NURS 3101 HLTH ASSESS - Exam 1 Study Guide
With Complete Solutions
What is the purpose of performing a health assessment? - ANSWER To detect
the clients current and ongoing health status, predict risks to health and identify
health promoting activities in a systematic method.
What do you call information provided by the patient? - ANSWER Subjective data
What are examples of subjective data? - ANSWER Headache, chest pain, feels
like fever, chills, pain level
What do you call information collected during a health exam? - ANSWER
Objective data
What are examples of objective data? - ANSWER Vital signs, culture and
sensitivity, weight, measurements, temperature, Laboratory diagnostics
What are the four types of assessment data that nurses collect? - ANSWER -
Complete (total) data
- Focused (episodic/problem) data
- Follow up data
- Emergency data
Define Complete (total) data: - ANSWER Includes a complete history and a full
examination
Define Focused (episodic/problem) data: - ANSWER Used for a limited or short
term period, on a smaller scope, and is more targeted
Define Follow up data: - ANSWER Evaluates status of problem at regular
intervals to follow up on short-term or chronic problems
Define Emergency data: - ANSWER Calls for rapid collection of data which
commonly occurs during lifesaving measures
When do you use open ended questions and what for? - ANSWER Use at the
beginning of interview; asks for narrative information
What do you hope to achieve it with open ended questions? - ANSWER To build
rapport, encourage elaboration, and used to cover broad area of conversation
and subjective data
,What do you use closed ended questions for? - ANSWER Asks for specific
information and short one or two word answers
What do you hope to achieve with closed ended questions? - ANSWER Specific
information to fill in the gaps
Review the positive nonverbal behaviors that promote communication during an
interview. - ANSWER Professional appearance, open posturing, facilitating
gestures, facial animation and interest, Eye contact, moderate tone of voice,
appropriate touch, moderate rate of speech
Define Facilitation: - ANSWER Encourages the client to say more information (ie:
".....go on,......"
Define Reflection: - ANSWER Echoes the clients words by repeating part of what
the patient just said. Example: "So you're saying you feel tired and anxious?"
Define Empathy: - ANSWER Names a feeling and allows its expression;
sympathizes.
Define Clarification: - ANSWER Summarize the patients words, simplify
statement, and ensure you're on the right track. Useful when person's word
choice is ambiguous or confusing.
Define Confrontation: - ANSWER Clarify inconsistent information. Example: "you
say it does not hurt, but you..."
Define Leading or biased questions: - ANSWER Implies one question is better
than another, leading client to the correct answer. Can make patient feel shame
if they answer wrong. Example: "you're not having unprotected sex, are you?"
What part of the interview and assessment focus on the patients frame of
reference? - ANSWER Facilitation, reflection, empathy, clarification
What part of the interview and assessment focus on your own frame of
reference? - ANSWER Confrontation, and leading or biased questions
What are the 10 traps of interviewing? - ANSWER - Providing false assurance or
reassurance
- giving unwanted advice
- using authority
- using avoidance language
- engaging in distancing
- using professional jargon
- using leading or biased questions
, - talking too much interrupting
- using "why" questions
What are the 4 functional use of space? - ANSWER Intimate zone, personal
distance, social distance, public distance
What is the correct distance for the "Intimate Zone"? - ANSWER 0 - 1.5'
What is the correct distance for "personal distance"? - ANSWER 1.5' - 4'
What is the correct distance for "social distance"? - ANSWER 4' - 12'
What is the correct distance for "public distance"? - ANSWER >12'
What are the techniques for promoting therapeutic communication and building
rapport? - ANSWER Active listening; sharing observations, hope, humor,
feelings, touch; using silence and providing information; clarifying, focusing,
paraphrasing; asking relevant questions; summarizing; self-destruction,
confrontation
What is the purpose of using silence during an interview? - ANSWER
Communicates that client has time to think; provides you with time to serve
client and note nonverbal cues; helps patient maintain train of thought without
interruption or leading / prompting
What are the rules for using an interpreter? - ANSWER - Always talk to the
patient; not the interpreter
- plan what you want to say ahead of time
- ask interpreter to provide verbatim account of conversation
- be patient; takes two or three times longer
- clarify and identify diagnostic tests and what parts of the body will be used for
the tests
What are the eight components of health history? - ANSWER - biographic data
- source and reliability
- chief complaint
- history of present illness's
- past medical history
- family history
- review of systems
- functional history
What is biographical data? - ANSWER Patients name, address, date of birth,
language, communication needs
With Complete Solutions
What is the purpose of performing a health assessment? - ANSWER To detect
the clients current and ongoing health status, predict risks to health and identify
health promoting activities in a systematic method.
What do you call information provided by the patient? - ANSWER Subjective data
What are examples of subjective data? - ANSWER Headache, chest pain, feels
like fever, chills, pain level
What do you call information collected during a health exam? - ANSWER
Objective data
What are examples of objective data? - ANSWER Vital signs, culture and
sensitivity, weight, measurements, temperature, Laboratory diagnostics
What are the four types of assessment data that nurses collect? - ANSWER -
Complete (total) data
- Focused (episodic/problem) data
- Follow up data
- Emergency data
Define Complete (total) data: - ANSWER Includes a complete history and a full
examination
Define Focused (episodic/problem) data: - ANSWER Used for a limited or short
term period, on a smaller scope, and is more targeted
Define Follow up data: - ANSWER Evaluates status of problem at regular
intervals to follow up on short-term or chronic problems
Define Emergency data: - ANSWER Calls for rapid collection of data which
commonly occurs during lifesaving measures
When do you use open ended questions and what for? - ANSWER Use at the
beginning of interview; asks for narrative information
What do you hope to achieve it with open ended questions? - ANSWER To build
rapport, encourage elaboration, and used to cover broad area of conversation
and subjective data
,What do you use closed ended questions for? - ANSWER Asks for specific
information and short one or two word answers
What do you hope to achieve with closed ended questions? - ANSWER Specific
information to fill in the gaps
Review the positive nonverbal behaviors that promote communication during an
interview. - ANSWER Professional appearance, open posturing, facilitating
gestures, facial animation and interest, Eye contact, moderate tone of voice,
appropriate touch, moderate rate of speech
Define Facilitation: - ANSWER Encourages the client to say more information (ie:
".....go on,......"
Define Reflection: - ANSWER Echoes the clients words by repeating part of what
the patient just said. Example: "So you're saying you feel tired and anxious?"
Define Empathy: - ANSWER Names a feeling and allows its expression;
sympathizes.
Define Clarification: - ANSWER Summarize the patients words, simplify
statement, and ensure you're on the right track. Useful when person's word
choice is ambiguous or confusing.
Define Confrontation: - ANSWER Clarify inconsistent information. Example: "you
say it does not hurt, but you..."
Define Leading or biased questions: - ANSWER Implies one question is better
than another, leading client to the correct answer. Can make patient feel shame
if they answer wrong. Example: "you're not having unprotected sex, are you?"
What part of the interview and assessment focus on the patients frame of
reference? - ANSWER Facilitation, reflection, empathy, clarification
What part of the interview and assessment focus on your own frame of
reference? - ANSWER Confrontation, and leading or biased questions
What are the 10 traps of interviewing? - ANSWER - Providing false assurance or
reassurance
- giving unwanted advice
- using authority
- using avoidance language
- engaging in distancing
- using professional jargon
- using leading or biased questions
, - talking too much interrupting
- using "why" questions
What are the 4 functional use of space? - ANSWER Intimate zone, personal
distance, social distance, public distance
What is the correct distance for the "Intimate Zone"? - ANSWER 0 - 1.5'
What is the correct distance for "personal distance"? - ANSWER 1.5' - 4'
What is the correct distance for "social distance"? - ANSWER 4' - 12'
What is the correct distance for "public distance"? - ANSWER >12'
What are the techniques for promoting therapeutic communication and building
rapport? - ANSWER Active listening; sharing observations, hope, humor,
feelings, touch; using silence and providing information; clarifying, focusing,
paraphrasing; asking relevant questions; summarizing; self-destruction,
confrontation
What is the purpose of using silence during an interview? - ANSWER
Communicates that client has time to think; provides you with time to serve
client and note nonverbal cues; helps patient maintain train of thought without
interruption or leading / prompting
What are the rules for using an interpreter? - ANSWER - Always talk to the
patient; not the interpreter
- plan what you want to say ahead of time
- ask interpreter to provide verbatim account of conversation
- be patient; takes two or three times longer
- clarify and identify diagnostic tests and what parts of the body will be used for
the tests
What are the eight components of health history? - ANSWER - biographic data
- source and reliability
- chief complaint
- history of present illness's
- past medical history
- family history
- review of systems
- functional history
What is biographical data? - ANSWER Patients name, address, date of birth,
language, communication needs
