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Nursing Health Assessment The Foundation of Clinical Practice,
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3rd Edition, Patricia M. Dillon
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,Table of Contents
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1. Introduction to Assessment
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2. Assessing the Integumentary System
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3. Assessing the Head, Face and Neck
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4. Assessing Eyes and the Ears
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5. Assessing the Respiratory System
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6. Assessing the Cardiovascular System
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7. Assessing the Peripheral -Vascular and Lymphatic Systems
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8. Assessing the Breasts
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9. Assessing the Abdomen
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10. Assessing the Female Genitourinary
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11. Assessing the Male Genitourinary
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12. Assessing the Motor Musculoskeletal System
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13. Assessing the Sensory Neurological System
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14. Assessing the Mother to Be
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15. Assessing the Newborn and Infant
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16. Assessing the Toddler and Preschooler
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17. Assessing the School-Age Child and Adolescent
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18. Assessing the Older Adult
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19. Assessing the Homeless Person
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20. Assessing Pain h
,21. Approach to the Mental Health Assessment
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22. Assessing Nutrition
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23. Assessing Spirituality
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24. Assessing Culture
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25. Assessing the Patient’s Environment
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26. Assessing Abuse
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27. Assessing the Dying Patient—new
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, Chapter 01: The Complete Health Assessment
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MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.
1. Whichhcriticalhthinkinghskillhallowshthehnursehtohthinkhoutsidehofhthehboxhwhenhassessinghahpatient?
1) Divergenththinking
2) Reasoning
3) Creativity
4) Reflection
2. Thehprimaryhlevelhofhpreventivehhealthhcarehfocuseshonhwhichhtopic?
1) Healthhpromotion
2) Earlyhdetection
3) Promotionhintervention
4) End-of-lifehcare
3. Thehnursehishprioritizinghdatahcollectedhduringhthehhealthhassessment.hWhichhdatahishprimary?
1) Painhratinghofh4honhah1htoh10hnumerichscale
2) Newhdiagnosishofhtypeh2hdiabeteshmellitush(DM)
3) Bloodhpressurehofh130/90hmmHg
4) Pulsehoximetryhreadinghofh73%
4. Whichhtypehofhskillhishmosthimportanthwhenhperforminghahphysicalhassessment?
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Whichhactivityhishanhexamplehofhsecondaryhprevention?
1) Woundhdébridement
2) Immunization
3) Preoperativehteaching
4) Long-termhnasogastrichfeedings
6. Whichhassessmenthdatahishconsideredhahsymptom?
1) Rapidhrespirations
2) Sweatyhpalms
3) Belching
4) Feelingshofhanxiety
7. Whohorhwhathishconsideredhthehprimaryhdatahsourcehforhahtoddler-agehpatient?
1) Thehtoddler
2) Ahparent
3) Thehmedicalhrecord
4) Otherhhealthcarehproviders
8. Whichhparthofhthehassessmenthprovideshthehmosthsubjectivehdata?
1) Healthhhistory
2) Physicalhassessment
3) Reviewhofhmedicalhrecords
4) Medicationhrecord