NUR 2204 HEALTH ASSESSMENT EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
How to establish rapport with patients?
Introduce yourself
shake hands eye contact
open ended question
no medical jargon
no slang
explain procedure first
observe verbal and non verbal behavior
wash hands in front of patient
complete health history & physical
demographics, chief complaint, HPI, past medical and surgical history
family health history (genogram)
psychosocial
ROS
Interval health history
-Done every few months after initial database has been collected
-may update any or all parts of complete history
problem/chief complaint-focused health history
,-collects data about a specific problem system or region
-written as patient quotations
-"I have had a headache for 3 days" or Patient reports headaches x 3 days.
How to assess reliability of patient as historian
-non-verbal and verbal behavior
-how is pt dressed- disheveled? well-groomed? do they remember events? Cogent
explanation of health status? Can they recall past events? Consistent about recall?
COLDSPA
use for the history of present illness (HPI)
C-character of symptom (full description)
O-onset time
L-location of pain/symptom- does it radiate?
D- duration
S-severity (1-10)
P-pattern of symptom, what makes it better/worse
A- associated factors ex: nausea
Physical exam techniques- IPPA
Inspection
Palpation
Percussion
Auscultation
What order should you do an abdominal examination?
, IAPP-
Inspection
Auscultation
Percussion
Palpation
What is a bruit?
-a whooshing sound of blood turbulence heard best with the bell of stethoscope
-commonly occurs when blood flows over a rough area of arteriosclerosis in the wall of
the artery
-also occurs when blood flows over an area of weakness in the arterial wall
ex: carotid stenosis or aortic aneurysm
How do you examine a pulse?
Fingertips, palpation
How do you perform percussion?
use 2 fingers to strike opposite finger
lungs-percuss resonance
solid organ (liver)-percuss dullness
bone- flatness
hollow organ (stomach)- tympany
How do you elicit the most information from a patient?
non-judgmental, open-ended questioning.
child- helpful to demo what you're going to do with a stuffed animal/doll
-examine painful area last
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
How to establish rapport with patients?
Introduce yourself
shake hands eye contact
open ended question
no medical jargon
no slang
explain procedure first
observe verbal and non verbal behavior
wash hands in front of patient
complete health history & physical
demographics, chief complaint, HPI, past medical and surgical history
family health history (genogram)
psychosocial
ROS
Interval health history
-Done every few months after initial database has been collected
-may update any or all parts of complete history
problem/chief complaint-focused health history
,-collects data about a specific problem system or region
-written as patient quotations
-"I have had a headache for 3 days" or Patient reports headaches x 3 days.
How to assess reliability of patient as historian
-non-verbal and verbal behavior
-how is pt dressed- disheveled? well-groomed? do they remember events? Cogent
explanation of health status? Can they recall past events? Consistent about recall?
COLDSPA
use for the history of present illness (HPI)
C-character of symptom (full description)
O-onset time
L-location of pain/symptom- does it radiate?
D- duration
S-severity (1-10)
P-pattern of symptom, what makes it better/worse
A- associated factors ex: nausea
Physical exam techniques- IPPA
Inspection
Palpation
Percussion
Auscultation
What order should you do an abdominal examination?
, IAPP-
Inspection
Auscultation
Percussion
Palpation
What is a bruit?
-a whooshing sound of blood turbulence heard best with the bell of stethoscope
-commonly occurs when blood flows over a rough area of arteriosclerosis in the wall of
the artery
-also occurs when blood flows over an area of weakness in the arterial wall
ex: carotid stenosis or aortic aneurysm
How do you examine a pulse?
Fingertips, palpation
How do you perform percussion?
use 2 fingers to strike opposite finger
lungs-percuss resonance
solid organ (liver)-percuss dullness
bone- flatness
hollow organ (stomach)- tympany
How do you elicit the most information from a patient?
non-judgmental, open-ended questioning.
child- helpful to demo what you're going to do with a stuffed animal/doll
-examine painful area last
