Health Assessment for Nursing End Term Exam|
Complete Questions + Verified A+ Answers
Questions and Mark scheme
Version: Final 1.1
,Shift Assessment - ✔✔- Done by nurse at change of shift
Episodic Assessment - ✔✔- Follow-up to previous visit
Screening Assessment - ✔✔- Focused on disease prevention
- Also done prior to admission to school program or sport
- Health fair
Core Examination Skills- Skin - ✔✔- Inspect skin
- Inspect for skin lesions and wounds
Core Examination Skills- Head, Eyes, Ears, Nose, Throat - ✔✔- Inspect face
- Inspect oral cavity
- Assess hearing (based on conversation)
- Inspect external eyes
- Inspect pupils and response to light and accommodation
- Assess visual acuity
Core Examination Skills- Chest and Lungs - ✔✔- Inspect chest
- Evaluate breathing effort
- Auscultate lung sounds
- Palpate thoracic expansion
Core Examination Skills- Cardiovascular - ✔✔- Auscultate heart sounds and apical pulse
- Auscultate carotid artery
- Palpate the distal pulse
- Palpate and inspect the nails for capillary refill
- Inspect and palpate extremities for edema
- Palpate extremities for temperature
- Inspect extremities for skin color and hair growth
, Core Examination Skills- Musculoskeletal - ✔✔- Inspect upper and lower extremities for size and symmetry
- Palpate extremities for tenderness
- Observe range of motion
- Assess muscle strength
- Inspect spine
- Assess gait
Core Examination Skills- Abdomen - ✔✔- Inspect abdomen
- Auscultate bowel sounds, aortic vascular sounds
- Palpate abdomen lightly (generalized tenderness and distention)
Core Examination Skills- Neurologic - ✔✔- Assess mental status and LOC
- Evaluate speech
- Assess Glasgow coma scale
- Assess sensation to extremities
Core Examination Skills- Genitalia - ✔✔- Inspect male genitalia
- Inspect female genitalia
Clinical Reasoning and Judgment - ✔✔- Helps to recognize cues that indicate change in a client's health status
- Central to early detection of deteriorating status and initiating interventions
Data - ✔✔- Organization
- Analysis
- Interpretation
- Clinical judgment
Health Promotion - ✔✔- Behavior motivated by desire to increase well-being
Health Protection - ✔✔- Behavior motivated by desire to actively avoid illness, detect it early or maintain function within
limits of the condition