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Health assessment exam 1 A Questions and Answers
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Health assessment exam 1 A
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Health assessment exam 1 AWhat are the primary frameworks used in conducting a health assessment? Select all
that apply.
a. Analytical
b. Gordon's
c.Functional systems
d. Head to toe
e. Body systems – answer c. Functional systems
d. Head to toe
e. Body systems
What are the components of the SBAR? Select all that apply.
a. Assessment
b. Situation
c. Recommendation
d. Biophysical test results
e. Referral - answera. Assessment
b. Situation
c. Recommendation
Why is it important for a new nurse, working on a step-down unit, to know the standards
of care for the facility in which the nurse is working?
a. Standards of care tell the nurse how to get a good evaluation
b.Standards of care dictate how to handle clients who have experienced trauma
c. Standards of care often set the time frame for assessing the clients on the unit
d. Standards of care instruct the nurse how to assess for a cardiac event - answerc.
Standards of care often set the time frame for assessing the clients on the unit
An adult client is brought to the ED by ambulance and is anxious and very short of
breath. While the nurse is completing the emergency assessment, the client stops
breathing. What is the first action of the nurse?
a. Ensure that the client is safe
b. Open the client's airway
c. Begin CPR
,d. If the client is injured protect the cervical spine - answerb. Open the client's airway
While assessing a patient, the nurse notes that the patient is more quiet and subdued
after a visit from her sister. The nurse would note this under what facet of the
assessment process?
a. social
b. emotional
c. mental
d. spiritual - answerb. emotional
Before beginning a health assessment with a patient, the nurse reviews Healthy People
2020 because:
a. It lists specific interventions to address most patient health problems.
b. It helps determine the patient's plan of care.
c. It serves as a guide for the health assessment.
d. It identifies risk factors, health issues, and diseases. - answerd. It identifies risk
factors, health issues, and diseases.
Which of the following statements best conveys the rationale for health promotion in a
school setting?
a. Children younger than 13 years are some of the most common consumers of acute
health care services.
b. Healthy child development is a critical health determinant because of its implications
for lifelong health.
c. Health promotion in a school setting can yield improved health outcomes for the
student's siblings and parents.
d. Children contract numerous communicable diseases in the school environment. -
answerb. Healthy child development is a critical health determinant because of its
implications for lifelong health.
Which of the following is an example of a recent trend in nursing roles?
a. Using auscultation to examine heart sounds
b. Using palpation to assess the abdomen of a pregnant woman c.Performing visual
inspection of a client's eyes to detect illness d.Gathering forensic evidence for a legal
proceeding - answerd.Gathering forensic evidence for a legal proceeding
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. Obtain basic biographic data.
b. Validate information with the client.
, c. Consult clinical resources explaining the client's diagnosis.
d. Review the client's medical record. - answerd. Review the client's medical record.
The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse should
begin by assessing which of the following?
a. The client's learning style
b. The client's motivation for change
c. The client's prognosis for recovery
d. The client's medical comorbidities - answerb. The client's motivation for change
A nurse who provides care in a hospital setting is creating a plan of nursing care for a
client who has a diagnosis of chronic renal failure. The nurse's plan specifies frequent
ongoing assessments. The frequency of these nursing assessments should be primarily
determined by what variable?
a. The client's age
b. The nurse's potential for liability
c.The client's acuity
d. The unit's protocols - answerc.The client's acuity
The RN is implementing which level of intervention when administering immunizations
at a pediatric clinic?
a. Primary
b. Tertiary
c. Holistic
d. Secondary - answera. Primary
What is the primary function of the health care team?
a. To work together to obtain maximum coverage
b. To decide the best overall care
c. To develop an individual focus for each member
d. To guide the patient's care throughout times of crisis - answerb. To decide the best
overall care
When assisting a patient with health promotion, what must the nurse also nurture?
a. Knowledge of the Healthy People 2020 indicators
b. Family communication
c. School/work attendance
d. A healthy environment - answerd. A healthy environment
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