Communication Exam 1 Prep UPDATED
ACTUAL Questions and CORRECT
Answers
Comprehensive assessment - CORRECT ANSWER - Detailed history and physical performed on
onset of care in primary or admission to hospital or long term. Ex. Health problems experiences, health
promotion. Health problems.
Problem based or focused assessment - CORRECT ANSWER - This involves a history and
physical examination that is limited to a specific problem or complaint (e.g., a sprained ankle). Primarily
Walk in clinic or ED
Episodic assessment - CORRECT ANSWER - This type of assessment is usually done when a
patient is following up with a health care provider for a previously identified problem. EX: follow up after
prescription., diabetes continual.
Shift Assessment - CORRECT ANSWER - When individuals are hospitalized, nurses conduct
assessments each shift. The purpose of the shift assessment is to identify changes to a patient's condition
from the baseline; thus the focus of the assessment is largely based on the condition or problem the
patient is experiencing.
Screening assessment - CORRECT ANSWER - The purpose of the shift assessment is to identify
changes to a patient's condition from the baseline; thus the focus of the assessment is largely based on the
condition or problem the patient is experiencing.
Sign VS. Symptom - CORRECT ANSWER - A. Signs: Objective finding perceived by the nurse.
Ex: elevated temperature, rash or abnormal heart rate.
B.Symptom: Subjective indicator or sensation perceived by the patient. Ex: pain, nausea, or fatigue
Three levels of Health promotion - CORRECT ANSWER - Primary, Secondary, Tertiary
, Primary level of Health promotion - CORRECT ANSWER - Preventing disease from developing
through promoting healthy lifestyle. Example: vaccinations & health education
Secondary level of Health promotion - CORRECT ANSWER - Screening efforts to promote early
detection of disease. Example: mammograms and bone density test
Tertiary level of Health promotion - CORRECT ANSWER - Minimizing disability from acute or
chronic illness or injury and allowing for most productive life within limitations. Example: Rehab,
chronic disease management
Components of clinical reasoning & judgement - CORRECT ANSWER - The outcome of a health
assessment is a portrait of the patient's physical status, strengths, weaknesses, abilities, support system,
health beliefs, and activities to maintain health, as well as the patient's health problems and available
resources to maintain health.
Open ended VS. Directive interview questions - CORRECT ANSWER - Open ended: encourage a
free-flowing, open response. Ex: How are you feeling? May need to redirect if excessive or can't focus
Directive: questions lead patient to focus on one set of thoughts (also called 'closed-ended questions'). Ex:
Do you have shortness of breath? More precise data.
Techniques that ENHANCE the interview - CORRECT ANSWER - ACTIVE LISTENING:
concentrates on patient.
FACILITATION: phrases non verbal or verbal to encourage talking more
CLARIFICATION: used to gather information
RESTATEMENT repeating to confirm interpretation.
REFLECTION:encouraging to elaborate and repeating.
CONFRONTATION: report and observe possible misunderstanding
INTERPRETATION: share conclusions drawn from data. Patient may confirm, deny or revise.
SUMMARY: condenses and orders data to clarify events.
Techniques that INTERFERE with interview process - CORRECT ANSWER - Using medical
terminology.