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Nursing Health Assessment The Foundation of Clinical Practice,
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ll 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
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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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Multiple llChoice
Identify llthe llchoice llthat llbest llcompletes llthe llstatement llor llanswers llthe llquestion.
1. Which llcritical llthinking llskill llallows llthe llnurse llto llthink lloutside llof llthe llbox llwhen llassessing lla llpatient?
1) Divergent llthinking
2) Reasoning
3) Creativity
4) Reflection
2. The llprimary lllevel llof llpreventive llhealth llcare llfocuses llon llwhich lltopic?
1) Health llpromotion
2) Early lldetection
3) Promotion llintervention
4) End-of-life llcare
3. The llnurse llis llprioritizing lldata llcollected llduring llthe llhealth llassessment. llWhich lldata llis llprimary?
1) Pain llrating llof ll4 llon lla ll1 llto ll10 llnumeric llscale
2) New lldiagnosis llof lltype ll2 lldiabetes llmellitus ll(DM)
3) Blood llpressure llof ll130/90 llmmHg
4) Pulse lloximetry llreading llof ll73%
4. Which lltype llof llskill llis llmost llimportant llwhen llperforming lla llphysical llassessment?
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which llactivity llis llan llexample llof llsecondary llprevention?
1) Wound lldébridement
2) Immunization
3) Preoperative llteaching
4) Long-term llnasogastric llfeedings
6. Which llassessment lldata llis llconsidered lla llsymptom?
1) Rapid llrespirations
2) Sweaty llpalms
3) Belching
4) Feelings llof llanxiety
7. Who llor llwhat llis llconsidered llthe llprimary lldata llsource llfor lla lltoddler-age llpatient?
1) The lltoddler
2) A llparent
3) The llmedical llrecord
4) Other llhealthcare llproviders
8. Which llpart llof llthe llassessment llprovides llthe llmost llsubjective lldata?
1) Health llhistory
2) Physical llassessment
3) Review llof llmedical llrecords
4) Medication llrecord