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NR302 Health Assessment Final Exam Concepts latest updated
Chapter 1: Evidence-Based Assessment
• Understand the tasks or the role of the RN with the Nursing Process.
As it relates to:
The Nursing Process
Know the difference between Priority Levels of Care:
• 1st level: Emergent, life threatening, and immediate
• 2nd level: Next in urgency, requiring attention to avoid further deterioration
acute urinary elimination problems
• 3rd level: important to patient’s health but can be addressed after more
urgent problems are addressed.
Know what belongs in each database:
• Complete total health database: Describes current and past health state
and forms baseline to measure all future changes. On admission this is
done
• Episodic or problem-centered database: Collect “mini” database,
smaller scope and more focused than complete database. This is used in
all health care settings focused on a specific area or part of the body
• Follow-up database: Status of all identified problems should be evaluated at
regular and appropriate intervals.
Following up with a primary care doctor
• Emergency database: Rapid collection of data often compiled concurrently
with lifesaving measures
Chapter 3: The Interview
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Be able to describe the best type of: Physical Environment
• set the room temperature at comfortable level
• provide enough lighting so that you can see each other clearly but
avoid strong, direct lighting that can cause squinting
• secure a quite environment. Turn off televisions, radios, and any
unnecessary equipment.
• Remove distance between you and the client at 4 to 5 feet
personal space is any space within 4 feet of a person. Encroaching
on personal space can cause anxiety, but if you position yourself
farther away, you may seem aloof and distant the personal reaction
bubble depends on variety of factors including culture, gender, and
age.
Chapter 4: The Complete Health History
Know what type of data is collected in each section of the health
history (adult client)
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• Biographic data: name, address, and phone number; age and birth date,
birthplace, gender, relationship status, race, ethnic origin; and occupation,
person primary language
• Source of history: Record who furnishes the information, are they reliable
judge how reliable the informant seems. A reliable person always gives the
same answers, even when questions are rephrased or repeated later in the
interview. Note whether the person appears well or ill; a sick patient may
communicate poorly.
• Reason for seeking care: Symptom: subjective sensation person feels from
disorder documented in quotes
Sign: objective abnormality that can be detected on physical examination or
in laboratory reports
• Present health or history of present illness: Collect all provided data and
identify eight critical characteristics. Make sure that collected data are
precise and accurate. Use standardized indicators to document findings
• Past health: health history in the pass childhood illness, accidents
or injuries, serious or chronic illnesses, hospitalization, obstetric
history, immunizations, las examination date, allergies, current
meds
• Family history: family history like cancer or diseases that a patient may be at
risk for
• Review of systems: The purposes of this section are (1) to evaluate the
past and present health state of each body system, (2) to double-check in
case any significant data were omitted in the Present Illness section, and (3)
to evaluate
health promotion practices.
• functional assessment including activities of daily living (ADLs): sleep and
rest, activity and exercise, personal habits, intimate partner violence,
coping and stress management, illicit or street drugs.
Know CAGE assessment:
• Cut down: Have you ever thought you should Cut down on you drinking
• Annoyed: have you have been Annoyed by criticism of your drinking
• Guilty: have you ever felt Guilty about you drinking?
• Eye-opener: do you drink in the morning (Eye opener
Know how you would perform the assessment: When was your last drink
of alcohol? How much did you drink that time? In the past 30 days, about
how many days would you say that you drank alcohol? Has anyone ever
said that you had a drinking problem?
If the person answer “yes” to two or more questions, you should
suspect alcohol abuse and continue with a more complete substance-
abuse assessment
Chapter 5: Mental Status Assessment
NR302 Health Assessment Final Exam Concepts latest updated
Chapter 1: Evidence-Based Assessment
• Understand the tasks or the role of the RN with the Nursing Process.
As it relates to:
The Nursing Process
Know the difference between Priority Levels of Care:
• 1st level: Emergent, life threatening, and immediate
• 2nd level: Next in urgency, requiring attention to avoid further deterioration
acute urinary elimination problems
• 3rd level: important to patient’s health but can be addressed after more
urgent problems are addressed.
Know what belongs in each database:
• Complete total health database: Describes current and past health state
and forms baseline to measure all future changes. On admission this is
done
• Episodic or problem-centered database: Collect “mini” database,
smaller scope and more focused than complete database. This is used in
all health care settings focused on a specific area or part of the body
• Follow-up database: Status of all identified problems should be evaluated at
regular and appropriate intervals.
Following up with a primary care doctor
• Emergency database: Rapid collection of data often compiled concurrently
with lifesaving measures
Chapter 3: The Interview
, 2
Be able to describe the best type of: Physical Environment
• set the room temperature at comfortable level
• provide enough lighting so that you can see each other clearly but
avoid strong, direct lighting that can cause squinting
• secure a quite environment. Turn off televisions, radios, and any
unnecessary equipment.
• Remove distance between you and the client at 4 to 5 feet
personal space is any space within 4 feet of a person. Encroaching
on personal space can cause anxiety, but if you position yourself
farther away, you may seem aloof and distant the personal reaction
bubble depends on variety of factors including culture, gender, and
age.
Chapter 4: The Complete Health History
Know what type of data is collected in each section of the health
history (adult client)
, 3
• Biographic data: name, address, and phone number; age and birth date,
birthplace, gender, relationship status, race, ethnic origin; and occupation,
person primary language
• Source of history: Record who furnishes the information, are they reliable
judge how reliable the informant seems. A reliable person always gives the
same answers, even when questions are rephrased or repeated later in the
interview. Note whether the person appears well or ill; a sick patient may
communicate poorly.
• Reason for seeking care: Symptom: subjective sensation person feels from
disorder documented in quotes
Sign: objective abnormality that can be detected on physical examination or
in laboratory reports
• Present health or history of present illness: Collect all provided data and
identify eight critical characteristics. Make sure that collected data are
precise and accurate. Use standardized indicators to document findings
• Past health: health history in the pass childhood illness, accidents
or injuries, serious or chronic illnesses, hospitalization, obstetric
history, immunizations, las examination date, allergies, current
meds
• Family history: family history like cancer or diseases that a patient may be at
risk for
• Review of systems: The purposes of this section are (1) to evaluate the
past and present health state of each body system, (2) to double-check in
case any significant data were omitted in the Present Illness section, and (3)
to evaluate
health promotion practices.
• functional assessment including activities of daily living (ADLs): sleep and
rest, activity and exercise, personal habits, intimate partner violence,
coping and stress management, illicit or street drugs.
Know CAGE assessment:
• Cut down: Have you ever thought you should Cut down on you drinking
• Annoyed: have you have been Annoyed by criticism of your drinking
• Guilty: have you ever felt Guilty about you drinking?
• Eye-opener: do you drink in the morning (Eye opener
Know how you would perform the assessment: When was your last drink
of alcohol? How much did you drink that time? In the past 30 days, about
how many days would you say that you drank alcohol? Has anyone ever
said that you had a drinking problem?
If the person answer “yes” to two or more questions, you should
suspect alcohol abuse and continue with a more complete substance-
abuse assessment
Chapter 5: Mental Status Assessment
