NUR306: Holistic Assessment Final Exam

NUR306: Holistic Assessment Final Exam

SG Questions with Complete Solutions What is subjective data? - Correct Answers ✅Data elicited and verified by patient What are sources of subjective data? - Correct Answers ✅- The patient

• Patient record
• Other healthcare professionals

What are methods to obtain subjective data? - Correct Answers ✅Patient interview What are skills needed to obtain subjective data? - Correct Answers ✅-Interview and therapeutic communication skills

• Empathy
• Listening skills
• Caring ability

What are examples of subjective data? - Correct Answers ✅"I have a headache" "It frightens me" "I am not hungry" What occurs during the assessment phase of the nursing process? 1 / 4

NUR306: Holistic Assessment Final Exam

SG Questions with Complete Solutions

• Collect subjective and objective data
• Determine outcome criteria and develop a plan of care
• Carry out the plan
• Assess whether outcome criteria have been met and

revise the plan as necessary - Correct Answers ✅Collect subjective and objective data How can you validate subjective data? - Correct Answers ✅- Can only be done by primary source

• Secondary sources should be validated by primary source

due to potential biased views, and should be documented

• Only use a secondary source if permission is given, unless

emergency situation What is objective data? - Correct Answers ✅Data directly or indirectly observed/measured What are sources of objective data? - Correct Answers ✅- Observations or physical assessments findings of the nurse or other health care professionals

• Documentation of assessments made
• Observations made by clients family or significant others

What are methods to obtain objective data? - Correct Answers ✅Physical examination and observation 2 / 4

NUR306: Holistic Assessment Final Exam

SG Questions with Complete Solutions What are the skills needed to obtain objective data? - Correct Answers ✅Inspection Palpation Percussion Auscultation What are examples of objective data? - Correct Answers ✅- Respirations 16 per minute

• BP 120/80, apical pulse 60 and regular
• X-ray film reveals fractured pelvis

What are the types of assessments? - Correct Answers ✅- Initial comprehensive assessment

• Ongoing or partial assessment
• Focused or problem-oriented assessment
• Emergency assessment

Define and give an example of when to give an Initial comprehensive assessment. - Correct Answers ✅- Involves collection of all subjective and objective data pertaining to the patient regarding functional health and body systems

• Total health assessment 3 / 4

NUR306: Holistic Assessment Final Exam

SG Questions with Complete Solutions

• It is needed whenever a patient first enters a healthcare

system and periodically there after to establish baseline data for future comparison Define and give an example of when to give an ongoing or partial assessment. - Correct Answers ✅- Data collection that occurs after the comprehensive database is established

• Follow up on health status, reassessment to determine any

changes from baseline data

• Mini-overview of body systems and health patterns
• Frequency of this assessment is individualized to patient

needs Define and give an example of when to give a focused or problem-oriented assessment - Correct Answers ✅- Used for someone coming in with a specific health concern and an already established comprehensive database

• Does not replace comprehensive assessment
• Thorough assessment of particular problem

-For example, if your client, John P., tells you that he has ear pain, you would ask him questions about the character and location of pain, onset, relieving and aggravating factors, and associated symptoms

• You would not ask questions not pertaining to the problem
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