Test Bank For Health Assessment for Nursing Practice, 7th Edition by Susan F Wilson, Jean Foret Giddens All Chapters 1-24

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Chapterd01:dIntroductiondtodHealthdAssessment




MULTIPLEdCHOICE

1. Adpatientdcomesdtodthedemergencyddepartmentdanddtellsdthedtriagednursedthatdhedi
sd“havingdadheartdattack.”dWhatdisdthednurse’sdtopdprioritydatdthisdtime?
a. Determinedthedpatient’sdpersonalddatadandd
insurancedcoverage.
b. Askdthedpatientdtodtakedadseatdindthedwaitingdr
oomduntildhisdnamedisdcalled.
c. Requestdthatdadnursedcollectddatadfordad
comprehensivedhistory.
d. Askdadnursedtodstartdadfocuseddassessmentd
ofdthisdpatientdnow.
ANS:dD
Thednursedneedsdtodbegindandassessmentdasdsoondasdpossibledthatdisdfocuseddondthisdpatient’sdc
ardiovasculardsystem.dThedtypedofdhealthdassessmentdperformeddbydthednursedisdalsoddrivendb
ydpatientdneed.dPersonalddatadanddinsurancedinformationdwilldbedobtained,dbutdindthisdsituatio
n,dtheseddatadcandwaitduntildafterdthedpatientdisdassessed.dBaseddalsodondMaslow’sdhierarchydof
dneeds,dphysiologicdneedsdtakedprecedence.dRatherdthandaskingdthedpatientdtodwait,dthednursed

needsdtodbeginddatadcollection,dsuchdasdvitaldsigns,dimmediatelydtoddeterminedthedpatient’sdhea
lthdstatus.dComplicationsdcandbedpreventeddifdandimmediatedassessmentdisdmadedtodanalyzedth
edpatient’sdsymptoms.dAdcomprehensivedhistorydisdnotdindicateddindthisdsituationdatdthisdtime.d
Somedsubjectiveddatadwilldbedcollected,dsuchdasdallergiesdanddmedicaldhistorydrelateddtodcardi
ovascularddisease.dEyes,dears,dordadcompletedmusculoskeletaldordmentaldhealthdassessmentdisd
notdadprioritydatdthisdtime.

DIF:ddd CognitivedLevel:dApply REF:d Boxd1-
3d|dp.d3dTOP:dNursingdProcess:dAssessment

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ursing Practice 7th Edition by Wilson.
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MSC:dNCLEXdPatientdNeeds:dSafedanddEffectivedCaredEnvironment:dManagementdofdCare:d
EstablishingdPriorities

2. Whichdsituationdillustratesdadscreeningdassessment?
a. Adpatientdvisitsdandobstetricdclinicdfordthedfi
rstdtimedanddthednursedconductsdaddetaileddhi
storydanddphysicaldexamination.
b. Adhospitaldsponsorsdadhealthdfairdatdadlocald
malldanddprovidesdcholesteroldanddblooddp
ressuredchecksdtodmalldpatrons.
c. Thednursedindandurgentdcaredcenterdchecksdt
hedvitaldsignsdofdadpatientdwhodisdcomplai
ningdofdlegdpain.

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