Nursing Assessment Exam 1 Questions With Verified Answers
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Nursing
Institution
Nursing
Nursing Assessment Exam 1 Questions With
Verified Answers
What are the 6 steps of the nursing process? - answerADOPIE
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
What are the types of Health Assessment? - answer1) Comprehensive assessment
2)Problem-based...
Nursing Assessment Exam 1 Questions With
Verified Answers
What are the 6 steps of the nursing process? - answer✔ADOPIE
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
What are the types of Health Assessment? - answer✔1) Comprehensive assessment
2)Problem-based/Focused assessment
3) Episodic/follow-up assessment
4)Shift Assessment
5) Screening Assessment
What are the 3 primary components of Health Assessment? - answer✔History (subjective data)
Physical examination (objective data)
Documentation of data
Why do we document all of our data? - answer✔Improves plan of care
It is a legal document of patient's health
Draws a baseline for future evaluations
It must be accurate, concise, and without bias
T/F If it is not documented you did not do it. - answer✔True
What is context of care? - answer✔it refers to circumstance or situation related to health care
delivery.
1) may be related to setting or environment
2) may be related to physical, psychological, or SES circumstances involving the pt.
What is a comprehensive assessment? - answer✔A detailed H&P exam performed at the onset of
care in a primary care setting or on admission to a hospital or long-term facility.
What is a Problem-based/focused assessment? - answer✔the problem-based or focused
assessment involves a history and examination that are limited to a specific problem or
complaint. This type of assessment is most commonly used in a walk-in clinic or emergency
department, but it may also be applied in other outpatient setting.
What is a Episodic/follow-up assessment? - answer✔This type of assessment is usually done
when a patient is following up with a health care provider for a previously identified problem.
For example, a patient treated by a health care provider for pneumonia might be asked to return
for a follow-up visit after completion of anti0abiotics.
What is Shift assessment? - answer✔When individuals are hospitalized, nurses conduct
assessments each shift. The purpose is is to identify changes in a patients' condition from
baseline.
What is a screening assessment? - answer✔a short examination focused on disease detection.
usually conducted in health fairs.
What is Health promotion? - answer✔Behavior motivated by desire to increase well-being and
actualize health potential.
What is Health protection? - answer✔Behavior motivated by desire to avoid illness, detect
illnesses early, and maintain functioning when ill.
What are the 3 levels of health promotion? - answer✔Primary= preventing disease from
developing through promoting a healthy lifestyle.
Secondary= Screening efforts to promote early detection of disease.
Tertiary= minimizing disability from acute or cronic illness or injury and allowing for most
productive life within lilmitations.
What are examples for the 3 levels of health promotion? - answer✔Primary= Immunizations
Secondary= Mammogram
Tertiary = The disease is already present: Hypertension management.
A mother of three is being seen for a screening assessment. While planning the initial part of the
visit with this patient, the nurse needs to ensure that:
a)The patient receives a refill for her thyroid medication.
b)The patient is instructed on preventive measures for hypertension.
C)Other family members are present during the interview.
D)Information about the patient's lifestyle habits is gathered. - answer✔Correct Answer: D
Rationale: There are multiple types of health assessments. If a patient receives a refill, this is an
episodic or follow-up assessment. If a patient is instructed in preventive measures, this is more
along the lines of a comprehensive assessment. A screening assessment would require the nurse
to have data about lifestyle habits.
The medical-surgical nurse is reviewing the practice related to a patient who acquired pneumonia
while recovering from a hip replacement. The unit documents this event as failure to rescue and
would like the nurse to develop a personal professional action plan. This plan will most likely
include:
A)Reflection on action
B)Reflection in action
C)Tertiary prevention of health care-associated infections
D)Reasoning patterns - answer✔Correct Answer: A
Rationale: Reflection on action represents the contribution of an experience to a nurse's
collective experiences. Reflection in action specifically relates to evaluating outcomes of
interventions. The nurse needs to look at his practice to identify whether something can change.
A nurse is assessing a female teenager. The nurse asks the young woman to bend over and touch
her toes. The nurse assesses the curvature of the spine as a means of detecting scoliosis.
Assessing the curvature of the spine is an example of:
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