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TEST BANK for Canadian Nursing Health Assessment: A Best Practice Approach 2nd Edition, by Tracey C. Stephen & D. Lynn Skillen
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TEST BANK for Canadian Nursing Health Assessment: A Best Practice Approach 2nd Edition, by Tracey C. Stephen & D. Lynn Skillen

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  • April 5, 2024
  • 665
  • 2023/2024
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lOMoAR cPSD| 32793396




TEST BANK for Canadian Nursing Health Assessment: A
Best Practice Approach 2nd Edition, by Tracey C. Stephen
& D. Lynn Skillen.

, lOMoAR cPSD| 32793396




Chapter 1: Health Assessment and the Nurse

1. The steps in the nursing process include:

A) Assessment, strategic planning, negotiating, implementation, and evaluation.

B) History, planning, goal setting, and evaluation.

C) Current medical history, past medical history, and review of systems.

D) Assessment, diagnosis, planning, implementation, and evaluation.



2. Which of the following statements best describes the assessment step in the nursing process?

A) Data are analyzed to identify actual and potential health problems.

B) This step sets the tone for the rest of the nursing process.

C) This step involves setting goals and outcomes.

D) The patient's response is assessed based on set outcome criteria.



3. After gathering data, the nurse should:

A) Formulate potential nursing diagnoses.

B) Formulate actual nursing diagnoses.

C) Cluster the data into categories.

D) Make a plan.



4. Which step ensures that the assessment data are correct before proceeding with the nursing

process?

A) Clustering data

B) Validation

C) Implementation

D) Evaluation

, lOMoAR cPSD| 32793396




5. A preoperative patient is a two-pack-a-day smoker. What type of nursing diagnosis does the

patient have related to airway problems during and after surgery?

A) Actual

B) Potential

C) Possible

D) Collaborative



6. Which diagnosis is a wellness diagnosis?

A) Body image disturbance

B) Risk for aspiration

C) Ineffective breastfeeding

D) Health-seeking behaviors



7. Planning should occur after:

A) Nursing diagnoses are prioritized.

B) Nursing diagnoses are identified.

C) Goals are set.

D) Evaluation has occurred.



8. Nursing actions are carried out during which step of the nursing process?

A) Assessment

B) Planning

C) Implementation

D) Evaluation

, lOMoAR cPSD| 32793396




9. The nursing process uses which of the following approaches to problem solving?

A) Trial-and-error

B) Reflexive thinking

C) Intuition

D) Scientific method



10. What types of skills are most important in performing a physical assessment?

A) Psychomotor

B) Interpersonal

C) Ethical

D) Affective



11. Which legal document provides ethical decision-making guidelines for nurses?

A) Patient Bill of Rights

B) Advance Directives

C) American Nurses Association (ANA) Code for Nurses

D) Against Medical Advice



12. Which of the following activities is an example of secondary prevention?

A) Wound débridement

B) Immunization

C) Preoperative teaching

D) Long-term nasogastric feedings

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