NUR 101 Health Assessment Exam 1
___ in every ___ residents belongs to a *group other than single-race, non-Hispanic
White.* - correct answer*One* in every *three* residents belongs to a *group other than
single-race, non-Hispanic White.*
* Empathy* - correct answer*Empathy* means viewing the world from the other person's
inner frame of reference while remaining yourself.
* External factors* - correct answer*External factors* relate mainly to the *physical
setting.*
* Heritage consistency* - correct answer*Heritage consistency* is the degree to which
*a person's lifestyle reflects his or her traditional heritage.* A person can possess values
that are consistent with the norms of the traditional culture or that are modern (or
acculturated to the norms of the dominant society). Heritage consistency includes
determination of a person's *cultural, ethnic, and religious background and socialization
experiences.*
*10 traps of interviewing* - correct answer*10 traps of interviewing*. These
nonproductive verbal messages include:
(1) Providing false assurance or reassurance,
(2) Giving unwanted advice,
(3) Using authority,
(4) Using avoidance language,
(5) Engaging in distancing,
(6) Using professional jargon,
(7) Using leading or biased questions,
(8) Talking too much,
(9) Interrupting,
(10) And using "why" questions.
*Assessment* - correct answer*Assessment* is the collection of subjective and
objective data about a patient's health.
*CAGE* test identify what? - correct answer*CAGE* test is a screening questionnaire to
identify excessive or uncontrolled drinking, such as:
- *C* Cut down - Have you ever thought you should cut down your drinking?
- *A* Annoyed - Have you ever been annoyed by criticism of your drinking?
- *G* Guilty - Have you ever felt guilty about your drinking?
- *E* Eye-opener - Do you drink in the morning (i.e. an eye-opener?)
,If the person answers "yes" to 2 or more CAGE questions, you should suspect alcohol
abuse and continue with a more complete substnce abuse assessment.
*Clarification* - correct answer*Clarification.* Use this when the person's word choice is
ambiguous or confusing (e.g., "Tell me what you mean by 'tired blood.' "). Clarification
also is used to summarize the person's words, simplify the words to make them clearer,
and then ask if you are on the right track. You are asking for agreement, and the person
can then confirm or deny your understanding.
*Communication* - correct answer*Communication* carries you and the patient through
the interview. Communication is the *exchange of information* so that each person
clearly understands the other.
*complete health history data category 1.* - correct answer*complete health history data
category 1.* First, collect *biographic data*, such as the patient's name, address, and
date of birth as well as language and communication needs.
*complete health history data category 2.* - correct answer*complete health history data
category 2.* Second, note the *source of the history*, which is usually the patient, but
may be someone else, such as a relative or interpreter.
*complete health history data category 3.* - correct answer*complete health history data
category 3.* Third, obtain the *reason for seeking care*, formerly known as the chief
complaint. In the patient's own words, briefly describe the reason for the visit.
*complete health history data category 4.* - correct answer*complete health history data
category 4.* Fourth, record the *present health or history of present illness*. For a well
person, briefly note the general state of health. For a sick person, chronologically record
the reason for seeking care. When a patient reports a symptom, perform a *symptom
analysis*. If you find it helpful, use the mnemonic PQRSTU to do this.
*complete health history data category 5.* - correct answer*complete health history data
category 5.* Fifth, investigate *past health events*, such as illnesses, injuries,
hospitalizations, and allergies as well as current medications.
*complete health history data category 6.* - correct answer*complete health history data
category 6.* Sixth, gather a *family history* to help detect health risks for the patient. To
aid in this process, draw a pedigree or genogram.
*complete health history data category 7.* - correct answer*complete health history data
category 7.* Seventh, perform a *review of systems* to evaluate the past and present
health of each body system, double-check for significant data, and assess health
promotion practices. For each body system, assess for symptoms and health-promoting
behaviors.
,*complete health history data category 8.* - correct answer*complete health history data
category 8.* Finally, perform a *functional assessment*, including activities of daily
living, such as bathing dressing, toileting, eating, walking, housekeeping, shopping,
cooking, and other factors.
*Confrontation* - correct answer*Confrontation.* These responses now include your
own thoughts and feelings. Use this only when merited by the situation. If you use it too
often, you take over at the patient's expense. In the case of confrontation, you have
observed a certain action, feeling, or statement and you now focus the person's
attention on it. You give your honest feedback about what you see or feel.
*Critical thinking* - correct answer*Critical thinking* is the multidimensional thinking
process needed for sound diagnostic reasoning and clinical judgment. Seventeen
critical thinking skills have been identified, including *setting priorities.*
*Cultural care* - correct answer*Cultural care* is professional health care that is
culturally sensitive, appropriate, and competent. To develop cultural care, you must
have knowledge of *your personal heritage* and the *heritage of the nursing profession,
the health care system, and the patient.*
*Cultural conflicts* - correct answer*Cultural conflicts* between nurses and patients
from diverse backgrounds are related to *different time and relationship perceptions*.
For example, in some cultures, the past may influence health practices. When making
decisions about health, patients may rely on relationships with others, and their
behavior may depend on the opinion of others.
*Culture* has which four characteristics? - correct answer*Culture* has the following
four characteristics:
(1) it is *learned* from birth through language acquisition and socialization.
(2) it is *shared* by all members of the same cultural group.
(3) it is *adapted* to specific conditions related to environmental and technical factors.
(4) it is *dynamic* and ever changing.
*Diagnostic reasoning* - correct answer*Diagnostic reasoning* is the process of
analyzing health data and drawing conclusions to identify diagnoses.
*Each person responds differently* to the same stimuli, regardless of the primary culture
and value system. You should *guard against stereotyping* individuals. You should also
understand *culture-bound syndromes,* which may have no equivalent from a
biomedical perspective. - correct answer...
*Ethnicity* - correct answer*Ethnicity* pertains to membership in a social *group that
claims to possess a common* geographic origin, migratory status, religion, race,
language, shared values, traditions or symbols, and food preferences. One's cultural
background is a fundamental component of one's ethnic background.
, *Explanation* - correct answer*Explanation.* With these statements, you inform the
person. You share factual and objective information. This may be for orientation to the
agency setting: "Your dinner comes at 5:30 PM." Or, it may be to explain cause: "The
reason you cannot eat or drink before your blood test is that the food will change the
test results."
*Facilitation* - correct answer*Facilitation* These responses encourage the patient to
say more, to continue with the story ("mm-hmm, go on, continue, uh-huh"). Also called
general leads, these responses show the person you are interested and will listen
further. Simply maintaining eye contact, shifting forward in your seat with increased
attention, nodding "Yes," or using your hand to gesture, "Yes, go on, I'm with you,"
encourage the person to continue talking.
*First-level priority problems* - correct answer*First-level priority problems* are
emergent, life-threatening, and immediate, such as establishing an airway or supporting
breathing.
*Internal factors* - correct answer*Internal factors* are what *you* bring to the interview.
*Interpretation* - correct answer*Interpretation.* This statement is not based on direct
observation as with confrontation, but it is based on your inference or conclusion. It links
events, makes associations, or implies cause: "It seems that every time you feel the
stomach pain, you have had some kind of stress in your life." Interpretation also
ascribes feelings and helps the person understand his or her own feelings in relation to
the verbal message.
*Nonverbal communications convey messages* from the sender to the receiver. Work
to develop the ability to read patients' nonverbal behaviors and to monitor your own
nonverbal communication. - correct answer...
*Nonverbal modes of communication* - correct answer*Nonverbal modes of
communication* include:
- Physical appearance,
- Posture,
- Gestures,
- Facial expression,
- Eye contact,
- Voice, and
- Touch.
*Objective data* - correct answer*Objective data* include information obtained by the
health care provider through physical assessment, the patient's record, and laboratory
studies.
___ in every ___ residents belongs to a *group other than single-race, non-Hispanic
White.* - correct answer*One* in every *three* residents belongs to a *group other than
single-race, non-Hispanic White.*
* Empathy* - correct answer*Empathy* means viewing the world from the other person's
inner frame of reference while remaining yourself.
* External factors* - correct answer*External factors* relate mainly to the *physical
setting.*
* Heritage consistency* - correct answer*Heritage consistency* is the degree to which
*a person's lifestyle reflects his or her traditional heritage.* A person can possess values
that are consistent with the norms of the traditional culture or that are modern (or
acculturated to the norms of the dominant society). Heritage consistency includes
determination of a person's *cultural, ethnic, and religious background and socialization
experiences.*
*10 traps of interviewing* - correct answer*10 traps of interviewing*. These
nonproductive verbal messages include:
(1) Providing false assurance or reassurance,
(2) Giving unwanted advice,
(3) Using authority,
(4) Using avoidance language,
(5) Engaging in distancing,
(6) Using professional jargon,
(7) Using leading or biased questions,
(8) Talking too much,
(9) Interrupting,
(10) And using "why" questions.
*Assessment* - correct answer*Assessment* is the collection of subjective and
objective data about a patient's health.
*CAGE* test identify what? - correct answer*CAGE* test is a screening questionnaire to
identify excessive or uncontrolled drinking, such as:
- *C* Cut down - Have you ever thought you should cut down your drinking?
- *A* Annoyed - Have you ever been annoyed by criticism of your drinking?
- *G* Guilty - Have you ever felt guilty about your drinking?
- *E* Eye-opener - Do you drink in the morning (i.e. an eye-opener?)
,If the person answers "yes" to 2 or more CAGE questions, you should suspect alcohol
abuse and continue with a more complete substnce abuse assessment.
*Clarification* - correct answer*Clarification.* Use this when the person's word choice is
ambiguous or confusing (e.g., "Tell me what you mean by 'tired blood.' "). Clarification
also is used to summarize the person's words, simplify the words to make them clearer,
and then ask if you are on the right track. You are asking for agreement, and the person
can then confirm or deny your understanding.
*Communication* - correct answer*Communication* carries you and the patient through
the interview. Communication is the *exchange of information* so that each person
clearly understands the other.
*complete health history data category 1.* - correct answer*complete health history data
category 1.* First, collect *biographic data*, such as the patient's name, address, and
date of birth as well as language and communication needs.
*complete health history data category 2.* - correct answer*complete health history data
category 2.* Second, note the *source of the history*, which is usually the patient, but
may be someone else, such as a relative or interpreter.
*complete health history data category 3.* - correct answer*complete health history data
category 3.* Third, obtain the *reason for seeking care*, formerly known as the chief
complaint. In the patient's own words, briefly describe the reason for the visit.
*complete health history data category 4.* - correct answer*complete health history data
category 4.* Fourth, record the *present health or history of present illness*. For a well
person, briefly note the general state of health. For a sick person, chronologically record
the reason for seeking care. When a patient reports a symptom, perform a *symptom
analysis*. If you find it helpful, use the mnemonic PQRSTU to do this.
*complete health history data category 5.* - correct answer*complete health history data
category 5.* Fifth, investigate *past health events*, such as illnesses, injuries,
hospitalizations, and allergies as well as current medications.
*complete health history data category 6.* - correct answer*complete health history data
category 6.* Sixth, gather a *family history* to help detect health risks for the patient. To
aid in this process, draw a pedigree or genogram.
*complete health history data category 7.* - correct answer*complete health history data
category 7.* Seventh, perform a *review of systems* to evaluate the past and present
health of each body system, double-check for significant data, and assess health
promotion practices. For each body system, assess for symptoms and health-promoting
behaviors.
,*complete health history data category 8.* - correct answer*complete health history data
category 8.* Finally, perform a *functional assessment*, including activities of daily
living, such as bathing dressing, toileting, eating, walking, housekeeping, shopping,
cooking, and other factors.
*Confrontation* - correct answer*Confrontation.* These responses now include your
own thoughts and feelings. Use this only when merited by the situation. If you use it too
often, you take over at the patient's expense. In the case of confrontation, you have
observed a certain action, feeling, or statement and you now focus the person's
attention on it. You give your honest feedback about what you see or feel.
*Critical thinking* - correct answer*Critical thinking* is the multidimensional thinking
process needed for sound diagnostic reasoning and clinical judgment. Seventeen
critical thinking skills have been identified, including *setting priorities.*
*Cultural care* - correct answer*Cultural care* is professional health care that is
culturally sensitive, appropriate, and competent. To develop cultural care, you must
have knowledge of *your personal heritage* and the *heritage of the nursing profession,
the health care system, and the patient.*
*Cultural conflicts* - correct answer*Cultural conflicts* between nurses and patients
from diverse backgrounds are related to *different time and relationship perceptions*.
For example, in some cultures, the past may influence health practices. When making
decisions about health, patients may rely on relationships with others, and their
behavior may depend on the opinion of others.
*Culture* has which four characteristics? - correct answer*Culture* has the following
four characteristics:
(1) it is *learned* from birth through language acquisition and socialization.
(2) it is *shared* by all members of the same cultural group.
(3) it is *adapted* to specific conditions related to environmental and technical factors.
(4) it is *dynamic* and ever changing.
*Diagnostic reasoning* - correct answer*Diagnostic reasoning* is the process of
analyzing health data and drawing conclusions to identify diagnoses.
*Each person responds differently* to the same stimuli, regardless of the primary culture
and value system. You should *guard against stereotyping* individuals. You should also
understand *culture-bound syndromes,* which may have no equivalent from a
biomedical perspective. - correct answer...
*Ethnicity* - correct answer*Ethnicity* pertains to membership in a social *group that
claims to possess a common* geographic origin, migratory status, religion, race,
language, shared values, traditions or symbols, and food preferences. One's cultural
background is a fundamental component of one's ethnic background.
, *Explanation* - correct answer*Explanation.* With these statements, you inform the
person. You share factual and objective information. This may be for orientation to the
agency setting: "Your dinner comes at 5:30 PM." Or, it may be to explain cause: "The
reason you cannot eat or drink before your blood test is that the food will change the
test results."
*Facilitation* - correct answer*Facilitation* These responses encourage the patient to
say more, to continue with the story ("mm-hmm, go on, continue, uh-huh"). Also called
general leads, these responses show the person you are interested and will listen
further. Simply maintaining eye contact, shifting forward in your seat with increased
attention, nodding "Yes," or using your hand to gesture, "Yes, go on, I'm with you,"
encourage the person to continue talking.
*First-level priority problems* - correct answer*First-level priority problems* are
emergent, life-threatening, and immediate, such as establishing an airway or supporting
breathing.
*Internal factors* - correct answer*Internal factors* are what *you* bring to the interview.
*Interpretation* - correct answer*Interpretation.* This statement is not based on direct
observation as with confrontation, but it is based on your inference or conclusion. It links
events, makes associations, or implies cause: "It seems that every time you feel the
stomach pain, you have had some kind of stress in your life." Interpretation also
ascribes feelings and helps the person understand his or her own feelings in relation to
the verbal message.
*Nonverbal communications convey messages* from the sender to the receiver. Work
to develop the ability to read patients' nonverbal behaviors and to monitor your own
nonverbal communication. - correct answer...
*Nonverbal modes of communication* - correct answer*Nonverbal modes of
communication* include:
- Physical appearance,
- Posture,
- Gestures,
- Facial expression,
- Eye contact,
- Voice, and
- Touch.
*Objective data* - correct answer*Objective data* include information obtained by the
health care provider through physical assessment, the patient's record, and laboratory
studies.
