Comprehensive Health Assessment- Exam 1
UPDATED ACTUAL Questions and CORRECT
Answers
What is general inspection and when does it begin? - CORRECT ANSWER - observing physical appearance and
hygiene, body structure, body movement, emotional status, disposition, and behavior.
-begins the moment you lay eyes on your patient
What is the concept of thermoregulation? - CORRECT ANSWER - the ability to regulate one's core body
temperature, even when the environmental temperature is variable.
What is infection control? - CORRECT ANSWER - The methods used to eliminate or reduce the transmission of
infectious organisms.
How does infection control affect patient care? - CORRECT ANSWER - by promoting patient health
-protecting you and the patient
-patient-centered care
What does ADPIE stand for? - CORRECT ANSWER - Assess
Diagnose
Plan
Intervene
Evaluate
What is AIDET? - CORRECT ANSWER - acknowledge, introduce, duration, explanation, thank you
How does AIDET affect your approach to your patient? And their response to you? - CORRECT ANSWER - -it
makes your patient feel comfortable
-it shows professionalism
-it helps to accurately gather information from the patient
What are WNL vital signs? - CORRECT ANSWER - Within normal limits
how do you count pulse and respirations on an ADULT? - CORRECT ANSWER - count for 30 seconds
-if heart is irregular count for a full minute
How do you count pulse and respirations on an INFANT? - CORRECT ANSWER - -always count for a full
minute
-assessment sites
-radial
-brachial
-carotid
-apical
subjective data - CORRECT ANSWER - -symptoms
things a person tells you about that you cannot observe through your senses; symptoms
What is the normal range of blood pressure for an ADULT? - CORRECT ANSWER - less than 120/less than 80
WNL ADULTS 18 and older BP - CORRECT ANSWER - 90-140/60-90 mm Hg
WNL CHILD 5-12 - CORRECT ANSWER - 100-110/56-60 mm Hg
WNL CHILD 1-4 - CORRECT ANSWER - 90-99/60-65 mm Hg
WNL NEWBORN - CORRECT ANSWER - 60-80/40-50 mm Hg
, Examples of subjective data - CORRECT ANSWER - I feel sick to my stomach
I have a stabbing pain in my side
He said "I ate all my breakfast"
objective data - CORRECT ANSWER - -signs
information that is seen, heard, felt, or smelled by an observer; signs
Examples of objective data - CORRECT ANSWER - Elevated temperature, moist skin, or refusal to eat food
how does culture impact the care of our patients? - CORRECT ANSWER - culture influences healthcare at all
levels including health disparities, healthcare outcomes, and even illness experience.
-it is important to reduce healthcare disparities.
what do we do if there is a language barrier? - CORRECT ANSWER - having an interpreter is important to have
when caring for a patient with a different language. Using the self-report measure can help assess the pain a patient is
experiencing with a language barrier.
what are ways nurses can ensure high-quality care of each individual with different religions, belief systems, languages,
family dynamics, and sexual orientation? - CORRECT ANSWER - to focus on the patient and their needs.
-patient-centered approach
-providing empathy
-effective communication
What are some examples of therapeutic communication? - CORRECT ANSWER - -active listening
-maintaining eye contact
-seeking clarification
-being respectful
-maintaining the same level as the patient
how can therapeutic communication be utilized with a challenging patient or stressful situation? - CORRECT
ANSWER - -using open-ended questions
-asking for clarification
-using silence
-reflecting
-summarizing
this provides holistic and patient-centered care through respecting boundaries and empathy
Comprehensive health assessment - CORRECT ANSWER - broad health assessment that includes a complete
health history and physical assessment; it is usually conducted when a patient first enters a health care setting, with
information providing a baseline for comparing later assessments
what assessment would you conduct on a patient that is a new admitted to a hospital? - CORRECT ANSWER -
comprehensive health assessment
what type of assessment would the nurse perform when doing a medication check on a patient with hypertension? -
CORRECT ANSWER - episodic/follow-up assessment
episodic/follow-up assessment - CORRECT ANSWER - usually done when a patient is following up with a health
care provider for a previously identified problem
what assessment would the nurse perform on a hospitalized patient that they are meeting for the first time? - CORRECT
ANSWER - problem-based/focused assesment
Problem-based/focused assessment - CORRECT ANSWER - involves a history and examination that are limited to
a specific problem or complaint
Shift Assessment - CORRECT ANSWER - RNs conduct assessments each shift. The purpose is to identify
changes in a PT's condition from baseline.
Screening Assessment/examination - CORRECT ANSWER - short examination focused on disease detection
UPDATED ACTUAL Questions and CORRECT
Answers
What is general inspection and when does it begin? - CORRECT ANSWER - observing physical appearance and
hygiene, body structure, body movement, emotional status, disposition, and behavior.
-begins the moment you lay eyes on your patient
What is the concept of thermoregulation? - CORRECT ANSWER - the ability to regulate one's core body
temperature, even when the environmental temperature is variable.
What is infection control? - CORRECT ANSWER - The methods used to eliminate or reduce the transmission of
infectious organisms.
How does infection control affect patient care? - CORRECT ANSWER - by promoting patient health
-protecting you and the patient
-patient-centered care
What does ADPIE stand for? - CORRECT ANSWER - Assess
Diagnose
Plan
Intervene
Evaluate
What is AIDET? - CORRECT ANSWER - acknowledge, introduce, duration, explanation, thank you
How does AIDET affect your approach to your patient? And their response to you? - CORRECT ANSWER - -it
makes your patient feel comfortable
-it shows professionalism
-it helps to accurately gather information from the patient
What are WNL vital signs? - CORRECT ANSWER - Within normal limits
how do you count pulse and respirations on an ADULT? - CORRECT ANSWER - count for 30 seconds
-if heart is irregular count for a full minute
How do you count pulse and respirations on an INFANT? - CORRECT ANSWER - -always count for a full
minute
-assessment sites
-radial
-brachial
-carotid
-apical
subjective data - CORRECT ANSWER - -symptoms
things a person tells you about that you cannot observe through your senses; symptoms
What is the normal range of blood pressure for an ADULT? - CORRECT ANSWER - less than 120/less than 80
WNL ADULTS 18 and older BP - CORRECT ANSWER - 90-140/60-90 mm Hg
WNL CHILD 5-12 - CORRECT ANSWER - 100-110/56-60 mm Hg
WNL CHILD 1-4 - CORRECT ANSWER - 90-99/60-65 mm Hg
WNL NEWBORN - CORRECT ANSWER - 60-80/40-50 mm Hg
, Examples of subjective data - CORRECT ANSWER - I feel sick to my stomach
I have a stabbing pain in my side
He said "I ate all my breakfast"
objective data - CORRECT ANSWER - -signs
information that is seen, heard, felt, or smelled by an observer; signs
Examples of objective data - CORRECT ANSWER - Elevated temperature, moist skin, or refusal to eat food
how does culture impact the care of our patients? - CORRECT ANSWER - culture influences healthcare at all
levels including health disparities, healthcare outcomes, and even illness experience.
-it is important to reduce healthcare disparities.
what do we do if there is a language barrier? - CORRECT ANSWER - having an interpreter is important to have
when caring for a patient with a different language. Using the self-report measure can help assess the pain a patient is
experiencing with a language barrier.
what are ways nurses can ensure high-quality care of each individual with different religions, belief systems, languages,
family dynamics, and sexual orientation? - CORRECT ANSWER - to focus on the patient and their needs.
-patient-centered approach
-providing empathy
-effective communication
What are some examples of therapeutic communication? - CORRECT ANSWER - -active listening
-maintaining eye contact
-seeking clarification
-being respectful
-maintaining the same level as the patient
how can therapeutic communication be utilized with a challenging patient or stressful situation? - CORRECT
ANSWER - -using open-ended questions
-asking for clarification
-using silence
-reflecting
-summarizing
this provides holistic and patient-centered care through respecting boundaries and empathy
Comprehensive health assessment - CORRECT ANSWER - broad health assessment that includes a complete
health history and physical assessment; it is usually conducted when a patient first enters a health care setting, with
information providing a baseline for comparing later assessments
what assessment would you conduct on a patient that is a new admitted to a hospital? - CORRECT ANSWER -
comprehensive health assessment
what type of assessment would the nurse perform when doing a medication check on a patient with hypertension? -
CORRECT ANSWER - episodic/follow-up assessment
episodic/follow-up assessment - CORRECT ANSWER - usually done when a patient is following up with a health
care provider for a previously identified problem
what assessment would the nurse perform on a hospitalized patient that they are meeting for the first time? - CORRECT
ANSWER - problem-based/focused assesment
Problem-based/focused assessment - CORRECT ANSWER - involves a history and examination that are limited to
a specific problem or complaint
Shift Assessment - CORRECT ANSWER - RNs conduct assessments each shift. The purpose is to identify
changes in a PT's condition from baseline.
Screening Assessment/examination - CORRECT ANSWER - short examination focused on disease detection
