Test Bank for Nursing Health Assessment The Foundation of Clinical Practice, 3rd Edition, Patricia M. Dillon

Chapter 01: The Complete Health Assessment Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient? 1) Divergent thinking 2) Reasoning 3) Creativity 4) Reflection ____ 2. The primary level of preventive health care focuses on which topic? 1) Health promotion 2) Early detection 3) Promotion intervention 4) End-of-life care ____ 3. The nurse is prioritizing data collected during the health assessment. Which data is primary? 1) Pain rating of 4 on a 1 to 10 numeric scale 2) New diagnosis of type 2 diabetes mellitus (DM) 3) Blood pressure of 130/90 mmHg 4) Pulse oximetry reading of 73% ____ 4. Which type of skill is most important when performing a physical assessment? 1) Psychomotor 2) Interpersonal 3) Ethical 4) Affective ____ 5. Which activity is an example of secondary prevention? 1) Wound débridement 2) Immunization 3) Preoperative teaching 4) Long-term nasogastric feedings ____ 6. Which assessment data is considered a symptom? 1) Rapid respirations 2) Sweaty palms 3) Belching 4) Feelings of anxiety ____ 7. Who or what is considered the primary data source for a toddler-age patient? 1) The toddler 2) A parent 3) The medical record 4) Other healthcare providers ____ 8. Which part of the assessment provides the most subjective data? 1) Health history 2) Physical assessment 3) Review of medical records 4) Medication record ____ 9. The nurse is preparing to conduct a health history for a new patient. Where would the nurse gather data for this portion of the assessment? 1) The patient's chart 2) A physical assessment 3) Laboratory tests 4) A discussion with the patient ____ 10. The nurse is preparing to begin a health history for a new patient. Which question is most appropriate for the nurse to begin the process? 1) “What problem brought you here today?” 2) “How old are you?” 3) “Have you had any difficulty breathing?” 4) “What childhood illnesses have you had?” ____ 11. Which is the reason for asking the patient about family history of diseases when conducting a health history interview? 1) To identify functional or dysfunctional family dynamics 2) To identify support systems 3) To identify familial or genetically linked health disorders 4) To identify rehabilitation needs ____ 12. Which data are part of the past health history? 1) Health beliefs 2) Surgeries 3) Genetically linked diseases 4) Age of siblings ____ 13. Which is the purpose of the nursing health history? 1) To determine the patient's response to the health problem 2) To determine the extent of the health problem 3) To determine which medications are appropriate to alleviate the health problem 4) All of the above ____ 14. Which setting is the best place to gather data for a health history? 1) Waiting room 2) Hallway 3) Patient's room 4) On the way to surgery ____ 15. The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the nurse to assume during this process? 1) Leaning over the bed 2) Standing at the bedside 3) Sitting on the bed 4) Sitting on a chair at the bedside ____ 16. The nurse is asking a patient questions about health practices and beliefs. In which portion of the health history will the nurse document these findings? 1) Psychosocial profile 2) Current health problems 3) Past health problems 4) Developmental considerations