Exam (elaborations)
Test Bank For Health Assessment for Nursing Practice 7th Edition By Susan Fickertt Wilson Jean Foret Giddens
Test Bank For Health Assessment for Nursing Practice 7th Edition By Susan Fickertt Wilson Jean Foret Giddens
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...Test.Bank.for.Health.Assessment.for...Nursing.Practice.7th.Edition.by.Wilson.,Chapter.01:.Introduction.to.Health.Assessment
MULTIPLE.CHOICE
1. A.patient.comes.to.the.emergency.department.and.tells.the.triage.nurse.that.he.is.
―having.a.heart.attack.‖.What.is.the.nurse‘s.top.priority.at.this.time?
a. Determine.the.patient‘s.personal.data.and.ins
urance.coverage.
b. Ask.the.patient.to.take.a.seat.in.the.waiting.ro
om.until.his.name.is.called.
c. Request.that.a.nurse.collect.data.for.a.compre
hensive.history.
d. Ask.a.nurse.to.start.a.focused.assessment.of
.this.patient.now.
ANS:.D
The.nurse.needs.to.begin.an.assessment.as.soon.as.possible.that.is.focused.on.this.patient‘s.car
diovascular.system..The.type.of.health.assessment.performed.by.the.nurse.is.also.driven.by.pa
tient.need..Personal.data.and.insurance.information.will.be.obtained,.but.in.this.situation,.thes
e.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.b
egin.data.collection,.such.as.vital.signs,.immediately.to.determine.the.patient‘s.health.status..
Complications.can.be.prevented.if.an.immediate.assessment.is.made.to.analyze.the.patient‘s.s
ymptoms..A.comprehensive.history.is.not.indicated.in.this.situation.at.this.time..Some.subject
ive.data.will.be.collected,.such.as.allergies.and.medical.history.related.to.cardiovascular.disea
se..Eyes,.ears,.or.a.complete.musculoskeletal.or.mental.health.assessment.is.not.a.priority.at.th
is.time.
DIF:. Cognitive.Level:.Apply REF:. Box.1-
3.|.p..3.TOP:.Nursing.Process:.Assessment
MSC:.NCLEX.Patient.Needs:.Safe.and.Effective.Care.Environment:.Management.of.Care:.Establ
ishing.Priorities
2. Which.situation.illustrates.a.screening.assessment?
, a. A.patient.visits.an.obstetric.clinic.for.the.first.
time.and.the.nurse.conducts.a.detailed.history.
and.physical.examination.
b. A.hospital.sponsors.a.health.fair.at.a.local.mal
l.and.provides.cholesterol.and.blood.pressure
.checks.to.mall.patrons.
c. The.nurse.in.an.urgent.care.center.checks
the.vital.signs.of.a.patient.who.is.complaini
ng.of.leg.pain.
d. A.patient.newly.diagnosed.with.diabetes.mell
itus.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.exami
nation.conducted.during.a.first-
time.visit.to.an.obstetric.clinic.is.an.example.of.a.comprehensive.assessment..Assessing.a.pati
ent.complaining.of.leg.pain.in.the.triage.area.of.an.urgent.care.center.is.an.example.of.a.proble
m-
based/focused.assessment..A.patient‘s.return.appointment.1.month.after.today‘s.office.visit.t
o.report.fasting.blood.glucose.levels.is.an.example.of.an.episodic.or.follow-up.assessment.
DIF:. Cognitive.Level:.Understand REF:. Box.1-
3.|.p..3.TOP:.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.surgery.yeste
rday
b. The.person.who.is.unaware.of.his.high.seru
m.glucose.levels
c. The.person.who.is.being.admitted.to.a.l
ong-term.care.facility
d. The.person.who.is.beginning.rehabilitation.af
ter.a.knee.replacement
ANS:.B
A.screening.assessment.is.performed.for.the.purpose.of.disease.detection..In.this.case.this.pers
on.may.have.diabetes.mellitus..A.shift.assessment.is.most.appropriate.for.the.person.who.is.re
covering.in.the.hospital.from.surgery..A.comprehensive.assessment.is.performed.during.admi
ssion.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..3.TOP:.Nursing.Process:.Assessment
MSC:.NCLEX.Patient.Needs:.Safe.and.Effective.Care.Environment:.Management.of.Care:.Establ
ishing.Priorities
4. For.which.person.is.a.shift.assessment.indicated?
, a. The.person.who.had.abdominal.surgery.yeste
rday
b. The.person.who.is.unaware.of.his.high
serum.glucose.levels
c. The.person.who.is.being.admitted.to.a.l
ong-term.care.facility
d. The.person.who.is.beginning.rehabilitation.af
ter.a.knee.replacement
ANS:.A
A.shift.assessment.is.most.appropriate.for.the.person.who.is.recovering.in.the.hospital.from.su
rgery..A.screening.assessment.is.performed.for.the.purpose.of.disease.detection,.in.this.case.d
iabetes.mellitus..A.comprehensive.assessment.is.performed.during.admission.to.a
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