Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

NUR 216 Health Assessment EXAM 1: Comprehensive Study Guide for Summer/Fall 2024, Exams of Nursing

Central Arizona CollegeNursing

This study guide covers essential concepts for nur 216 health assessment exam 1, focusing on data collection, the nursing process, communication skills, cognitive skills, psychomotor skills, interpersonal/affective skills, ethical skills, interview techniques, physical assessment techniques, vital signs, and health history components. It includes definitions, examples, and key points for effective exam preparation.

Typology: Exams

2024/2025

Available from 11/14/2024

Nursmerit
Nursmerit 🇺🇸

4.8

(10)

623 documents

1 / 17

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NUR 216 Health Assessment EXAM 1 2024 SUMMER-
FALL SEMESTER AZC (Modules 1-3) 100% ACCURATE
What is an assessment?
-A data collection process
-A continuous process
-A method to establish a baseline
What is primary subjective data? Give an example.
Client reports feelings/thoughts
Ex. "I have a headache"
What is secondary subjective data? Give an example.
Anyone, other than the client, reports feelings/thoughts.
Ex. Spouse states, "She complained of pain in her abdomen this morning."
What is primary objective data? Give an example.
Nurse reports seeing, feeling, smelling, or hearing. (DO NOT taste).
Ex. "I can see redness and swelling of her right lower extremity."
What is secondary objective data? Give an example.
Anyone, other than the nurse, reports seeing, feeling, smelling, or hearing. (DO NOT taste).
Ex. AP states, "Her urine smells odorous."
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff

Partial preview of the text

Download NUR 216 Health Assessment EXAM 1: Comprehensive Study Guide for Summer/Fall 2024 and more Exams Nursing in PDF only on Docsity!

NUR 216 Health Assessment EXAM 1 2024 SUMMER-

FALL SEMESTER AZC (Modules 1-3) 100% ACCURATE

What is an assessment?

  • A data collection process
  • A continuous process
  • A method to establish a baseline What is primary subjective data? Give an example. Client reports feelings/thoughts Ex. "I have a headache" What is secondary subjective data? Give an example. Anyone, other than the client, reports feelings/thoughts. Ex. Spouse states, "She complained of pain in her abdomen this morning." What is primary objective data? Give an example. Nurse reports seeing, feeling, smelling, or hearing. (DO NOT taste). Ex. "I can see redness and swelling of her right lower extremity." What is secondary objective data? Give an example. Anyone, other than the nurse, reports seeing, feeling, smelling, or hearing. (DO NOT taste). Ex. AP states, "Her urine smells odorous."

What is a comprehensive assessment? Consists of a complete nursing history and physical examination. What is a focused assessment? Based around the patients immediate problems. What is the nursing process? Assessment Diagnosis Planning Implementation Evaluation (ADPIE) What is the "A" in the nursing process? Assessment - gather information and review the patients history What is the "D" in the nursing process? Diagnose - identify problem list

What are 'Psychomotor' skills? Skills needed to perform the 4 techniques of physical assessment. What are 'Interpersonal/Affective' skills? Affective skills needed to develop caring, therapeutic nurse-patient relationships. List 4 'Ethical' skills.

  • Responsible & accountable for practice
  • Patient advocate
  • Respect patients' rights
  • Assure confidentiality What are the 2 types of interviews? Directive or Non-directive What is an open ended question? Give an example. A question that requires more than a "yes" or "no" answer. Ex. "What does the pain in your foot feel like?" What is a close ended question? Give an example. A question that requires a "yes" or "no" answer. Ex. "Do you have a headache?"

What is the 'Introductory Phase' of the interview process?

  • Introduce self
  • Put patient at ease
  • Explain purpose of interview
  • Explain time frame What is the 'Working Phase' of the interview process?
  • Data collection, structured
  • Longest phase What is the 'Termination Phase' of the interview process?
  • End of interview
  • Summarize and restate findings Observation
  • Use your senses
  • Look at patient and environment What are the steps to a 'Physical Assessment' in order of performance?
  • Inspection
  • Palpation

What is the ulnar surface of your hand used to palpate? Best for vibrations What are your fingertips used to palpate? Best for fine sensations What is Percussion? Tapping the person's skin with short, sharp strokes to assess density, size/shape, tenderness, & deep reflexes of underlying structures; Direct (immediate), indirect (mediate), fist/blunt. What is Auscultation? Listening through a stethoscope to hear heart sounds, lung sounds, bowel sounds, and vascular sounds. What side of the stethoscope would you use if you wanted to hear low pitched sounds? Bell What side of the stethoscope would you use if you wanted to hear high pitched sounds? Diaphragm What is 'Primary' or 'Top' Priority data?

Life-threatening problems What is 'Secondary' Priority data? Require prompt attention to prevent further progression or deterioration. What is 'Tertiary' Priority data? Important, but do not require immediate attention. List 6 components of the Health History.

  • Biographical Data
  • Current Health Status
  • Past Health History
  • Family History
  • Review of Systems
  • Psychosocial History What is a 'General Survey'? Begins the moment you first encounter a patient. Includes Physical Appearance, Behavior, Body Structure, and Mobility. What 6 characteristics do you assess when looking at a patients 'Physical Appearance'?
  • Age
  • Base How do you obtain a proper weight? Instruct the patient to remove any heavy clothing and to record their weight at the same time and on the same scale device everyday. How do you obtain a proper height? Instruct the patient remove their shoes and to stand straight, with their feet shoulder width apart. What is BMI? Body Mass Index; indicator of obesity or malnutrition. What is the BMI formula? Weight(lbs)/Height(in)^2x BMI Table Underweight <18. Normal Weight 18.5-24. Overweight 25-29. Obese >

What is the normal temperature range? 96.8-100.4 (F) 36 - 38 (C) What is considered a treatable fever? 102.2 (F) 39 (C) What tools do you need to measure a temperature? Thermometer What different locations can you obtain a temperature on a patient?

  • Temporal
  • Tympanic
  • Oral
  • Axillary
  • Rectal List 3 factors that can increase your temperature.
  • Infection
  • Hormones
  • Exercise
  • Femoral
  • Popliteal
  • Posterior Tibial
  • Dorsalis Pedis List 3 factors that can increase your heart rate.
  • Stress
  • Pain
  • Exercise List 3 factors that can decrease your heart rate.
  • Being a runner
  • Beta Blockers
  • Sedating Medications What is the normal oxygen range? 95 - 100 % What tools do you need to measure oxygen saturation's? Pulse Oximeter What different locations can you obtain an oxygen saturation?
  • Forehead
  • Ear
  • Finger
  • Toe List 3 factors that can decrease your oxygen saturation.
  • Asthma
  • COPD
  • Emphysema What is the normal respiration range? 12 - 20 breaths per minute What is measured when obtaining respirations?
  • Rate
  • Depth
  • Rhythm List 3 factors that can increase your respiration rate.
  • Pain
  • Asthma
  • COPD

Stage 2 Hypertension Range

140/> Hypertension Crisis Range 180/> List 3 factors that can decrease your Blood Pressure.

  • Loss of Fluid
  • Anemia
  • Hemorrhage List 3 factors that can increase your Blood Pressure.
  • Preeclampsia
  • Obesity
  • Increased Salt List 3 factors that would cause you to NOT be able to do an arm blood pressure.
  • Mastectomy
  • Amputation
  • Ports (PICC, Fistula, etc)

Pain in the subjective perspective. "The pain in my back is an 8/10." Pain in the objective perspective. "Her grimacing expression may indicate she is in pain."