Test Bank For Health Assessment in Nursing 7th Edition by Janet R. Weber; Jane H. Kelley 1156, 7 , 1170, 3 1 The Nurse’s Role in Health Assessment 2 Collecting Subjective Data: The Interview and Health History 3 Collecting Objective Data: Physical Exam Techniques 4 Validating and Documenting Data...
1. A cnurse con ca cpostsurgical cunit cis cadmitting ca cclient cfollowing cthe cclient's
ccholecystectomy c(gall cbladder cremoval). cWhat cis cthe coverall cpurpose cof
cassessment cfor cthis cclient?
A) Collecting caccurate cdata
B) Assisting cthe cprimary ccare cprovider
C) Validating cprevious cdata
D) Making cclinical cjudgments
D) cMaking cclinical cjudgments
2. A cclient chas cpresented cto cthe cemergency cdepartment c(ED) cwith ccomplaints cof
cabdominal cpain. cWhich cmember cof cthe ccare cteam cwould cmost clikely cbe
cresponsible cfor ccollecting cthe csubjective cdata con cthe cclient cduring cthe cinitial
ccomprehensive cassessment?
A) Gastroenterologist
B) ED cnurse
C) Admissions cclerk
D) Diagnostic ctechnician
B) cED cnurse
3. The cnurse chas ccompleted can cinitial cassessment cof ca cnewly cadmitted cclient
cand cis capplying cthe cnursing cprocess cto cplan cthe cclient's ccare. cWhat cprinciple
cshould cthe cnurse capply cwhen cusing cthe cnursing cprocess?
A) Each cstep cis cindependent cof cthe cothers.
B) It cis congoing cand ccontinuous.
C) It cis cused cprimarily cin cacute ccare csettings.
D) It cinvolves cindependent cnursing cactions.
B) It cis congoing cand ccontinuous.
4. The cnurse cwho cprovides ccare cat can cambulatory cclinic cis cpreparing cto cmeet ca
cclient cand cperform ca ccomprehensive chealth cassessment. cWhich cof cthe cfollowing
cactions cshould cthe cnurse cperform cfirst?
A) Review cthe cclient's cmedical crecord.
B) Obtain cbasic cbiographic cdata.
C) Consult cclinical cresources cexplaining cthe cclient's cdiagnosis.
D) Validate cinformation cwith cthe cclient.
A) Review cthe cclient's cmedical crecord.
5. Which cof cthe cfollowing cclient csituations cwould cthe cnurse cinterpret cas
crequiring can cemergency cassessment?
A) A cpediatric cclient cwith csevere csunburn
B) A cclient cneeding can cemployment cphysical
C) A cclient cwho coverdosed con cacetaminophen
D) A cdistraught cclient cwho cwants ca cpregnancy ctest
C) A cclient cwho coverdosed con cacetaminophen
6. In cresponse cto ca cclient's cquery, cthe cnurse cis cexplaining cthe cdifferences
cbetween cthe cphysician's cmedical cexam cand cthe ccomprehensive chealth
cassessment cperformed cby cthe cnurse. cThe cnurse cshould cdescribe cthe cfact cthat
cthe cnursing cassessment cfocuses con cwhich caspect cof cthe cclient's csituation?
A) Current cphysiologic cstatus
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C) Past cmedical chistory
D) Motivation cfor cadherence cto ctreatment
B) Effect cof chealth con cfunctional cstatus
7. After cteaching ca cgroup cof cstudents cabout cthe cphases cof cthe cnursing cprocess,
cthe cinstructor cdetermines cthat cthe cteaching cwas csuccessful cwhen cthe cstudents
cidentify cwhich cphase cas cbeing cfoundational cto call cother cphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The cnurse chas ccompleted cthe ccomprehensive chealth cassessment cof ca cclient
cwho chas cbeen cadmitted cfor cthe ctreatment cof ccommunity-acquired cpneumonia.
cFollowing cthe ccompletion cof cthis cassessment, cthe cnurse cperiodically cperforms ca
cpartial cassessment cprimarily cfor cwhich creason?
A) Reassess cpreviously cdetected cproblems
B) Provide cinformation cfor cthe cclient's crecord
C) Address careas cpreviously comitted
D) Determine cthe cneed cfor ccrisis cintervention
A) Reassess cpreviously cdetected cproblems
9. The cnurse cis cworking cin can cambulatory ccare cclinic cthat cis clocated cin ca cbusy,
cinner-city cneighborhood. cWhich cclient cwould cthe cnurse cdetermine cto cbe cin cmost
cneed cof can cemergency cassessment?
A) A c14-year-old cgirl cwho cis ccrying cbecause cshe cthinks cshe cis cpregnant
B) A c45-year-old cman cwith cchest cpain cand cdiaphoresis cfor c1 chour
C) A c3-year-old cchild cwith cfever, crash, cand csore cthroat
D) A c20-year-old cman cwith ca c3-inch cshallow claceration con chis cleg
B) A c45-year-old cman cwith cchest cpain cand cdiaphoresis cfor c1 chour
10. A cnurse chas ccompleted cgathering csome cbasic cdata cabout ca cclient cwho chas
cmultiple chealth cproblems cthat cstem cfrom cheavy calcohol cuse. cThe cnurse chas cthen
creflected con cher cpersonal cfeelings cabout cthe cclient cand chis ccircumstances. cThe
cnurse cdoes cthis cprimarily cto caccomplish cwhich cof cthe cfollowing?
A) Determine cif cpertinent cdata chas cbeen comitted
B) Identify cthe cneed cfor creferral
C) Avoid cbiases cand cjudgments
D) Construct ca cplan cof ccare
C) Avoid cbiases cand cjudgments
11. The cnurse cis ccollecting cdata cfrom ca cclient cwho chas crecently cbeen cdiagnosed
cwith ctype c1 cdiabetes cand cwho cwill cbegin can ceducational cprogram. cThe cnurse cis
ccollecting c subjective cand cobjective cdata. cWhich cof cthe cfollowing cwould cthe cnurse
ccategorize cas cobjective cdata?
A) Family chistory
B) Occupation
C) Appearance
D) History cof cpresent chealth cconcern
C) cAppearance
12. An colder cadult cclient chas cbeen cadmitted cto cthe chospital cwith cfailure cto cthrive
cresulting cfrom ccomplications cof cdiabetes. cWhich cof cthe cfollowing cwould cthe cnurse
cimplement cin cresponse cto ca ccollaborative cproblem?
A) Encourage cthe cclient cto cincrease coral cfluid cintake.
B) Provide cthe cclient cwith ca cbedtime cprotein csnack.
C) Assist cthe cclient cwith cpersonal chygiene.
D) Measure cthe cclient's cblood cglucose cfour ctimes cdaily.
D) cMeasure cthe cclient's cblood cglucose cfour ctimes cdaily.
13. The cnurse cat ca cbusy cprimary ccare cclinic cis canalyzing cthe cdata cobtained
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A) An c80-year-old cclient cwho clives cwith cher cdaughter
B) A c50-year-old cclient cnewly cdiagnosed cwith cdiabetes
C) An cadult cpresenting cfor can cinfluenza cvaccination
D) A cteenager cseeking cinformation cabout ccontraception
B) A c50-year-old cclient cnewly cdiagnosed cwith cdiabetes
14. An cinstructor cis creviewing cthe cevolution cof cthe cnurse's crole cin chealth
cassessment. cThe cinstructor cdetermines cthat cthe cteaching cwas csuccessful cwhen
cthe cstudents cidentify cwhich cof cthe cfollowing cas cthe cmajor cmethod cused cby cnurses
cearly cin cthe chistory cof cthe cprofession?
A) Natural csenses
B) Biomedical cknowledge
C) Simple ctechnology
D) Critical cpathways
A) Natural csenses
15. When cdescribing cthe cexpansion cof cthe cdepth cand cscope cof cnursing
cassessment cover cthe cpast cseveral cdecades, cwhich cof cthe cfollowing cwould cthe
cnurse cidentify cas cbeing cthe cprimary cforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public cmistrust cof cphysicians
16. A cgroup cof cnurses care creviewing cinformation cabout cthe cpotential copportunities
cfor cnurses cwho chave cadvanced cassessment cskills. cWhen cdiscussing cphenomena
cthat chave ccontributed cto cthese cincreased copportunities, cwhat cshould cthe cnurses
cidentify?
A) Expansion cof chealth ccare cnetworks
B) Decrease cin cclient cparticipation cin ccare
C) The cshrinking ccost cof cmedical ccare
D) Public cmistrust cof cphysicians
A) Expansion cof chealth ccare cnetworks
17. A cnurse chas cdocumented cthe cfindings cof ca ccomprehensive cassessment cof
ca cnew cclient. cWhat cis cthe cprimary crationale cthat cthe cnurse cshould cidentify cfor
caccurate cand cthorough cdocumentation?
A) Guaranteeing ca ccontinual cassessment cprocess
B) Identifying cabnormal cdata
C) Assuring cvalid cconclusions cfrom canalyzed cdata
D) Allowing cfor cdrawing cinferences cand cidentifying cproblems
C) Assuring cvalid cconclusions cfrom canalyzed cdata
18. A cnurse chas creceived ca creport con ca cclient cwho cwill csoon cbe cadmitted cto cthe
cmedical cunit cfrom cthe cemergency cdepartment. cWhen cpreparing cfor cthe
cassessment cphase cof cthe cnursing cprocess, cwhich cof cthe cfollowing cshould cthe
cnurse cdo cfirst?
A) Collect cobjective cdata.
B) Validate cimportant cdata.
C) Collect csubjective cdata.
D) Document cthe cdata.
C) cCollect csubjective cdata.
19. A ccommunity chealth cnurse cis cassessing can colder cadult cclient cin cthe cclient's
chome. cWhen cthe cnurse cis cgathering csubjective cdata, cwhich cof cthe cfollowing
cwould cthe cnurse cidentify?
A) The cclient's cfeelings cof chappiness
B) The cclient's cposture
C) The cclient's caffect
D) The cclient's cbehavior
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