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test bank for health assessment for nursing practi
health assessment for nursing practice
by susan fickertt wilson jean foret giddens
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,Table of content
Chapter 1. Introduction to health assessment
Chapter 2. Obtaining a health history
Chapter 3. Techniques and equipment for physical assessment
Chapter 4. General inspection and measurement of vital signs
Chapter 5. Culture competence
Chapter 6. Pain assessment
Chapter 7. Mental health assessment
Chapter 8. Nutritional assessment
Chapter 9. Skin, hair, and nails
Chapter 10. Head, eyes, ears, nose, and throat
Chapter 11. Lungs and respiratory system
Chapter 12. Heart and peripheral vascular system
Chapter 13. Abdomen and gastrointestinal system
Chapter 14. Musculoskeletal system
Chapter 15. Neurologic system
Chapter 16. Breasts and axillae
Chapter 17. Reproductive system and the perineum
Chapter 18. Developmental assessment throughout the life span
Chapter 19. Assessment of the infant, child, and adolescent
Chapter 20. Assessment of the pregnant patient
Chapter 21. Assessment of the older adult
Chapter 22. Conducting a head-to-toe examination
Chapter 23. Documenting the comprehensive health assessment
Chapter 24. Adapting health assessment
,Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A Patient Comes To The Emergency Department And Tells The Triage Nurse That
He Is“Having A Heart Attack.” What Is the Nurse’s Top Priority At This Time?
a. Determine The Patient’s Personal Data and Insurance Coverage.
b. Ask The Patient To Take A Seat In The Waiting Room Until His Name Is Called.
c. Request That A Nurse Collect Data For A Comprehensive History.
d. Ask A Nurse To Start A Focused Assessment Of This
PatientNow.
ANSWER: D
The Nurse Needs to Begin an Assessment As Soon As Possible That Is Focused on This Patient’s
Cardiovascular System. The Type Of Health Assessment Performed By The Nurse Is Also Driven
By Patient Need. Personal Data And Insurance Information Will Be Obtained, But In This
Situation, TheseData Can Wait Until After The Patient Is Assessed. Based Also On Maslow’s
Hierarchy Of Needs, Physiologic Needs Take Precedence. Rather Than Asking The Patient To
Wait, The Nurse Needs To Begin Data Collection, Such As Vital Signs, Immediately To
Determine The Patient’s Health Status.
Complications Can Be Prevented If an Immediate Assessment Is Made to Analyze the Patient’s
Symptoms. A Comprehensive History Is Not Indicated In This Situation At This Time. Some
Subjective Data Will Be Collected, Such As Allergies And Medical History Related To
Cardiovascular Disease. Eyes, Ears, Or A Complete Musculoskeletal Or Mental Health
Assessment Is Not A Priority AtThis Time.
DIF: Cognitive Level: Apply REF: Box 1-3 | P. 3 TOP: NURSING Process:
Assessment MSC: NCLEX Patient Needs: Safe And Effective Care Environment:
Management Of Care: Establishing Priorities
2. Which Situation Illustrates A Screening Assessment?
a. A Patient Visits An Obstetric Clinic For The First Time And The NURSE
Conducts ADetailed History And Physical Examination.
b. A Hospital Sponsors A Health Fair At A Local Mall And Provides Cholesterol
And BloodPressure Checks To Mall Patrons.
c. The Nurse In An Urgent Care Center Checks The Vital Signs Of A Patient
Who IsComplaining Of Leg Pain.
d. A Patient Newly Diagnosed With Diabetes Mellitus Comes To Test His Fasting
BloodGlucose Level.
ANSWER: B
A Health Fair At A Local Mall That Provides Cholesterol And Blood Pressure Checks Is An
Example OfA Screening Assessment Focused On Disease Detection. A Detailed History And
Physical
, Examination Conducted During A First-Time Visit To An Obstetric Clinic Is An Example Of
A Comprehensive Assessment. Assessing A Patient Complaining Of Leg Pain In The Triage
Area Of AnUrgent Care Center Is An Example Of A Problem-Based/Focused Assessment.
A Patient’s ReturnAppointment 1 Month After Today’s Office Visit To Report Fasting Blood
Glucose Levels Is An Example Of An Episodic Or Follow-Up Assessment.
DIF: Cognitive Level: Understand REF: Box 1-3 | P. 3 TOP: NURSING Process:
Assessment MSC: NCLEX Patient Needs: Health Promotion And Maintenance:
HealthScreening
3. For Which Person Is A Screening Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
ReplacementANSWER: B
A Screening Assessment Is Performed For The Purpose Of Disease Detection. In This Case This
Person May Have Diabetes Mellitus. A Shift Assessment Is Most Appropriate For The Person
Who Is Recovering In The Hospital From Surgery. A Comprehensive Assessment Is Performed
During Admission To A Facility To Obtain A Detailed History And Complete Physical
Examination. An Episodic Or Follow-Up Assessment Is Performed After Knee Replacement To
Evaluate The Outcome OfThe Procedure.
DIF: Cognitive Level: Understand REF: Box 1-3 | P. 3 TOP: NURSING Process: Assessment
MSC: NCLEX Patient Needs: Safe And Effective Care Environment: Management Of Care:
Establishing Priorities
4. For Which Person Is A Shift Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
ReplacementANSWER: A
A Shift Assessment Is Most Appropriate For The Person Who Is Recovering In The Hospital
From Surgery. A Screening Assessment Is Performed For The Purpose Of Disease Detection, In
This Case Diabetes Mellitus. A Comprehensive Assessment Is Performed During Admission
To A Facility ToObtain A Detailed History And Complete Physical Examination. An Episodic
Or Follow-Up Assessment Is Performed After Knee Replacement To Evaluate The Outcome
Of The Procedure.
DIF: Cognitive Level: Understand REF: Box 1-3 | P. 4 TOP: NURSING Process: Assessment
MSC: NCLEX Patient Needs: Safe And Effective Care Environment: Management Of Care:
Establishing Priorities
5. For Which Person Is A Comprehensive Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
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