Test Bank 1-2
Wilson & Giddens: Health Assessment for Nursing Practice,
4th Edition
Test Bank
Chapter 1: Why Learn Health Assessment?
MULTIPLE CHOICE
1. A male client enters the emergency department and tells the triage nurse at the desk
that he is “having a heart attack.” The nurse’s ...
Test Bank 1-1 TEST BANK FOR HEALTH ASSESSMENT FOR NURSING PRACTICE, 4TH EDITION: WILSON Test Bank 1-2 Wilson & Giddens: Health Assessment for Nursing Practice, 4th Edition Test Bank Chapter 1: Why Learn Health Assessment? MULTIPLE CHOICE 1. A male client enters the emergency department and tells the triage nurse at the desk that he is “having a heart attack.” The nurse’s top priority at this time is to: a. Determine the client’s personal data and insurance coverage. b. Ask the client to take a seat in the waiting room until his name is called. c. Request that a nurse collect data for a comprehensive history. d. Ask a nurse to start a focused assessment of the client now. ANS: D Correct: The nurse needs to begin an assessment as soon as poss ible that is focused on the client’s cardiovascular system. This type of health assessment performed by the nurse is also driven by client need. Incorrect A: Personal data and insurance information will be obtained, but, in this situation, the data can wai t until after the client is assessed. Incorrect B: Rather than asking the client to wait, the nurse needs to begin data collection, such as vital signs, immediately to determine the client’s health status. Incorrect C: A comprehensive history is not indicated in this situation at this time. Some subjective data will be collected, such as allergies and medical history related to cardiovascular disease. DIF: Cognitive Level: Application REF: 2-3 OBJ: NCLEX Client Need Category: Safe and Effective Care Environment: Management of Care: Establish ing Priorities TOP: Adult Health: Assessment MSC: Integrated Process: Nursing Process: Assessment 2. Which scenario described below illustrates a screening assessment? a. A client 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 mall and provides cholesterol and blood pressure checks to mall patrons. c. The nurse in the triage area of an urgent care center checks the vital signs of a client who is complaining of leg pain. d. A client makes an appointment 1 month after today’s office visit for a follow -up test of fasting blood glucose level. ANS: B Correct: 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.
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