Exam (elaborations) NSG 2317 Health Assessment/Exam
(elaborations) NSG 2317 Health Assessment
the absence of disease or elimination of symptoms or signs of disease. - answer the
biomedical definition of health
A medical diagnosis is used to evaluate - answer the cause of disease (etiology)
a concise statement of actual or potential health concerns or level of wellness - answer
nursing diagnosis
what a person says about his or herself during history taking - answer subjective data
data gathered by the HCP's observations, inspection, palpating, percussing and
auscultating. - answer Objective data
A patient admitted to the hospital with asthma has the following problems identified
based on an admission health history and physical assessment. Which problem is a
first-level priority?
A) Ineffective self-health management
B) Risk for infection
C) Impaired gas exchange
D) Readiness for enhanced spiritual well-being - answer Impaired gas exchange.
First level priority problems are those that are emergencies, life-threatening, and
immediate.
Impaired gas exchange is an urgent and immediate problem.
Assessment of self-esteem and self-concept is part of the functional assessment. Areas
covered under self-esteem and self-concept include:
A) education, financial status, and value-belief system.
B) exercise and activity, leisure activities, and level of independence.
C) family role, interpersonal relations, social support, and time spent alone.
D) stressors, coping mechanisms, and change in past year. - answer A
functional assessment measures a person's self-care ability.
what information is included in greater detail when taking a health history on an infant? -
answer nutritional data
the amount of nutritional information needed depends on the child's are; the younger
the child is, the more detailed and specific the data should be.
PQRSTU is a mnemonic that helps the clinician to remember to address characteristics
specific to:
, Exam (elaborations) NSG 2317 Health Assessment/Exam
(elaborations) NSG 2317 Health Assessment
A) severity of dementia.
B) substance use and abuse.
C) symptoms.
D) the ability to perform activities of daily living (ADLs). - answer Symptoms
Provocative or palliative
Quality
Region or radiation
Severity
Timing
Understand patient's perception
a patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about - answer aggravating factors
augments Korotkoff sounds during blood pressure measurement - answer the doppler
technique
If abnormalities are suspected when counting respirations what is the length of time
they should be counted for - answer 1 minute
The general survey consists of four distinct areas. These include: - answer physical
appearance, body structure, mobility and behaviour
the general survey is a study of the whole person, covering the general health state and
any obvious physical characteristics.
T or F the tympanic membrane thermometer is an accurate measure of core body
temperature. - answer T
Physical appearance includes statements that compare appearance with. - answer
stated age.
The nurse records that the patient's pulse is 3+. Which of the following could be the
cause?
dehydration
shock
bleeding
anxiety - answer Anxiety
(elaborations) NSG 2317 Health Assessment
the absence of disease or elimination of symptoms or signs of disease. - answer the
biomedical definition of health
A medical diagnosis is used to evaluate - answer the cause of disease (etiology)
a concise statement of actual or potential health concerns or level of wellness - answer
nursing diagnosis
what a person says about his or herself during history taking - answer subjective data
data gathered by the HCP's observations, inspection, palpating, percussing and
auscultating. - answer Objective data
A patient admitted to the hospital with asthma has the following problems identified
based on an admission health history and physical assessment. Which problem is a
first-level priority?
A) Ineffective self-health management
B) Risk for infection
C) Impaired gas exchange
D) Readiness for enhanced spiritual well-being - answer Impaired gas exchange.
First level priority problems are those that are emergencies, life-threatening, and
immediate.
Impaired gas exchange is an urgent and immediate problem.
Assessment of self-esteem and self-concept is part of the functional assessment. Areas
covered under self-esteem and self-concept include:
A) education, financial status, and value-belief system.
B) exercise and activity, leisure activities, and level of independence.
C) family role, interpersonal relations, social support, and time spent alone.
D) stressors, coping mechanisms, and change in past year. - answer A
functional assessment measures a person's self-care ability.
what information is included in greater detail when taking a health history on an infant? -
answer nutritional data
the amount of nutritional information needed depends on the child's are; the younger
the child is, the more detailed and specific the data should be.
PQRSTU is a mnemonic that helps the clinician to remember to address characteristics
specific to:
, Exam (elaborations) NSG 2317 Health Assessment/Exam
(elaborations) NSG 2317 Health Assessment
A) severity of dementia.
B) substance use and abuse.
C) symptoms.
D) the ability to perform activities of daily living (ADLs). - answer Symptoms
Provocative or palliative
Quality
Region or radiation
Severity
Timing
Understand patient's perception
a patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about - answer aggravating factors
augments Korotkoff sounds during blood pressure measurement - answer the doppler
technique
If abnormalities are suspected when counting respirations what is the length of time
they should be counted for - answer 1 minute
The general survey consists of four distinct areas. These include: - answer physical
appearance, body structure, mobility and behaviour
the general survey is a study of the whole person, covering the general health state and
any obvious physical characteristics.
T or F the tympanic membrane thermometer is an accurate measure of core body
temperature. - answer T
Physical appearance includes statements that compare appearance with. - answer
stated age.
The nurse records that the patient's pulse is 3+. Which of the following could be the
cause?
dehydration
shock
bleeding
anxiety - answer Anxiety
