HA 315 - Intro to Health Assessment

Key words when referring to primary level of preventative care

-Educate and instructions -Immunizations -nutrition-fitness activities -health education in schools/communities

The client reports difficulty in breathing. The nurse auscultates lung sounds and assess the respiratory system. What is the purpose of the nurses' action? A. Data collection B. Data validation C. Data clustering D. Data interpretation

A. Data collection

What is the nursing process?

AA PIE A - Assessment: Recognize cues A - Analysis: analyze cues/prioritize hypothesis P - Plan: Generate solutions I - Intervention: Take action E - Evaluation: Evaluate outcomes

Which activities would the nurse participate in while providing a primary level of preventive care? SATA A. Individual and mass screening activities. B. Education about adequate housing and recreation. C. Education about attention to personality development. D. Instruction about the standard of nutrition adjusted to development of phases of life. E. Providing a hospital and community facilities for retraining to maximum use of remaining capacities.

B, C, D

The nurse manager oversees an organization that provides secondary care for clients with cancer. Which service would be provided by this type of organization? A. Providing long term care for fatigue B. Providing treatment for pain managment C. Teaching the client about prevention of infection D. Teaching the client about adverse effects of the therapy

C. Teaching the client about the prevention of infection

What is the absence of disease?

Curing

What type of history is obtained for focused emergent problems?

Emergency history

What kind of assessment is done for a single problem or returning patient ?

Focused/problem-oriented assessment

_________ restores the balance and harmony to the body, mind and spirit.

Healing

Nursing is ________ - care for the mind, body and spirit. Looking at the human response.

Holistic

Who thought the universe was made up of many parts - the parts made up the whole?

Isaac Newton

More than one culture to consider

Multiracial

_______ _______ states that there is no reality until that reality is perceived.

Quantum Physics

What type of prevention is a Pap smear?

Secondary

Which level of prevention involves preventing disease complication. Teaching the client about the prevention of infection would help prevent complications, like fever and neutropenia.

Secondary

______ prevention focuses on early disease detection, and its target is healthy-appearing individuals with subclinical forms of the disease.

Secondary

The kind of information a patient tells you is?

Subjective information

What type of prevention is commonly seen with rehabilitation efforts?

Tertiary

Which level of prevention aims to prevent long term consequences of a chronic illness or disability to support optimal functioning?

Tertiary

_______ prevention focuses on decreasing effects of disease or disability when disability is permanent or irreversible. Goal is to achieve highest level of functioning possible.

Tertiary

___________ - individuals already have the disease - goal to improve quality of life and restoring function.

Tertiary Prevention

What are the 7 facets of health?

1. Physical 2. Spiritual 3. Cultural 4. Development 5. Environmental 6. Emotional 7. Social

Components of a subjective comprehensive health history.

1.Identifying data and source of the history 2.Chief complaint(s) (CC) 3.History of Present Illness (HPI) 4.Past medical/surgical history (PMH/PSH) 5.Family history (FMH) 6.Health patterns 7.Review of systems (ROS)

What are the steps necessary to get to clinical judgment?

1.Recognizing cues 2.Analyze cues 3.Prioritize 4.Generate solutions 5.Take action 6.Evaluate

Which questions would the nurse ask the client when obtaining the health history? SATA A. Tell me about your food habits. B. Do you use alcohol or tobacco? C. Have you sustained any personal loss recently? D. Have you experience any allergic reactions? E. Does any family member have a long-term illness?

A, B, D Explanation: The nurse should assess the clients food habits, lifestyle patterns and habits

The nurse is assessing a client who had knee replacement surgery? Which assessment finding gathered by the nurse is an example of objective data? SATA A. The client weighs 68.5 kg B. The client's pain is 7 on the numeric pain scale (1-10) C. The client's blood sugar is 95 mg/dL D. The client's BP is 140/90 mm Hg

A, C, D

Which belief of the nurse may have a negative effect on health services for minority clients? A. The mind, body and spirit are distinct entities. B. The focus of an assessment should be on the culture rather than the race for children from multi racial and multi cultural marriages. C. Chinese clients may believe that disease is caused by fluctuations in opposing forces the yin-yang energies. D. When taking a client history the nurse should record the client's race according to how she/he self identifies.

A. The mind, body and spirit are distinct entities. Explanation: The mind body and spirit are a single entity.

Which activities would the nurse consider to be part of the secondary level of preventive care? SATA A. Using specific immunizations B. Preventing the spread of communicable disease C. Providing facilities to limit disability and prevent dealth D. Providing adequate treatment to arrest the disease process E. Educating the public and industry to use rehabilitated individuals to the fullest possible extent.

B, C, D Explantation: Secondary prevention focuses on identifying illness, providing treatment and preventing a worsening health status.

Which actions would the nurse take to obtain subjective data about a client's respiratory status? SATA A. Palpate the chest and back for masses B. Question the client about SOB C. Check the hematocrit and hemoglobin values D. Inspect the skin and nails for integrity and color E. Ask the client about the color and quantity of sputum

B, E

What kind of assessment is done for new patient; full spectrum?

Comprehensive Health Assessment

What early modern physician regarded the human body as a machine?

Descartes

What nurse believed nursing is an acknowledgement that people are infinite, sacred, spiritual beings?

Florence Nightingale

What type of history is obtained for problem or treatment evaluation?

Follow-up history

Who defined a person as "an embodied spirit...unity of mindbodyspirit; person-nature-universe as oneness"?

Jean Watson

The kind of information you observe is?

Objective information

What type of prevention is immunizations?

Primary

Which level of prevention involves health maintenance measures?

Primary

_____ prevention focuses on improving overall wellness and protecting from disease or disability.

Primary

Each person manifests unique physical, mental, emotional and social patterns which are interrelated, inseparable and continually evolving.

The Model of the Whole-Person

Who defines holistic health as a state of complete physical, mental, and social well-being rather than merely the absence of disease or infirmity?

WHO - World Health Organization