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NURS 335 - Exam 1 Study Guide Solutions Health assessment = - ANSWER-general survey + initial data collection + health history + physical examination Emergency assessment - ANSWER-performed in a life-threatening or unstable situation, such as with a patient in an emergency department who has ex...

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  • October 30, 2024
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NURS 335 - Exam 1 Study Guide Solutions


Health assessment = - ANSWER✔✔-general survey + initial data collection + health history + physical

examination


Emergency assessment - ANSWER✔✔-performed in a life-threatening or unstable situation, such as with

a patient in an emergency department who has experienced a traumatic injury (ABCD)


Comprehensive assessment - ANSWER✔✔-complete health history and physical examination


Focused assessment - ANSWER✔✔-based on the patient's needs; usually involves one or two body

systems and is smaller in scope than a comprehensive assessment but more in depth on specific issues


Functional assessment - ANSWER✔✔-questioning during health history; focuses on the functional

patterns that all humans share: health perception and health management, activity and exercise,

nutrition and metabolism, elimination, sleep and rest, cognition and perception, self-perception and self-

concept, roles and relationships, coping and stress tolerance, sexuality and reproduction, and values and

beliefs


Head to toe assessment - ANSWER✔✔-efficient conduction of a physical exam; the most organized

system for gathering comprehensive physical data




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body systems assessment - ANSWER✔✔-organize findings to document and communicate; guides

learning; requires critical thinking; data from the functional and head-to-toe are reorganized


communication tips for health assessment - ANSWER✔✔-Active listening


guided questioning


one question at a time


offer MC answers


express empathy


avoid negative questions


Nontherapeutic responses - ANSWER✔✔-false reassurance


sympathy


unwanted advice


biased questions


changes of subject


distractions


technical/overwhelming language

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interrupting


What are the most important things to assess during general survey? - ANSWER✔✔-LOC


Breathing


Skin colour


overall appearance


How do you assess LOC? - ANSWER✔✔-1. Spontaneous: enter the room and observe


2. Usual voice: state patient name, and ask them politely to open eyes


3. Loud voice: repeat what you said in your usual voice


4. Tactile: touch patient's arm/shoulder


5. Pressure: put pressure on patient nail bed (do not harm) - observe for eye opening


6. Pain: trapezius pinch (do not harm) - observe for movement


How do you calculate BMI? - ANSWER✔✔-weight in kg/(height in meters)^2


RN objectives for health history - ANSWER✔✔-gain the foundation of information to guide client care:


1. continue general survey observations



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