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Nursing Practice 8th Edition by Susan
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Fickertt Wilson & Jean Foret Giddens
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Complete Chapters 1-24 With Expert Approved Q&As & Explanations
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for Exam Preparation| A+ PASS GUARANTEED
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1 |P a g e
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, Chapter 1: Importance of Health Assessment L
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1. A patient comes to the emergency department and tells the triage nurse that he is —having a heart
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attack.‖ What is the nurse‘s top priority at this time?
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a. Determine the patient‘s personal data and insurance coverage. L
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b. Ask the patient to take a seat in the waiting room until his name is called.
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c. Request that a nurse collect data for a comprehensive history. L
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d. Ask a nurse to start a focused assessment of this patient now.
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CORRECT ANSWER: D L
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Feedback
A Personal data and insurance information will be obtained, but in this situation, these data can wait FT L FT L L
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until after the patient is assessed.
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B Rather than asking the patient to wait, the nurse needs to begin data collection, such as vital signs, L
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immediately to determine the patient‘s health status. L
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C A comprehensive history is not indicated in this situation at this time. Some subjective data will
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be collected, such as allergies and medical history related to cardiovascular disease.
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D The nurse needs to begin an assessment as soon as possible that is focused on
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this patient‘s cardiovascular system. The type of health assessment performed by the nurse is also driven
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by patient need.
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DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment FT L FT L F T L FT L FT L L
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
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Priorities
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2. Which situation illustrates a screening assessment? L
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a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and
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physical examination.
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b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure
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checks to mall patrons.
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,c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg
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pain.
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d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.
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CORRECT ANSWER: B L
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Feedback
A A detailed history and physical examination conducted during a first-time visit to an obstetric
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clinic is an example of a comprehensive assessment.
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B A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
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a screening assessment focused on disease detection.
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C Assessing a patient complaining of leg pain in the triage area of an urgent care center is an FT L FT L L
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example of a problem-based/focused assessment.
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D A patient‘s return appointment 1 month after today‘s office visit to report fasting blood glucose
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levels is an example of an episodic or follow-up assessment.
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DIF: Cognitive Level: Understand FT L FT L REF: 3 TOP: Nursing Process: Assessment FT L FT L FT L FT L FT L
FT 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 yesterday
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b. The person who is unaware of his high serum glucose levels
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c. The person who is being admitted to a long-term care facility
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d. The person who is beginning rehabilitation after a knee replacement
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FT CORRECT ANSWER: B
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Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
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surgery.
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, B A screening assessment is performed for the purpose of disease detection. In this case this person
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may have diabetes mellitus.
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C A comprehensive assessment is performed during admission to a facility to obtain a detailed
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history and complete physical examination.
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D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
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of the procedure.
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DIF: Cognitive Level: Understand L
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
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Priorities
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4. For which person is a shift assessment indicated?
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a. The person who had abdominal surgery yesterday
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b. The person who is unaware of his high serum glucose levels.
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c. The person who is being admitted to a long-term care facility.
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d. The person who is beginning rehabilitation after a knee replacement.
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CORRECT ANSWER: A L
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Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
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surgery.
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B A screening assessment is performed for the purpose of disease detection, in this case diabetes
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mellitus.
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C A comprehensive assessment is performed during admission to a facility to obtain a detailed
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history and complete physical examination.
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D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
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of the procedure.
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DIF: Cognitive Level: Understand L
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
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Priorities
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4 |P a g e
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