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Comprehensive Health Assessment: Techniques and Considerations, Exams of Nursing

Central Virginia Community CollegeNursing

A detailed overview of the components and techniques involved in conducting a comprehensive health assessment. It covers key aspects such as health history, physical examination, documentation, health promotion and protection, communication strategies, and age-related variations. The document also delves into the specifics of symptom assessment, general inspection, and vital sign measurements for different age groups, from newborns to adults. It serves as a valuable resource for healthcare professionals and students, equipping them with the knowledge and skills necessary to perform thorough and effective health assessments.

Typology: Exams

2023/2024

Available from 08/21/2024

tizian-kylan
tizian-kylan 🇺🇸

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NVCC NSG 200 Modules 1-2 | 100% Correct
Answers | Verified | Latest 2024 Version
Describe the components of a health assessment - ✔✔Health History, Physical Examination,
Documentation of Data
Define health promotion and health protection - ✔✔Primary prevention: prevents a disease
Secondary prevention: screening for a disease
Tertiary prevention: managing a disease
Describe the concept of communication and discuss common therapeutic and non-therapeutic
communication techniques - ✔✔-Active listening techniques
-facilitation, clarification, reflection, confrontation
-interpretation, summarization
DON'T:
-use medical jargon
-judge them
-interrupt them
-be authoritarian
Identify the components of a comprehensive health history and their respective areas of focus
(exemplar) - ✔✔-Biographical data
-Why are they there?
-illness history
-present health status
-past health history
-family history
-review of systems
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NVCC NSG 200 Modules 1- 2 | 100% Correct

Answers | Verified | Latest 2024 Version

Describe the components of a health assessment - ✔✔Health History, Physical Examination, Documentation of Data Define health promotion and health protection - ✔✔Primary prevention: prevents a disease Secondary prevention: screening for a disease Tertiary prevention: managing a disease Describe the concept of communication and discuss common therapeutic and non-therapeutic communication techniques - ✔✔-Active listening techniques

  • facilitation, clarification, reflection, confrontation
  • interpretation, summarization DON'T:
  • use medical jargon
  • judge them
  • interrupt them
  • be authoritarian Identify the components of a comprehensive health history and their respective areas of focus (exemplar) - ✔✔-Biographical data
  • Why are they there?
  • illness history
  • present health status
  • past health history
  • family history
  • review of systems

Use the OLDCARTS mnemonic to complete a symptom assessment - ✔✔O: onset- when did symptoms begin? L: location- where are symptoms occurring D: duration- how long have you had symptoms C: characteristics- can you describe it? A: aggravating factors- what makes it worse? R: Related symptoms- what other symptoms? T: treatment- what has been tried already? S: severity- what is the intensity of the symptom? Discuss age-related variations in the completion of the health history - ✔✔-Parents should not be in the room when adolescents are giving a health history.

  • Parents give the info for young children Identify the components of the general inspection - ✔✔-appearance
  • hygiene
  • body structure
  • movement
  • emotional status
  • disposition
  • behavior Discuss appropriate uses of various temperature routes - ✔✔Rectal measurement when core body temp is needed. Tympanic can be used for children Comprehensive assessment - ✔✔detailed history and physical exam
  • problems, promotions, prevention, assessments

Child 1-10 temperature - ✔✔ 97 - 99 Child 1-10 heart rate - ✔✔ 70 - 120 Child 1-10 blood pressure - ✔✔90 to 110/55 to 75 mm Hg Hypotension SBP < 70 + (age in years x2) mmHg Child 1-10 respiratory rate - ✔✔ 12 - 30 Children > 10 Temperature - ✔✔ 97 - 99 Children > 10 heart rate - ✔✔ 60 - 100 Children > 10 blood pressure - ✔✔ 110 - 135/65-85 mm Hg Hypotension SBP < 90 mmHg Children > 10 Respiratory rate - ✔✔ 12 - 18 Adult temperature - ✔✔ 97 - 99 Adult heart rate - ✔✔ 60 - 100 Adult blood pressure - ✔✔ 90 - 120/60-80Hypotension SBP < 90 mmHg Orthostatic hypotension decrease ≥ 20 mmHg systolic Hypertensive crisis SBP > 180 or DBP > 120 mmHg Adult respiratory rate - ✔✔ 12 - 20