NSG 211 Exam 1 Lecture Notes – Nursing Health Assessment Fundamentals
Study Guide
What processes do we use to care for patients? - correct answer ✔✔1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Pt history and head to toe exam conducted - correct answer ✔✔assessment
the basis for a nurse's care plan because it reflects the pain a patient feels whether caused from
a bodily function, outside-of-body factors, or complications of the combination of these two
things. - correct answer ✔✔nursing diagnosis
Nurse sets a goal that is achievable for the pt - correct answer ✔✔planning
What the nurse does to achieve their planned goal - correct answer ✔✔implementation
Did my pt reach their planned goal? - correct answer ✔✔evaluation
genuine concern for the welfare of others - correct answer ✔✔Altruism
do good - correct answer ✔✔Beneficence
do no harm - correct answer ✔✔nonmalficence
,respect for all pts, ensuring privacy and confidentiality - correct answer ✔✔human dignity
patients have the right to make their own decisions about their care - correct answer
✔✔autonomy
provide honest information to pts, document accurately, report errors - correct answer
✔✔integrity
work to ensure equity and access to quality health care - correct answer ✔✔social justice
4 techniques of physical assessment - correct answer ✔✔1. Inspection
2. Palpation
3. Auscultation
4. Percussion
The first technique of the overall general survey and for each body part because it generally
provides a wealth of information. It is performed for every body part and system. The purpose
of gathering data during this initial phase is to gain an overall impression of the patient and to
assess the severity of the situation. Observe for cues that might indicate a situation that needs
immediate attention. - correct answer ✔✔Inspection
is the use of touch to assess texture, temperature, moisture, size, shape, location, position,
vibration, crepitus, tenderness, pain, and edema. - correct answer ✔✔Palpation
The third technique of physical assessment is _____ to produce sound or elicit tenderness. You
will tap your fingers on the patient, similar to the tapping of a drumstick on a drum. The
vibrations that the fingers produce create percussion tones conducted into the patient's body. -
correct answer ✔✔percussion
, There are four different percussion tones in the body: - correct answer ✔✔flat, dull, resonant,
and tympanic.
you will listen for sounds of movement from organs and tissues. A stethoscope is used to
transmit normally unheard sounds; requires a quiet environment with minimal to no
distractions. - correct answer ✔✔Auscultation
the bell is used with light skin contact to hear - correct answer ✔✔low-frequency sounds
the diaphragm is used with firm skin contact to hear - correct answer ✔✔high-frequency
sounds.
what is the very last thing in palpation or at the end of a physical assessment - correct answer
✔✔abdominal
are they stable? (assessment) - correct answer ✔✔emergency
History and physical assessment - correct answer ✔✔comprehensive
assess certain body parts/areas - correct answer ✔✔focused
involves strategies aimed at preventing problems.
Immunizations, health teaching, safety precautions, and nutrition counseling are examples. -
correct answer ✔✔primary prevention
includes the early diagnosis of health problems and prompts treatment to prevent
complications.
Vision screening, Pap smears, BP screening, hearing testing, scoliosis screening, and tuberculin
skin testing are examples. - correct answer ✔✔secondary prevention
Study Guide
What processes do we use to care for patients? - correct answer ✔✔1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Pt history and head to toe exam conducted - correct answer ✔✔assessment
the basis for a nurse's care plan because it reflects the pain a patient feels whether caused from
a bodily function, outside-of-body factors, or complications of the combination of these two
things. - correct answer ✔✔nursing diagnosis
Nurse sets a goal that is achievable for the pt - correct answer ✔✔planning
What the nurse does to achieve their planned goal - correct answer ✔✔implementation
Did my pt reach their planned goal? - correct answer ✔✔evaluation
genuine concern for the welfare of others - correct answer ✔✔Altruism
do good - correct answer ✔✔Beneficence
do no harm - correct answer ✔✔nonmalficence
,respect for all pts, ensuring privacy and confidentiality - correct answer ✔✔human dignity
patients have the right to make their own decisions about their care - correct answer
✔✔autonomy
provide honest information to pts, document accurately, report errors - correct answer
✔✔integrity
work to ensure equity and access to quality health care - correct answer ✔✔social justice
4 techniques of physical assessment - correct answer ✔✔1. Inspection
2. Palpation
3. Auscultation
4. Percussion
The first technique of the overall general survey and for each body part because it generally
provides a wealth of information. It is performed for every body part and system. The purpose
of gathering data during this initial phase is to gain an overall impression of the patient and to
assess the severity of the situation. Observe for cues that might indicate a situation that needs
immediate attention. - correct answer ✔✔Inspection
is the use of touch to assess texture, temperature, moisture, size, shape, location, position,
vibration, crepitus, tenderness, pain, and edema. - correct answer ✔✔Palpation
The third technique of physical assessment is _____ to produce sound or elicit tenderness. You
will tap your fingers on the patient, similar to the tapping of a drumstick on a drum. The
vibrations that the fingers produce create percussion tones conducted into the patient's body. -
correct answer ✔✔percussion
, There are four different percussion tones in the body: - correct answer ✔✔flat, dull, resonant,
and tympanic.
you will listen for sounds of movement from organs and tissues. A stethoscope is used to
transmit normally unheard sounds; requires a quiet environment with minimal to no
distractions. - correct answer ✔✔Auscultation
the bell is used with light skin contact to hear - correct answer ✔✔low-frequency sounds
the diaphragm is used with firm skin contact to hear - correct answer ✔✔high-frequency
sounds.
what is the very last thing in palpation or at the end of a physical assessment - correct answer
✔✔abdominal
are they stable? (assessment) - correct answer ✔✔emergency
History and physical assessment - correct answer ✔✔comprehensive
assess certain body parts/areas - correct answer ✔✔focused
involves strategies aimed at preventing problems.
Immunizations, health teaching, safety precautions, and nutrition counseling are examples. -
correct answer ✔✔primary prevention
includes the early diagnosis of health problems and prompts treatment to prevent
complications.
Vision screening, Pap smears, BP screening, hearing testing, scoliosis screening, and tuberculin
skin testing are examples. - correct answer ✔✔secondary prevention
