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TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, All Chapters 1 - 24 fully covered ISBN:9780323661195 $19.99
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TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, All Chapters 1 - 24 fully covered ISBN:9780323661195

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TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, All Chapters 1 - 24 fully covered ISBN:9780323661195 TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, All Chapters 1 - 24 fully covered ISBN:9780323661195 TEST BANK For Health Assessment for...

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  • October 11, 2024
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Test Bank for
Health Assessment for Nursing Practice
7th Edition by Wilson Chapter 1-24

,Chapterx01:xIntroductionxtoxHealthxAssessment
MULTIPLExCHOICE

1. Axpatientxcomesxtoxthexemergencyxdepartmentxandxtellsxthextriagex nursexthatx hexi
sx“havingxax heartxattack.”xWhatxisxthex nurse’sxtopxpriorityxatxthisxtime?
a. Determinexthexpatient’sxpersonalxdataxandxins
urancexcoverage.
b. Askxthexpatientxtoxtakexaxseatxinxthexwaitingxro
omxuntilx hisxnamexisxcalled.
c. Requestxthatxaxnursexcollectxdataxforxax
comprehensivex history.
d. Askxaxnursextoxstartxaxfocusedxassessmentx
ofxthisxpatientxnow.
ANSWER:x D
Thexnursexneedsxtoxbeginxanxassessmentxasxsoonxasxpossiblexthatxisxfocusedxonxthisxpatient’sxc
ardiovascularxsystem.xThextypexofxhealthxassessmentxperformedxbyxthexnursexisxalsoxdrivenxb
yxpatientxneed.xPersonalxdataxandxinsurancexinformationxwillxbexobtained,xbutxinxthisxsituatio
n,xthesexdataxcanxwaitxuntilxafterxthexpatientxisxassessed.xBasedxalsoxonxMaslow’sxhierarchyxof
xneeds,xphysiologicxneedsxtakexprecedence.xRatherxthanxaskingxthexpatientxtoxwait,xthexnursex

needsxtoxbeginxdataxcollection,xsuchxasxvitalxsigns,ximmediatelyxtoxdeterminexthexpatient’sxhea
lthxstatus.xComplicationsxcanxbexpreventedxifxanximmediatexassessmentxisxmadextoxanalyzexth
expatient’sxsymptoms.xAxcomprehensivexhistoryxisxnotxindicatedxinxthisxsituationxatxthisxtime.x
Somexsubjectivexdataxwillxbexcollected,xsuchxasxallergiesxandxmedicalxhistoryxrelatedxtoxcardi
ovascularxdisease.xEyes,xears,xorxaxcompletexmusculoskeletalxorxmentalx healthxassessmentxisx
notxaxpriorityxatxthisxtime.

DIF:xxx CognitivexLevel:xApply REF:xBoxx1-
3x|xp.x3xTOP:xNursingxProcess:x Assessment
MSC:xNCLEXxPatientxNeeds:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare:xEstablishi
ngxPriorities

2. Whichxsituationxillustratesxax screeningxassessment?
a. Axpatientxvisitsxanxobstetricxclinicxforxthexfirs
txtimexandxthexnursexconductsxaxdetailedxhistor
yxandxphysicalxexamination.
b. Axhospitalx sponsorsxaxhealthxfairxatxaxlocalx
mallxandxprovidesxcholesterolxandxbloodxp
ressurexchecksxtoxmallxpatrons.
c. Thexnursexinxanxurgentxcarexcenterxchecksxt
hexvitalxsignsxofxaxpatientxwhoxisxcomplai
ningxofxlegxpain.

, d. Axpatientx newlyxdiagnosedxwithxdiabetesx
mellitusxcomesxtoxtestxhisxfastingxbloodxg
lucosexlevel.
ANSWER:xB
Axhealthxfairxatxaxlocalxmallxthatxprovidesxcholesterolxandxbloodxpressurexchecksxisxanxexampl
exofxaxscreeningxassessmentxfocusedxonxdiseasexdetection.xAxdetailedxhistoryxandxphysicalxex
aminationxconductedxduringxax first-
timex visitxtoxanxobstetricxclinicxisxanxexamplexofxaxcomprehensivexassessment.xAssessingxaxpat
ientxcomplainingxofxlegxpainxinxthextriagexareaxofxanxurgentxcarexcenterxisxanxexamplexofxaxpro
blem-
based/focusedxassessment.xAxpatient’sxreturnxappointmentx1xmonthxafterxtoday’sxofficexvisitx
toxreportxfastingxbloodxglucosexlevelsxisxanxexamplexofxanxepisodicxorx follow-upxassessment.

DIF:xxx CognitivexLevel:xUnderstand REF:xBoxx1-
3x|xp.x3xTOP:xNursingxProcess:x Assessment
MSC:xNCLEXxPatientxNeeds:x HealthxPromotionxandxMaintenance:xHealthxScreening

3. Forxwhichxpersonxisxaxscreeningxassessmentxindicated?
a. Thexpersonxwhoxhadxabdominalxsurgeryx
yesterday
b. Thexpersonxwhoxisxunawarexofxhisxhighx
serumxglucosexlevels
c. Thexpersonxwhoxisxbeingxadmittedxtoxaxl
ong-termxcarexfacility
d. Thexpersonxwhoxisxbeginningxrehabilitationxaf
terxaxkneexreplacement
ANSWER:xB
Axscreeningxassessmentxisxperformedxforxthexpurposexofxdiseasexdetection.xInxthisxcasexthisxp
ersonxmayxhavexdiabetesxmellitus.xAxshiftxassessmentxisxmostxappropriatexforxthexpersonxwh
oxisxrecoveringxinxthexhospitalxfromxsurgery.xAxcomprehensivexassessmentxisxperformedxduri
ngxadmissionxtoxaxfacilityxtoxobtainxaxdetailedxhistoryxandxcompletexphysicalxexamination.x
Anxepisodicxorxfollow-
upxassessmentxisxperformedxafterxkneexreplacementxtoxevaluatexthexoutcomexofxthexprocedur
e.

DIF:xxx CognitivexLevel:xUnderstand REF:xBoxx1-
3x|xp.x3xTOP:xNursingxProcess:x Assessment
MSC:xNCLEXxPatientxNeeds:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare:xEstablishi
ngxPriorities

4. Forxwhichxpersonxisxax shiftxassessmentxindicated?
a. Thexpersonxwhoxhadxabdominalxsurgeryx
yesterday
b. Thexpersonxwhoxisxunawarexofxhisxhighx
serumxglucosexlevels
c. Thexpersonxwhoxisxbeingxadmittedxtoxa
long-termxcarexfacility
d. Thexpersonxwhoxisxbeginningxrehabilitationx
afterxaxkneexreplacement
ANSWER:x A
Axshiftxassessmentxisxmostxappropriatexforxthexpersonxwhoxisxrecoveringxinxthexhospitalxfromxs
urgery.xAxscreeningxassessmentxisxperformedxforxthexpurposexofxdiseasexdetection,xinxthisxcas
exdiabetesxmellitus.x Axcomprehensivexassessmentxisxperformedxduringxadmissionxtoxa

, facilityxtoxobtainxaxdetailedxhistoryxandxcompletexphysicalxexamination.xAnxepisodicxorxfol
low-
upxassessmentxisxperformedxafterxkneexreplacementxtoxevaluatexthexoutcomexofxthexprocedu
re.

DIF:xxx CognitivexLevel:xUnderstand REF:xBoxx1-
3x|xp.x4xTOP:xNursingxProcess:x Assessment
MSC:xNCLEXxPatientxNeeds:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare:xEstablishi
ngxPriorities

5. Forxwhichxpersonxisxaxcomprehensivexassessmentx indicated?
a. Thexpersonxwhox hadxabdominalxsurgeryx
yesterday
b. Thexpersonxwhoxisxunawarexofxhisxhighx
serumxglucosexlevels
c. Thexpersonxwhoxisxbeingxadmittedxtoxaxl
ong-termxcarexfacility
d. Thexpersonxwhoxisxbeginningxrehabilitationxaf
terxaxkneexreplacement
ANSWER:xC
Axcomprehensivexassessmentxisxperformedxduringxadmissionxtoxaxfacilityxtoxobtainxa

detailedxhistoryxandxcompletexphysicalxexamination.xAxshiftxassessmentxisxmostxappropriatexf
orxthexpersonxwhoxisxrecoveringxinxthexhospitalxfromxsurgery.xAxscreeningxassessmentxisxper
formedxforxthexpurposexofxdiseasexdetection,xinxthisxcasexdiabetesxmellitus.xAnxepisodicxorxfo
llow-
upxassessmentxisxperformedxafterxkneexreplacementxtoxevaluatexthexoutcomexofxthexprocedur
e.

DIF:xxx CognitivexLevel:xUnderstand REF:xBoxx1-
3x|xp.x3xTOP:xNursingxProcess:x Assessment
MSC:xNCLEXxPatientxNeeds:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare:xEstablishi
ngxPriorities

6. Forxwhichxpersonxisxanxepisodicxorxfollow-upxassessmentxindicated?
a. Thexpersonxwhoxhadxabdominalxsurgeryx
yesterday
b. Thexpersonxwhoxisxunawarexofxhisxhighx
serumxglucosexlevels
c. Thexpersonxwhox isxbeingxadmittedxtoxa
long-termxcarexfacility
d. Thexpersonxwhoxisxbeginningxrehabilitationxaf
terxaxkneexreplacement
ANSWER:x D
Anxepisodicxorxfollow-
upxassessmentxisxperformedxafterxthexkneexreplacementxtoxevaluatexthexoutcomexofxthexproce
dure.xAxshiftxassessmentxisxmostxappropriatexforxthexpersonxwhoxisxrecoveringxinxthexhospitalx
fromxsurgery.xAxscreeningxassessmentxisxperformedxforxthexpurposexofxdiseasexdetection,xinxt
hisxcasexdiabetesxmellitus.xAxcomprehensivexassessmentxisxperformedxduringxadmissionxtoxax
facilityxtoxobtainxaxdetailedxhistoryxandxcompletexphysicalxexamination.

DIF:xxx CognitivexLevel:xUnderstand REF:xBoxx1-
3x|xp.x3xTOP:xNursingxProcess:x Assessment

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