NSG-316 EXAM 1 QUESTIONS AND ANSWERS
Describe the elements of a general survey - Answers - -physical appearance (age, sex,
consciousness, skin color, facial features, signs of distress)
-body structure (stature, nutrition, symmetry, posture, position, build, deformities)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
when should you begin observing - Answers - the second you see the client
health assessment - Answers - collection of data about the patient's health state
complete database - Answers - full health history and physical examination (family
practice)
episodic database - Answers - limited or short term problem
concerns 1 problem or complex or system (urgent care)
follow-up database - Answers - status of pervious problem at regular scheduled
intervals (doctors office)
emergency database - Answers - rapid collection of data (ER)
comprehensive assessment - Answers - health history and complete physical
examination, usually conducted when a patient first enters a health care setting
focused assessment - Answers - assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
subjective data - Answers - what the person says about himself or herself during history
taking
objective data - Answers - information that is seen, heard, felt, or smelled by an
observer; signs
first level priority - Answers - Emergent, life threatening, and immediate (ABCs)
second level priority - Answers - Next in urgency, requiring attention so as to avoid
further deterioration
third level priority - Answers - Important to patient's health but can be addressed after
more urgent problems are addressed
, functional assessment components - Answers - -basis for care planning, goal setting,
and discharge planning
-self care (ADLs)
-self maintenance (IADLs)
-physical mobility
collecting subjective data for the ill person - Answers - information about health problem
obtaining an accurate and current health history - Answers - -subjective data
-biographical data (name,DOB,sex,race,ethnic origin)
-source of history (themselves or family?)
-reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations, allergies,
current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
cultural competence - Answers - An understanding of how a patient's cultural
background shapes his beliefs, values, and expectations for therapy; established
through knowing your own culture first
inspection - Answers - -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments
palpation - Answers - -examine by touch
-doctor does this, if nurses do this it will be light
-fingertips (skin texture, swelling, pulsation, lumps)
-fingers/thumb (position, shape, consistency of organ/mass)
-dorsa of hand/fingers (temperature)
-base of fingers (vibration)
direct percussion - Answers - striking hand directly contacts body wall
indirect percussion - Answers - using both hands, striking hand contacts stationary hand
fixed on patient's skin
Auscultation - Answers - -listening to body sounds
-bell (low-frequency sounds: extra heart sounds or murmurs)
-diaphragm (high-frequency sounds: breaths, bowels, normal heart sounds)
acute pain - Answers - -short term
-fast onset
Describe the elements of a general survey - Answers - -physical appearance (age, sex,
consciousness, skin color, facial features, signs of distress)
-body structure (stature, nutrition, symmetry, posture, position, build, deformities)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
when should you begin observing - Answers - the second you see the client
health assessment - Answers - collection of data about the patient's health state
complete database - Answers - full health history and physical examination (family
practice)
episodic database - Answers - limited or short term problem
concerns 1 problem or complex or system (urgent care)
follow-up database - Answers - status of pervious problem at regular scheduled
intervals (doctors office)
emergency database - Answers - rapid collection of data (ER)
comprehensive assessment - Answers - health history and complete physical
examination, usually conducted when a patient first enters a health care setting
focused assessment - Answers - assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
subjective data - Answers - what the person says about himself or herself during history
taking
objective data - Answers - information that is seen, heard, felt, or smelled by an
observer; signs
first level priority - Answers - Emergent, life threatening, and immediate (ABCs)
second level priority - Answers - Next in urgency, requiring attention so as to avoid
further deterioration
third level priority - Answers - Important to patient's health but can be addressed after
more urgent problems are addressed
, functional assessment components - Answers - -basis for care planning, goal setting,
and discharge planning
-self care (ADLs)
-self maintenance (IADLs)
-physical mobility
collecting subjective data for the ill person - Answers - information about health problem
obtaining an accurate and current health history - Answers - -subjective data
-biographical data (name,DOB,sex,race,ethnic origin)
-source of history (themselves or family?)
-reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations, allergies,
current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
cultural competence - Answers - An understanding of how a patient's cultural
background shapes his beliefs, values, and expectations for therapy; established
through knowing your own culture first
inspection - Answers - -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments
palpation - Answers - -examine by touch
-doctor does this, if nurses do this it will be light
-fingertips (skin texture, swelling, pulsation, lumps)
-fingers/thumb (position, shape, consistency of organ/mass)
-dorsa of hand/fingers (temperature)
-base of fingers (vibration)
direct percussion - Answers - striking hand directly contacts body wall
indirect percussion - Answers - using both hands, striking hand contacts stationary hand
fixed on patient's skin
Auscultation - Answers - -listening to body sounds
-bell (low-frequency sounds: extra heart sounds or murmurs)
-diaphragm (high-frequency sounds: breaths, bowels, normal heart sounds)
acute pain - Answers - -short term
-fast onset
