Health Assessment Basics - Week 1

Safety

100

What term describes the assessment of a patient's risk factors for falling?

• What is fall risk assessment?
• Rationale: Fall risk assessment involves evaluating factors such as mobility, medication, and history of falls to determine the patient's risk.

200

What term describes the practice of verifying the patient's identity before administering medication?

• What is patient identification?
• Rationale: Verifying the patient's identity ensures that the correct medication is given to the right patient.

300

What term describes the best way to stop the spread of infection?

• What is hand hygiene?
• Rationale: Hand hygiene is crucial for preventing the spread of infections.

400

What term describes the practice of using an automated external defibrillator (AED) during a cardiac emergency?

• What is defibrillation?
• Rationale: Defibrillation involves using an AED to deliver an electric shock to the heart, restoring normal rhythm.

500

What should the nurse do for the safety of each patient before they leave the room?

Put the bed in a low, locked position, with call light in reach

Rationale: using the low, locked position, with call light in reach diminishes fall risks and increases safety

Ethics

100

What term describes the ethical principle of treating all patients fairly and equitably?

• What is justice?
• Rationale: Justice involves providing fair and equitable treatment to all patients, regardless of their background.

200

What term describes the ethical principle of doing good and acting in the best interest of the patient?

• What is beneficence?
• Rationale: Beneficence involves actions that promote the well-being and best interests of the patient.

300

What term describes the requirement to provide patients with understandable information about their treatment options?

• What is clear communication?
• Rationale: Clear communication ensures that patients fully understand their treatment options and can make informed decisions.

400

What term describes the practice of keeping patient information private and secure?

• What is confidentiality? (HIPPA)
• Rationale: Confidentiality involves protecting patient information from unauthorized access and disclosure.

500

What term describes the patient's right to make their own healthcare decisions?

• What is autonomy?
• Rationale: Autonomy refers to the patient's right to make informed decisions about their own healthcare.

Clinical Judement

100

What term describes the reassessment of the patient's condition to determine the need for changes in the care plan?

• What is Evaluation?
• Rationale: Evaluation involves evaluating the patient's current condition to decide if the care plan needs modification.

200

What term describes the execution of planned interventions to achieve patient goals?

• What is implementation?
• Rationale: Implementation involves carrying out the interventions outlined in the care plan.

300

What term describes the coordination of care activities to ensure continuity and efficiency?

• What is care coordination?
• Rationale: Care coordination involves organizing and managing care activities to ensure seamless and effective patient care.

400

What term describes the collaboration with other healthcare professionals to develop a comprehensive care plan?

• What is interdisciplinary planning?
• Rationale: Interdisciplinary planning involves working with other healthcare providers to create a holistic care plan.

500

What term describes the identification of a patient's health problems based on assessment data?

• What is diagnosis?
• Rationale: Diagnosis involves analyzing assessment data to identify health problems and conditions.

Subjective or Objective

100

the measurement of the patient's heart rate using a pulse oximeter?

objective

• Rationale: Heart rate is objective data because it is a measurable and quantifiable result obtained through examination.

200

the patient's description of the location and intensity of their pain?

subjective

• Rationale: Pain assessment includes subjective data from the patient's description of their pain.

300

measurable information obtained through physical examination and diagnostic tests?

• What is objective data?
• Rationale: Objective data includes measurable and observable information such as vital signs, lab results, and physical exam findings.

400

What term describes the patient's report of their pain level on a scale of 0 to 10?

• What is pain rating?
• Rationale: Pain rating is subjective data because it is based on the patient's personal experience and self-report.

500

What term describes information provided by the patient about their symptoms and feelings?

• What is subjective data?
• Rationale: Subjective data includes the patient's personal descriptions of their symptoms, feelings, and experiences.

Documentation

100

What term describes the written record of a patient's medical history, treatments, and progress?

• What is a medical record?
• Rationale: A medical record is a comprehensive document that includes all relevant information about a patient's health and care.

200

What term describes the method of documenting patient information using subjective, objective, assessment, plan format?

• What is SOAP charting?
• Rationale: SOAP charting organizes documentation into four sections: subjective data, objective data, assessment, and plan.

300

What term describes the practice of keeping patient information private and secure?

• What is confidentiality? (HIPPA)
• Rationale: Confidentiality involves protecting patient information from unauthorized access and disclosure.

400

What term describes the importance of documenting patient information accurately and without errors?

• What is accuracy?
• Rationale: Accuracy ensures that patient information is correctly recorded, preventing misunderstandings and errors in care.

500

What term describes the legal consequences of falsifying patient documentation?

 What is documentation fraud?

• Rationale: Documentation fraud involves falsifying patient records, which can lead to legal penalties and loss of professional licensure.