A
VI
TU
IS
M
University of Arizona NUR 216 HEALTH
O
ASSESSMENT FINAL EXAM: GRADED A+
A
RESULTS 2025 UPDATE!
N
JP
Assessment - ANSWER Collecting data, talking, open ended questions and
clustering information
Health History - ANSWER Biographical data
Reason for seeking care
,present health/present illness
Past history
Med reconcilliation
Family History
Review of Systems
Functional assessment (ADL's)
Adult health history - ANSWER Biographic data: source of history (who, reliability)
Reason for seeking care
A
Present health/history of present illness
Final summary of symptom (location, character/quality, quantity/severity, setting,
VI
aggravating/relieving factors, associated factors and patients perception PQRSTU
(provocative/palliative, quality/quantity, region/radiation, severity, timing, and
understanding patient perception)
TU
Past health/present illness (childhood, accidents/injuries, hospitalizations, operations,
births, immunizations, last exam, allergies and current meds)
Family history
Review of the systems (start head to toe unless patient makes clear what is affecting
IS
them and do that body system)
Functional assessments (self esteem concept, activity/exercise, sleep/rest,
nutrition/elimination, interpersonal relationships/resources, spiritual resources FICA;
faith influence community address, coping/stress management, personal habits, alcohol
M
use CAGE; cut down, annoyed, guilty, eye opening... 2+ yeses means concern, drugs,
environment/hazards, intimate partner violence and occupational health
O
Interviewing Techniques - ANSWER Standardized Techniques: fraemwork for
obtaining information about clinical clients physical, developmental, emotional,
A
intellectual, social and spiritual demensions
N
Therapeutic Techniques: For health assessment to foster comms and create an
environment that promotes an optimal health assessment/data collection experience
JP
Therapeutic comm techniques - ANSWER Active listening, open-ended questions,
clarifying, back channeling, probing, close ended questions (clarify info) and
summarizing
Physical Assessment Techniques for older adults - ANSWER Allow enough time for
position changes, preform in several shorter assessments, making sure they use
sensory aids and invite them to use the bathroom before beginning the exam
,IPPA - ANSWER Inspection
Palpation
Percussion
Auscultation
Palpation - ANSWER Use of touch to determine size, consistency, temp, texture,
location and tenderness of the skin, tissues and organs.
Dorsal surface is for temp
A
Palmar surface/base of fingers: vibration
Fingertips: pulsation, position, texture, turgor, size and consistency.
VI
Finger/thumb: grasping an organ or mass
TU
LIGHT THEN DEEP
Percussion - ANSWER tapping body parts with fingers or small instruments to
vibrate underlying tissue and evaluate size, location, tenderness and presence/absence
IS
of fluid/air in the body.
Direct: striking body to elicit sounds
Indirect: placing hand flatly on body as striking surface to produce sound
M
Fist: helps identify tenderness over the kidneys liver and gallbladder
O
Auscultation - ANSWER Listen for amplitude/intensity, pitch/frequency, duration, and
quality
A
BELL is for low pitched while DIAPHRAGM is for high pitched
N
General Survey - ANSWER Gather from first encounter and continue to make
observations throughout assessment.
JP
Physical appearance (age, gender, race, skin color, LOC, facial features, signs of
distress, signs of abuse/neglect, and signs of substance abuse
Body structure (build, stature, height and weight, nutritional status, symmetry of body
parts, posture and gross abnormalities
Mobility (gait, movements, TORM and motor activity
, Behavior (facial expressions, mood and affect, speech, dress, hygiene, grooming and
odors
Vital Signs (temp, pulse, respirations, BP and oxygen saturation.
Temperature - ANSWER Neurological and Cardiovascular system works together to
regulate temperature.
Rectum, tympanic membrane, temporal/pulmonary artery, esophagus and urinary
bladder are core measurement sites
A
Skin, mouth and axillae are surface temperature measurement sites.
VI
Heat Production - ANSWER Increase of BMR, muscle activity, thyroxine output,
testosterone and sympathetic stimulation
TU
Heat loss - ANSWER Conduction: transfer of heat from body directly to another
surface
Convection: Dispersion of heat by air currents
Radiation: Transfer of heat from one object to another without contact b/w them.
IS
Evaporation: Dispersion of heat through water (perspiration)
Diaphoresis: Visible perspiration on the skin
Expected Temp Ranges - ANSWER Oral: 96.8-100.4
M
Rectal: 0.5 degree higher than ear and oral temps
Axillary: 0.5 degree lower than oral and axillary
O
Temporal: 1 degree higher than oral and axillary
Temperature considerations - ANSWER Newborns 36.5-37.5
A
Older adult clients 36
Hormonal changes can influence temperature and rises with menses, ovulation and
N
menopause.
Exercise, activity and dehydration add to hyperthermia
JP
Illness and Injury (fever)
Recent food and fluid intake and smoking can interfere with proper reading, wait 20-30
min before measuring oral
Circadian rhythm, stress and environment affect temp
Specials for Thermometers - ANSWER Oral: Used for 4 years and don't use for
clients who breathe through mouth
Rectal: Don't use for clients with diarrhea, are on bleeding precautions or have a rectal
disorder and don't use on infants 3 months or less.
VI
TU
IS
M
University of Arizona NUR 216 HEALTH
O
ASSESSMENT FINAL EXAM: GRADED A+
A
RESULTS 2025 UPDATE!
N
JP
Assessment - ANSWER Collecting data, talking, open ended questions and
clustering information
Health History - ANSWER Biographical data
Reason for seeking care
,present health/present illness
Past history
Med reconcilliation
Family History
Review of Systems
Functional assessment (ADL's)
Adult health history - ANSWER Biographic data: source of history (who, reliability)
Reason for seeking care
A
Present health/history of present illness
Final summary of symptom (location, character/quality, quantity/severity, setting,
VI
aggravating/relieving factors, associated factors and patients perception PQRSTU
(provocative/palliative, quality/quantity, region/radiation, severity, timing, and
understanding patient perception)
TU
Past health/present illness (childhood, accidents/injuries, hospitalizations, operations,
births, immunizations, last exam, allergies and current meds)
Family history
Review of the systems (start head to toe unless patient makes clear what is affecting
IS
them and do that body system)
Functional assessments (self esteem concept, activity/exercise, sleep/rest,
nutrition/elimination, interpersonal relationships/resources, spiritual resources FICA;
faith influence community address, coping/stress management, personal habits, alcohol
M
use CAGE; cut down, annoyed, guilty, eye opening... 2+ yeses means concern, drugs,
environment/hazards, intimate partner violence and occupational health
O
Interviewing Techniques - ANSWER Standardized Techniques: fraemwork for
obtaining information about clinical clients physical, developmental, emotional,
A
intellectual, social and spiritual demensions
N
Therapeutic Techniques: For health assessment to foster comms and create an
environment that promotes an optimal health assessment/data collection experience
JP
Therapeutic comm techniques - ANSWER Active listening, open-ended questions,
clarifying, back channeling, probing, close ended questions (clarify info) and
summarizing
Physical Assessment Techniques for older adults - ANSWER Allow enough time for
position changes, preform in several shorter assessments, making sure they use
sensory aids and invite them to use the bathroom before beginning the exam
,IPPA - ANSWER Inspection
Palpation
Percussion
Auscultation
Palpation - ANSWER Use of touch to determine size, consistency, temp, texture,
location and tenderness of the skin, tissues and organs.
Dorsal surface is for temp
A
Palmar surface/base of fingers: vibration
Fingertips: pulsation, position, texture, turgor, size and consistency.
VI
Finger/thumb: grasping an organ or mass
TU
LIGHT THEN DEEP
Percussion - ANSWER tapping body parts with fingers or small instruments to
vibrate underlying tissue and evaluate size, location, tenderness and presence/absence
IS
of fluid/air in the body.
Direct: striking body to elicit sounds
Indirect: placing hand flatly on body as striking surface to produce sound
M
Fist: helps identify tenderness over the kidneys liver and gallbladder
O
Auscultation - ANSWER Listen for amplitude/intensity, pitch/frequency, duration, and
quality
A
BELL is for low pitched while DIAPHRAGM is for high pitched
N
General Survey - ANSWER Gather from first encounter and continue to make
observations throughout assessment.
JP
Physical appearance (age, gender, race, skin color, LOC, facial features, signs of
distress, signs of abuse/neglect, and signs of substance abuse
Body structure (build, stature, height and weight, nutritional status, symmetry of body
parts, posture and gross abnormalities
Mobility (gait, movements, TORM and motor activity
, Behavior (facial expressions, mood and affect, speech, dress, hygiene, grooming and
odors
Vital Signs (temp, pulse, respirations, BP and oxygen saturation.
Temperature - ANSWER Neurological and Cardiovascular system works together to
regulate temperature.
Rectum, tympanic membrane, temporal/pulmonary artery, esophagus and urinary
bladder are core measurement sites
A
Skin, mouth and axillae are surface temperature measurement sites.
VI
Heat Production - ANSWER Increase of BMR, muscle activity, thyroxine output,
testosterone and sympathetic stimulation
TU
Heat loss - ANSWER Conduction: transfer of heat from body directly to another
surface
Convection: Dispersion of heat by air currents
Radiation: Transfer of heat from one object to another without contact b/w them.
IS
Evaporation: Dispersion of heat through water (perspiration)
Diaphoresis: Visible perspiration on the skin
Expected Temp Ranges - ANSWER Oral: 96.8-100.4
M
Rectal: 0.5 degree higher than ear and oral temps
Axillary: 0.5 degree lower than oral and axillary
O
Temporal: 1 degree higher than oral and axillary
Temperature considerations - ANSWER Newborns 36.5-37.5
A
Older adult clients 36
Hormonal changes can influence temperature and rises with menses, ovulation and
N
menopause.
Exercise, activity and dehydration add to hyperthermia
JP
Illness and Injury (fever)
Recent food and fluid intake and smoking can interfere with proper reading, wait 20-30
min before measuring oral
Circadian rhythm, stress and environment affect temp
Specials for Thermometers - ANSWER Oral: Used for 4 years and don't use for
clients who breathe through mouth
Rectal: Don't use for clients with diarrhea, are on bleeding precautions or have a rectal
disorder and don't use on infants 3 months or less.
