TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, Verified Chapters 1 - 24, Complete Newest Version

TEST BANK
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Health Assessment for Nursing Practice
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b 7th Edition by Wilson Chapter 1 - 24
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,TABLE OF CONTENTS b b b




Unit I: Foundations for Health Assessment
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1. Introduction to Health Assessment b b b




2. Interviewing Patients to Obtain a Health History b b b b b b




3. Techniques and Equipment for Physical Assessment b b b b b




4. General Inspection and Measurement of Vital Signs
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5. Ethnic, Cultural, and Spiritual Considerations
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6. Pain Assessment
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7. Mental Health and Abusive Behavior Assessment
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8. Nutritional Assessment b




Unit II: Health Assessment of the Adult
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9. Skin, Hair, and Nails
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10. Head, Eyes, Ears, Nose, and Throat
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11. Lungs and Respiratory Systemb b b




12. Heart and Peripheral Vascular System
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13. Abdomen and Gastrointestinal System b b b




14. Musculoskeletal System b




15. Neurologic System b




16. Breasts and Axillae b b




17. Reproductive System and the Perineum b b b b




Unit III: Health Assessment Across the Life Span
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18. Developmental Assessment Throughout the Life Span b b b b b




19. Assessment of the Infant, Child, and Adolescent b b b b b b




20. Assessment of the Pregnant Patient b b b b




21. Assessment of the Older Adult b b b b




Unit IV: Synthesis and Application of Health Assessment
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22. Conducting a Head-to-Toe Examination b b b




23. Documenting the Head-to-Toe Health Assessment b b b b




24. Adapting Health Assessment b b




Chapter 01: Introduction to Health Assessment
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,MULTIPLE CHOICE b




1. A patient comes to the emergency department and tells the triage nurse that
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b heis ―having a heart attack.‖ What is the nurse‘s top priority at this time?
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a. Determine the patient‘s personal data and b b b b b


insurance coverage. b b



b. Ask the patient to take a seat in the waiting
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room until his name is called.
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c. Request that a nurse collect data for b b b b b b


acomprehensive history. b



d. Ask a nurse to start a focused assessment
b b b b b b b


of this patient now.
b b b



ANSWER: D b


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
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by patient need. Personal data and insurance information will be obtained, but in this
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situation, these data can wait until after the patient is assessed. Based also on Maslow‘s
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hierarchy of needs, physiologic needs take precedence. Rather than asking the patient to
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wait, the nurse needs to begin data collection, such as vital signs, immediately to determine
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the patient‘s health status. Complications can be prevented if an immediate assessment is
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made to analyze the patient‘s symptoms. A comprehensive history is not indicated in this
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situation at this time. Some subjective data will be collected, such as allergies and medical
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history related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal or
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mental health assessment is not a priority at this time.
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DIF: Cognitive Level: Apply
b REF: Box 1-3 | p. 3 b b b b b b b


TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
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Care:Establishing Priorities
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2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for the first b b b b b b b b


time and the nurse conducts a detailedhistory b b b b b b


and physical examination. b b b



b. A hospital sponsors a health fair at a
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localmall and provides cholesterol and b b b b


bblood pressure checks to mall patrons.
b b b b b



c. The nurse in an urgent care center checks
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the vital signs of a patient who is
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bcomplaining of leg pain. b b b

, d. A patient newly diagnosed with
b b b b


diabetesmellitus comes to test his fasting b b b b b


blood glucose level.
b b b



ANSWER: B b


A health fair at a local mall that provides cholesterol and blood pressure checks is an
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example of a screening assessment focused on disease detection. A detailed history and
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physical examination conducted during a first-time visit to an obstetric clinic is an exampleof
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a comprehensive assessment. Assessing a patient complaining of leg pain in the triage area
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of an urgent care center is an example of a problem-based/focused assessment. A
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patient‘s return appointment 1 month after today‘s office visit to report fasting blood
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glucose levels is an example of an episodic or follow-up assessment.
b b b b b b b b b b b




DIF: Cognitive Level: Understand
b REF: Box 1-3 | p. 3 b b b b b b b


TOP: Nursing Process: Assessment
b b b b


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 b b b b b


yesterday
b. The person who is unaware of his high
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serum glucose levels
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c. The person who is being admitted to a
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long-term care facility b b



d. The person who is beginning rehabilitation
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after a knee replacement b b b



ANSWER: B b


A screening assessment is performed for the purpose of disease detection. In this case this
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person may have diabetes mellitus. A shift assessment is most appropriate for the person
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who is recovering in the hospital from surgery. A comprehensive assessment is performed
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during admission to a facility to obtain a detailed history and complete physical
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examination. An episodic or follow-up assessment is performed after knee replacement to
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evaluate the outcome of the procedure.
b b b b b b




DIF: Cognitive Level: Understand
b REF: Box 1-3 | p. 3 b b b b b b b


TOP: Nursing Process: Assessment
b b b b


MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b


Care:Establishing Priorities
b b




4. For which person is a shift assessment indicated?
b b b b b b b


a. The person who had abdominal surgery b b b b b


yesterday
b. The person who is unaware of his high
b b b b b b b


serum glucose levels b b



c. The person who is being admitted to a
b b b b b b b


long-term care facility b b



d. The person who is beginning rehabilitation
b b b b b


after a knee replacement b b b



ANSWER: A b


A shift assessment is most appropriate for the person who is recovering in the hospital from
b b b b b b b b b b b b b b b


surgery. A screening assessment is performed for the purpose of disease detection, in this
b b b b b b b b b b b b b b


case diabetes mellitus. A comprehensive assessment is performed during admission to a
b b b b b b b b b b b b