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Health Assessment in Nursing 5th Edition
by RN Weber, Janet R With 100% Verified Questions And Answers Graded A+
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5TH EDITIO
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1. a nurse on a postsurgical unit is admitting a client following the client's
cholecystectomy (gall bladder removal). what is the overall purpose of assessment for
this client?
A) collecting accurate data
B) assisting the primary care provider
C) validating previous data
D) making clinical judgments
d) making clinical judgments
2. a client has presented to the emergency department (ed) with complaints of
abdominal pain. which member of the care team would most likely be responsible for
collecting the subjective data on the client during the initial comprehensive assessment?
A) gastroenterologist
B) ed nurse
C) admissions clerk
D) diagnostic technician
b) ed nurse
3. the nurse has completed an initial assessment of a newly admitted client and is
applying the nursing process to plan the client's care. what principle should the nurse
apply when using the nursing process?
A) each step is independent of the others.
B) it is ongoing and continuous.
C) it is used primarily in acute care settings.
D) it involves independent nursing actions.
b) it is ongoing and continuous.
4. the nurse who provides care at an ambulatory clinic is preparing to meet a client and
perform a comprehensive health assessment. which of the following actions should the
nurse perform first?
A) review the client's medical record.
B) obtain basic biographic data.
C) consult clinical resources explaining the client's diagnosis.
D) validate information with the client.
a) review the client's medical record.
5. which of the following client situations would the nurse interpret as requiring an
emergency assessment?
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c) a client who overdosed on acetaminophen
6. in response to a client's query, the nurse is explaining the differences between the
physician's medical exam and the comprehensive health assessment performed by the
nurse. the nurse should describe the fact that the nursing assessment focuses on
which aspect of the client's situation?
A) current physiologic status
B) effect of health on functional status
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C) past medical history
D) motivation for adherence to treatment
b) effect of health on functional status
7. after teaching a group of students about the phases of the nursing process, the
instructor determines that the teaching was successful when the students identify which
phase as being foundational to all other phases?
A) assessment
B) planning
C) implementation
D) evaluation
a) assessment
8. the nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason?
A) reassess previously detected problems
B) provide information for the client's record
C) address areas previously omitted
D) determine the need for crisis intervention
a) reassess previously detected problems
9. the nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. which client would the nurse determine to be in most need of an
emergency assessment?
A) a 14-year-old girl who is crying because she thinks she is pregnant
B) a 45-year-old man with chest pain and diaphoresis for 1 hour
C) a 3-year-old child with fever, rash, and sore throat
D) a 20-year-old man with a 3-inch shallow laceration on his leg
b) a 45-year-old man with chest pain and diaphoresis for 1 hour
10. a nurse has completed gathering some basic data about a client who has multiple
health problems that stem from heavy alcohol use. the nurse has then reflected on her
personal feelings about the client and his circumstances. the nurse does this primarily
to accomplish which of the following?
A) determine if pertinent data has been omitted
B) identify the need for referral
C) avoid biases and judgments
D) construct a plan of care
c) avoid biases and judgments
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