Test Bank Complete_ Advanced Health Assessment and
Diagnostic Reasoning 5th Edition, (2024) By Jacqueline
Rhoads and Sandra Wiggins Petersen All Chapters 1-
18| Verified Answers With Rationale
Phases of the nursing process - ANSWERASSESSMENT (collect data, EBP techniques,
documentation), DIAGNOSIS (compare findings with normal and abnormal
development events, interpret data, validate diagnosis, document diagnosis),
OUTCOME IDENTIFICATION (expected outcomes, develop timeline), PLANNING (set
priorities, develop outcomes, interventions, document care plan), IMPLEMENTATION
(collaborate with colleagues, health teachings, documentation), EVALUATION (use
assessment to revise diagnosis and outcomes plan).
Categories of SOAP - ANSWERSubjective data - what the patient tells you; Objective
data - what you observe about the patient.
Novice Nurse - ANSWERHas no experience with a specific patient population and
uses rules to guide performance.
Proficient Nurse - ANSWERUnderstands a patient situation rather than a list of tasks.
Can see long-term goals for patients and understand how interventions will help the
patient in the future.
Expert Nurse - ANSWERVault over the steps and arrive at a clinical judgment easily.
Has an intuitive grasp of a clinical situation and focuses on the accurate solution.
Priority problem levels - ANSWERFirst level - airway, breathing, circulation (vitals);
Second level - mental status changes, acute pain, infection risk; Third level - lack of
knowledge, mobility problems, family coping.
Four Types of Patient Data - ANSWERComplete Total Health database - complete
health history and physical examination; Focus or problem centered database - short
term problem, concerns one main issue; Follow-up database - re-evaluation of
identified problems, any changes; Emergency database - urgent and rapid collection
of data for lifesaving measures.
Cultural competence in nursing practice - ANSWERSteps to cultural competence as it
relates to nursing practice and cultural care.
National standards for culturally and linguistically appropriate services - ANSWERA
set of 15 standards that provides a blueprint to improve quality of care and eliminate
health disparities for culturally diverse populations.
, Limited English Proficiency (LEP) - ANSWERUnder the provisions of Title VI of the Civil
Rights Act of 1964, when people with LEP seek health care services, they cannot be
denied.
Factors affecting communication - ANSWERInternal factors (ability to listen, self-
awareness, empathy) and external factors (privacy, interruptions, physical
environment).
Types of verbal responses in interviews - ANSWERMinimal cues, silence, reflection,
empathy, clarification, confrontation, interpretation, explanation, and summary.
10 traps of interviewing - ANSWERProviding false assurance, Giving unwanted
advice, Using authority, Using avoidance language, Distancing, Using professional
jargon, Using leading/biased questions, Talking too much, Interrupting, 'Why'
questions.
Health literacy - ANSWERRefers to the ability to understand instructions, navigate
the healthcare system, and communicate concerns with the health care provider.
Methods to improve health literacy - ANSWERTeach-back method, oral teaching, and
written materials. Talk at their level of understanding.
Purpose of SBAR - ANSWERStandardized communication: Situation - provide a brief
description of pertinent patient variables, demographics, clinical diagnosis, and
location; Background - provide pertinent history as it directly relates to the patient's
current health status; Assessment - state pertinent assessment findings obtained
with interpretation of data; Recommendation or request - state what you need or
want for the patient in terms of medical treatment and/or assistance.
Complete health history - ANSWERProvides a complete picture of a patient's past
and present health status and is a screening tool for detection of abnormalities.
Biographic data in health history - ANSWERIncludes name, address, phone number,
age, birthdate, birthplace, primary language, gender, relationship status, race, ethnic
origin, occupations, and source of history.
Reason for seeking care - ANSWERA brief statement of person's own words for why
they are visiting, including subjective data of patient's symptoms and objective data.
Review of systems (ROS) - ANSWERPurpose = evaluate past and present state of
each body system, assess that all pertinent data relative to each body system have
been noted, evaluate health promotion practices.
PQRST in health history - ANSWERP = Provocative or palliative; Q = Quality or
quantity; R = region or radiation; S = severity scale: 1 to 10; T = timing or onset; U =
understanding patient's perception of problem.
Diagnostic Reasoning 5th Edition, (2024) By Jacqueline
Rhoads and Sandra Wiggins Petersen All Chapters 1-
18| Verified Answers With Rationale
Phases of the nursing process - ANSWERASSESSMENT (collect data, EBP techniques,
documentation), DIAGNOSIS (compare findings with normal and abnormal
development events, interpret data, validate diagnosis, document diagnosis),
OUTCOME IDENTIFICATION (expected outcomes, develop timeline), PLANNING (set
priorities, develop outcomes, interventions, document care plan), IMPLEMENTATION
(collaborate with colleagues, health teachings, documentation), EVALUATION (use
assessment to revise diagnosis and outcomes plan).
Categories of SOAP - ANSWERSubjective data - what the patient tells you; Objective
data - what you observe about the patient.
Novice Nurse - ANSWERHas no experience with a specific patient population and
uses rules to guide performance.
Proficient Nurse - ANSWERUnderstands a patient situation rather than a list of tasks.
Can see long-term goals for patients and understand how interventions will help the
patient in the future.
Expert Nurse - ANSWERVault over the steps and arrive at a clinical judgment easily.
Has an intuitive grasp of a clinical situation and focuses on the accurate solution.
Priority problem levels - ANSWERFirst level - airway, breathing, circulation (vitals);
Second level - mental status changes, acute pain, infection risk; Third level - lack of
knowledge, mobility problems, family coping.
Four Types of Patient Data - ANSWERComplete Total Health database - complete
health history and physical examination; Focus or problem centered database - short
term problem, concerns one main issue; Follow-up database - re-evaluation of
identified problems, any changes; Emergency database - urgent and rapid collection
of data for lifesaving measures.
Cultural competence in nursing practice - ANSWERSteps to cultural competence as it
relates to nursing practice and cultural care.
National standards for culturally and linguistically appropriate services - ANSWERA
set of 15 standards that provides a blueprint to improve quality of care and eliminate
health disparities for culturally diverse populations.
, Limited English Proficiency (LEP) - ANSWERUnder the provisions of Title VI of the Civil
Rights Act of 1964, when people with LEP seek health care services, they cannot be
denied.
Factors affecting communication - ANSWERInternal factors (ability to listen, self-
awareness, empathy) and external factors (privacy, interruptions, physical
environment).
Types of verbal responses in interviews - ANSWERMinimal cues, silence, reflection,
empathy, clarification, confrontation, interpretation, explanation, and summary.
10 traps of interviewing - ANSWERProviding false assurance, Giving unwanted
advice, Using authority, Using avoidance language, Distancing, Using professional
jargon, Using leading/biased questions, Talking too much, Interrupting, 'Why'
questions.
Health literacy - ANSWERRefers to the ability to understand instructions, navigate
the healthcare system, and communicate concerns with the health care provider.
Methods to improve health literacy - ANSWERTeach-back method, oral teaching, and
written materials. Talk at their level of understanding.
Purpose of SBAR - ANSWERStandardized communication: Situation - provide a brief
description of pertinent patient variables, demographics, clinical diagnosis, and
location; Background - provide pertinent history as it directly relates to the patient's
current health status; Assessment - state pertinent assessment findings obtained
with interpretation of data; Recommendation or request - state what you need or
want for the patient in terms of medical treatment and/or assistance.
Complete health history - ANSWERProvides a complete picture of a patient's past
and present health status and is a screening tool for detection of abnormalities.
Biographic data in health history - ANSWERIncludes name, address, phone number,
age, birthdate, birthplace, primary language, gender, relationship status, race, ethnic
origin, occupations, and source of history.
Reason for seeking care - ANSWERA brief statement of person's own words for why
they are visiting, including subjective data of patient's symptoms and objective data.
Review of systems (ROS) - ANSWERPurpose = evaluate past and present state of
each body system, assess that all pertinent data relative to each body system have
been noted, evaluate health promotion practices.
PQRST in health history - ANSWERP = Provocative or palliative; Q = Quality or
quantity; R = region or radiation; S = severity scale: 1 to 10; T = timing or onset; U =
understanding patient's perception of problem.
