Norton Scale Used to assess skin breakdown by totaling scores from five . C) An earache 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. Feedback: INCORRECT 30 Comments Please sign inor registerto post comments. 1,3,4,8,9,10,1, Health Assessment in Nursing Chapter 1 Review, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. When making decisions about health, patients may rely on relationships with others, and their behavior may depend on the opinion of others. * I would like for her to wear a Holter monitor and I will review the results with her when available. Con frecuencia, especialmente en poltica, hay una gran diferencia entre lo que uno dice y lo que uno hace. C) left knee has been swollen and hot for the past 3 days. - Facial expression, D) prevention of disease. Feedback: INCORRECT Study with Quizlet and memorize flashcards containing terms like Medication, Over . For example, lactose intolerance is common in African Americans, American Indians, and Asian Americans. On-Going or Partial Assessment 3. *Spirituality* is borne out of each person's unique life experience and his or her personal effort to find purpose and meaning in life. "* *Facilitation* These responses encourage the patient to say more, to continue with the story ("mm-hmm, go on, continue, uh-huh"). B) Evil is hot. Inspected mouth: depressed tongue with tongue blade Neurological shadow health assessment Transcript. These nonproductive verbal messages include: Remember that the *impact or burden of a disease* may be more important to an older adult than the actual disease diagnosis or pathology. The health history is adapted to include information specific for the age and developmental stage of the child (e.g., mother's health during pregnancy, labor and delivery, and the perinatal period). Writing negative after the system heading is also incorrect because it would be unknown which factors were asked. A) an evaluation of past and present health state of each body system. One method to verify information within the context of the interview is to: Feedback: INCORRECT In this situation, the nurse identified the patient's personal feelings in relation to the patient's verbal message. A) participating in religious services on a regular basis. The Asian population was younger with a median age of 35.4 years, and about 26% of the Asian population was younger than 18 years old. 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. Chapter 1 - Evidence-Based Assessment Which of the following assessment techniques will best allow the nurse to collect https://quizlet.com/217053036/health-assessment-final-exam-flash-cards/ Category: Health Show Health Functional assessment measures a person's self-care ability. The amount of nutritional information needed depends on the child's age; the younger the child is the more detailed and specific the data should be. A) affects the nurse-physician relationship. A) affects the nurse-physician relationship. *E) the heritage of the health care system. Feedback: CORRECT* C) Emergency D) Patients with language barriers have a decreased risk of nonadherence to medication regimens. D) 11. B) "On a scale of 1 to 10, how would you rate your pain?" Spirituality is defined as: Diagnosis (nursing diagnosis)- second phase of the nursing process. The interviewer and patient should be comfortably seated; standing communicates haste and assumes superiority. C) use short, simple, concrete sentences. *Communication* carries you and the patient through the interview. Which of the following will most likely describe this patient's view of wellness? C) Health exists in the absence of illness. * One's cultural background is a fundamental component of one's ethnic background. Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. Feedback: INCORRECT A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Empathy means viewing the world from the other person's inner frame of reference. While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. D) the ability to perform activities of daily living (ADLs). All cultures have their preferred lay or popular healers, recognized symptoms of disease, acceptable sick-role behaviors, and treatments. Objective data is gathered by what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. C) Congruence mechanism Category: Health Detail Health Limited English proficiency is associated with a lower quality of care. C) An earache C) conduct the interview at eye level and at a distance of 4 to 5 feet. Health Assessment Exam 1 Term 1 / 211 An instructor is describing a comprehensive nursing health assessment to a group of students. Feedback: INCORRECT *Feedback: CORRECT* 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. Whose story is the narrator telling? Subjective data is what the person says about himself or herself during history taking. (2) it is *shared* by all members of the same cultural group. * Feedback: INCORRECT A health *interview* is a structured interaction between you and the patient. *Feedback: CORRECT* B) the absence of disease. Feedback: INCORRECT Objective data is gathered by what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. - Physical appearance, In this situation, the nurse's verbal interpretation: The adolescent interview during the health history should be with the youth alone; the parent(s) may wait in the waiting area and complete other past health questionnaire forms. . *C) Emergency* Chest Pain Management Case Summary The patient has also had some palpitations. *complete health history data category 4.*. *10 traps of interviewing*. Feedback: INCORRECT All of the exams use these questions from the test banks. Feedback: INCORRECT B) impedes further discussion. When recording information for the review of systems, the interviewer must document: For *all patients*, it is a *screening tool* for abnormal symptoms, health problems, and concerns. B) used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. The *depth of information* obtained for each health history category may vary from one setting to another. C) Congruence mechanism Inspect mouth: lifted tongue with tongue blade. To determine the patient's perception of pain, the nurse would determine the meaning of the symptom by asking how it affects daily activities and what the patient thinks the pain means. For example, explore *changes in activities of daily living* that may result from the aging process or chronic illness. 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. Your response *focuses on the patient's frame of reference.*. The reason for seeking care is a statement in the person's own words that describes the reason for the visit. Assess Discussion 1.docx University of Texas, Arlington NURS 5220 - Fall 2021 . Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Feedback: INCORRECT D) A sore throat. A) the non-Hispanic white population tends to be younger. Feedback: INCORRECT D) call a family member to confirm information. 3. focused or problem-oriented. B) the response of the whole person to actual or potential health problems. (2) Giving unwanted advice, B) "If I were you, I would have the surgery." Parents or caretakers accompany children to the health care setting. Health assessment also should consider what two other factors? - Any childhood illnesses or accidents, Immunization data, C) Documented relationship of support systems Avoid using a family member or close friend as an interpreter because this violates the patient's confidentiality. B) the nature or character of the headache. *Feedback: CORRECT* B) cultural and ethnic values. (4) Using avoidance language, * 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. 2. Refer to feedback in option B. English proficiency is associated with a higher quality of care. The interview has *three phases*: *Feedback: CORRECT* *Feedback: CORRECT* The areas assessed under the self-esteem and self-concept section of the functional assessment include education, financial status, and value-belief system. While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. Feedback: INCORRECT Feedback: INCORRECT They require prompt intervention to prevent deterioration, and may include a mental status change or acute pain. Socialization is the process of being raised within a culture and acquiring the characteristics of that group. D) The phlegm will be replaced with dryness. Subjective data is what the person says about himself or herself during history taking. Feedback: INCORRECT Work to develop the ability to read patients' nonverbal behaviors and to monitor your own nonverbal communication. D) "You are upset about the level of pain, right?". Feedback: INCORRECT Crepitation is assessed by palpation. D) Readiness for enhanced spiritual well-being Health promotion and disease prevention are important aspects of nursing's concept of health. The CAGE test is a screening questionnaire that helps to identify: (1) it is *learned* from birth through language acquisition and socialization. Of the emerging majority in the US, _____ are the largest population. C) symptoms. A) severity of dementia. Questions should move from expected and less-threatening questions to those that are more personal. This option is not within the context of the interview. breathing, bleeding Health Assessment Exam 1 - Ch. When assessing *functional abilities*, consider the child's environment and his or her function or role in the environment. Religion refers to an organized system of beliefs concerning the cause, nature, and purpose of the universe. C) Adolescents Pain is a very private, subjective experience that is greatly influenced by cultural heritage. D) "Because so many people have already asked you questions, I will just get the information from the chart.". The HEEADSSS method of interviewing adolescents has essential questions, important questions, and situational questions. Which of the following is considered an example of objective data? This is a closed or direct statement. D) stand next to the patient to convey a professional demeanor. Feedback: INCORRECT Euphemisms are used to avoid reality or to hide feelings. *B) a documentation of the problem as perceived by the patient. B) "On a scale of 1 to 10, how would you rate your pain?" If you find it helpful, use the mnemonic PQRSTU to do this. Relieving factors are determined by asking the patient what relieves the pain, what is the effect of any treatment, what the patient has tried, and what seems to help. *B) a personal effort to find meaning and *purpose in life. A) "Mr. Jones, I want to ask you some questions about your health so that we can plan your care." C) Documented relationship of support systems During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish- brown; however, the skin on the hard and soft palate is pink and the patients scleras are not yellow. D) call a family member to confirm information. (3) *having the ability to listen. Many new immigrants have *little understanding of* the modern *health care* system and medical and nursing practices and interventions. When preparing the physical setting for an interview, the interviewer should: D) the risk of disease in the patients ethnic group. *, ___ in every ___ residents belongs to a *group other than single-race, non-Hispanic White. *CAGE* test is a screening questionnaire to identify excessive or uncontrolled drinking, such as: *B) the absence of disease. (7) Using leading or biased questions, 2. "). You should also understand *culture-bound syndromes,* which may have no equivalent from a biomedical perspective. In addition, there should be a note of any special circumstances, such as the use of an interpreter. B) Health exists when physical, psychologic, spiritual, and social needs are met. 1. A) set the room temperature between 64 and 66 F. *C) conduct the interview at eye level and at a distance of 4 to 5 feet. D) relieving factors. Feedback: INCORRECT Ethnocentrism is the belief that one's ethnic or cultural group is more important or superior. *, *External factors* relate mainly to the *physical setting.*.