Test Bank for Health Assessment for
v7 v7 v7 v7 v7
v7 Nursing Practice 7th Edition by Wilson
v7 v7 v7 v7 v7
v7 Chapter 1 - 24 v7 v7 v7
,Chapter 01: Introduction to Health Assessment
v7 v7 v7 v7 v7
MULTIPLE CHOICE v7
1. A patient comes to the emergency department and tells the triage nurse
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
that heis ―having a heart attack.‖ What is the nurse‘s top priority at this time?
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
a. Determine the patient‘s personal data v7 v7 v7 v7
andinsurance coverage. v7 7
v v7
b. Ask the patient to take a seat in the
v7 v7 v7 v7 v7 v7 v7 v7
waitingroom until his name is called.
v7 7
v v7 v7 v7 v7 v7
c. Request that a nurse collect data v7 v7 v7 v7 v7
for acomprehensive history.
v7 v7 7
v v7
d. Ask a nurse to start a focused
v7 v7 v7 v7 v7 v7
assessmentof this patient now.
v7 7
v v7 v7 v7
ANSWER: D v7
The nurse needs to begin an assessment as soon as possible that is focused on this
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
patient‘scardiovascular system. The type of health assessment performed by the nurse
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
is also drivenby patient need. Personal data and insurance information will be
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
obtained, but in this situation, these data can wait until after the patient is assessed.
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Based also on Maslow‘s hierarchy of needs, physiologic needs take precedence.
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Rather than asking the patient to wait, the nurse needs to begin data collection, such
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
as vital signs, immediately to determinethe patient‘s health status. Complications can
v7 v7 v7 v7 v7 v7 7
v v7 v7 v7 v7 v7
be prevented if an immediate assessment is made to analyze the patient‘s symptoms.
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
A comprehensive history is not indicated in this situation at this time. Some
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
subjective data will be collected, such as allergies and medical history related to
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
assessment is not a priority at this time.
v7 v7 v7 v7 v7 v7 v7 v7
DIF: Cognitive Level: Apply
v7 v7 v 7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
2. Which situation illustrates a screening assessment?
v7 v7 v7 v7 v7
a. A patient visits an obstetric clinic for the v7 v7 v7 v7 v7 v7 v7
first time and the nurse conducts a v7 v7 v7 v7 v7 v7 v7
detailedhistory and physical examination. v7 7
v v7 v7 v7
b. A hospital sponsors a health fair at a v7 v7 v7 v7 v7 v7 v7
localmall and provides cholesterol and v7 7
v v7 v7 v7 v7
blood pressure checks to mall patrons. v7 v7 v7 v7 v7 v7
c. The nurse in an urgent care center v7 v7 v7 v7 v7 v7
checksthe vital signs of a patient who v7 7
v v7 v7 v7 v7 v7 v7
is complaining of leg pain. v7 v7 v7 v7 v7
, d. A patient newly diagnosed with
v7 v7 v7 v7
diabetesmellitus comes to test his
v7 7
v v7 v7 v7 v7
fasting blood glucose level.
v7 v7 v7 v7
ANSWER: B v7
A health fair at a local mall that provides cholesterol and blood pressure checks is
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
an example of a screening assessment focused on disease detection. A detailed
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
history and physical examination conducted during a first-time visit to an obstetric
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
clinic is an exampleof a comprehensive assessment. Assessing a patient complaining
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
of leg pain in the triage area of an urgent care center is an example of a problem-
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
based/focused assessment. A patient‘s return appointment 1 month after today‘s office
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
visit to report fasting blood glucose levels is an example of an episodic or follow-up
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
assessment.
v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
v7 v7 v7 v7 v7 v7 v7 v7 v7
3. For which person is a screening assessment indicated?
v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted v7 v7 v7 v7 v7
to along-term care facility v7 v7 7
v v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: B v7
A screening assessment is performed for the purpose of disease detection. In this
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
case thisperson may have diabetes mellitus. A shift assessment is most appropriate
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
for the person who is recovering in the hospital from surgery. A comprehensive
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
assessment is performedduring admission to a facility to obtain a detailed history
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
and complete physical examination. An episodic or follow-up assessment is
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
performed after knee replacement toevaluate the outcome of the procedure.
v7 v7 v7 v7 v7 7
v v7 v7 v7 v7 v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
4. For which person is a shift assessment indicated?
v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted to a v7 v7 v7 v7 v7 v7 v7
long-term care facility v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: A v7
A shift assessment is most appropriate for the person who is recovering in the
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
hospital fromsurgery. A screening assessment is performed for the purpose of disease
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
detection, in this case diabetes mellitus. A comprehensive assessment is performed
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
during admission to a
v7 v7 v7 v7
, facility to obtain a detailed history and complete physical examination. An episodic
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
or follow-up assessment is performed after knee replacement to evaluate the
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
outcome of theprocedure.
v7 v7 v7 v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
4TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
5. For which person is a comprehensive assessment indicated?
v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted v7 v7 v7 v7 v7
to along-term care facility v7 v7 7
v v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: C v7
A comprehensive assessment is performed during admission to a facility to obtain a
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
detailed history and complete physical examination. A shift assessment is most
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
appropriatefor the person who is recovering in the hospital from surgery. A
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
screening assessment is performed for the purpose of disease detection, in this case
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
diabetes mellitus. An episodic or follow-up assessment is performed after knee
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
replacement to evaluate the outcome of the procedure.
v7 v7 v7 v7 v7 v7 v7 v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
6. For which person is an episodic or follow-up assessment indicated?
v7 v7 v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted to a v7 v7 v7 v7 v7 v7 v7
long-term care facility v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: D v7
An episodic or follow-up assessment is performed after the knee replacement to
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
evaluate the outcome of the procedure. A shift assessment is most appropriate for
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
the person who isrecovering in the hospital from surgery. A screening assessment is
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
performed for the purpose of disease detection, in this case diabetes mellitus. A
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
comprehensive assessment is performed during admission to a facility to obtain a
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
detailed history and complete physicalexamination.
v7 v7 v7 v7 v7 7
v
DIF: Cognitive Level: Understand
v7 v7 v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
v7 v7 v7 v7 v7
v7 Nursing Practice 7th Edition by Wilson
v7 v7 v7 v7 v7
v7 Chapter 1 - 24 v7 v7 v7
,Chapter 01: Introduction to Health Assessment
v7 v7 v7 v7 v7
MULTIPLE CHOICE v7
1. A patient comes to the emergency department and tells the triage nurse
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
that heis ―having a heart attack.‖ What is the nurse‘s top priority at this time?
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
a. Determine the patient‘s personal data v7 v7 v7 v7
andinsurance coverage. v7 7
v v7
b. Ask the patient to take a seat in the
v7 v7 v7 v7 v7 v7 v7 v7
waitingroom until his name is called.
v7 7
v v7 v7 v7 v7 v7
c. Request that a nurse collect data v7 v7 v7 v7 v7
for acomprehensive history.
v7 v7 7
v v7
d. Ask a nurse to start a focused
v7 v7 v7 v7 v7 v7
assessmentof this patient now.
v7 7
v v7 v7 v7
ANSWER: D v7
The nurse needs to begin an assessment as soon as possible that is focused on this
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
patient‘scardiovascular system. The type of health assessment performed by the nurse
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
is also drivenby patient need. Personal data and insurance information will be
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
obtained, but in this situation, these data can wait until after the patient is assessed.
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Based also on Maslow‘s hierarchy of needs, physiologic needs take precedence.
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Rather than asking the patient to wait, the nurse needs to begin data collection, such
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
as vital signs, immediately to determinethe patient‘s health status. Complications can
v7 v7 v7 v7 v7 v7 7
v v7 v7 v7 v7 v7
be prevented if an immediate assessment is made to analyze the patient‘s symptoms.
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
A comprehensive history is not indicated in this situation at this time. Some
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
subjective data will be collected, such as allergies and medical history related to
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
assessment is not a priority at this time.
v7 v7 v7 v7 v7 v7 v7 v7
DIF: Cognitive Level: Apply
v7 v7 v 7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
2. Which situation illustrates a screening assessment?
v7 v7 v7 v7 v7
a. A patient visits an obstetric clinic for the v7 v7 v7 v7 v7 v7 v7
first time and the nurse conducts a v7 v7 v7 v7 v7 v7 v7
detailedhistory and physical examination. v7 7
v v7 v7 v7
b. A hospital sponsors a health fair at a v7 v7 v7 v7 v7 v7 v7
localmall and provides cholesterol and v7 7
v v7 v7 v7 v7
blood pressure checks to mall patrons. v7 v7 v7 v7 v7 v7
c. The nurse in an urgent care center v7 v7 v7 v7 v7 v7
checksthe vital signs of a patient who v7 7
v v7 v7 v7 v7 v7 v7
is complaining of leg pain. v7 v7 v7 v7 v7
, d. A patient newly diagnosed with
v7 v7 v7 v7
diabetesmellitus comes to test his
v7 7
v v7 v7 v7 v7
fasting blood glucose level.
v7 v7 v7 v7
ANSWER: B v7
A health fair at a local mall that provides cholesterol and blood pressure checks is
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
an example of a screening assessment focused on disease detection. A detailed
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
history and physical examination conducted during a first-time visit to an obstetric
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
clinic is an exampleof a comprehensive assessment. Assessing a patient complaining
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
of leg pain in the triage area of an urgent care center is an example of a problem-
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
based/focused assessment. A patient‘s return appointment 1 month after today‘s office
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
visit to report fasting blood glucose levels is an example of an episodic or follow-up
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
assessment.
v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
v7 v7 v7 v7 v7 v7 v7 v7 v7
3. For which person is a screening assessment indicated?
v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted v7 v7 v7 v7 v7
to along-term care facility v7 v7 7
v v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: B v7
A screening assessment is performed for the purpose of disease detection. In this
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
case thisperson may have diabetes mellitus. A shift assessment is most appropriate
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
for the person who is recovering in the hospital from surgery. A comprehensive
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
assessment is performedduring admission to a facility to obtain a detailed history
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
and complete physical examination. An episodic or follow-up assessment is
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
performed after knee replacement toevaluate the outcome of the procedure.
v7 v7 v7 v7 v7 7
v v7 v7 v7 v7 v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
4. For which person is a shift assessment indicated?
v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted to a v7 v7 v7 v7 v7 v7 v7
long-term care facility v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: A v7
A shift assessment is most appropriate for the person who is recovering in the
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
hospital fromsurgery. A screening assessment is performed for the purpose of disease
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
detection, in this case diabetes mellitus. A comprehensive assessment is performed
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
during admission to a
v7 v7 v7 v7
, facility to obtain a detailed history and complete physical examination. An episodic
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
or follow-up assessment is performed after knee replacement to evaluate the
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
outcome of theprocedure.
v7 v7 v7 v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
4TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
5. For which person is a comprehensive assessment indicated?
v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted v7 v7 v7 v7 v7
to along-term care facility v7 v7 7
v v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: C v7
A comprehensive assessment is performed during admission to a facility to obtain a
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
detailed history and complete physical examination. A shift assessment is most
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
appropriatefor the person who is recovering in the hospital from surgery. A
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
screening assessment is performed for the purpose of disease detection, in this case
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
diabetes mellitus. An episodic or follow-up assessment is performed after knee
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
replacement to evaluate the outcome of the procedure.
v7 v7 v7 v7 v7 v7 v7 v7
DIF: Cognitive Level: Understand
v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
Care:Establishing Priorities
v7 7
v v7
6. For which person is an episodic or follow-up assessment indicated?
v7 v7 v7 v7 v7 v7 v7 v7 v7
a. The person who had abdominal v7 v7 v7 v7
surgeryyesterday v7 7
v
b. The person who is unaware of his v7 v7 v7 v7 v7 v7
highserum glucose levels v7 7
v v7 v7
c. The person who is being admitted to a v7 v7 v7 v7 v7 v7 v7
long-term care facility v7 v7
d. The person who is beginning v7 v7 v7 v7
rehabilitationafter a knee replacement v7 7
v v7 v7 v7
ANSWER: D v7
An episodic or follow-up assessment is performed after the knee replacement to
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
evaluate the outcome of the procedure. A shift assessment is most appropriate for
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
the person who isrecovering in the hospital from surgery. A screening assessment is
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
performed for the purpose of disease detection, in this case diabetes mellitus. A
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
comprehensive assessment is performed during admission to a facility to obtain a
v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7 v7
detailed history and complete physicalexamination.
v7 v7 v7 v7 v7 7
v
DIF: Cognitive Level: Understand
v7 v7 v7 v7 v7 REF: Box 1-3 | p. v7 v7 v7 v7
3TOP: Nursing Process: Assessment
v7 7
v v7 v7 v7
