daily living (ADLs): - ANSWER-1. self
esteem
2. exercise
3. sleep and rest
4. nutrition
5. elimination
6. spiritual resources
7. coping and stress management
8. tobacco and alcohol use
9. work hazards
10. interpersonal relationship
Assessment of alcohol use - ANSWER-CAGE screening questionnaire: Have you
ever...
(1) thought you should CUT down your drinking?
(2) been ANNOYED by criticism of your drinking?
(3) felt GUILTY about your drinking?
(4) Do you drink in the morning, an EYE opener?
CAGE questionnaire - ANSWER-A frequently used screening tool used to identify
patients who may have alcohol abuse
CAGE questionnaire - ANSWER-The purpose of this questionnaire is to identify any
excessive or uncontrolled drinking.
Assessment of illicit or street drug use - ANSWER-Ask about type of drug, frequency
of use, last time taken, effects on work and family.
