Health Assessment NCLEX Questions

Health Assessment NCLEX Questions ScienceMedicineNursing smstrait Save Exam 1 Health Assessment (Nclex Pr...51 terms Bri_PinaPreview Nursing 101 Fundamentals of Nursin...49 terms grace_ramirez Preview Chapter 30 Health Assessment and ...40 terms quizlette225193 Preview Health 57 terms XxN According to the holistic model, a narrow definition of holistic health includes:

• an optimal functioning of mind, body, and spirit within the environment. Incorrect
• the absence of disease.
• the response of the whole person to actual or potential problems.
• the internal and external environment.

B From a biomedical perspective, health is defined as the absence of disease or elimination of symptoms and signs of disease, whereas a holistic model approach examines mind, body, and spirit working interdependently within the environment to maintain health and well-being.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.Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state.In a holistic model approach to health, both the internal and the external environment affect a patient's health and well-being.What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures?

• Episodic
• Follow-up
• Emergency
• Complete

C An emergency database includes rapid collection of data often obtained concurrently with lifesaving measures.An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system.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.A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured.

A medical diagnosis is used to evaluate:

• a person's state of health.
• the response of the whole person to actual or potential health problems.
• a person's culture.
• the cause of disease.

D.Medical diagnoses are used to evaluate the cause or etiology of disease.Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state.Nursing diagnoses are used to evaluate the response of the whole person to actual or potential health problems.The holistic model of health care is used in nursing, and culture is an important factor to consider in a nursing assessment.

An example of subjective data is:

• decreased range of motion.
• crepitation in the left knee joint.
• left knee has been swollen and hot for the past 3 days.
• arthritis.

C Subjective data is what the patient says about himself or herself during history taking.Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination.Range of motion is assessed by inspection.Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination.Crepitation is assessed by palpating.Arthritis is a medical diagnosis.What type of database is most appropriate for an individual who is admitted to a long-term care facility?

• Episodic
• Follow-up
• Emergency
• Complete

D A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured.An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system.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.An emergency database includes rapid collection of data often obtained concurrently with lifesaving measures.

Which of the following is an example of objective data?

• Alert and oriented
• Dizziness
• An earache
• A sore throat

A Objective data is what the health professional observes; level of consciousness and orientation are observations.Subjective data is what the person says about himself or herself during history taking.Subjective data is what the person says about himself or herself during history taking.Subjective data is what the person says about himself or herself during history taking.

An example of objective data is:

• a complaint of left knee pain.
• crepitation in the left knee joint.
• left knee has been swollen and hot for the past 3 days.
• a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion.

B Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination.Crepitation is assessed by palpation.Subjective data is what the person says about himself or herself during history taking.Subjective data is what the person says about himself or herself during history taking.Subjective data is what the person says about himself or herself during history taking.

A nursing diagnosis is best described as:

• a determination of the etiology of disease.
• a pattern of coping.
• an individual's perception of health.
• a concise statement of actual or potential health concerns or level of wellness.

D Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state.Medical diagnoses determine the cause or etiology of disease.Coping patterns include methods to relieve stress.Health perception is how the person describes and defines personal health.

A complete database is:

• used to collect data rapidly and is often compiled concurrently with lifesaving measures.
• used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system.
• used to evaluate the cause or etiology of disease.
• used to perform a thorough or comprehensive health history and physical examination.

D A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured.An emergency database is rapid collection of data often obtained concurrently with lifesaving measures.An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system.Medical diagnoses are used to evaluate the cause or etiology of disease.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?

• Ineffective self-health management
• Risk for infection
• Impaired gas exchange
• Readiness for enhanced spiritual well-being

C First-level priority problems are problems that are emergent, life-threatening, and immediate. Impaired gas exchange is an emergent and immediate problem.Third-level priority problems are problems that are important 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.Second-level priority problems are problems that are next in urgency; these problems require prompt intervention to forestall further deterioration. Risk for infection is an example of a second-level priority.Third-level priority problems are problems that are important to the patient's health but can be addressed after more urgent health problems are addressed. Wellness diagnoses are third-level priority problems.

Each culture has its own healers who usually:

• speak at least two languages.
• own and operate specialty community clinics.
• cost less than traditional or biomedical providers.
• recommend folk practices that are dangerous.

C Most healers cost significantly less than healers practicing in the biomedical or scientific health care system.Most healers speak the person's native tongue.Most healers make house calls.Most health practices used by folk healers are not dangerous and are usually harmless.