Study Guide 2026 Exam
Questions and Answers |
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purpose of health assessment - ANSWER ✔✔use systemic data
collection to guide nursing care
nursing process (ADPIE) - ANSWER ✔✔-assessment
-diagnosis
-planning
-implementation
-evaluation
,nursing process: assessment - ANSWER ✔✔collect subjective &
objective data
nursing process: diagnosis - ANSWER ✔✔identify patient response
(not medical diagnosis)
nursing process: planning - ANSWER ✔✔set measurable, patient-
centered goals
nursing process: implementation - ANSWER ✔✔perform
interventions
nursing process: evaluation - ANSWER ✔✔determine if goals were
met
subjective data - ANSWER ✔✔-what the patient says about himself
or herself during history taking
-ex.) assessment of risk factors, health history, patient education
objective data - ANSWER ✔✔-what the nurse observes by
inspecting, palpating, percussing, & auscultating during the physical
examination
,-ex.) general survey, BP, pulse, weight, temperature, oxygen saturation
types of nursing assessment - ANSWER ✔✔-emergency / urgent
-comprehensive
-focused
when are emergency / urgent assessments used? - ANSWER
✔✔when a patient is experiencing a life-threatening situation (always
assess ABCs first)
when are comprehensive assessments used? - ANSWER ✔✔when
obtaining a full health history & full physical examination
when are focused assessments used? - ANSWER ✔✔after receiving
treatment for a specific problem
frameworks of health assessment - ANSWER ✔✔-functional
-head to toe
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, -body systems
focus of functional assessments - ANSWER ✔✔assessing daily living
patterns
strength of functional assessments - ANSWER ✔✔emphasizes
subjective data
focus of head to toe assessments - ANSWER ✔✔organized
sequence when assessing
strength of head to toe assessments - ANSWER ✔✔prevents missed
findings as they are in-depth
focus of body systems assessments - ANSWER ✔✔assessing by
system (cardiovascular, respiratory, etc.)
strength of body systems assessments - ANSWER ✔✔promotes
critical thinking
four levels of prevention - ANSWER ✔✔-primary
-secondary
-tertiary