N3320 - Exam 1 (Holistic Health Assessment - Hixon) Questions with Complete Solutions What are the 4 basic phases of a nursing interview? - Correct Answers ✅preintroductory (reviewing med chart before) introductory (who you are, what ?s to be asked, assure
HIPAA)
working (interview, get deets) summary/closing (reviews info obtained, discusses plans) Open-ended questions typically begin with? Closed-ended? - Correct Answers ✅(open) how, what, tell me (use these first!) (closed) when, did What are 3 special considerations during an interview? - Correct Answers ✅gerontologic (assess hearing first) cultural (use a "cultural broker") emotional Define COLDSPA and when/where is it used? - Correct Answers ✅(when/where) Hx of present health concern in health Hx interview Character - how does it look/feel/etc.Onset - when start, better/worse since then Location - where, radiates?Duration - how long does it last, reoccur? 1 / 4
N3320 - Exam 1 (Holistic Health Assessment - Hixon) Questions with Complete Solutions Severity - scale 1-10 Pattern - what makes worse/better?Associated factors - what other SS w/ it? able to do work/activities?What are questions to ask following the COLDSPA? - Correct Answers ✅Character - what does the pain feel like Onset - when did this pain start Location - where does it hurt the most? does it radiate?Duration - how long does the pain last? does it come & go or constant?Severity - how intense is the pain on scale of 1-10?Pattern - what makes your pain worse/better? what have you tried to relieve pain?Associated factors - what do you think caused? how does it affect your daily activities?Define ADPIE - Correct Answers ✅Assessment Diagnosis Planning Implementation Evaluation 2 / 4
N3320 - Exam 1 (Holistic Health Assessment - Hixon) Questions with Complete Solutions When documenting muscle strength, what score would be full active resistance, passive ROM, and paralysis? - Correct Answers ✅score of 5 2
(pg 540) What are the stages of nurse expertise in Benner's Model? (4)
- Correct Answers ✅novice (no experience, uses rules to
guide) competent (2-3 experience, sees actions as goals for pt) proficient nurse (sees pt as a whole vs list of task, sees long term goals) expert (arrives at clinical judgment quickly, intuitive grasp of situation) What components make up the framework for a health assessment? (4) - Correct Answers ✅History of present concern (chief complaint) Personal health history Family history Lifestyle/Health practices 3 / 4
N3320 - Exam 1 (Holistic Health Assessment - Hixon) Questions with Complete Solutions What are the 4 types of assessments? - Correct Answers ✅Initial comprehensive Ongoing/partial Focus/problem-oriented (ie pain, upper respiratory problem) Emergency (ie ABCs, code assessment) What are the steps of health assessment? (4) - Correct Answers ✅Collection of subjective data (what patient says) Collection of objective data Validation of assessment/accuracy Documentation of assessment What form of questions should you avoid? - Correct Answers ✅"why" questions What is a genogram? - Correct Answers ✅A graphic family tree of at least three generations When documenting Review of Symptoms, what type of information is used; subjective or objective? - Correct Answers ✅only subjective (patient report of symptoms as well as denial of problems)
- / 4