Test Bank For Health Assessment in Nursing, 5th Edition RN Weber, Janet R., Kelley, Jane H.
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Course
Nursing
Institution
Nursing
Test Bank For Health Assessment in Nursing, 5th Edition RN Weber, Janet R., Kelley, Jane H.Test Bank For Health Assessment in Nursing, 5th Edition RN Weber, Janet R., Kelley, Jane H.Test Bank For Health Assessment in Nursing, 5th Edition RN Weber, Janet R., Kelley, Jane H.Test Bank For Health Asses...
1. A nurse is preparing to assess a client who is new to the clinic. When beginning the
collection of the client database, which of the following actions should the nurse
prioritize?
A) Establishing a trusting relationship
B) Determining the client's strengths
C) Identifying potential health problems
D) Making clinical inferences
2. A nurse is interpreting and validating information from an older adult client who has
been experiencing a functional decline. The nurse is in which phase of the interview?
A) Introductory
B) Working
C) Summary
D) Closing
3. A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy, and
the nurse is collecting subjective data prior to surgery. Which statement by the nurse
could be construed as judgmental?
A) “How often do your adult children typically visit you?”
B) “Your husband's death must have been very difficult for you.”
C) “You must quit smoking because it affects others, not only you.”
D) “How would you describe your feelings about getting older?”
4. A nurse is interviewing a 22-year-old client of the campus medical clinic. Which
nonverbal behavior should the nurse adopt to best facilitate communication during this
phase of assessment?
A) Standing while the client is seated
B) Using a moderate amount of eye contact
C) Sitting across the room from the client
D) Minimizing facial expressions
5. A nurse is providing feedback to a colleague after observing the colleague's interview of
a newly admitted client. Which of the following would the nurse identify as an example
of a closed-ended question or statement?
A) “Tell me about your relationship with your children?”
B) “Tell me what you eat in a normal day?”
C) “Are you allergic to any medications?”
D) “What is your typical day like?”
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, 6. A client has presented to the emergency department and is having difficulty describing
her vague sensation of physical discomfort and unease. How can the nurse best elicit
meaningful assessment data about the nature of the client's complaint?
A) Ignore the complaint for now and return to it later in the assessment.
B) Provide a laundry list of descriptive words.
C) Restate the question using simpler terms.
D) Wait in silence until the client can determine the correct words.
7. A nurse is eliciting a client's health history and the client asks, “Can I take the herb
ginkgo biloba with my other medications?” What action would be best if the nurse is
unsure of the answer?
A) Promise to find out the information for the client.
B) Change the subject and return to this topic later.
C) Teach the client to only take prescribed medications.
D) Encourage the client to ask the pharmacist or primary care provider.
8. The nurse is preparing to assess the mental status of a 90-year-old client who is being
admitted to the hospital from a long-term care facility. Which of the following should
the nurse assess first?
A) The client's sensory abilities
B) The client's general intelligence
C) The presence of any phobias
D) The client's judgment and insight
9. A nurse provides care in a rural hospital that serves a community that has few minority
residents. When interviewing a client from a minority culture, the nurse has enlisted the
assistance of a “culture broker.” How can this individual best facilitate the client's care?
A) By interpreting the client's language and culture
B) By evaluating the client's culturally based health practices
C) By teaching the client about health care
D) By making the client feel comfortable and safe
10. Upon entering an exam room, the client states, “Well! I was getting ready to leave. My
schedule is very busy and I don't have time to waste waiting until you have the time to
see me!” Which response by the nurse would be most appropriate?
A) “Our schedule is very busy also. We got to you as soon as we could.”
B) “No one is forcing you to be here, and you are free to leave at any time.”
C) “Would you like to report your complaints to someone with power?”
D) “You're certainly justified in being upset, but I am ready to begin your exam now.”
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