Test Bank for Health
CHOICE
Assessment for Nursing Practice 7th
Edition by Wilson.
100% Correct Answers
Latest Updated Examination Study
Guide 2023/2024
MULTIPLE91
,Test91Bank91for91Health91Assessment91for91Nursing91Prac
tice917th91Edition91by91Wilson.
Downloaded91by:91cmedrano1491|
, 91 Test Bank for Health Assessment for
91 91 91 91 91
Nursing Practice 7th Edition by Wilso
91 91 91 91 91 9191
n.
100% Correct Answers Late 91 91 91
st Updated Examination Study
91 91 91
Guide 2023/2024 91
.
Chapter9101:91Introduction91to91Health91Assessment
1. A91patient91comes91to91the91emergency91department91and91tells91the91triage91n
urse91that91he91is91“having91a91heart91attack.”91What91is91the91nurse’s91top91priority91at9
1this91time?
a. Determine91the91patient’s91personal91data91
and91insurance91coverage.
b. Ask91the91patient91to91take91a91seat91in91the
91waiting91room91until91his91name91is91cal
led.
c. Request91that91a91nurse91collect91data91for91
a91comprehensive91history.
d. Ask91a91nurse91to91start91a91focused91asses
sment91of91this91patient91now.
ANS:91D
The91nurse91needs91to91begin91an91assessment91as91soon91as91possible91that91is91focused91o
n91this91patient’s91cardiovascular91system.91The91type91of91health91assessment91performed91
by91the91nurse91is91also91driven91by91patient91need.91Personal91data91and91insurance91infor
mation91will91be91obtained,91but91in91this91situation,91these91data91can91wait91until91after91t
he91patient91is91assessed.91Based91also91on91Maslow’s91hierarchy91of91needs,91physiologic9
1needs91take91precedence.91Rather91than91asking91the91patient91to91wait,91the91nurse91needs
91to91begin91data91collection,91such91as91vital91signs,91immediately91to91determine91the91pati
ent’s91health91status.91Complications91can91be91prevented91if91an91immediate91assessment9
1is91made91to91analyze91the91patient’s91symptoms.91A91comprehensive91history91is91not91in
dicated91in91this91situation91at91this91time.91Some91subjective91data91will91be91collected,91s
uch91as91allergies91and91medical91history91related91to91cardiovascular91disease.91Eyes,91ear
s,91or91a91complete91musculoskeletal91or91mental91health91assessment91is91not91a91priority9
, 1at91this91time.
DIF:9 1 Cognitive91Level:91Apply REF:91 Box911-
391|91p.91391TOP:91Nursing91Process:91Assessment
CHOICE
Assessment for Nursing Practice 7th
Edition by Wilson.
100% Correct Answers
Latest Updated Examination Study
Guide 2023/2024
MULTIPLE91
,Test91Bank91for91Health91Assessment91for91Nursing91Prac
tice917th91Edition91by91Wilson.
Downloaded91by:91cmedrano1491|
, 91 Test Bank for Health Assessment for
91 91 91 91 91
Nursing Practice 7th Edition by Wilso
91 91 91 91 91 9191
n.
100% Correct Answers Late 91 91 91
st Updated Examination Study
91 91 91
Guide 2023/2024 91
.
Chapter9101:91Introduction91to91Health91Assessment
1. A91patient91comes91to91the91emergency91department91and91tells91the91triage91n
urse91that91he91is91“having91a91heart91attack.”91What91is91the91nurse’s91top91priority91at9
1this91time?
a. Determine91the91patient’s91personal91data91
and91insurance91coverage.
b. Ask91the91patient91to91take91a91seat91in91the
91waiting91room91until91his91name91is91cal
led.
c. Request91that91a91nurse91collect91data91for91
a91comprehensive91history.
d. Ask91a91nurse91to91start91a91focused91asses
sment91of91this91patient91now.
ANS:91D
The91nurse91needs91to91begin91an91assessment91as91soon91as91possible91that91is91focused91o
n91this91patient’s91cardiovascular91system.91The91type91of91health91assessment91performed91
by91the91nurse91is91also91driven91by91patient91need.91Personal91data91and91insurance91infor
mation91will91be91obtained,91but91in91this91situation,91these91data91can91wait91until91after91t
he91patient91is91assessed.91Based91also91on91Maslow’s91hierarchy91of91needs,91physiologic9
1needs91take91precedence.91Rather91than91asking91the91patient91to91wait,91the91nurse91needs
91to91begin91data91collection,91such91as91vital91signs,91immediately91to91determine91the91pati
ent’s91health91status.91Complications91can91be91prevented91if91an91immediate91assessment9
1is91made91to91analyze91the91patient’s91symptoms.91A91comprehensive91history91is91not91in
dicated91in91this91situation91at91this91time.91Some91subjective91data91will91be91collected,91s
uch91as91allergies91and91medical91history91related91to91cardiovascular91disease.91Eyes,91ear
s,91or91a91complete91musculoskeletal91or91mental91health91assessment91is91not91a91priority9
, 1at91this91time.
DIF:9 1 Cognitive91Level:91Apply REF:91 Box911-
391|91p.91391TOP:91Nursing91Process:91Assessment