Nursing 133 Exam 1 || 100% Verified Solutions.
Health Assessment correct answers refers to a systematic method of collecting data
Health History correct answers the collection of subjective data through an interview process
Symptom correct answers a report of what the client feels associated with a problem, considered
subjective data
Context of Care correct answers refers to the circumstance or situation related to health care
delivery
Health Promotion correct answers behavior motivated by the desire to increase well being and
actualize human health potential
Health Protection correct answers behavior motivated by a desire to actively avoid illness, detect
it early, or maintain functioning within the constraints of illness
Primary Prevention correct answers focuses on preventing disease from developing through a
healthy life style (immunizations, pollution control, nutrition, exercise)
Secondary Prevention correct answers consists of screening efforts to promote early detection of
disease (self examinations, colorectal screening, mammogram, BP screening)
Tertiary Prevention correct answers directed toward minimizing the disability from acute to
chronic disease or injury and helping clients to productively live without limitations (diabetes,
cardiac rehab, hypertension management)
Components of a Health Assessment correct answers health history, history of present illness,
physical exam, review of old data and documentation
,Objective Data correct answers data collected in the exam
Subjective Data correct answers health history, symptoms
Comprehensive Assessment correct answers onset of care, detailed, physical exam
60 Second Assessment correct answers quick observation, ALSSM
Focused Assessment correct answers problem based, used in walk in clinics or ERs, limited to
chief complaint
Episodic Assessment correct answers patient follow up after problem was addressed
Shift Assessment correct answers one every 8 hours at change of shift, used in the hospital,
looking and comparing to baseline
Nursing Process correct answers ADOPIE (assessment, diagnosis, outcome of evaluation,
planning, implementation, evaluation
Purpose of Maintaining a Written Medical Record correct answers improve effectiveness of
health care team, prevent repetition, become part of a legal and permanent record, provide a
baseline for evaluation
Importance of Health Assessment Process correct answers to determine the best course of action
for a plan of care, ongoing monitoring for subtle or deteriorating signs
The Health Assessment approach varies depending on several factors including... correct answers
client's age, general level of health, presenting problems, knowledge level, and support system
, Screening Assessment correct answers short, inexpensive, usually offered at health fairs (BP,
glucose, cholesterol)
CBC (review, diagnose, monitor) correct answers to assess the blood for anemia, infection,
inflammation, hemolytic disease, or ABO incompatibility, requires 5 mL of venous blood
(lavender tube top=anticoagulant)
RBC correct answers carry O2, below normal= excessive loss of cells (hemorrhage) above
normal= dehydration, hyperactivity of bone marrow
WBC correct answers fight infection, normal range 4,500-10,000
Hemoglobin (Hgb) correct answers O2 carrying protein in RBCs, normal range (m) 13.8-17.2
and (w) 12.1-15.1, below normal= fluid retention, anemia, above normal = dehydration, excess
production of RBCs
Hematocrit (Hct) correct answers proportion of RBCs to the fluid component of plasma, used to
evaluate blood loss, anemia, polycythemia (elevated RBCs) and dehydration, normal range (m)
40.7-50.3% and (w) 36.1-44.3%
Platelet correct answers ability of bone marrow to produce platelets, evaluates the effects of
chemotherapy and radiation therapy, normal range 150-400
Comprehensive Health History correct answers includes biographic data, reason for seeking care,
present health status, past medical history, family history, personal and psychosocial history and
review of all body systems
Symptom Analysis correct answers systematic way to collect data about the history and status of
symptoms
Health Assessment correct answers refers to a systematic method of collecting data
Health History correct answers the collection of subjective data through an interview process
Symptom correct answers a report of what the client feels associated with a problem, considered
subjective data
Context of Care correct answers refers to the circumstance or situation related to health care
delivery
Health Promotion correct answers behavior motivated by the desire to increase well being and
actualize human health potential
Health Protection correct answers behavior motivated by a desire to actively avoid illness, detect
it early, or maintain functioning within the constraints of illness
Primary Prevention correct answers focuses on preventing disease from developing through a
healthy life style (immunizations, pollution control, nutrition, exercise)
Secondary Prevention correct answers consists of screening efforts to promote early detection of
disease (self examinations, colorectal screening, mammogram, BP screening)
Tertiary Prevention correct answers directed toward minimizing the disability from acute to
chronic disease or injury and helping clients to productively live without limitations (diabetes,
cardiac rehab, hypertension management)
Components of a Health Assessment correct answers health history, history of present illness,
physical exam, review of old data and documentation
,Objective Data correct answers data collected in the exam
Subjective Data correct answers health history, symptoms
Comprehensive Assessment correct answers onset of care, detailed, physical exam
60 Second Assessment correct answers quick observation, ALSSM
Focused Assessment correct answers problem based, used in walk in clinics or ERs, limited to
chief complaint
Episodic Assessment correct answers patient follow up after problem was addressed
Shift Assessment correct answers one every 8 hours at change of shift, used in the hospital,
looking and comparing to baseline
Nursing Process correct answers ADOPIE (assessment, diagnosis, outcome of evaluation,
planning, implementation, evaluation
Purpose of Maintaining a Written Medical Record correct answers improve effectiveness of
health care team, prevent repetition, become part of a legal and permanent record, provide a
baseline for evaluation
Importance of Health Assessment Process correct answers to determine the best course of action
for a plan of care, ongoing monitoring for subtle or deteriorating signs
The Health Assessment approach varies depending on several factors including... correct answers
client's age, general level of health, presenting problems, knowledge level, and support system
, Screening Assessment correct answers short, inexpensive, usually offered at health fairs (BP,
glucose, cholesterol)
CBC (review, diagnose, monitor) correct answers to assess the blood for anemia, infection,
inflammation, hemolytic disease, or ABO incompatibility, requires 5 mL of venous blood
(lavender tube top=anticoagulant)
RBC correct answers carry O2, below normal= excessive loss of cells (hemorrhage) above
normal= dehydration, hyperactivity of bone marrow
WBC correct answers fight infection, normal range 4,500-10,000
Hemoglobin (Hgb) correct answers O2 carrying protein in RBCs, normal range (m) 13.8-17.2
and (w) 12.1-15.1, below normal= fluid retention, anemia, above normal = dehydration, excess
production of RBCs
Hematocrit (Hct) correct answers proportion of RBCs to the fluid component of plasma, used to
evaluate blood loss, anemia, polycythemia (elevated RBCs) and dehydration, normal range (m)
40.7-50.3% and (w) 36.1-44.3%
Platelet correct answers ability of bone marrow to produce platelets, evaluates the effects of
chemotherapy and radiation therapy, normal range 150-400
Comprehensive Health History correct answers includes biographic data, reason for seeking care,
present health status, past medical history, family history, personal and psychosocial history and
review of all body systems
Symptom Analysis correct answers systematic way to collect data about the history and status of
symptoms
