Table of Contents Unit 1: Nursing Data Collection, Documentation, and Analysis Chapter 1 Nurse’s Role in Health Assessment: Collecting and Analyzing Data Chapter 2 Collecting Subjective Data: The Interview and Health History Chapter 3 Collecting Objective Data: The Physical Examination Chapter 4 ...
, Table of Contents
Unit 1: Nursing Data Collection, Documentation, and Analysis
Chapter 1 Nurse’s Role in Health Assessment: Collecting and Analyzing Data
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Chapter 2 Collecting Subjective Data: The Interview and Health History
Chapter 3 Collecting Objective Data: The Physical Examination
Chapter 4 Validating and Documenting Data
Chapter 5 Thinking Critically to Analyze Data and Make Informed Nursing Judgments
Unit 2: Integrative Holistic Nursing Assessment
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Chapter 6 Assessing Mental Status and Substance Abuse
Chapter 7 Assessing Psychosocial, Cognitive, and Moral Development
Chapter 8 Assessing General Status and Vital Signs
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Chapter 9 Assessing Pain: The 5th Vital Sign
Chapter 10 Assessing for Violence
Chapter 11 Assessing Culture
Chapter 12 Assessing Spirituality and Religious Practices
Chapter 13 Assessing Nutritional Status
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Unit 3: Nursing Assessment of Physical Systems
Chapter 14 Assessing Skin, Hair, and Nails
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Chapter 15 Assessing Head and Neck
Chapter 16 Assessing Eyes
Chapter 17 Assessing Ears
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Chapter 18 Assessing Mouth, Throat, Nose, and Sinuses
Chapter 19 Assessing Thorax and Lungs
Chapter 20 Assessing Breasts and Lymphatic System
Chapter 21 Assessing Heart and Neck Vessels
Chapter 22 Assessing Peripheral Vascular System
Chapter 23 Assessing Abdomen
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Chapter 24 Assessing Musculoskeletal System
Chapter 25 Assessing Neurologic System
Chapter 26 Assessing Male Genitalia and Rectum
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Chapter 27 Assessing Female Genitalia and Rectum
Chapter 28 Pulling It All Together: Integrated Head-to-Toe Assessment
Unit 4: Nursing Assessment of Special Groups
Chapter 29 Assessing Childbearing Women
Chapter 30 Assessing Newborns and Infants
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Chapter 31 Assessing Children and Adolescents
Chapter 32 Assessing Older Adults
Chapter 33 Assessing Families
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Chapter 34 Assessing Communities
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, Chapter 1: Nurses Role in Health Assessment- Collecting and Analyzing Data
Test Bank: Health Assessment in Nursing 6th Edition by Weber & Kelly
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
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B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments
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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
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C) Admissions clerk
D) Diagnostic technician
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
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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.
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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
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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.
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5. Which of the following client situations would the nurse interpret as requiring an
emergency assessment?
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A) A pediatric client with severe sunburn
B) A client needing an employment physical
C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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, 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
C) Past medical history
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D) Motivation for adherence to treatment
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
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being foundational to all other phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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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?
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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
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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?
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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
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O
N
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