EXAM #1 - NUR 1060C HEALTH ASSESSMENT EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
What is evidence based practice?
best evidence (research) + clinician's experience/expertise + patient preference/values
(ex: pt's not choosig to take meds and the nurse should support the decision and NO
judgement)= EBP
What is the expanded concept of health and how does it relate to the process of
data collection and health promotion?
Health promotion and disease prevention is the core of nursing. It is about treating the
pt as a whole through holistic care by addressing mind+body+spirit. This means that
when treating a pt we not only look at the S/S we look at the pt's lifestyle, culture, self
care behaviors, stress levels, environmental status, finances/poverty, family history,
"how does the pt perceive their own health?"
How does religion and spirituality influence health and illness?
It may influence how the pt perceives their illness - ex: they may not think that it's as
severe as it really is, it may impact their healer choice - ex: they may not choose
traditional doctors for t(x). The pt may use spirituality to find the reason for their illness.
What are some ways we can plan to incorporate select cultural needs including
illness causation into the nursing care of pts?
Being in nature, meditation, prayer, clergy visit
,What are the components of evidenced informed practice?
Evidence based theories + physical assesment+ clinical expertise + pt preferemce, it
may take longer for us to see changes in healthcare practices (ex: 1970s - in the 70s
steriod use for premature infants, it didn't become standard practice until the 90s)
What are some evidence base practice resources?
Professional organization websites, reputable sites, peer reviewed journal articles (ex:
QSEN)
What happens when the plan is implemented for the care of the pt?
We reassess, change the plan
What are the steps to evidence based practice? What is familiar about this
process?
It is another way to package the nursing process. (ex: before we used to listen to bowel
movements, now we assess for bowel movements and flatulence post op)
How do we identify priorities in pt care?
We categorized the priorities into three categories. First of highest level of priority =
ABC = Airway, Breathing, Circulation | Second level of priority = ex: change in mental
health status (can be a first level problem bc change LOC is a 1st sign of hypoxia), pain,
urination problems, then safety Third level of priorities - psychosocial, lack of knowledge
(ex: if the pt needs to take insulin, but doesn't know how) *This is done collaboratively
How do we organize patient information using databases?
We categorized them into a database. It starts as a complete health history and physical
examination/assessment, the physician is responsible to get a complete health history
within 24 hrs of admission | Focused/problem centered = limited to the concern in the
, moment, this is normally done when a pt comes into the hospital, urgent care | Follow
up = "is it getting up better" "do we need to change the plan" "are the intervention
working" | Emergent = fast collection of data while simultaneously treating the life
threatening issue (ex: someone comes in with OD you need to know how much they
took, when did they take it, what did they take)
What are the stages of health promotion and disease?
One of a nurse's roles is educator Primary = Prevention - immunizations, healthy
eating habits, not smoking, sunscreen | Secondary = screening - help detect disease
early, pap smears, mamograms, colonoscopy, PPD | Tertiary = treating the disease -
ex: keeping stable blood sugar with diabetes or hypertension - take your meds to
prevent stroke, heart disease
How does the demographic profile of the U.S. influence how we care for pts.?
Language barriers - impair access to healthcare, communication issue, Poverty rates -
higher among minority groups, Disability rates - language can also be a disability and
make it difficult to navigate the healthcare system, Undocumented immigrants - avoid
healthcare until they can't avoid bc of fear
What are the 4 basic concepts of culture?
shared beliefs/values/customs that are learned from birth transcends from generation to
generation, it's dynamic, and adapted through environmental needs 1. learned, 2.
shared, 3. adapted, 4. dynamic ||| Race = categorized by physical characteristics,
Ethnicity = cultural factors, ancenstry, language, religion, Acculturation = assimilation -
taking on the characteristics of the dominant culture, Biculturalism integration = merge
two cultures, Acculturative stress = stressors, change in social status, laguage barriers
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
What is evidence based practice?
best evidence (research) + clinician's experience/expertise + patient preference/values
(ex: pt's not choosig to take meds and the nurse should support the decision and NO
judgement)= EBP
What is the expanded concept of health and how does it relate to the process of
data collection and health promotion?
Health promotion and disease prevention is the core of nursing. It is about treating the
pt as a whole through holistic care by addressing mind+body+spirit. This means that
when treating a pt we not only look at the S/S we look at the pt's lifestyle, culture, self
care behaviors, stress levels, environmental status, finances/poverty, family history,
"how does the pt perceive their own health?"
How does religion and spirituality influence health and illness?
It may influence how the pt perceives their illness - ex: they may not think that it's as
severe as it really is, it may impact their healer choice - ex: they may not choose
traditional doctors for t(x). The pt may use spirituality to find the reason for their illness.
What are some ways we can plan to incorporate select cultural needs including
illness causation into the nursing care of pts?
Being in nature, meditation, prayer, clergy visit
,What are the components of evidenced informed practice?
Evidence based theories + physical assesment+ clinical expertise + pt preferemce, it
may take longer for us to see changes in healthcare practices (ex: 1970s - in the 70s
steriod use for premature infants, it didn't become standard practice until the 90s)
What are some evidence base practice resources?
Professional organization websites, reputable sites, peer reviewed journal articles (ex:
QSEN)
What happens when the plan is implemented for the care of the pt?
We reassess, change the plan
What are the steps to evidence based practice? What is familiar about this
process?
It is another way to package the nursing process. (ex: before we used to listen to bowel
movements, now we assess for bowel movements and flatulence post op)
How do we identify priorities in pt care?
We categorized the priorities into three categories. First of highest level of priority =
ABC = Airway, Breathing, Circulation | Second level of priority = ex: change in mental
health status (can be a first level problem bc change LOC is a 1st sign of hypoxia), pain,
urination problems, then safety Third level of priorities - psychosocial, lack of knowledge
(ex: if the pt needs to take insulin, but doesn't know how) *This is done collaboratively
How do we organize patient information using databases?
We categorized them into a database. It starts as a complete health history and physical
examination/assessment, the physician is responsible to get a complete health history
within 24 hrs of admission | Focused/problem centered = limited to the concern in the
, moment, this is normally done when a pt comes into the hospital, urgent care | Follow
up = "is it getting up better" "do we need to change the plan" "are the intervention
working" | Emergent = fast collection of data while simultaneously treating the life
threatening issue (ex: someone comes in with OD you need to know how much they
took, when did they take it, what did they take)
What are the stages of health promotion and disease?
One of a nurse's roles is educator Primary = Prevention - immunizations, healthy
eating habits, not smoking, sunscreen | Secondary = screening - help detect disease
early, pap smears, mamograms, colonoscopy, PPD | Tertiary = treating the disease -
ex: keeping stable blood sugar with diabetes or hypertension - take your meds to
prevent stroke, heart disease
How does the demographic profile of the U.S. influence how we care for pts.?
Language barriers - impair access to healthcare, communication issue, Poverty rates -
higher among minority groups, Disability rates - language can also be a disability and
make it difficult to navigate the healthcare system, Undocumented immigrants - avoid
healthcare until they can't avoid bc of fear
What are the 4 basic concepts of culture?
shared beliefs/values/customs that are learned from birth transcends from generation to
generation, it's dynamic, and adapted through environmental needs 1. learned, 2.
shared, 3. adapted, 4. dynamic ||| Race = categorized by physical characteristics,
Ethnicity = cultural factors, ancenstry, language, religion, Acculturation = assimilation -
taking on the characteristics of the dominant culture, Biculturalism integration = merge
two cultures, Acculturative stress = stressors, change in social status, laguage barriers
