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PACK HEALTH ASSESSMENT CHAPTER 1,2,3,4,5 & ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS

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PACK HEALTH ASSESSMENT CHAPTER 1,2,3,4,5 & ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS

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PACK HEALTH ASSESSMENT CHAPTER 1,2,3,4,5 &6 2024-2025 ACTUAL EXAM
COMPLETE

QUESTIONS AND CORRECT DETAILED ANSWERS

What does a Health History include? 5 things

Ans: (Consists of subjective data collected during an interview)
- Includes:
1. Info about patients current state of health
2. Medications they take
3. Previous illnesses and surgeries
4. Family History
5. Review of Systems

Quiz What does Physical Examination involve?

Ans: (Involves the collection of objective data [signs])
- Objective data is collected using Inspection, Palpation, Percussion, Auscultation.
- Also: Vital signs.
1. Height
2. Weight
3. BP
4. Temp
5. BPM
6. RR.

Quiz What are the 6 steps in the nursing process?

Ans: 1. Assessment - collection of comprehensive data pertinent to the health care
consumer's health.
2. Diagnosis - RN analyzes the assessment data to determine the diagnoses or
issue.
3. Outcome Identification - RN identifies expected outcomes for a plan individualized
to the pts needs.
4. Planning - RN develops a plan to attain expected outcomes.
5. Implementation - RN implements the plan. Coordination of care, Health Teaching
and Promotion, Consultation, Prescriptive authority and treatment.

,6. Evaluation - RN evaluates progress toward attainment of outcomes.

Quiz What are:
1. Signs
2. Symptoms
3. Clinical Manifestations

Ans: 1. Signs are objective data observed, felt, heard, or measured. EX: signs of
rash, edema, enlarged lymph nodes.
2. Symptoms are subjective data perceived and reported by the pt. EX: pain, itching,
and nausea
3. Used to describe the presenting signs and symptoms experienced by a pt.

Quiz Types of Health Assessments:
1. Comprehensive Assessment
2. Problem-based/Focused Assessment

Ans: 1. Involves a detailed history and physical examination performed at the onset
of care and includes health problems experienced by the pt; health promotion,
disease prevention, and assessment for problems associated with known risk
factors; assessment for age and gender specific health problems.
2. Involves a history and examination that are limitied to a specific problem or
complain (Ex: sprain ankle). Most commonly used in a walk-in clinic/ER. Focus of
data is on a specific problem.

Quiz Types of Health Assessments:
1. Episodic/Follow-up Assessment
2. Shift Assessment
3. Screening Assessment

Ans: 1. Usually done when a pt is following up with a HCP for a previously identified
problem. (Ex: pt treated by HCP for pneumonia might be asked to return for a follow-
up visit after completion of antibiotics)
2. When pt is hospitalized, Shift assessment is done each shift. It is used to identify
changes in a pts condition from baseline.
3. Focused on disease detection. Ex: BP screening, glucose screening, cholesterol
screening etc.

Quiz What are the 3 levels of Health Promotion?

Ans: 1. Primary Prevention - Protection to prevent occurence of disease. Ex:
Immunizations, exercise.
2. Secondary Prevention - Screening tests done to identify problems before is
becomes symptomatic. Ex: BP screenings, cholesterol screenings.
3. Tertiary Prevention - Minimize severity/disability from disease by appropriate
therapy for chronic disease.
Ex: Cardiac rehabilitation, Hypertension management

Quiz (Start of Chapter 2)
- What are the three phases of an Interview?

, Ans: 1. Introduction - Introduce yourself to pt. Describe purpose of interview and the
interview process.
2. Discussion - The nurse facilitates and maintains pt-centered discussion. Uses
various communication techniques to collect data.
3. Summary - The nurse summarizes data with pt. Nurse allows pt to clarify data.
Nurse validates to pt that he or she understands the problems.

Quiz Physical Setting/Interview:
1. What is the most ideal setting where an interview is conducted?
2. What is the first impression that a nurse makes?
3. What is "Permission Giving"

Ans: 1. In a private, quiet, comfortable room free from environmental distractions
where the nurse and pt can sit face to face.
2. Their appearance (modest dress, clean fingernails, and neat hair)
3. A way of rewording a more sensitive question/topic by relating it to a generalized
population
EX: "Many people have experimented with drugs, have you ever used street drugs?"

Quiz Types of Questions to ask:
1. What types of questions should a nurse ask in an interview?
2. If a pt cannot say on topic, what should a nurse do?

Ans: 1. Open ended questions directed at the health of the pt.
2. Use more direct, specific, closed-ended questions that require only one or two
words to answer. Must be used in a combination with open ended questions.

Quiz What are the 8 Techniques that enhance data collection? 1-4 (Active listening,
facilitation, clarification, restatement)

Ans: 1. Active listening - From listening to what the pt says, to looking for messages
in facial/body expressions.
2. Facilitation - Use phrases to encourage pt to continue talking. Ex: "go on" "Uh-
huh".
3. Clarification - Used to obtain more info about conflicting, vague, or ambiguous
statements.
4. Restatement - Involves repeating what pts say to confirm the interpretation of what
is said.

Quiz What are the 8 Techniques that enhance data collection? 5-8 (reflection,
confrontation, interpretation, summary)

Ans: 5. Reflection - Ask pt a question to clarify a phrase or sentence. Encourages
elaboration/indicates that you're interested.
6. Confrontation - Used when inconsistencies are noted between what the pt reports
and observations or other data about the pt.
7. Interpretation - Use to share with pt the conclusions drawn from data they have
given. Allows pt to confirm or deny interpretation.

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