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NUR 3094C HEALTH ASSESSMENT
EXAM 1 LATEST 2025 FSCJ GRADE A+
(Verified Answers 100%)
The database The database is the totality of information available about the patient. The purpose of assessment is to make a judgment or diagnosis. Assessment Assessment is the collection of subjective and objective data about a patient's health. Subjective data Subjective data consist of information provided by the affected individual. Objective data Objective data include information obtained by the health care provider through physical assessment, the patient's record, and laboratory studies. Diagnostic reasoning Diagnostic reasoning is the process of analyzing health data and drawing conclusions to identify diagnoses. Diagnostic reasoning has which four major components? Diagnostic reasoning has which four major components?
(1) Attending to initially available cues, which are pieces of information, signs, symptoms, or laboratory data; (2) Formulating diagnostic hypotheses, which are tentative explanations for a cue or a set of cues and can serve as a basis for further investigation; (3) Gathering data relative to the tentative hypotheses; (4) evaluating each hypothesis with the new data collected, which leads to a final diagnosis. The nursing process includes which six phases? The nursing process includes which six phases? (1) assessment, (2) diagnosis, (3) outcome identification, (4) planning, (5) implementation, and (6) evaluation. It is a dynamic, interactive process in which practitioners move back and forth within the steps. The novice nurse The novice nurse has no experience with specific patient populations and uses rules to guide performance. The experienced nurse The experienced nurse understands a patient situation as a whole rather than as a list of tasks, attends to an assessment data pattern, and acts without consciously labeling it.
Every examiner needs to collect four kinds of databases based on the situation. What are the four kinds of databases? (1) A complete (or total health) database includes a complete health history and a full physical examination. (2) A focused (or problem-centered) database is used for a limited or short-term problem. It is smaller in scope and more targeted than the complete database. (3) A follow-up database evaluates the status of any identified problem at regular intervals to follow up on short-term or chronic health problems. (4) An emergency database calls for rapid collection of data, which commonly occurs while performing lifesaving measures. The biomedical model The biomedical model of Western medicine views health as the absence of disease. It focuses on collecting data on biophysical signs and symptoms and on curing disease. The holistic health model The holistic health model assesses the whole person because it views the mind, body, and spirit as interdependent and functioning as a whole within the environment. Health depends on all these factors working together. The concept of health also includes health promotion and disease prevention. ... Health assessment also should consider what two other factors? (1) The usual and expected developmental tasks for each age group
(2) the cultural beliefs and practices of different people. Obtaining a heritage assessment helps gather data that are accurate and meaningful and can guide culturally sensitive and appropriate care. According to the biomedical model, a narrow definition of health is: A) an optimal functioning of mind, body, and spirit within the environment. Feedback: INCORRECT Nursing has an expanded concept of health; holistic health includes the mind, body, and spirit as interdependent and functioning as a whole within the environment. B) the absence of disease. Feedback: CORRECT From a biomedical perspective, health is defined as the absence of disease or elimination of symptoms and signs of disease. C) the response of the whole person to actual or potential problems. Feedback: INCORRECT Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. D) prevention of disease. Feedback: INCORRECT Health promotion and disease prevention are important aspects of nursing's concept of health. What type of data base is most appropriate when a rapid collection of data is required and often compiled concurrently with life-saving measures?
B) the response of the whole person to actual or potential health problems. Feedback: INCORRECT Nursing diagnoses are used to evaluate the response of the whole person to actual or potential health problems. C) a person's culture. Feedback: INCORRECT Holistic model of health care is used in nursing, and culture is an important factor to consider in a nursing assessment. D) the cause of disease. Feedback: CORRECT Medical diagnoses are used to evaluate the etiology (cause) of disease. An example of subjective data is: A) decreased range of motion. Feedback: INCORRECT Objective data is gathered by what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Range of motion is assessed by inspection. B) crepitation in the left knee joint. Feedback: INCORRECT Objective data is gathered by what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Crepitation is assessed by palpating.
C) left knee has been swollen and hot for the past 3 days. Feedback: CORRECT Subjective data is what the person says about himself or herself during history taking. D) arthritis. Feedback: INCORRECT Arthritis is a medical diagnosis. What type of database is most appropriate for an individual who is admitted to a long-term care facility? A) Episodic Feedback: INCORRECT An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system. B) Follow-up Feedback: INCORRECT A follow-up database is used to follow up short-term or chronic health problems; the statuses of identified problems are evaluated at regular and appropriate intervals. C) Emergency Feedback: INCORRECT An emergency database is rapid collection of the data often obtained concurrently with lifesaving measures.
A) complaints of left knee pain. B) crepitation in the left knee joint. C) left knee has been swollen and hot for the past 3 days. D) report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion. An example of objective data is: A) complaints of left knee pain. Feedback: INCORRECT Subjective data is what the person says about himself or herself during history taking. B) crepitation in the left knee joint. Feedback: CORRECT Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Crepitation is assessed by palpation. C) left knee has been swollen and hot for the past 3 days. Feedback: INCORRECT Subjective data is what the person says about himself or herself during history taking. D) report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion. Feedback: INCORRECT Subjective data is what the person says about himself or herself during history taking. A nursing diagnosis is best described as:
A) a determination of the etiology of disease. B) a pattern of coping. C) an individual's perception of health. D) a concise statement of actual or potential health concerns or level of wellness. A nursing diagnosis is best described as: A) a determination of the etiology of disease. Feedback: INCORRECT Medical diagnoses determine the etiology (or cause) of disease. B) a pattern of coping. Feedback: INCORRECT Coping patterns would include methods to relieve stress. C) an individual's perception of health. Feedback: INCORRECT Health perception is how the person describes and defines personal health. D) a concise statement of actual or potential health concerns or level of wellness. Feedback: CORRECT Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. A complete data base is:
A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority? A) Ineffective self-health management B) Risk for infection C) Impaired gas exchange D) Readiness for enhanced spiritual well-being A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority? A) Ineffective self-health management Feedback: INCORRECT Third-level priority problems are those that are import to the patient's health but can be addressed after more urgent health problems are addressed. Ineffective self-health management is an example of a third-level priority. B) Risk for infection Feedback: INCORRECT Second-level priority problems are those that are next in urgency; those requiring prompt intervention to forestall further deterioration. Risk for infection is an example of a second-level priority. C) Impaired gas exchange Feedback: CORRECT First-level priority problems are those that are emergent, life threatening, and immediate. Impaired gas exchange is an emergent and immediate problem. D) Readiness for enhanced spiritual well-being Feedback: INCORRECT
Third-level priority problems are those that are import to the patient's health but can be addressed after more urgent health problems are addressed. Wellness diagnoses are third-level priority problems. In the United States, about in people are immigrants. In the United States, about one in eight people are immigrants. in every residents belongs to a group other than single-race, non-Hispanic White. One in every three residents belongs to a group other than single-race, non-Hispanic White. Of the emerging majority in the US, are the largest population. Of the emerging majority in the US, Hispanics are the largest population. The second largest population is followed by , , , , and. The second largest population is Asians followed by Blacks, American Indians, Alaska natives, Native Hawaiians, and other Pacific islanders. Many new immigrants have little understanding of the modern health care system and medical and nursing practices and interventions. Many also speak and understand little or no English. ... The National Standards for Culturally and Linguistically Appropriate Services in Health Care state that health care organizations should ensure that patients receive effective,
Culture has the following four characteristics: (1) it is learned from birth through language acquisition and socialization. (2) it is shared by all members of the same cultural group. (3) it is adapted to specific conditions related to environmental and technical factors. (4) it is dynamic and ever changing. Ethnicity Ethnicity pertains to membership in a social group that claims to possess a common geographic origin, migratory status, religion, race, language, shared values, traditions or symbols, and food preferences. One's cultural background is a fundamental component of one's ethnic background. Religion Religion is the belief in a divine or superhuman power or powers to be obeyed and worshipped as the creator or ruler of the universe. Spirituality Spirituality is borne out of each person's unique life experience and his or her personal effort to find purpose and meaning in life. Spirituality may be used to find meaning and purpose for illnesses. Socialization Socialization is the process of being raised within a culture and acquiring the characteristics of the group. Education is a form of socialization.
You assess factors related to heritage to determine the depth to which you and the patient identify with a traditional heritage, that is, the cultural beliefs and practices of the family, extended family, and an ethnoreligious community. ... Before you can understand the role that beliefs and values play in a person's life, you must understand culturally dominant values and personal values. ... Cultural conflicts Cultural conflicts between nurses and patients from diverse backgrounds are related to different time and relationship perceptions. For example, in some cultures, the past may influence health practices. When making decisions about health, patients may rely on relationships with others, and their behavior may depend on the opinion of others. In a multicultural country, you must accept that differences exist and be open to the importance of these practices to the patient. ... The meaning of health and illness is determined, in part, by the way members of a person's culture define them. The perceived causes of illness and symptoms can be culturally based and may be viewed as biomedical (or scientific), naturalistic (or holistic), or magicoreligious. All cultures have their preferred lay or popular healers, recognized symptoms of disease, acceptable sick-role behaviors, and treatments. Patients may seek help from biomedical health
C) cost less than traditional or biomedical providers. D) recommend folk practices that are dangerous. ach culture has its own healers who usually: A) speak at least two languages. Feedback: INCORRECT Most healers speak the person's native tongue. B) own and operate specialty community clinics. Feedback: INCORRECT Most healers make house calls. C) cost less than traditional or biomedical providers. Feedback: CORRECT Most healers cost significantly less than healers practicing in the biomedical or scientific health care system. D) recommend folk practices that are dangerous. Feedback: INCORRECT Most of health practices used by folk healers are not dangerous and are usually harmless. While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following will most likely describe this patient's view of wellness? A) Good is hot. B) Evil is hot.
C) The humors must be balanced. D) The phlegm will be replaced with dryness. While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following will most likely describe this patient's view of wellness? A) Good is hot. Feedback: INCORRECT Beverages, foods, herbs, medicines, and diseases are classified as hot or cold according to their perceived effects on the body, not on their physical characteristics. B) Evil is hot. Feedback: INCORRECT Beverages, foods, herbs, medicines, and diseases are classified as hot or cold according to their perceived effects on the body, not on their physical characteristics. C) The humors must be balanced. Feedback: CORRECT The hot/cold theory of health is based on humoral theory; the treatment of disease is based on the balance of the humors. D) The phlegm will be replaced with dryness. Feedback: INCORRECT The four humors of the body include the blood, phlegm, black bile, and yellow bile; the humors regulate basic bodily functions and are described in terms of temperature, dryness, and moisture. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors.
