Test Bank For Nursing Health Assessment A Clinical
Judgment Approach 4th Edition
Health assessment - ANSWER The most important practical lesson that can be
given to nurses to teach them what to observe
A sharp eye and a keen mind are more valuable than all the instruments in the
medical bag
Systematic method of collecting data (the concept of assessment) - ANSWER
Determine current, ongoing health status
Predicting risks
Identifying health promoting activites
Focus ( the concept of assessment) - ANSWER Problems/ deficits presented by
client
Data gathered ( the concept of assessment) - ANSWER Wellness behaviours
Illness signs and symptoms
Client strengths, weaknesses, risk factors
Variety of sources- client, family, support persons
Factors influencing health - ANSWER Income & Social Economic Status (SES)
Education
Environments - Social,
Physical
Employment & Working Conditions
Social Support Networks
Early Childhood Development
Cultural - Health Practices, Support Networks
Genetics
Personal Behavior & Coping
skills
Health services Gender
Critical thinking ability - ANSWER Grows form novice to expert
Theoretical/ experiential knowledge - ANSWER What when why
Intellectual/ manual skills - ANSWER Assessment& psychometric skills
Infants considerations - ANSWER Presence of parent/guardian
↓ 2yrs, measure height in supine position, legs extended
Weight (Newborn - 2yrs)
Head circumference/ chest
circumference (Until 2 yrs)
children considerations - ANSWER Anxiety/curiosity
, Modesty/shyness
Adolescents - Age of Consent
Weight
Older adults considerations - ANSWER Extra time for Interview Deficits
Measurements
↓ height due to osteoporosis
Functional assessment is very important in assessing older people. It measures how
they manage day to day activities. ADLS, IADL's, Nutrition, Activity, Elimination,
Sleep/Rest Coping/Stress, Role/Relationships, Supports
Components of a health assessment. - ANSWER General survey
Sources of data
Interview
Physical assessment
Documentation
Interpretation of findings
Interview - ANSWER Health history
Subjective data- what the person says about himself or herself
Communication
Physical assessment - ANSWER IPPA
Objective data- signs perceived by the examiner
Includes: vital signs, laboratory investigations
Physical appearance (general survey) - ANSWER Age
Sex
Level of Consciousness
Skin Color
Facial Features
Signs of Distre
Body structure (general survey) - ANSWER Stature
Nutrition
Symmetry
Posture
Position
Body Build, Contour
Mobility (general survey) - ANSWER Gait
Range of motion
Behaviour (general survey) - ANSWER Facial Expression
Mood & Affect
Speech
Dress
Personal Hygiene
Measurement (general survey) - ANSWER Weight
Judgment Approach 4th Edition
Health assessment - ANSWER The most important practical lesson that can be
given to nurses to teach them what to observe
A sharp eye and a keen mind are more valuable than all the instruments in the
medical bag
Systematic method of collecting data (the concept of assessment) - ANSWER
Determine current, ongoing health status
Predicting risks
Identifying health promoting activites
Focus ( the concept of assessment) - ANSWER Problems/ deficits presented by
client
Data gathered ( the concept of assessment) - ANSWER Wellness behaviours
Illness signs and symptoms
Client strengths, weaknesses, risk factors
Variety of sources- client, family, support persons
Factors influencing health - ANSWER Income & Social Economic Status (SES)
Education
Environments - Social,
Physical
Employment & Working Conditions
Social Support Networks
Early Childhood Development
Cultural - Health Practices, Support Networks
Genetics
Personal Behavior & Coping
skills
Health services Gender
Critical thinking ability - ANSWER Grows form novice to expert
Theoretical/ experiential knowledge - ANSWER What when why
Intellectual/ manual skills - ANSWER Assessment& psychometric skills
Infants considerations - ANSWER Presence of parent/guardian
↓ 2yrs, measure height in supine position, legs extended
Weight (Newborn - 2yrs)
Head circumference/ chest
circumference (Until 2 yrs)
children considerations - ANSWER Anxiety/curiosity
, Modesty/shyness
Adolescents - Age of Consent
Weight
Older adults considerations - ANSWER Extra time for Interview Deficits
Measurements
↓ height due to osteoporosis
Functional assessment is very important in assessing older people. It measures how
they manage day to day activities. ADLS, IADL's, Nutrition, Activity, Elimination,
Sleep/Rest Coping/Stress, Role/Relationships, Supports
Components of a health assessment. - ANSWER General survey
Sources of data
Interview
Physical assessment
Documentation
Interpretation of findings
Interview - ANSWER Health history
Subjective data- what the person says about himself or herself
Communication
Physical assessment - ANSWER IPPA
Objective data- signs perceived by the examiner
Includes: vital signs, laboratory investigations
Physical appearance (general survey) - ANSWER Age
Sex
Level of Consciousness
Skin Color
Facial Features
Signs of Distre
Body structure (general survey) - ANSWER Stature
Nutrition
Symmetry
Posture
Position
Body Build, Contour
Mobility (general survey) - ANSWER Gait
Range of motion
Behaviour (general survey) - ANSWER Facial Expression
Mood & Affect
Speech
Dress
Personal Hygiene
Measurement (general survey) - ANSWER Weight
