Chapter 1: The Nurse's Role in Health Assessment Multiple Choice 1. What is one of the priority goals of nursing practice? A) To influence private policy B) To further the interests of the nursing profession C) To promote privacy in health care D) To advocate for patients and communities Ans: D Age Group: All Age Groups Chapter: 1 Client Type: Population Competency Category: Health and Wellness Difficulty: Moderate Objective: 1 Page and Header: 5, Advocacy Taxonomic Level: Knowledge Feedback: Nurses engage in many activities in the course of nursing practice. Among the most important goals of the nurse is the advocacy role of the nurse. This role supersedes the importance of promoting the profession and promoting privacy, even though both are laudable goals. Nurses normally aim to influence public, not private, policy. 2. What do nursing activities that promote health and prevent disease primarily accomplish? A) Reduce an individual's risk of illness B) Reduce recovery times C) Optimize self-care abilities D) Create home care safety Ans: A Age Group: All Age Groups Chapter: 1 Client Type: Population Competency Category: Health and Wellness Difficulty: Easy Objective: 3 Page and Header: 6, Wellness and Health Promotion Taxonomic Level: Analysis Feedback: Nursing activities that promote health and prevent illness reduce the risk of disease. These activities are not primarily focused on reducing recovery times, optimizing self-care, or creating home safety, though each of these outcomes is congruent with the philosophy of health promotion. 3. The purpose of a health assessment includes what? A) Identifying the patient's major disease process B) Collecting information about the health status of the patient C) Clarifying the patient's extended health care benefits D) Explaining the patient's overall health to him or her Ans: B Age Group: All Age Groups Chapter: 1 Client Type: Individual Competency Category: Changes in Health Difficulty: Moderate Objective: 2 Page and Header: 5, Purposes of Health Assessment Taxonomic Level: Analysis Feedback: Health assessment is the collection of subjective and objective data to develop a database about a patient's health status (past and present), health concerns, and usual coping mechanisms so that an individualized care plan can be created. The patient's health care coverage is not a component of health assessment, and it is not normally the nurse's role to explain the patient's overall health or identify particular diseases. 4. The nurse is conducting a physical assessment. The data the nurse would collect vary depending primarily on what factor? A) How much time the nurse has B) The patient's acuity C) The patient's cooperation D) Onset of current symptoms Ans: B Age Group: All Age Groups Chapter: 1 Client Type: Individual Competency Category: Changes in Health Difficulty: Easy Objective: 5 Page and Header: 10, Types of Health Assessments Taxonomic Level: Comprehension Feedback: Data that nurses collect during a physical assessment vary depending on a patient's acuity, health history, and current symptoms. The data collected during a physical assessment do not depend on how much time the nurse has, how cooperative the patient is, or the onset of the current symptoms. 5. A nursing instructor is discussing the purposes of health assessment. What is a priority purpose of health assessment? A) To establish a database against which subsequent assessments can be measured B) To establish rapport with the patient and family C) To gather information for specialists to whom the patient might be referred D) To quantify the degree of pain a patient may be experiencing Ans: A Age Group: All Age Groups Chapter: 1 Client Type: Individual Competency Category: Changes in Health Difficulty: Moderate Objective: 2 Page and Header: 5, Purposes of Health Assessment Taxonomic Level: Analysis Feedback: Health assessment is the collection of subjective and objective data to develop a database about a patient's health status (past and present), health concerns, and usual coping mechanisms so that an individualized care plan can be created. Rapport is important but is not a priority goal of health assessment. It is not normally the nurse's role to gather data for specialists. Pain assessment is an important component of most assessments but is not a primary purpose for assessment. 6. How do nurses primarily facilitate the achievement of high-level wellness with a patient? A) By encouraging the patient to keep appointments B) By providing information on alternative treatments C) By promoting patients' health D) By providing efficient patient care Ans: C Age Group: All Age Groups Chapter: 1 Client Type: Individual Competency Category: Health and Wellness Difficulty: Easy Objective: 3 Page and Header: 6, Wellness and Health Promotion Taxonomic Level: Analysis Feedback: High-level wellness is a process by which people maintain balance and direction in the most favourable environment. The role of nurses is to facilitate this achievement through health promotion and teaching. Nurses do not necessarily facilitate the achievement of high-level wellness by encouraging patients to keep appointments, providing information on alternative treatments, or providing “efficienct” patient care.
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