HEALTH ASSESSMENT IN NURSING
8TH EDITION
• AUTHOR(S)JANET R. WEBER, JANE
HARMON KELLEY-LANDAETA
TEST BANK
Q1
Reference: Ch. 1 — Nursing Data Collection — Establishing
rapport and interviewing techniques
Stem: A 68-year-old man with early-stage Parkinson disease
arrives for a routine assessment and appears anxious, speaks
softly, and avoids eye contact. The nurse needs to obtain a
comprehensive health history including functional limitations.
Which approach best promotes accurate data collection while
respecting the patient’s communication style?
A. Ask closed yes/no questions to limit the patient’s need to talk
and speed the interview.
B. Sit at the patient’s eye level, allow extra time for responses,
and use short, simple questions.
C. Use family members to answer all questions since the
,patient’s speech is limited.
D. Complete the history with standardized forms only,
postponing verbal questions to a later visit.
Correct answer: B
Rationale — Correct (B): Sitting at eye level and allowing extra
time accommodates hypophonia and bradykinesia common in
Parkinson disease; short, simple questions reduce patient
fatigue and support accurate responses. This approach balances
patient-centered communication and effective data collection.
Rationale — Incorrect:
A. Closed yes/no questions risk missing important information
and limit nuanced history; they do not accommodate slowed
speech.
C. Relying entirely on family undermines patient autonomy and
may omit patient perspectives; family input can supplement but
not replace direct interview.
D. Using forms only delays rapport-building and may fail to
capture functional subtleties or patient concerns present in
conversation.
Teaching Point: Adjust pacing and question complexity to
patient communication ability; preserve autonomy.
Citation: Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health
Assessment in Nursing (8th ed.). Ch. 1.
Q2
,Reference: Ch. 1 — Nursing Data Collection — Focused vs.
comprehensive assessment decision-making
Stem: During triage in a community clinic, a 24-year-old woman
presents with a painful red eye for 12 hours. She is otherwise
healthy and afebrile. The nurse must choose an assessment
approach. Which is the most appropriate immediate action?
A. Perform a comprehensive head-to-toe assessment because
every new complaint requires full baseline data.
B. Conduct a focused ocular assessment and symptom history,
then escalate if red flags appear.
C. Defer assessment and schedule a follow-up in 2 weeks since
symptoms are recent.
D. Ask the patient to complete a comprehensive health history
form and review it later.
Correct answer: B
Rationale — Correct (B): A focused assessment targets the
problem (eye complaint) to identify urgent findings (vision
changes, severe pain, photophobia) and determine immediate
interventions or referral; efficient and appropriate for an
isolated symptom.
Rationale — Incorrect:
A. Comprehensive assessment is time-consuming and
unnecessary when complaint is localized and no systemic signs
present.
C. Delaying assessment risks missing urgent ocular conditions
(e.g., corneal ulcer) needing immediate care.
, D. Having the patient complete forms delays time-sensitive
evaluation and may miss acute red-flag signs.
Teaching Point: Use focused assessments for isolated
complaints; escalate if systemic or red-flag symptoms arise.
Citation: Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health
Assessment in Nursing (8th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Documentation Standards — Accuracy,
objectivity, and legal implications
Stem: A nurse documents a patient encounter with the phrase
“patient is paranoid.” The nurse’s manager finds the note and
requests revision. Which documentation statement best aligns
with professional and legal documentation standards?
A. Replace with “patient refused medication due to belief staff
are trying to harm him.”
B. Leave “patient is paranoid” as shorthand for behavioral
observation.
C. Remove the behavioral note entirely to avoid labeling the
patient.
D. Add an editorial comment explaining the nurse’s opinion
about the patient’s mental state.
Correct answer: A
Rationale — Correct (A): Objective, behavior-based
documentation (what the patient said/did) is preferred.
8TH EDITION
• AUTHOR(S)JANET R. WEBER, JANE
HARMON KELLEY-LANDAETA
TEST BANK
Q1
Reference: Ch. 1 — Nursing Data Collection — Establishing
rapport and interviewing techniques
Stem: A 68-year-old man with early-stage Parkinson disease
arrives for a routine assessment and appears anxious, speaks
softly, and avoids eye contact. The nurse needs to obtain a
comprehensive health history including functional limitations.
Which approach best promotes accurate data collection while
respecting the patient’s communication style?
A. Ask closed yes/no questions to limit the patient’s need to talk
and speed the interview.
B. Sit at the patient’s eye level, allow extra time for responses,
and use short, simple questions.
C. Use family members to answer all questions since the
,patient’s speech is limited.
D. Complete the history with standardized forms only,
postponing verbal questions to a later visit.
Correct answer: B
Rationale — Correct (B): Sitting at eye level and allowing extra
time accommodates hypophonia and bradykinesia common in
Parkinson disease; short, simple questions reduce patient
fatigue and support accurate responses. This approach balances
patient-centered communication and effective data collection.
Rationale — Incorrect:
A. Closed yes/no questions risk missing important information
and limit nuanced history; they do not accommodate slowed
speech.
C. Relying entirely on family undermines patient autonomy and
may omit patient perspectives; family input can supplement but
not replace direct interview.
D. Using forms only delays rapport-building and may fail to
capture functional subtleties or patient concerns present in
conversation.
Teaching Point: Adjust pacing and question complexity to
patient communication ability; preserve autonomy.
Citation: Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health
Assessment in Nursing (8th ed.). Ch. 1.
Q2
,Reference: Ch. 1 — Nursing Data Collection — Focused vs.
comprehensive assessment decision-making
Stem: During triage in a community clinic, a 24-year-old woman
presents with a painful red eye for 12 hours. She is otherwise
healthy and afebrile. The nurse must choose an assessment
approach. Which is the most appropriate immediate action?
A. Perform a comprehensive head-to-toe assessment because
every new complaint requires full baseline data.
B. Conduct a focused ocular assessment and symptom history,
then escalate if red flags appear.
C. Defer assessment and schedule a follow-up in 2 weeks since
symptoms are recent.
D. Ask the patient to complete a comprehensive health history
form and review it later.
Correct answer: B
Rationale — Correct (B): A focused assessment targets the
problem (eye complaint) to identify urgent findings (vision
changes, severe pain, photophobia) and determine immediate
interventions or referral; efficient and appropriate for an
isolated symptom.
Rationale — Incorrect:
A. Comprehensive assessment is time-consuming and
unnecessary when complaint is localized and no systemic signs
present.
C. Delaying assessment risks missing urgent ocular conditions
(e.g., corneal ulcer) needing immediate care.
, D. Having the patient complete forms delays time-sensitive
evaluation and may miss acute red-flag signs.
Teaching Point: Use focused assessments for isolated
complaints; escalate if systemic or red-flag symptoms arise.
Citation: Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health
Assessment in Nursing (8th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Documentation Standards — Accuracy,
objectivity, and legal implications
Stem: A nurse documents a patient encounter with the phrase
“patient is paranoid.” The nurse’s manager finds the note and
requests revision. Which documentation statement best aligns
with professional and legal documentation standards?
A. Replace with “patient refused medication due to belief staff
are trying to harm him.”
B. Leave “patient is paranoid” as shorthand for behavioral
observation.
C. Remove the behavioral note entirely to avoid labeling the
patient.
D. Add an editorial comment explaining the nurse’s opinion
about the patient’s mental state.
Correct answer: A
Rationale — Correct (A): Objective, behavior-based
documentation (what the patient said/did) is preferred.
