FINAL EXAM - NUR 1060C - HEALTH
ASSESSMENT QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question: What constitutes Evidence-Based Practice (EBP)?
Answer: EBP is a collaborative approach to healthcare that integrates the
highest quality clinical research with a practitioner's professional expertise.
Crucially, it incorporates the patient’s unique values and preferences. For
instance, if a patient declines medication, the nurse’s role is to support that
autonomy without bias or judgment. ✔✔
Question: How does the expanded concept of health influence data
collection and health promotion?
Answer: Health promotion and prevention are central to nursing, shifting the
focus from just treating symptoms to a holistic "mind-body-spirit" model. This
requires collecting data beyond physical signs, such as a patient's cultural
background, financial stability, stress levels, and personal perception of their
own well-being. ✔✔
Question: In what ways do religion and spirituality affect a patient's
experience with illness?
Answer: Spiritual beliefs often shape how a person interprets the severity of
their condition or the meaning behind their suffering. These factors can dictate
a patient's choice of healer, leading some to prefer spiritual or alternative
practitioners over conventional medical doctors. ✔✔
Question: How can nurses integrate specific cultural needs and beliefs
about illness into a care plan?
Answer: Care can be tailored by incorporating practices that align with the
patient's worldview. This might include facilitating visits from clergy, allowing
time for prayer or meditation, and respecting the healing power of nature within
the clinical setting. ✔✔
Question: What are the core elements of Evidence-Informed Practice, and
why is there often a delay in implementation?
,Answer: This framework combines clinical expertise and physical assessments
with established evidence-based theories and patient choices. Adoption of new
standards can be slow; for example, while steroid use for premature infants was
explored in the 1970s, it took nearly two decades to become a universal
standard of care. ✔✔
What are some evidence base practice resources?
Professional organization websites, reputable sites, peer reviewed journal
articles (ex: QSEN)
What happens when the plan is implemented for the care of the pt?
We reassess, change the plan
What are the steps to evidence based practice? What is familiar about this
process?
It is another way to package the nursing process. (ex: before we used to listen
to bowel movements, now we assess for bowel movements and flatulence post
op)
How do we identify priorities in pt care?
We categorized the priorities into three categories. First of highest level of
priority = ABC = Airway, Breathing, Circulation | Second level of priority =
ex: change in mental health status (can be a first level problem bc change LOC
is a 1st sign of hypoxia), pain, urination problems, then safety Third level of
priorities - psychosocial, lack of knowledge (ex: if the pt needs to take insulin,
but doesn't know how) *This is done collaboratively
How do we organize patient information using databases?
We categorized them into a database. It starts as a complete health history and
physical examination/assessment, the physician is responsible to get a complete
health history within 24 hrs of admission | Focused/problem centered = limited
to the concern in the moment, this is normally done when a pt comes into the
hospital, urgent care | Follow up = "is it getting up better" "do we need to
change the plan" "are the intervention working" | Emergent = fast collection of
,data while simultaneously treating the life threatening issue (ex: someone
comes in with OD you need to know how much they took, when did they take
it, what did they take)
What are the stages of health promotion and disease?
One of a nurse's roles is educator Primary = Prevention - immunizations,
healthy eating habits, not smoking, sunscreen | Secondary = screening - help
detect disease early, pap smears, mamograms, colonoscopy, PPD | Tertiary =
treating the disease - ex: keeping stable blood sugar with diabetes or
hypertension - take your meds to prevent stroke, heart disease
How does the demographic profile of the U.S. influence how we care for pts.?
Language barriers - impair access to healthcare, communication issue, Poverty
rates - higher among minority groups, Disability rates - language can also be a
disability and make it difficult to navigate the healthcare system,
Undocumented immigrants - avoid healthcare until they can't avoid bc of fear
What are the 4 basic concepts of culture?
shared beliefs/values/customs that are learned from birth transcends from
generation to generation, it's dynamic, and adapted through environmental
needs 1. learned, 2. shared, 3. adapted, 4. dynamic ||| Race = categorized by
physical characteristics, Ethnicity = cultural factors, ancenstry, language,
religion, Acculturation = assimilation - taking on the characteristics of the
dominant culture, Biculturalism integration = merge two cultures,
Acculturative stress = stressors, change in social status, laguage barriers
What is the difference between religion and spirituality?
Religion = organized system, going to a place of worship | Spirituality = "being
connected to something larger than oneself" - have to be incorporated into a pt's
plan of care
What is heritage consistency?
how close a person's lifestyle reflects their culture
, What are the components of a cultural assessment?
Heritage spector scale = the higher the # of points, the higher the level of
importance of incorportation of the heritage, include heritage in the care plan,
ex: spirituality, death practices, childbirth rituals
What are some illness causation beliefs and practices?
Biomedical or scientific theory = cause and effect, used in the medical
community | Naturalistic or holistic = yin/yang, need balance in nature to
prevent and restore health, if there's an emotional imbalance | Magicoreligious
= voodoo, may believe they need to pray before seeking professionals |
Traditional beliefs = alternative practices, amulets *Be supportive, no judgment
What is involved in the patient interview?
During a health interview the healthcare provider is collecting information
about the pt's health history both present and past. The provider is dvlping
rappport. The interview also involves pt education/client teaching
What is the patient health history?
Information about the clients past and present health history
How does one devolop rappport with a pt?
You set expectations about the interview and dvlp trust b/t the pt and healthcare
provider ex: : tell them how long the interview is going to be, ask them if it's
okay to interview them in front of someone else
What is client teaching?
One of the roles of a nurse is educator which means an interview with a pt
involves health promotion and disease prevention ex: Acknowledge your
observations and what you find is important to the patient
What is the assessment?
Subjective + objective data OR pt statements/symptoms + physical
assessment/medical record/labs/signs SUBJECtTIVE ex: the patient complains
of a headache OBJECTIVE ex: blood pressure measurement
ASSESSMENT QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question: What constitutes Evidence-Based Practice (EBP)?
Answer: EBP is a collaborative approach to healthcare that integrates the
highest quality clinical research with a practitioner's professional expertise.
Crucially, it incorporates the patient’s unique values and preferences. For
instance, if a patient declines medication, the nurse’s role is to support that
autonomy without bias or judgment. ✔✔
Question: How does the expanded concept of health influence data
collection and health promotion?
Answer: Health promotion and prevention are central to nursing, shifting the
focus from just treating symptoms to a holistic "mind-body-spirit" model. This
requires collecting data beyond physical signs, such as a patient's cultural
background, financial stability, stress levels, and personal perception of their
own well-being. ✔✔
Question: In what ways do religion and spirituality affect a patient's
experience with illness?
Answer: Spiritual beliefs often shape how a person interprets the severity of
their condition or the meaning behind their suffering. These factors can dictate
a patient's choice of healer, leading some to prefer spiritual or alternative
practitioners over conventional medical doctors. ✔✔
Question: How can nurses integrate specific cultural needs and beliefs
about illness into a care plan?
Answer: Care can be tailored by incorporating practices that align with the
patient's worldview. This might include facilitating visits from clergy, allowing
time for prayer or meditation, and respecting the healing power of nature within
the clinical setting. ✔✔
Question: What are the core elements of Evidence-Informed Practice, and
why is there often a delay in implementation?
,Answer: This framework combines clinical expertise and physical assessments
with established evidence-based theories and patient choices. Adoption of new
standards can be slow; for example, while steroid use for premature infants was
explored in the 1970s, it took nearly two decades to become a universal
standard of care. ✔✔
What are some evidence base practice resources?
Professional organization websites, reputable sites, peer reviewed journal
articles (ex: QSEN)
What happens when the plan is implemented for the care of the pt?
We reassess, change the plan
What are the steps to evidence based practice? What is familiar about this
process?
It is another way to package the nursing process. (ex: before we used to listen
to bowel movements, now we assess for bowel movements and flatulence post
op)
How do we identify priorities in pt care?
We categorized the priorities into three categories. First of highest level of
priority = ABC = Airway, Breathing, Circulation | Second level of priority =
ex: change in mental health status (can be a first level problem bc change LOC
is a 1st sign of hypoxia), pain, urination problems, then safety Third level of
priorities - psychosocial, lack of knowledge (ex: if the pt needs to take insulin,
but doesn't know how) *This is done collaboratively
How do we organize patient information using databases?
We categorized them into a database. It starts as a complete health history and
physical examination/assessment, the physician is responsible to get a complete
health history within 24 hrs of admission | Focused/problem centered = limited
to the concern in the moment, this is normally done when a pt comes into the
hospital, urgent care | Follow up = "is it getting up better" "do we need to
change the plan" "are the intervention working" | Emergent = fast collection of
,data while simultaneously treating the life threatening issue (ex: someone
comes in with OD you need to know how much they took, when did they take
it, what did they take)
What are the stages of health promotion and disease?
One of a nurse's roles is educator Primary = Prevention - immunizations,
healthy eating habits, not smoking, sunscreen | Secondary = screening - help
detect disease early, pap smears, mamograms, colonoscopy, PPD | Tertiary =
treating the disease - ex: keeping stable blood sugar with diabetes or
hypertension - take your meds to prevent stroke, heart disease
How does the demographic profile of the U.S. influence how we care for pts.?
Language barriers - impair access to healthcare, communication issue, Poverty
rates - higher among minority groups, Disability rates - language can also be a
disability and make it difficult to navigate the healthcare system,
Undocumented immigrants - avoid healthcare until they can't avoid bc of fear
What are the 4 basic concepts of culture?
shared beliefs/values/customs that are learned from birth transcends from
generation to generation, it's dynamic, and adapted through environmental
needs 1. learned, 2. shared, 3. adapted, 4. dynamic ||| Race = categorized by
physical characteristics, Ethnicity = cultural factors, ancenstry, language,
religion, Acculturation = assimilation - taking on the characteristics of the
dominant culture, Biculturalism integration = merge two cultures,
Acculturative stress = stressors, change in social status, laguage barriers
What is the difference between religion and spirituality?
Religion = organized system, going to a place of worship | Spirituality = "being
connected to something larger than oneself" - have to be incorporated into a pt's
plan of care
What is heritage consistency?
how close a person's lifestyle reflects their culture
, What are the components of a cultural assessment?
Heritage spector scale = the higher the # of points, the higher the level of
importance of incorportation of the heritage, include heritage in the care plan,
ex: spirituality, death practices, childbirth rituals
What are some illness causation beliefs and practices?
Biomedical or scientific theory = cause and effect, used in the medical
community | Naturalistic or holistic = yin/yang, need balance in nature to
prevent and restore health, if there's an emotional imbalance | Magicoreligious
= voodoo, may believe they need to pray before seeking professionals |
Traditional beliefs = alternative practices, amulets *Be supportive, no judgment
What is involved in the patient interview?
During a health interview the healthcare provider is collecting information
about the pt's health history both present and past. The provider is dvlping
rappport. The interview also involves pt education/client teaching
What is the patient health history?
Information about the clients past and present health history
How does one devolop rappport with a pt?
You set expectations about the interview and dvlp trust b/t the pt and healthcare
provider ex: : tell them how long the interview is going to be, ask them if it's
okay to interview them in front of someone else
What is client teaching?
One of the roles of a nurse is educator which means an interview with a pt
involves health promotion and disease prevention ex: Acknowledge your
observations and what you find is important to the patient
What is the assessment?
Subjective + objective data OR pt statements/symptoms + physical
assessment/medical record/labs/signs SUBJECtTIVE ex: the patient complains
of a headache OBJECTIVE ex: blood pressure measurement
