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Test Bank for Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson, Jean Foret Giddens| 9780323661195| All Chapters 1-24| LATEST$15.99
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Health Assessment For Nursing Practice 7th Edition
Health Assessment For Nursing Practice 7th Edition
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Test Bank for Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson, Jean Foret Giddens| 9780323661195| All Chapters 1-24| LATEST
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Health Assessment For Nursing Practice 7th Edition
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Health Assessment For Nursing Practice 7th Edition
Test Bank for Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson, Jean Foret Giddens| 9780323661195| All Chapters 1-24| LATEST
TEST BANK FOR HEALTH ASSESSMENT FOR
NURSING PRACTICE 7TH EDITION BY SUSAN
FICKERTT WILSON, JEAN FORET GIDDENS|
9780323661195| ALL CHAPTERS 1-24| LATEST
•
Chapter 01: Introduction to Health Assessment
n n n n n
Wilson: Health Assessment for Nursing Practice, 7th Edition
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MULTIPLE CHOICE n
1. A patient comes to the emergency department and tells the triage nurse that he is ―having a
n n n n nn n nn n n n nn n nn n n n
heart attack.‖ What is the nurse’s top priority at this time?
n n n n n n n n n n n
a. Determine the patient’s personal data and insurance coverage.
n n n n n n n
b. Ask the patient to take a seat in the waiting room until his name is called.
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c. Request that a nurse collect data for a comprehensive history.
n n n n n n n n n
d. Ask a nurse to start a focused assessment of this patient now.
n n n n n n n n n n n
ANS: D
n n
,The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
n n n n n n n n n n n n n n n n
cardiovascular system. The type of health assessment performed by the nurse is also driven by patient
n n n n n n n n n n n n n n n n
need. Personal data and insurance information will be obtained, but in this situation, thesedata can
n n n n n n n n n n n n n n n n
wait until after the patient is assessed. Based also on Maslow’s hierarchy of needs, physiologic needs
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take precedence. Rather than asking the patient to wait, the nurse needs to begin data collection,
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such as vital signs, immediately to determine the patient’s health status.
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Complications can be prevented if an immediate assessment is made to analyze the patient’s
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symptoms. A comprehensive history is not indicated in this situation at this time. Some subjective
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data will be collected, such as allergies and medical history related to cardiovascular disease. Eyes,
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ears, or a complete musculoskeletal or mental health assessment is not a priority atthis time.
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DIF: Cognitive Level: Apply REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment n n n n n n n n n n n
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
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Establishing Priorities
n n
2. Which situation illustrates a screening assessment? n n n n n
a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed
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history and physical examination.
n n n n
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
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pressure checks to mall patrons.
n n n n n
c. The nurse in an urgent care center checks the vital signs of a patient who is complainingof
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leg pain.
n n
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
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glucose level.
n n
ANS: B n
,A health fair at a local mall that provides cholesterol and blood pressure checks is an example ofa
n n n n n n n n n n n n n n n n n n
screening assessment focused on disease detection. A detailed history and physical
n n n n n n n n n n n
, examination conducted during a first-time visit to an obstetric clinic is an example of a
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comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of an
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urgent care center is an example of a problem-based/focused assessment. A patient’s return
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appointment 1 month after today’s office visit to report fasting blood glucose levels is an example
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of an episodic or follow-up assessment.
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DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment n n n n n n n n n n n n
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
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3. For which person is a screening assessment indicated?
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a. The person who had abdominal surgery yesterday n n n n n n
b. The person who is unaware of his high serum glucose levels
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c. The person who is being admitted to a long-term care facility
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d. The person who is beginning rehabilitation after a knee replacement
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ANS: B
n n
A screening assessment is performed for the purpose of disease detection. In this case this person may
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have diabetes mellitus. A shift assessment is most appropriate for the person who is recovering in
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the hospital from surgery. A comprehensive assessment is performed during admission to a facility to
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obtain a detailed history and complete physical examination. An episodic or follow-up assessment
n n n n n n n n n n n n n
is performed after knee replacement to evaluate the outcome ofthe procedure.
n n n n n n n n n n n n
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC:
n n n n n n n n n n n n n n
NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
n n n n n n n n n n n n
Priorities
n
4. For which person is a shift assessment indicated?
n n n n n n n
a. The person who had abdominal surgery yesterday n n n n n n
b. The person who is unaware of his high serum glucose levels
n n n n n n n n n n
c. The person who is being admitted to a long-term care facility
n n n n n n n n n n
d. The person who is beginning rehabilitation after a knee replacement
n n n n n n n n n
ANS: A
n n
A shift assessment is most appropriate for the person who is recovering in the hospital from surgery.
n n n n n n n n n n n n n n n n
A screening assessment is performed for the purpose of disease detection, in this case diabetes
n n n n n n n n n n n n n n n
nmellitus. A comprehensive assessment is performed during admission to a facility toobtain a
n n n n n n n n n n n n n
detailed history and complete physical examination. An episodic or follow-up assessment is
n n n n n n n n n n n n
performed after knee replacement to evaluate the outcome of the procedure.
n n n n n n n n n n n
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 4 TOP: Nursing Process: Assessment MSC:
n n n n n n n n n n n n n n
NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
n n n n n n n n n n n n
Priorities
n
5. For which person is a comprehensive assessment indicated?
n n n n n n n
a. The person who had abdominal surgery yesterday n n n n n n
b. The person who is unaware of his high serum glucose levels
n n n n n n n n n n
c. The person who is being admitted to a long-term care facility
n n n n n n n n n n
d. The person who is beginning rehabilitation after a knee replacement
n n n n n n n n n
ANS: C
n n
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