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Nursing 103 Health Assessment; Exam 1 (Mod B C) With Complete Solutions
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Nursing 103 Health Assessment; Exam 1 (Mod B C) With Complete Solutions
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Solution 2024/2025Pepper
Nursing 103: Health Assessment; Exam 1 (Mod
B/C) With Complete Solutions
What is a health history? ANS✔✔ Collects subjective data that helps to identify the person's health strengths and
problems; acts as a bridge to the physical assessment
How far (distance) should you keep between you and the patient? ANS✔✔ 4-5 feet
What are the three phases of an interview? ANS✔✔ 1. Introduction phase
2. Working phase
3. Termination or closing phase
What are the two types of questions (to ask during the data-gathering portion of the interview)? ANS✔✔ Open-Ended:
asks for narrative information
Closed or Direct: asks for specific information; yes or no
Facilitation ANS✔✔ Encourages the patient to say more
Silence ANS✔✔ Gives patient time to think and organize their thoughts
Reflection ANS✔✔ Echoes the patient's own words; encourages the patient to continue
Empathy ANS✔✔ Recognizes a feeling and puts it into words
Clarification ANS✔✔ When the patient's word choice is confusing
Confrontation ANS✔✔ Focus the patient's attention on a certain action, feeling, or word you have observed
, Solution 2024/2025
Pepper
Interpretation ANS✔✔ Based on your conclusion
Explanation ANS✔✔ Share factual or objective information with the patient
Summary ANS✔✔ Final review of what you understand the patient has reported; survey of what you have perceived
What are the traps of the interview process? ANS✔✔ 1. Providing false reassurance
2. Giving unwanted advice
3. Using avoidance language
4. Using authority
5. Engaging in distancing
6. Using professional jargon
7. Using leading or biased questions
8. Talking too much
9. Interrupting
10. Using why questions
What does PQRSTU stand for? ANS✔✔ Palliative(provocative),
quality,
radiate,
severity,
time,
understanding
What are Assessment techniques? ANS✔✔ 1. Inspection: what you see
2. Palpation: applies sense of touch
, Solution 2024/2025
Pepper
3. Percussion: tapping the person's skin with short, sharp strokes to assess underlying structures
4. Auscultation: listening to sounds produced by the body through a stethoscope
What are the percussion sounds over certain body parts? ANS✔✔ Resonant: clear, hollow - located over normal lung
tissue
Hyperresonant: booming - normal over a child's lung; abnormal in an adult
Tympany: drum like - located over airfields profaned such as stomach or intestines
Dull: muffled thud - located over dense organs such as liver or spleen
Flat: dead stop of sound; complete dullness - located over bone, muscles, or tumors
What are the two end-pieces to a stethoscope? ANS✔✔ Diaphragm: high-pitches sounds; breath sounds, heart sound,
and bowel sounds
Bell: soft, low-pitched sounds; extra heart sounds or murmurs
What is focused or problem-centered Assessment? ANS✔✔ It concerns one problem or one body system; used in a
settings such as hospital, primary care, and long-term settings
What is entailed in a follow-up assessment? ANS✔✔ It is any identified problem should be evaluated at regular or
appropriate intervals
What is a general survey? ANS✔✔ Study of a whole person, covering their general health state and any obvious physical
characteristics
Begins from the moment you first encounter the person
What kind of measurements are taken during the general survey? ANS✔✔ Weight, height, BMI
What are the vital signs? ANS✔✔ Temperature, pulse, respiration's, and blood pressure
What is pain assessment? ANS✔✔ It is a subjective experience; measured by pain rating scales that are adapting for the
age and state of the patient
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