NUR 3065 - PrepU Chapter 4 Exam
Questions With Verified Answers
The nurse knows that the reason for a complete health assessment in regard to
any client is to? Select all that apply. (Select all that apply.)
- Obtain accurate and complete data
- Plan interventions
- Help the nurse diagnose the client's illness
- Validate laboratory results
- Complete a family history - ANSWER Plan interventions
Explanation:
The reason for completing the assessment is to have data that are accurate and
complete so that a plan can be developed with interventions that promote
health. A nurse does not complete the assessment to help the nurse diagnose
the illness, validate laboratory results, or complete a family history.
The nurse is assessing an older adult client a hospice unit. The client cannot
speak or communicate, but the client's daughter is there and answers all the
questions as best as she can. What type of data source is the daughter? -
ANSWER Secondary
Explanation:
Charts and family members are considered secondary data sources. Primary
data would be directly from the client. Subjective data are based on the signs
and symptoms that the client reports; they may not be perceived by observers.
A genogram is developed to visually show what? - ANSWER Family health
patterns
Explanation:
A common tool used to understand family health patterns is the genogram. This
graphic representation allows the nurse to map family structures and compile a
large amount of information visually. Genograms make it easier for the nurse to
identify the complexity of families and validate patterns pertinent to clients. A
, genogram is much more than a family tree showing family relationships or
nationalities of family members.
A client comes to the Emergency Department with bruises on her upper and
lower body and appears to be withdrawn. The injuries do not appear consistent
with the explanations for them. The client's boyfriend refuses to leave the
examination room and is overly protective of her. The nurse suspects: -
ANSWER Human violence
Explanation:
The indications should raise the nurse's suspicions of abuse of the client by the
boyfriend. Commonly, abusers are overly protective in the presence of others
and will not leave the examination room. Hypertension, inability to perform
ADLs, and the eating disorder anorexia nervosa are not indicated in this
scenario of bruising and withdrawal.
A client arrives at the Emergency Department reporting shortness of breath.
She is cyanotic with bilateral wheezing. The client begins to gasp for air and
cannot speak. The nurse begins to gather information so that interventions can
resolve the immediate breathing problem. Her assessment and interventions are
concurrent. The nurse is performing what type of health history? - ANSWER
Emergency
Explanation:
The nurse is performing an emergency health history, the purpose of which is to
collect the most important information and defer obtaining details until the client
is stable. The focused health history involves questions that relate to the current
situation. The comprehensive health history takes place during an annual
physical examination. There is not a primary health history for clients.
A client comes to the emergency department with severe abdominal pain. When
performing a complete assessment, the nurse would focus on which of the
following areas when covering past health history? - ANSWER previous medical
and surgical problems
Explanation:
The past health history includes asking about previous medical and surgical
problems along with their dates. Aggravating factors, duration, and intensity of
the pain are all part of the history of present illness.
When recording the client's chief concerns during the health history, it is
recommended that the interviewer do which of the following?
- Summarize the client's words.
- Quote the client's words.
- Describe the client's concerns and health goals.
- Paraphrase the client's words. - ANSWER Quote the client's words.
Questions With Verified Answers
The nurse knows that the reason for a complete health assessment in regard to
any client is to? Select all that apply. (Select all that apply.)
- Obtain accurate and complete data
- Plan interventions
- Help the nurse diagnose the client's illness
- Validate laboratory results
- Complete a family history - ANSWER Plan interventions
Explanation:
The reason for completing the assessment is to have data that are accurate and
complete so that a plan can be developed with interventions that promote
health. A nurse does not complete the assessment to help the nurse diagnose
the illness, validate laboratory results, or complete a family history.
The nurse is assessing an older adult client a hospice unit. The client cannot
speak or communicate, but the client's daughter is there and answers all the
questions as best as she can. What type of data source is the daughter? -
ANSWER Secondary
Explanation:
Charts and family members are considered secondary data sources. Primary
data would be directly from the client. Subjective data are based on the signs
and symptoms that the client reports; they may not be perceived by observers.
A genogram is developed to visually show what? - ANSWER Family health
patterns
Explanation:
A common tool used to understand family health patterns is the genogram. This
graphic representation allows the nurse to map family structures and compile a
large amount of information visually. Genograms make it easier for the nurse to
identify the complexity of families and validate patterns pertinent to clients. A
, genogram is much more than a family tree showing family relationships or
nationalities of family members.
A client comes to the Emergency Department with bruises on her upper and
lower body and appears to be withdrawn. The injuries do not appear consistent
with the explanations for them. The client's boyfriend refuses to leave the
examination room and is overly protective of her. The nurse suspects: -
ANSWER Human violence
Explanation:
The indications should raise the nurse's suspicions of abuse of the client by the
boyfriend. Commonly, abusers are overly protective in the presence of others
and will not leave the examination room. Hypertension, inability to perform
ADLs, and the eating disorder anorexia nervosa are not indicated in this
scenario of bruising and withdrawal.
A client arrives at the Emergency Department reporting shortness of breath.
She is cyanotic with bilateral wheezing. The client begins to gasp for air and
cannot speak. The nurse begins to gather information so that interventions can
resolve the immediate breathing problem. Her assessment and interventions are
concurrent. The nurse is performing what type of health history? - ANSWER
Emergency
Explanation:
The nurse is performing an emergency health history, the purpose of which is to
collect the most important information and defer obtaining details until the client
is stable. The focused health history involves questions that relate to the current
situation. The comprehensive health history takes place during an annual
physical examination. There is not a primary health history for clients.
A client comes to the emergency department with severe abdominal pain. When
performing a complete assessment, the nurse would focus on which of the
following areas when covering past health history? - ANSWER previous medical
and surgical problems
Explanation:
The past health history includes asking about previous medical and surgical
problems along with their dates. Aggravating factors, duration, and intensity of
the pain are all part of the history of present illness.
When recording the client's chief concerns during the health history, it is
recommended that the interviewer do which of the following?
- Summarize the client's words.
- Quote the client's words.
- Describe the client's concerns and health goals.
- Paraphrase the client's words. - ANSWER Quote the client's words.
