Chapter 1- Questions
Physiologic, psychological, sociocultural, developmental, and spiritual data
A client admitted to the health care facility has a family history of diabetes mellitus. A nursing health assessment for this client should focus on collection of data in which of these areas?
Focused assessment
A client comes to the health care provider's office for a visit. The client has been seen in this office on occasion for the past 5 years and arrives today complaining of a fever and sore throat. Which type of assessment would the nurse most likely perform?
physiologic status.
A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's
as a basis for the nursing process
A nurse is conducting a health assessment. How will the information collected from the client be used?
Establish a baseline for the comparison of future health changes.
A nurse will complete an initial comprehensive assessment of a 60-year-old client who is new to the clinic. What goal should the nurse identify for this type of assessment?
To establish a database against which subsequent assessments can be measured
A nursing instructor is discussing the purposes of health assessment. What is one purpose of health assessment?
focused or problem-oriented assessment.
An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a(n)
Natural senses
An instructor is reviewing the evolution of the nurse's role in health assessment. The instructor determines that the teaching was successful when the students identify which of the following as the major method used by nurses early in the history of the profession?
Nursing intervention
An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's room and encourages the client to use the incentive spirometer ten times every hour. What is this action an example of?
environmental
During a health assessment the nurse learns that a client lives in an urban area with a high crime rate. Which category of health is affecting this client?
primary prevention
During a health class, the nurse is emphasizing exercise and healthy eating. The level of prevention being utilized by the nurse is
Promoting health in the client
How do nurses facilitate the achievement of high-level wellness with a client?
Asking the appropriate questions
How does a nurse best facilitate the nursing health assessment?
Nurses collaborate with clients to identify areas in which clients are willing to make changes
How does a nurse decide what health-promotion activities are necessary for a particular client?
Healthy People 2020
Staff are talking to the hospital educator and ask about "a government project that is meant to improve the health of people in the United States." The educator bases her response on the knowledge of
Reassess previously detected problems
The nurse has completed the comprehensive health assessment of a client who has been admitted for the treatment of community-acquired pneumonia. Following the completion of this assessment, the nurse periodically performs a partial assessment primarily for which reason?
A 50-year-old client newly diagnosed with diabetes
The nurse is analyzing the data obtained from the following clients. Which client would the nurse expect to facilitate a referral?
Uses evidence-based techniques
The nurse prepares to assess a client newly admitted to the care area. Which approach ensures that the data will guide the identification of appropriate interventions?
Review the client's medical record.
The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform a comprehensive health assessment. Which of the following actions should the nurse perform first?
head to toe
The preceptor of the student nurse is explaining the assessment that is considered the most organized for gathering comprehensive physical data. What assessment is the preceptor talking about?
Comprehensive
This type of assessment includes a health history and physical assessment.
True
True or False: Health is not constant and cannot be taken for granted.
Patient's information obtained during the health assessment
What are medical records?
Areas in need of health adjustments
What are nurses able to detect through the health assessment?
Physical Health Emotional Health Social Well being Cultural Influences Spiritual Influences Environmental Influences Developmental Influences
What are the "7 faucets"?
Identifies risk factors; health issues and diseases of concern in the United states
What is Healthy People 2020?
Comprehensive health history Complete physical examination
What is a nursing health assessment?
head to toe assessment to identify the changes in the patient's body system or any abnormal finding that may support history data or trigger additional questions.
What is a physical examination?
Nurse asks questions to gather data and -past medical history -learn about the patients physical and psychological issues, social and cultural associations, environment, development level and spiritual beliefs.
What is conducted in the health assessment?
In which a person is able to live his/her potential and includes the 7 faucets.
What is health?
Medical focuses on diagnosis and treatment of the disease Nursing can identify concerns or changes with patient once care plans is in place. The healthcare team meets to decide the best care.
What is the difference between nursing and medical?
Health History
What is the first part of the heath assessment?
1. Extrapolate health findings 2. Prioritize 3. Formulate/Implement care plan
What is the nursing process?
to determine the patient's health status, risk factors, and need for education as a for developing a nursing plan of care.
What is the purpose of the nursing health assessment?
Physical examination
What is the second part of the health assessment?
Astute attention to details Use of appropriate questions Awareness of what a person says/does
What shapes the plan of care?
a healthy lifestyle
When answering questions about health during a presentation at a women's club luncheon, the nurse emphasizes that prevention of disease is multifaceted but is connected directly to
A healthy environment
When assisting a client with health promotion, what must the nurse also nurture?
Emotional Health
Which 7 faucet is a the positive outlook and emotions channeled in a healthy manner?
Environmental Influences
Which 7 faucet is favorable conditions to promote health?
Developmental Level
Which 7 faucet is how one thinks, solves problems and makes decisions?
Physical Health
Which 7 faucet is how the body works and adapts?
Spiritual influences
Which 7 faucet is living peacefully, morally, and ethically?
Cultural Influences
Which 7 faucet is the favorable connections to promote health?
Social wellbeing
Which 7 faucet is the supportive relationships with family and friends?
Planning
Which part of the nursing process includes the formulation of goals?
Department of Health and Human Services
Who provides online data and invites health care leaders and the community to voice their opinions regarding the focus of the next decade on health?