Health Assessment NR302 health assessment exam 1
CHAPTER 1:
According to the holistic model, a narrow definition of holistic health includes:
an optimal functioning of mind, body, and spirit within the environment. B) the absence of disease
the response of the whole person to actual or potential problems
the internal and external environment.
Rationale: From a biomedical perspective, health is defined as the absence of disease or elimination of
symptoms and signs of disease, whereas a
holistic model approach examines mind, body, and spirit working interdependently within the environment
to maintain health
and well- being. Nursing has an expanded concept of health; holistic health includes
the mind, body, and spirit as interdependent and functioning as a whole within the
environment. Nursing diagnoses are clinical judgments about a person’s response
to an actual or potential health state. In a holistic model approach to health, both
the internal and the external environment affect a patient’s health and well-
being.
What type of database is most appropriate when rapid collection of data is required and often
compiled concurrently with lifesaving measures?
Episodic
Follow-Up C) Emergency
D) Complete
Rationale: An emergency database includes rapid collection of data often obtained concurrently
with lifesaving measures. An episodic
database is for a limited or short-term problem; this database concerns
mainly one problem, one cue complex, or one body system. A follow- up database is used to
follow up short-term or chronic health problems; the statuses of identified problems are
evaluated at regular and appropriate intervals.
A complete database includes a complete health history and a full physical examination; it describes the
current and past health state and forms a
baseline against which all future changes can be measured.
A medical diagnosis is used to evaluate:
person’s state of health.
the response of the whole person to actual or potential health problems
a person’s culture D) the cause of disease
, Rationale: Medical diagnoses are used to evaluate the cause or etiology of disease. Nursing diagnoses are
clinical judgments about a person’s
response to an actual or potential health state. Nursing
diagnoses are used to evaluate the response of the whole person to actual or potential health
problems.
An example of subjective data is:
decreased ROM
crepitation in the left knee joint
left knee has been swollen and hot for 3 days
arthritis
Rationale: Subjective data is what the patient says about himself or herself during history taking. Objective
data is what the health professional
observes by inspecting, percussing, palpating, and auscultating
during the physical examination. Range of motion is assessed by inspection
What type of database is most appropriate for an individual who is admitted to a long- term care
facility?
Episodic
Follow-Up
Emergency D) Complete
Rationale: Same as question #2
Which of the following is an example of objective data? A) Alert and orientated
Dizziness
An earache
A sore throat
An example of objective data is:
a complaint of left knee pain
crepitation in the left knee joint
left knee has been swollen and hot for the past 3 days.
a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling,
and pain on passive range of motion
Rationale: Crepitation is assessed by palpation
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?
Ineffective self-health management
Risk for infection
Impaired gas exchange
Readiness for enhanced spiritual well-being
CHAPTER 1:
According to the holistic model, a narrow definition of holistic health includes:
an optimal functioning of mind, body, and spirit within the environment. B) the absence of disease
the response of the whole person to actual or potential problems
the internal and external environment.
Rationale: From a biomedical perspective, health is defined as the absence of disease or elimination of
symptoms and signs of disease, whereas a
holistic model approach examines mind, body, and spirit working interdependently within the environment
to maintain health
and well- being. Nursing has an expanded concept of health; holistic health includes
the mind, body, and spirit as interdependent and functioning as a whole within the
environment. Nursing diagnoses are clinical judgments about a person’s response
to an actual or potential health state. In a holistic model approach to health, both
the internal and the external environment affect a patient’s health and well-
being.
What type of database is most appropriate when rapid collection of data is required and often
compiled concurrently with lifesaving measures?
Episodic
Follow-Up C) Emergency
D) Complete
Rationale: An emergency database includes rapid collection of data often obtained concurrently
with lifesaving measures. An episodic
database is for a limited or short-term problem; this database concerns
mainly one problem, one cue complex, or one body system. A follow- up database is used to
follow up short-term or chronic health problems; the statuses of identified problems are
evaluated at regular and appropriate intervals.
A complete database includes a complete health history and a full physical examination; it describes the
current and past health state and forms a
baseline against which all future changes can be measured.
A medical diagnosis is used to evaluate:
person’s state of health.
the response of the whole person to actual or potential health problems
a person’s culture D) the cause of disease
, Rationale: Medical diagnoses are used to evaluate the cause or etiology of disease. Nursing diagnoses are
clinical judgments about a person’s
response to an actual or potential health state. Nursing
diagnoses are used to evaluate the response of the whole person to actual or potential health
problems.
An example of subjective data is:
decreased ROM
crepitation in the left knee joint
left knee has been swollen and hot for 3 days
arthritis
Rationale: Subjective data is what the patient says about himself or herself during history taking. Objective
data is what the health professional
observes by inspecting, percussing, palpating, and auscultating
during the physical examination. Range of motion is assessed by inspection
What type of database is most appropriate for an individual who is admitted to a long- term care
facility?
Episodic
Follow-Up
Emergency D) Complete
Rationale: Same as question #2
Which of the following is an example of objective data? A) Alert and orientated
Dizziness
An earache
A sore throat
An example of objective data is:
a complaint of left knee pain
crepitation in the left knee joint
left knee has been swollen and hot for the past 3 days.
a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling,
and pain on passive range of motion
Rationale: Crepitation is assessed by palpation
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?
Ineffective self-health management
Risk for infection
Impaired gas exchange
Readiness for enhanced spiritual well-being
