Exam (elaborations)
TEST BANK FOR HEALTH ASSESSMENT IN NURSING 7TH EDITION BY JANET R WEBER AND JANE H KELLY FULLY COVERED.
TEST BANK FOR HEALTH ASSESSMENT IN NURSING 7TH EDITION BY JANET R WEBER AND JANE H KELLY FULLY COVERED.
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Test Bank for Health Assessment in Nursing 7thgg gg gg gg gg gg gg
Edition by Janet R Weber and Jane H Kelley
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FullyCovered
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Page
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, 1 A nurse on a postsurgical unit is admitting a client following the client's
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cholecystectomy (gall bladder removal). What is the overall purpose of assessment
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forthisclient?
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A) Collecting accurate data gg gg
B) Assisting the primary care provider gg gg gg gg
C) Validating previous data gg gg
D) Making clinical judgments gg gg
2. A client has presented to the emergency department (ED) with complaints of
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abdominalpain. Which member of the care team would most likely be responsible
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for collecting the subjective data on the client during the initial comprehensive
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assessment?
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A) Gastroenterologist
B) ED nurse gg
C) Admissions clerk gg
D) Diagnostic technician gg
3. The nurse has completed an initial assessment of a newly admitted client and is
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applying the nursing process to plan the client's care. What principle should the
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nurse apply whenusing the nursing process?
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A) Each step is independent of the others. gg gg gg gg gg gg
B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client
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and perform a comprehensive health assessment. Which of the following actions
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should thenurse perform first?
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A) Review the client's medical record. gg gg gg gg
B) Obtain basic biographic data. gg gg gg
C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. gg gg gg gg
5. Which of the following client situations would the nurse interpret as
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requiring anemergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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Page
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,6. In response to a client's query, the nurse is explaining the differences between
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the physician's medical exam and the comprehensive health assessment
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performed by the nurse. The nurse should describe the fact that the nursing
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assessment focuses on whichaspect of the client's situation?
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A) Current physiologic status gg gg
B) Effect of health on functional status
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C) Past medical history gg gg
D) Motivation for adherence to treatment gg gg gg gg
7. After teaching a group of students about the phases of the nursing process, the
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instructordetermines that the teaching was successful when the students identify
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which phase as being foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
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beenadmitted for the treatment of community-acquired pneumonia. Following the
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completion of this assessment, the nurse periodically performs a partial
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assessment primarily for which reason?
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A) Reassess previously detected problems gg gg gg
B) Provide information for the client's record
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C) Address areas previously omitted gg gg gg
D) Determine the need for crisis intervention gg gg gg gg gg
9. The nurse is working in an ambulatory care clinic that is located in a busy,
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inner-cityneighborhood. Which client would the nurse determine to be in most
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need of an emergency assessment?
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A) A 14-year-old girl who is crying because she thinks she is pregnant
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B) A 45-year-old man with chest pain and diaphoresis for 1 hour
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C) A 3-year-old child with fever, rash, and sore throat
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D) A 20-year-old man with a 3-inch shallow laceration on his leg
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, 10. A nurse has completed gathering some basic data about a client who has multiple
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healthproblems that stem from heavy alcohol use. The nurse has then reflected on
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her personalfeelings about the client and his circumstances. The nurse does this
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primarily to accomplish which of the following?
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A) Determine if pertinent data has been omitted gg gg gg gg gg gg
B) Identify the need for referral gg gg gg gg
C) Avoid biases and judgments gg gg gg
D) Construct a plan of care gg gg gg gg
11. The nurse is collecting data from a client who has recently been diagnosed with
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type 1 diabetes and who will begin an educational program. The nurse is
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collecting subjective and objective data. Which of the following would the nurse
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categorize as objective data?
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A) Family history gg
B) Occupation
C) Appearance
D) History of present health concern gg gg gg gg
12. An older adult client has been admitted to the hospital with failure to thrive
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resulting from complications of diabetes. Which of the following would the nurse
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implement inresponse to a collaborative problem?
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A) Encourage the client to increase oral fluid intake. gg gg gg gg gg gg gg
B) Provide the client with a bedtime protein snack. gg gg gg gg gg gg gg
C) Assist the client with personal hygiene. gg gg gg gg gg
D) Measure the client's blood glucose four times daily. gg gg gg gg gg gg gg
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
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following clients. For which clients would the nurse most likely expect to
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facilitate areferral?
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A) An 80-year-old client who lives with her daughter
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B) A 50-year-old client newly diagnosed with diabetes
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C) An adult presenting for an influenza vaccination
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D) A teenager seeking information about contraception
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14. An instructor is reviewing the evolution of the nurse's role in health assessment.
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The instructor determines that the teaching was successful when the students
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identify whichof the following as the major method used by nurses early in the
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history of the profession?
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A) Natural senses gg
B) Biomedical knowledge gg
C) Simple technology gg
D) Critical pathways gg
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