Introduction to Assessment

Question 1

Human caring

Answer 1

How to demonstrate caring in the assessment process

Question 2

Communication

Answer 2

Demonstrate effective communication during the assessment process

Question 3

Professional behaviors

Answer 3

Focus on time management as a nursing student

Question 4

Safety

Answer 4

Factors that affect safety and fall prevention

Question 5

Holistic nursing process

Answer 5

ADPIE (assessment, diagnosis, planning, implementation, evaluation)

Question 6

Is the holistic nursing process linear?

Answer 6

no

Question 7

Critical thinking

Answer 7

The process of intentional and reflective judgment about nursing problems, where the focus is on clinical decision-making to provide safe and effective

Question 8

What question does critical thinking answer

Answer 8

“What if”

Question 9

What does critical thinking guide and anticipate

Answer 9

guides actions and interventions, anticipates needs

Question 10

Grounding

Answer 10

connecting to the Earth’s energy to focus on the task at hand

Question 11

Creating intention

Answer 11

Direction of one’s awareness

Question 12

Be CLEAR acronym

Answer 12

C - center yourself
L - listen wholeheartedly
E - empathize
A - Attention (be fully present)
R - Respect

Question 13

What is collaborative professional communication characterized by

Answer 13

Assertive communication and standard communication tools (patient rounding, hand off report, SBAR documentation)

Question 14

How is subjective data collected

Answer 14

through interviews with patients

Question 15

What are some examples of subjective data

Answer 15

current state of health, medications, previous illnesses, surgeries, review of symptoms, and family history

Question 16

How is objective data collected

Answer 16

through physical examinations and vital signs

Question 17

What is objective data

Answer 17

Data that can be seen, felt, heard, or measured. It validates subjective data

Question 18

Ongoing assessment

Answer 18

an assessment that is performed as needed, after the initial database is completed and ideally at every interaction with the client

Question 19

When are ongoing assessments performed

Answer 19

at the start of a nurse’s shift

Question 20

Comprehensive assessment

Answer 20

an assessment including a health history, interview, and a complete head-to-toe examination of every body system

Question 21

Focused assessment

Answer 21

An assessment that pertains to a particular topic, body part, or functional ability rather than overall health status. It adds to the database created by the comprehensive assessment

Question 22

When are comprehensive assessments performed

Answer 22

for an outpatient annual physical, an admission into an inpatient setting, in a long-term care facility, or in an initial home healing visit

Question 23

When are focused assessments performed

Answer 23

In an emergency situation where the assessment would be rapid and focused on the presenting problem

Question 24

What is a system-specific assessment

Answer 24

A focused assessment limited to one body system

Question 25

What is a health assessment

Answer 25

A systematic method of collecting and analyzing data for the purpose of planning client-centered care

Question 26

When does assessment begin

Answer 26

The first moment that a nurse meets their patient

Question 27

What is a good assessment able to do

Answer 27

paint a clear picture of the patient

Question 28

What is the purpose of a health assessment

Answer 28

to obtain baseline data, monitor a patient status, screen for health problems, and identify nursing diagnoses

Question 29

supine

Answer 29

patient on back

Question 30

fowler’s

Answer 30

head of bed elevated 30-45 degrees

Question 31

prone

Answer 31

on stomach

Question 32

lateral

Answer 32

on side

Question 33

Sim’s

Answer 33

laying on stomach/side with leg bent

Question 34

Lithotomy

Answer 34

on back with legs in the air

Question 35

Palpation

Answer 35

uses touch to gather information

Question 36

How to palpate correctly

Answer 36

Start with light palpation, end with deep. Use different parts of hands to detect different characteristics. Hands should be warm and fingernails short

Question 37

Percussion

Answer 37

taping skin to vibrate underlying tissue and organs

Question 38

What does percussion do

Answer 38

determines the location, size, and density of structures

Question 39

Auscultation

Answer 39

listening to sounds that the body generates

Question 40

what is direct auscultation

Answer 40

just using ears

Question 41

what is indirect auscultation

Answer 41

using stethoscope

Question 42

inspection

Answer 42

visual examination that is deliberate, purposeful, and systematic

Question 43

What is a general survey

Answer 43

An overall impression of a client, beginning at the first contact, continuing throughout the exam

Question 44

What are the 8 components of a general survey

Answer 44

1.) physical appearance/behavior
2.) body type/posture
3.) gait and movement
4.) speech
5.) mental state and affect
6.) dress/grooming/hygiene
7.) vital signs
8.) height/weight