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Test Bank Practice 7th Edition By Susan Fickertt Wilson Jean Foret Giddens | 9780323661195 | Chapter 1- 24 | All Chapters with Answers and Rationals$17.99
Test Bank For Health Assessment for Nursing Practice 7th Edition By Susan Fickertt Wilson Jean Foret Giddens | 9780323661195 | Chapter 1- 24 | All Chapters with Answers and RationalsTest Bank For Health Assessment for Nursing Practice 7th Edition By Susan Fickertt Wilson Jean Foret Giddens | 978032...
Test Bank For Health Assessment for Nursing Practice 7th
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Edition by Susan Fickertt Wilson, Jean Foret Giddens
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Chapter 1-24n n
,Chapter 01: Introduction to Health Assessment
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Wilson: Health Assessment for Nursing Practice, 7th Edition
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MULTIPLE CHOICE n
1. Apatient comes to the emergencydepartment and tells the triage nursethat he is ―havinga heart
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nattack.‖ What is the nurse‘s top priority at this time?
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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.
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ANS: D n
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
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cardiovascular system. The type of health assessment performed by the nurse is also driven by
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patient need. Personal data and insurance information will be obtained, but in this situation, these
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data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of needs,
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physiologic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin
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data collection, 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.
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Eyes, ears, or a complete musculoskeletal or mental health assessment is not a priority at this time.
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DIF:Cognitive Level: Apply REF: Box1-3 n n n n
TOP:Nursing Process: Assessment
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MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing n n n n n n n n n n n
Priorities
n
2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for the first time and the nurse conducts a
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detailed history and physical examination.
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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.
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c. The nurse in an urgent care center checks the vital signs of a patient who is
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complaining of leg pain.
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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 of a
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screening assessment focused on disease detection. A detailed history and physical examination
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conducted during a first-time visit to an obstetric clinic is an example of a comprehensive
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assessment. Assessing a patient complaining of leg pain in the triage area of an urgent care center
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is an example of a problem-based/focused assessment. A patient‘s return appointment 1 month
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after today‘s office visit to report fasting blood glucose levels is an example of an episodic or
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follow-up assessment.
n n
DIF:Cognitive Level: Understand n n REF: Box 1-3 n n
, TOP:Nursing Process: Assessment n n
MSC:NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening n n n n n n n n
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
A screening assessment is performed for the purpose of disease detection. In this case this person
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may have diabetes mellitus. A shift assessment is most appropriate for the person who is
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recovering in the hospital from surgery. A comprehensive assessment is performed during
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admission to a facility to obtain a detailed history and complete physical examination. An episodic
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or follow-up assessment is performed after knee replacement to evaluate the outcome of the
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procedure.
n
DIF:Cognitive Level: Understand REF:Box1-3 n n n n
TOP:Nursing Process: Assessment
n n n
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
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
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ANS: A n
A shift assessment is most appropriate for the person who is recovering in the hospital from
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surgery. A screening assessment is performed for the purpose of disease detection, in this case
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diabetes mellitus. 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
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is performed after knee replacement to evaluate the outcome of the procedure.
n n n n n n n n n n n n
DIF:Cognitive Level: Understand REF:Box1-3 n n n n
TOP:Nursing Process: Assessment
n n n
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
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
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d. The person who is beginning rehabilitation after a knee replacement
n n n n n n n n n
ANS: C n
A comprehensive assessment is performed during admission to a facility to obtain a detailed
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history and complete physical examination. A shift assessment is most appropriate for the person
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who is recovering in the hospital from surgery. A screening assessment is performed for the
n n n n n n n n n n n n n n n
purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up assessment
n n n n n n n n n n n n n n
is performed after knee replacement to evaluate the outcome of the procedure.
n n n n n n n n n n n n
, DIF:Cognitive Level: Understand REF:Box1-3 n n n n
TOP:Nursing Process: Assessment
n n n
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
n n n n n n n n n n n
Priorities
n
6. For which person is an episodic or follow-up assessment indicated?
n n 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
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d. The person who is beginning rehabilitation after a knee replacement
n n n n n n n n n
ANS: D n
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
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outcome of the procedure. A shift assessment is most appropriate for the person who is recovering
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in the hospital from surgery. A screening assessment is performed for the purpose of disease
n n n n n n n n n n n n n n n
detection, in this case diabetes mellitus. A comprehensive assessment is performed during
n n n n n n n n n n n n
admission to a facility to obtain a detailed history and complete physical examination.
n n n n n n n n n n n n n
DIF:Cognitive Level: Understand REF:Box1-3 n n n n
TOP:Nursing Process: Assessment
n n n
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
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Priorities
n
7. Which is an example of data a nurse collects during a physical examination?
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a. The patient‘s lack of hair and shiny skin over both shins
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b. The patient‘s stated concern about lack of money for prescriptions
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c. The patient‘s complaints of tingling sensations in the feet
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d. The patient‘s mother‘s statements that the patient is very nervous lately
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ANS: A n
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
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physical examination. A patient‘s concerns about lack of money are subjective data and are part
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of the health history. A patient‘s complaints of tingling sensations in the feet are subjective data
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and are part of the health history. A patient‘s family statements are considered secondary data, are
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subjective data, and are part of the health history.
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DIF:Cognitive Level: Apply REF: Box1-3 n n n n
TOP:Nursing Process: Assessment
n n n
MSC:NCLEX Patient Needs: Physiological Integrity: Reduction of Risk Potential: System Specific
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Assessments
n
8. The nurse documents which information in the patient‘s history?
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a. The patient‘s skin feels warm to the touch.
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b. The patient is scratching his arm. n n n n n
c. The patient‘s temperature is 100 F. n n n n n
d. The patient complains of itching. n n n n
ANS: D n
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