TEST BANK For Health Assessment in Nursing, 7th Edition by Weber, Verified Chapters 1 - 34, Complete Newest Version
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Health Assessment in Nursing 7th edition
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Health Assessment In Nursing 7th Edition
TEST BANK For Health Assessment in Nursing, 7th Edition by Weber, Verified Chapters 1 - 34, Complete Newest Version
TEST BANK For Health Assessment in Nursing, 7th Edition by Weber, Verified Chapters 1 - 34, Complete Newest Version
Test Bank for Health
Assessment in Nursing 7th
Edition by Janet R Weber and
Jane H Kelley Chapter 1-
34|Complete Guide A+
,Chapter 01: Introduction to Health Assessment
MULTIPLE CHOICE
1. A patient comes to the emergency department and tells the
triage nurse that heis “having a heart attack.” What is the nurse’s top
priority at this time?
a. Determine the patient’s personal
data andinsurance coverage.
b. Ask the patient to take a seat in the
waitingroom until his name is
called.
c. Request that a nurse collect
data for acomprehensive
history.
d. Ask a nurse to start a focused
assessmentof this patient now.
ANS: D
The nurse needs to begin an assessment as soon as possible that is
focused on this patient’scardiovascular system. The type of health
assessment performed by the nurse is also drivenby patient need. Personal
data and insurance information will be obtained, but in this situation, these
data can wait until after the patient is assessed. Based also on Maslow’s
hierarchy of needs, physiologic needs take precedence. Rather than asking
the patient to wait, the nurse needs to begin data collection, such as vital
signs, immediately to determinethe patient’s health status. Complications
can be prevented if an immediate assessment is made to analyze the
patient’s symptoms. A comprehensive history is not indicated in this
situation at this time. Some subjective data will be collected, such as
allergies and medical history related to cardiovascular disease. Eyes, ears,
or a complete musculoskeletal or mental health assessment is not a priority
at this time.
DIF: Cognitive Level: Apply REF: Box 1-3 | p.
3TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment:
Management of Care:Establishing Priorities
2. Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic
for the first time and the nurse
conducts a detailedhistory and
physical examination.
b. A hospital sponsors a health fair at a
local
mall and provides cholesterol
and bloodpressure checks to
mall patrons.
,c. The nurse in an urgent care
center checksthe vital signs of a
patient who is
complaining of leg pain.
, d. A patient newly diagnosed with
diabetesmellitus comes to test
his fasting blood
glucose level.
ANS: B
A health fair at a local mall that provides cholesterol and blood pressure
checks is an example of a screening assessment focused on disease
detection. A detailed history and physical examination conducted during a
first-time visit to an obstetric clinic is an exampleof a comprehensive
assessment. Assessing a patient complaining of leg pain in the triage area
of an urgent care center is an example of a problem-based/focused
assessment. A patient’s return appointment 1 month after today’s office
visit to report fasting blood glucose levels is an example of an episodic or
follow-up assessment.
DIF: Cognitive Level: Understand REF: Box 1-3 | p.
3TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
3. For which person is a screening assessment indicated?
a. The person who had abdominal
surgeryyesterday
b. The person who is unaware of
his highserum glucose levels
c. The person who is being
admitted to along-term care
facility
d. The person who is beginning
rehabilitationafter a knee
replacement
ANS: B
A screening assessment is performed for the purpose of disease detection.
In this case thisperson may have diabetes mellitus. A shift assessment is
most appropriate for the person who is recovering in the hospital from
surgery. A comprehensive assessment is performedduring admission to a
facility to obtain a detailed history and complete physical examination. An
episodic or follow-up assessment is performed after knee replacement to
evaluate the outcome of the procedure.
DIF: Cognitive Level: Understand REF: Box 1-3 | p.
3TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment:
Management of Care:Establishing Priorities
4. For which person is a shift assessment indicated?
a. The person who had abdominal
surgeryyesterday
b. The person who is unaware of
his highserum glucose levels
c. The person who is being
admitted to along-term care
facility
d. The person who is beginning
rehabilitation
after a knee replacement
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