The source of history is a record of who furnishes the information, how reliable the informant seems, and how willing he or she is to communicate. Evidence-Based Assessment: Chapter 1 ADPIE (nursing process) Health promotion model Health prevention Subjective/objective data - database First, second, third priority level problems Evidence-based assessments-four types of patient assessments Charting normal/abnormal findings Obstacles for . *Feedback: CORRECT* When recording information for the review of systems, the interviewer must document: Cognition and literacy level is part of the mental status assessment. Subjective data is what the person says about himself or herself during history taking. A reliable person always gives the same answers, even when questions are rephrased or are repeated later in the interview. * An example of an open-ended question or statement is: A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. D) "Tell me what you mean by 'bad blood'.". C) English proficiency is associated with a lower quality of care. D) ethnocentric language. A) ask about violence and abuse before asking about alcohol and drug use. D) food intolerance A complete data base is: *C) avoidance language. PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to: Feedback: INCORRECT *C) left knee has been swollen and hot for the past 3 days. D) A sore throat. B) the beliefs of the patients family. *Feedback: CORRECT* Health Assessment Concept Guide Exam 1 There will be 75 questions Chapters 1, 2, 3 and 4 in textbook. Chapter 2 - Cultural Competence B) "David, I am here to ask you questions about your illness; we want to determine what is wrong." Third-level priority problems are those that are import to the patient's health but can be addressed after more urgent health problems are addressed. *D) used to perform a thorough or comprehensive health history and physical examination. This is a closed or direct question. (1) A *complete (or total health) database* includes a complete health history and a full physical examination. 03/18/20 2:04 PM PDT. (10) And using "why" questions. Health Assessment Exam 1 Description Evidence-Based Practice Assessment Cultural Competence The Interview Health History Assessment techniques Vital Signs & General Survey Developmental Considerations Hair, Skin, and Nails health assessment exam 1 test 1 nursing 347 vital signs interview skin mental nursing C) a record of objective findings. What is the yin/yang theory of health? *A) "Mr. Jones, I want to ask you some questions about your health so that we can plan your care. steps of health assessment: - collection of subjective data. Arthritis is a medical diagnosis. A health *interview* is a structured interaction between you and the patient. Use both inductive and deductive reasoning to develop your argument. Your mutual *goal* is the *patient's optimal health*. * Second, note the *source of the history*, which is usually the patient, but may be someone else, such as a relative or interpreter. Feedback: INCORRECT D) Patients with language barriers have a decreased risk of nonadherence to medication regimens. Expectations, manifestations, and management of pain are all embedded in a cultural context. D) Patients with language barriers have a decreased risk of nonadherence to medication regimens. To aid in this process, draw a pedigree or genogram. B) empathy. D) helps the nurse understand his or her own feelings in relation to the patient's verbal message. *C) aggravating factors. This response is an inappropriate communication technique referred to as giving unwanted advice. Turn off the television or radio and any unnecessary equipment to reduce noise. A) There are laws addressing language barriers and health care. B) the response of the whole person to actual or potential health problems. Subjective data is what the person says about himself or herself during history taking. Norton Scale Used to assess skin breakdown by totaling scores from five . These areas are related to the activity and exercise section of the of the functional assessment. B) Health exists when physical, psychologic, spiritual, and social needs are met. (4) it is *dynamic* and ever changing. *A) education, financial status, and value-belief system. All cultures have their preferred lay or popular healers, recognized symptoms of disease, acceptable sick-role behaviors, and treatments. B) the beliefs of the patients family. Feedback: INCORRECT Feedback: INCORRECT *D) the cause of disease. Objective data Objective data include information obtained by the health care provider through physical assessment, the patient's record, and . A) ask the child, before the caretaker, about symptoms. - The parents' description of the present problem, * Before you can understand the role that beliefs and values play in a person's life, you must understand culturally dominant values and personal values. D) A sore throat Reflection is repeating part of what the person has just said. Nursing health assessment focus on the whole picture of patient's health concepts. Feedback: INCORRECT Feedback: INCORRECT Feedback: INCORRECT This is a closed or direct statement. (3) A *follow-up database* evaluates the status of any identified problem at regular intervals to follow up on short-term or chronic health problems. (3) And choice of *healers.*. - Studocu good notes to help understand health assessment practicum quiz study online at be to what is important to your patient. C) Health exists in the absence of illness. Socialization is the process of being raised within a culture and acquiring the characteristics of that group. Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. It also records the patient's responses to health problems. 2. Patients may experience barriers to communication with a health care provider seen as an authority figure. B) used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. Feedback: INCORRECT Parents or caretakers accompany children to the health care setting. What type of database is most appropriate for an individual who is admitted to a long-term care facility? 1. C) Documented relationship of support systems For example, explore *changes in activities of daily living* that may result from the aging process or chronic illness. *Feedback: CORRECT* *A) his or her own heritage. *Feedback: CORRECT* Assess Discussion 1.docx University of Texas, Arlington NURS 5220 - Fall 2021 . Additions include: Heritage consistency theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage. *complete health history data category 8. B) Preschoolers Which of the following will most likely describe this patient's view of wellness? The CAGE test is a screening questionnaire that helps to identify: Viewing the world from another person's inner frame of reference is called: Feedback: INCORRECT In the biomedical or scientific theory, high-level wellness (or health) exists with optimal functioning of the human body. The nurse is planning to assess new memory with a patient. C) Adolescents B) Follow-up For a younger child such as a toddler, the parent will provide all or most of the history. Hearing loss is more common in whites than in blacks. A) affects the nurse-physician relationship. B) own and operate specialty community clinics. *Feedback: CORRECT* . (3) it is *adapted* to specific conditions related to environmental and technical factors. Use this only when merited by the situation. Feedback: INCORRECT C) use short, simple, concrete sentences. Detailed explanations would be more appropriate for a school-age child, adolescent, or adult. C) English proficiency is associated with a lower quality of care. D) sympathy. Range of motion is assessed by inspection. B) a documentation of the problem as perceived by the patient. The Geriatric Depression Scale, Short Form (Yesavage and Brink, 1983) is an assessment instrument for use with the older adult. *C) conduct the interview at eye level and at a distance of 4 to 5 feet. I just did Caplan and flash cards. Objective data is gathered by what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Health Assessment Exam 1 Flashcards | Quizlet Health Assessment Exam 1 4.0 (1 review) Term 1 / 61 In which part of an assessment does "collection of subjective data about the clients perception of health of all body parts or systems, past medical history, family history, and lifestyle health practices" occur Click the card to flip Definition Most healers make house calls. If you use it too often, you take over at the patient's expense. B) reduce noise by turning the volume on the television or radio down. Starting at ___ years of age, the interviewer asks the child directly about his or her presenting symptoms. Coping patterns would include methods to relieve stress. Feedback: INCORRECT Planning - Establish priorities, set timelines for outcomes. What symptom is greatly influenced by a person's cultural heritage? Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. (2) A *focused (or problem-centered) database* is used for a limited or short-term problem. C) Congruence mechanism It is smaller in scope and more targeted than the complete database. (9) Interrupting, D) call a family member to confirm information. Feedback: INCORRECT *Feedback: CORRECT* D) food intolerance. What type of data base is most appropriate when a rapid collection of data is required and often compiled concurrently with life-saving measures? * B) pain D) used to perform a thorough or comprehensive health history and physical examination. A) physical findings, such as skin appearance, to support historic data. Which of the following is true regarding language barriers and health care? D) ask every youth about the use of condoms. Obtaining a heritage assessment helps gather data that are accurate and meaningful and can guide culturally sensitive and appropriate care. A) a person's state of health. A) Collect accurate data B) Assist the physician C) Validate previous data I found just doing flash cards on the topics related to the ATI test helped me. *Feedback: CORRECT* 1: Introduction to Health Assessment Define health and health - Studocu Health Assessment Exam 1 Notes ch. B) Cognition and literacy level The areas assessed under the self-esteem and self-concept section of the functional assessment include education, financial status, and value-belief system. B) a personal effort to find meaning and purpose in life. The nurse's feelings are not the barrier to communication in this situation. B) use nonverbal communication. *complete health history data category 4. HEALTH ASSESSMENT EXAM 1 PRACTICE QUESTIONS 4.7 (12 reviews) Term 1 / 45 1. What are the four kinds of databases? Feedback: INCORRECT *C) the presence or absence of all symptoms under the system heading. B) "negative" under the system heading. C) used to evaluate cause and etiology of disease. The nurse should ask the patient which question? The reason for seeking care is a statement in the person's own words that describes the reason for the visit. Recording objective data in the review of systems is incorrect; review of systems is limited to the patient statements or subjective data. *Feedback: CORRECT* A) the logic of the traditional belief systems. - Eye contact, *Feedback: CORRECT* Personal Health History 3. A) Behavior theory These areas are related to the interpersonal relationships and resources section of the functional assessment. *, During the first phase, *introduce the interview.*. B) rephrase the same questions later in the interview. In times of illness, *religion and spirituality may be a source of comfort* for patients and their significant others. Feedback: INCORRECT D) objective data that supports the history of present illness. The HEEADSSS method of interviewing adolescents has essential questions, important questions, and situational questions. Feedback: INCORRECT Parents or caretakers accompany children to the health care setting. D) helps the nurse understand his or her own feelings in relation to the patient's verbal message. 4 steps to health assessment 1. collection of subjective data 2. collection of objective data 3. validation of data 4. documentation of data 4 techniques used to collect objective data 1. inspection 2. palpation 3. percussion 4. auscultation purpose of the interview is to: establish rapport during the interview, it is important to identify what? B) impedes further discussion. For *sick patients*, the health history includes a detailed, chronologic record of the *health problem.*. B) crepitation in the left knee joint. Feedback: INCORRECT Study with Quizlet and memorize flashcards containing terms like Medication, Over . *C) helps the patient understand personal feelings in relation to his or her verbal message. You *assess factors related to heritage* to determine the depth to which you and the patient identify with a traditional heritage, that is, the cultural beliefs and practices of the family, extended family, and an ethnoreligious community. *B) a documentation of the problem as perceived by the patient. Viewing the world from another person's inner frame of reference is called: Socialization is the process of being raised within a culture and acquiring the characteristics of that group. C) a record of objective findings. * Which problem is a first-level priority? *C) The humors must be balanced. A) his or her own heritage. For a patient with *limited English proficiency*, use a *bilingual team member or a trained medical interpreter* whenever possible. "* What are the four kinds of databases? (1) *introduction*, Risk for infection is an example of a second-level priority. Feedback: INCORRECT *Feedback: CORRECT* B) Limited English proficiency is associated with a higher quality of care. A medical diagnosis is used to evaluate: What type of data is this? C) conduct the interview at eye level and at a distance of 4 to 5 feet. Feedback: INCORRECT Exam Action. *Explanation. A) 5 Health assessment is a plan of care that focuses on the specific needs of a patient and how the healthcare system, or you can say, the skilled nursing. This response is an appropriate communication technique referred to as seeking further clarification. Second-level priority problems are those that are next in urgency; those requiring prompt intervention to forestall further deterioration. *A) nutritional data* A) severity of dementia. D) a social group that claims to possess variable traits. C) An earache A) nutritional data According to the biomedical model, a narrow definition of health is: C) the process of being raised within a culture. Feedback: INCORRECT Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. Spirituality is a personal effort to find purpose and meaning in life. A) There are laws addressing language barriers and health care. Quizlet health assessment practicum quiz1 - 1 ____________ to what is important to your patient. * Use this when the person's word choice is ambiguous or confusing (e.g., "Tell me what you mean by 'tired blood.' When considering cultural competence, there are discrete areas that the nurse must develop knowledge of to understand the health care needs of others. A) Infants Chapter 14 - Eyes C) "Mr. Jones, is it okay if I ask you several questions this morning about your health?" A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. One method to verify information within the context of the interview is to: 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. Feedback: INCORRECT Feedback: INCORRECT D) Health exists when there is optimal functioning. *PQRSTU* stands for *P*rovocative or palliative, *Q*uality or quantity, *R*egion or radiation, *S*everity scale, *T*iming, and *U*nderstanding the patient's perception of the problem. Areas covered under self-esteem and self-concept include: *Feedback: CORRECT* - Gestures, *, *Heritage consistency* is the degree to which *a person's lifestyle reflects his or her traditional heritage. A) Appearance, dress, and hygiene Feedback: INCORRECT C) helps the patient understand personal feelings in relation to his or her verbal message. Areas covered under self-esteem and self-concept include: C) Congruence mechanism Feedback: INCORRECT Refer to feedback in Option B. An example of an open-ended question or statement is: A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured. By combining this subjective data with objective data from the physical examination and diagnostic tests, you create a database to make a judgment about the person's health status. The developmental history and nutritional data are important for current health of infants and children. B) "If I were you, I would have the surgery." Which of the following is included in documenting a history source? When taking a health history from an adolescent, the interviewer should: A) Episodic Ethnocentrism is the belief that one's ethnic or cultural group is more important or superior. *A) the logic of the traditional belief systems. Empathy means viewing the world from the other person's inner frame of reference. * This type of question encourages the person to respond in paragraphs and to give a spontaneous account in any order chosen. During a mental status examination, the nurse wants to assess a patient's affect. When addressing a toddler during the interview, the health care provider should: *Feedback: CORRECT* Inspect mouth: pushed tongue right with tongue blade. Religion refers to an organized system of beliefs concerning the cause, nature, and purpose of the universe. Spirituality is defined as: The "review of systems" in the health history is: These areas are related to the coping and stress management section of the functional assessment. What type of database is most appropriate for an individual who is admitted to a long-term care facility? Feedback: INCORRECT C) clarification. Exam 1 Quizlet Typed out quizlet University Galen College of Nursing Course Nursing Practice - Mental Health (NSG 3450) Uploaded by AF Angel Flynn Academic year2021/2022 Helpful? Feedback: INCORRECT A) Good is hot. The eight critical characteristics of any symptom reported in the history of the present illness are: P = provocative or palliative; Q = quality or quantity; R = region or radiation; S = severity scale; T = timing; and U = understand patient's perception. C) cost less than traditional or biomedical providers. Aggravating factors are determined by asking the patient what makes the pain worse. D) minorities tend to be older than non-Hispanic white populations. physical examination and health assessment 8th . C) 9 Of the emerging majority in the US, _____ are the largest population. *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. Through *facilitation*, *silence*, *reflection*, *empathy*, and *clarification*, you react to the facts or feelings the patient has communicated. B) cultural and ethnic values. C) "Why did you wait so long to make an appointment?" D) Readiness for enhanced spiritual well-being C) ask the patient if there is someone who could verify information. Table of Contents This list of brief health assessment questions is organized by behavior or risk and sorted alphabetically. C) the heritage of the nursing profession. In the case of confrontation, you have observed a certain action, feeling, or statement and you now focus the person's attention on it. (4) An *emergency database* calls for rapid collection of data, which commonly occurs while performing lifesaving measures. A complete data base is: D) use detailed explanations. A) "Tell me about your pain." A) severity of dementia. C) the Asian population tends to be younger. What is the yin/yang theory of health? Chapter 4 - The Complete Health History You share factual and objective information. *Feedback: CORRECT* *Religion* is the belief in a divine or superhuman power or powers to be obeyed and worshipped as the creator or ruler of the universe. Feedback: INCORRECT Health Assessment Exam 1 Got Correct After completing an initial assessment of a patient, the nurse has charted Expert Help A discrete area of knowledge for cultural competence is understanding of ones own heritage, the heritage of the nursing profession, the heritage of the patient, and the heritage of the health care system. B) the nature or character of the headache. The most *common non-English languages* spoken at home are Spanish, Chinese, French, German, and Tagalog. When recording information for the review of systems, the interviewer should record the presence or absence of all symptoms, otherwise it is unknown which factors were asked. D) "You are upset about the level of pain, right?". respecting and responding to Skip to document Ask an Expert Sign inRegister Sign inRegister Home Every examiner needs to collect *four kinds of databases* based on the situation. D) the risk of disease in the patients ethnic group. Modify communication techniques based on each *patient's developmental stage,* including parents, infants, young children, adolescents, and older adults. It is done to detect diseases early in people that may look and feel well." [1] The Four Methods of Health Assessment The four basic methods or techniques for physical health assessment are: Inspection, Palpation, Percussion and Feedback: INCORRECT This option is not within the context of the interview. Holistic model of health care is used in nursing, and culture is an important factor to consider in a nursing assessment. * C) symptoms. first level priority Emergent, life threatening, and immediate ex. For a sick person, chronologically record the reason for seeking care. C) Impaired gas exchange Feedback: INCORRECT D) environmental hazards. Reflection is repeating part of what the person has just said. C) "I can see that you are quite uncomfortable." After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic, and his pulse is 58 beats per minute. Crepitation is assessed by palpating. D) prevention of disease. A) decreased range of motion. A) Good is hot. D) stand next to the patient to convey a professional demeanor. A) ask about violence and abuse before asking about alcohol and drug use. Subjective data is what the person says about himself or herself during history taking. A) Episodic Subjective data is what the person says about himself or herself during history taking. Chapter 15 - Ears Feedback: INCORRECT A) review previous medical records. Your silent attentiveness communicates that the patient has time to think, to organize what he or she wishes to say without interruption from you. Empathy means viewing the world from the other person's inner frame of reference. *, ___ in every ___ residents belongs to a *group other than single-race, non-Hispanic White. Education is a form of socialization. Nightingale College Utah 2020/2021 HESI HEALTH ASSESSMENT NURSING RN V1 100 Questions with answers 1. Feedback: INCORRECT The four humors of the body include the blood, phlegm, black bile, and yellow bile; the humors regulate basic bodily functions and are described in terms of temperature, dryness, and moisture. *CAGE* test is a screening questionnaire to identify excessive or uncontrolled drinking, such as: C) Adolescents *Feedback: CORRECT* C) the presence or absence of all symptoms under the system heading. Avoid using a family member or close friend as an interpreter because this violates the patient's confidentiality. The nurse should interview the parent and child together, but when a presenting symptom or sign exists, the nurse should ask the child about it first, then gather data from the parent. health assessment exam 1 health assessment exam 1 Flashcard Maker: G G 202 Cards - 7 Decks - 1 Learner Sample Decks: eye, cranial nerves, ear, nose, throat Show Class Health Assessment Exam 1 Health Assessment Exam 1 Flashcard Maker: Samantha Anderson 310 Cards - 6 Decks - 4 Learners What type of data base is most appropriate when a rapid collection of data is required and often compiled concurrently with life-saving measures? - Facial expression, * Feedback: INCORRECT When preparing the physical setting for an interview, the interviewer should: Examples include lack of knowledge or family coping. *Feedback: CORRECT* * Finally, perform a *functional assessment*, including activities of daily living, such as bathing dressing, toileting, eating, walking, housekeeping, shopping, cooking, and other factors. 4 types of nursing assessments. The initial introduction should include the person's surname (unless a child) and the reason for the interview. Clarification is used to summarize the person's words or to simplify the words to make them clearer. Before determining whether cultural practices are helpful, harmful, or neutral, nurses must first understand: Feedback: INCORRECT Feedback: INCORRECT "). Feedback: INCORRECT While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. Feedback: INCORRECT C) the response of the whole person to actual or potential problems. Upgrade Health Assessment Exam 1 Terms in this set (131) Assessment Assessment is the collection of subjective and objective data about a patient's health. 4. emergency. B) Preschoolers Also briefly *summarize what you learned* during the interview. Subjective data is what the person says about himself or herself during history taking. Feedback: CORRECT*
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