TEST BANK
ESSENTIAL HEALTH ASSESSMENT 2ND
EDITION BY JANICE THOMPSON
LATEST UPDATE
, Table Of Contents
Chapter 1: Understanding Health Assessment .....................................................................................................3
Chapter 2: Interviewing The Patient For The Health History ........................................................................... 13
Chapter 3: Taking The Health History .............................................................................................................. 42
Chapter 4: Assessing Nutrition And Anthropometric Measurements ................................................................ 64
Chapter 5: Assessment Techniques .................................................................................................................. 91
Chapter 6: General Survey And Assessing Vital Signs ....................................................................................102
Chapter 7: Assessing Pain................................................................................................................................131
Chapter 8: Assessing The Skin, Hair, And Nails..............................................................................................152
Chapter 9: Assessing The Head, Face, Mouth, And Neck ...............................................................................191
Chapter 10: Assessing The Ears.......................................................................................................................232
Chapter 11: Assessing The Eyes ......................................................................................................................253
Chapter 12: Assessing The Respiratory System...............................................................................................284
Chapter 13: Assessing The Cardiovascular System .........................................................................................311
Chapter 14: Assessing The Abdomen ..............................................................................................................338
Chapter 15: Assessing The Peripheral Vascular System And Regional Lymphatic System ............................366
Chapter 16: Assessing The Musculoskeletal System .......................................................................................394
Chapter 17: Assessing The Neurological System ............................................................................................420
Chapter 18: Assessing The Female Breasts, Axillae, And Reproductive System .............................................454
Chapter 19: Assessing The Male Breasts And Reproductive System ..............................................................480
Chapter 20: Assessing The Anus And Rectum ................................................................................................504
Chapter 21: Assessing The Newborn ...............................................................................................................520
Chapter 22: Assessing The Child And Adolescent ..........................................................................................558
Chapter 23 Assessing The Pregnant Woman ...................................................................................................586
Chapter 24: Assessing The Older Adult ...........................................................................................................615
, WWW.
Chapter 1: Understanding Health Assessment
1. The World Health Organization (Who) Established A Global Strategy Called “Health For
All.” The Goal For This Strategy Is:
1. All Individuals To Get The Same Health Care Throughout Their Life Spans.
2. The Government To Supply Money To Care For All The People In The World.
3. Resources For Health Care To Be Evenly Distributed And Accessible.
4. Health-Care Providers Can Never Deny Patients Health Care.
2. Health Assessment Is A Foundational And Priority Nursing Skill. This Essential
Skill Requiresregistered Nurses (Rns) To:
1. Diagnose And Treat Patients.
2. Identify Normal And Abnormal Findings.
3. Refer Patients With Abnormal Findings.
4. Counsel Patients With Psychosocial Needs.
3. You Are Assessing A Patient With Five Gunshot Wounds On A Trauma Unit. There Is
A Police Presence Outside His Door Because The Patient Is A Known Drug Dealer In The
Community. You Know That Nurses Must Treat All Patients As Persons. This Is Called:
1. Caring.
2. Holistic Process.
3. Person-Centered Care (Pcc).
4. Standards Of Care.
4. The Science-Based Framework Updated Every 10 Years By The U.S. Department Of
Health And Human Services That Has Set National Goals And Objectives For Health
Promotion And Disease Prevention Is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
5. A 38-Year-Old Male Has A Family History Of Colon Cancer. His Father Died Of Colon Cancer
At Age
48. The Doctor Recommended That This Patient Have A Colonoscopy This Year. This Is An
Example Of:
1. Primary Health Prevention.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
2. Secondary Health Prevention.
3. Tertiary Health Prevention.
6. A Patient In The Hospital Puts On His Call Light And Tells The Person Answering That He
“Thinks He Is Running A Fever And Has Stomach Discomfort.” You Are The Registered Nurse
In Charge. What Should You Do?
1. Ask The Medical Assistant To Go To The Patient’s Room And Assess His Complaints.
2. Go Check To See If The Patient Has An Order For Tylenol For A Fever.
3. PAGE The Resident On Call Immediately To Assess The Patient.
4. Go To The Patient’s Room And Assess For Fever And The Epigastric Discomfort.
7. You Are Leading An Interdisciplinary Team Conference To Discuss How To Provide Better
Care For A Challenging Patient Who Has Behavioral Problems. There Are Several Areas That
Need To Be Problem Solved And New Ideas Formulated To Create An Improved Plan Of Care.
What Cognitive Skills Are You Using?
1. Critical Thinking
2. Clinical Decision Making
3. Intuitive Thinking
4. Clinical Reasoning
8. Best Practice Assessment Techniques And Instruments Have Been Validated By:
1. American Nurses Association.
2. Code Of Ethics For Nurses With Interpretive Statements.
3. Research And Evidence-Based Practice.
4. Patient Protection And Affordable Care Act.
9. Health And Illness Are Determined By Many Factors. What Are The Determinants Of
Health Identified By The Centers For Disease Control And Prevention (Cdc)? Select All
That Apply.
1. Genetics And Biology
2. Gender And Occupation
3. Individual Behavior
4. Social Environment
5. Physical Environment
6. Health Services
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
10. The U.S. Health-Care System Is Evolving, And Care Is Becoming More Focused On Which
Of The Following? Select All That Apply.
1. Wellness
2. Functional Status
3. Disease Prevention
4. Health Promotion
5. Acute Illness Management
11. You Are Performing A Health Assessment On A 32-Year-Old Female Patient Who Reports
“Feelingfatigued All The Time.” She States, “I Have Not Had A Physical In Over 8 Years
Because I Did Not Have Medical Insurance.” The Patient Will Be Having A Physical Today.
What Will Be Part Of The Health Assessment? Select All That Apply.
1. Collecting Data On Past Health
2. Collecting Data On Present Health
3. Collecting Data On Significant Other’s Health
4. Assessing Factors Influencing Health
5. Performing A Physical Examination
12. You Are Working With A Patient As A Copartner In Care. The Patient Has Multiple
Medical Problems. Put The Following Steps Of The Nursing Process In The Correct Order (1–
5). (Enter The Number Of Each Step In The Proper Sequence; Do Not Use Punctuation Or
Spaces. Example: 1234.)
1. Planning
2. Evaluation
3. Assessment
4. Implementation
5. Diagnosis
13. You Are Working On A Medical Surgical Unit And Are Caring For A 24-Year-Old Patient
Who Is 3 Hours Post-Op. The Patient Seems Confused And Restless Since You Assessed Her An
Hour Ago. You Have A Gut Feeling That Something Is Very Wrong. This Is An Example Of
Thinking.
14. The Four Techniques Of Health Assessment Include Inspection, Palpation, Percussion, And
.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Answers
1. The World Health Organization (Who) Established A Global Strategy Called “Health For
All.” The Goal For This Strategy Is:
1. All Individuals To Get The Same Health Care Throughout Their Life Spans.
2. The Government To Supply Money To Care For All The People In The World.
3. Resources For Health Care To Be Evenly Distributed And Accessible.
4. Health-Care Providers Can Never Deny Patients Health Care.
ANSWER: 3
PAGE: 1
Feedback
1. This Is Incorrect. “Health For All” Does Not Mean That All Individuals Get The
Same Health Care Throughout Their Life Spans.
2. This Is Incorrect. “Health For All” Does Not Mean The Government Will Supply
Money To Care For All The People In The World.
3. This Is Correct. “Health For All” Means That Resources For Health Care Are Evenly
Distributed And Accessible To Everyone.
4. This Is Incorrect. “Health For All” Does Not Mean That Health-Care Providers Can
Deny
Patients Health Care.
2. Health Assessment Is A Foundational And Priority Nursing Skill. This Essential Skill
Requiresregistered Nurses (Rns) To:
1. Diagnose And Treat Patients.
2. Identify Normal And Abnormal Findings.
3. Refer Patients With Abnormal Findings.
4. Counsel Patients With Psychosocial Needs.
ANSWER: 2
PAGE: 5-6
Feedback
1. This Is Incorrect. The Role Of The Rn Is Not To Diagnose And Treat Patients.
2. This Is Correct. Assessing Patients And Being Able To Identify Normal From
Abnormal Findings Is An Essential Role Of The Rn.
3. This Is Incorrect. Rns In Collaboration With The Health-Care Providers Do Refer
Patients. This Is Not The Essential And Foundational Role In Health Assessment.
4. This Is Incorrect. Rns Do Counsel Patients, But It Is Not The Essential And
Foundational Role In Health Assessment.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
3. You Are Assessing A Patient With Five Gunshot Wounds On A Trauma Unit. There Is
A Police Presence Outside His Door Because The Patient Is A Known Drug Dealer In The
Community. You Know That Nurses Must Treat All Patients As Persons. This Is Called:
1. Caring.
2. Holistic Process.
3. Person-Centered Care (Pcc).
4. Standards Of Care.
ANSWER: 3
PAGE: 2
Feedback
1. This Is Incorrect. Caring Is Displaying A Concern For Patients.
2. This Is Incorrect. The Holistic Caring Process Is A Relational Process; The
Nursecollaborates With The Individual To Pursue Goals For Health And Well-
Being.
3. This Is Correct. The New Movement In Health Care Is Person-Centered Care (Pcc),
Which Emphasizes The Intrinsic Value Of Treating All Patients As Persons.
4. This Is Incorrect. Standards Of Care Identify Standards Of Professional Nursing
Practice.
4. The Science-Based Framework Updated Every 10 Years By The U.S. Department Of
Health And Human Services That Has Set N at i on a lggroaalsd aensd mo o
b jrecet i.V ecsof omr Health
Promotion And Disease Prevention Is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
ANSWER: 2
PAGE: 2
Feedback
1. This Is Incorrect. Healthy People Is The General Title For The Nation’s Federal
Initiative.
2. This Is Correct. Healthy People 2020 Specifically Identifies Science-Based, National
Goals And Objectives With 10-Year Targets Designed To Guide National Health
Promotion
And Disease Prevention Efforts To Improve The Health Of All People In The
United States.
3. This Is Incorrect. The U.S. Preventive Services Task Force’s Goal Is To Use
Evidence- Based Medicine To Improve The Health Of All Americans By Making
Evidence-Based
Recommendations About Clinical Preventive Services Such As Screenings,
Counseling Services, And Preventive Medications.
4. This Is Incorrect. The World Health Organization Is A Specialized Agency Of The
United Nations Working To Improve The Health Of The World’s People.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
5. A 38-Year-Old Male Has A Family History Of Colon Cancer. His Father Died Of Colon Cancer
At Age
48. The Doctor Recommended That This Patient Have A Colonoscopy This Year. This Is An
Example Of:
1. Primary Health Prevention.
2. Secondary Health Prevention.
3. Tertiary Health Prevention.
ANSWER: 2
PAGE: 4
Feedback
1. This Is Incorrect. This Is Not An Example Of Primary Prevention. Primary Prevention
Is The Prevention Of Disease And Disability And Focuses On Improving An
Individual’s
Overall Health And Well-Being. Immunizations And Health Education Are Examples
Of Primary Prevention.
2. This Is Correct. Colonoscopy Is An Example Of Secondary Prevention, Which
Encompasses Early Screenings And Detection Of Disease And Treatment Of Diseases.
3. This Is Incorrect. This Is Not An Example Of Tertiary Prevention. Tertiary Prevention
Encompasses The Restoration Of Health After Illness Or Disease Has Occurred. A
Rehabilitation Program For Stroke Patients Is An Example Of Tertiary Prevention.
6. A Patient In The Hospital Puts On His Call Light And Tells The Person Answering That He
“Thinks He Is Running A Fever And Has Stomach Discomfort.” You Are The Registered Nurse
In Charge. What Should You Do?
1. Ask The Medical Assistant To Go To The Patient’s Room And Assess His Complaints.
2. Go Check To See If The Patient Has An Order For Tylenol For A Fever.
3. PAGE The Resident On Call Immediately To Assess The Patient.
4. Go To The Patient’s Room And Assess For Fever And The Epigastric Discomfort.
ANSWER: 4
PAGE: 5
Feedback
1. This Is Incorrect. The Medical Assistant Role Should Never Be To Assess A Patient.
2. This Is Incorrect. The First Priority Would Be To Assess The Patient Prior To
Checking
Medication Orders For Fever.
3. This Is Incorrect. The Nurse Should First Assess The Patient To Give An Objective
Reportto The Resident.
4. This Is Correct. Assessing A Patient Is Always A Priority Role Of The Rn. This Is A
Role That Should Never Be Delegated To The Licensed Practical Nurse Or
Unlicensed
Assistivepersonnel.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
7. You Are Leading An Interdisciplinary Team Conference To Discuss How To Provide Better
Care For A Challenging Patient Who Has Behavioral Problems. There Are Several Areas That
Need To Be Problem Solved And New Ideas Formulated To Create An Improved Plan Of Care.
What Cognitive Skills Are You Using?
1. Critical Thinking
2. Clinical Decision Making
3. Intuitive Thinking
4. Clinical Reasoning
ANSWER: 1
PAGE: 5
Feedback
1. This Is Correct. Critical Thinking Is A Unique Problem-Solving, Reflective Process.
2. This Is Incorrect. Clinical Decision Making Determines What Is Needed And When It
Is
Needed.
3. This Is Incorrect. Intuitive Thinking Is A “Gut Feeling” That Something Is Wrong
Or That The Nurse Should Do Something, Even If There Is No Real Evidence To
Support
Thatfeeling.
4. This Is Incorrect. Clinical Reasoning Uses An Individual’s History, Physical Signs,
Symptoms, Laboratory Data,Gar ndaddie
agsnm
osotir
cEim.Acgo
inm
g To Arrive At A Diagnosis And
Formulate A Treatment Plan.
8. Best Practice Assessment Techniques And Instruments Have Been Validated By:
1. American Nurses Association.
2. Code Of Ethics For Nurses With Interpretive Statements.
3. Research And Evidence-Based Practice.
4. Patient Protection And Affordable Care Act.
ANSWER: 3
PAGE: 7
Feedback
1. This Is Incorrect. The American Nurses Association Is The Professional Nursing
Organization Providing Standards Of Nursing Care, Promoting A Safe And Ethical
Work
Environment, And Advocating Health-Care Issues.
2. This Is Incorrect. The Code Of Ethics For Nurses With Interpretive Statements
Provides A Statement Of The Ethical Values And Duties Of Every Individual Who
Enters The Nursing Profession.
3. This Is Correct. Best Practice Assessments And Instruments Have Been Validated By
Research. Nursing Research And Evidence-Based Practice Guide Our Assessments
And
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Clinical Decisions To Provide Safe And Effective Care.
4. This Is Incorrect. The Patient Protection And Affordable Care Act, Known As
Obamacare, Has Goals To Provide Higher-Quality, Safer, And More Affordable And
Accessible Care.
9. Health And Illness Are Determined By Many Factors. What Are The Determinants Of
Health Identified By The Centers For Disease Control And Prevention (Cdc)? Select All
That Apply.
1. Genetics And Biology
2. Gender And Occupation
3. Individual Behavior
4. Social Environment
5. Physical Environment
6. Health Services
ANSWER: 1, 3, 4, 5, 6
PAGE: 2
Feedback
1. This Is Correct. The Cdc Identifies Genetics And Biology (I.E., Age And Sex) As A
Determinant Of Health.
2. This Is Incorrect. Occupation Is Not Identified As A Determinant Of Health.
3. This Is Correct. The Cdc Identifies Individual Behavior (I.E., Alcohol Use,
Unprotected Sex, Smoking) As A Determinant Of Health.
4. This Is Correct. The Cdc Identifies Social Environment (I.E., Income And Lifestyle)
As A Determinant Of Health.
5. This Is Correct. The Cdc Identifies Physical Environment (I.E., Where The Individual
Lives) As A Determinant Of Health.
6. This Is Correct. The Cdc Identifies Health Services (I.E., Insurance And Access To
Health Care) As A Determinant Of Health.
10. The U.S. Health-Care System Is Evolving, And Care Is Becoming More Focused On Which
Of The Following? Select All That Apply.
1. Wellness
2. Functional Status
3. Disease Prevention
4. Health Promotion
5. Acute Illness Management
ANSWER: 1, 3, 4
PAGE: 1
Feedback
ESSENTIAL HEALTH ASSESSMENT 2ND
EDITION BY JANICE THOMPSON
LATEST UPDATE
, Table Of Contents
Chapter 1: Understanding Health Assessment .....................................................................................................3
Chapter 2: Interviewing The Patient For The Health History ........................................................................... 13
Chapter 3: Taking The Health History .............................................................................................................. 42
Chapter 4: Assessing Nutrition And Anthropometric Measurements ................................................................ 64
Chapter 5: Assessment Techniques .................................................................................................................. 91
Chapter 6: General Survey And Assessing Vital Signs ....................................................................................102
Chapter 7: Assessing Pain................................................................................................................................131
Chapter 8: Assessing The Skin, Hair, And Nails..............................................................................................152
Chapter 9: Assessing The Head, Face, Mouth, And Neck ...............................................................................191
Chapter 10: Assessing The Ears.......................................................................................................................232
Chapter 11: Assessing The Eyes ......................................................................................................................253
Chapter 12: Assessing The Respiratory System...............................................................................................284
Chapter 13: Assessing The Cardiovascular System .........................................................................................311
Chapter 14: Assessing The Abdomen ..............................................................................................................338
Chapter 15: Assessing The Peripheral Vascular System And Regional Lymphatic System ............................366
Chapter 16: Assessing The Musculoskeletal System .......................................................................................394
Chapter 17: Assessing The Neurological System ............................................................................................420
Chapter 18: Assessing The Female Breasts, Axillae, And Reproductive System .............................................454
Chapter 19: Assessing The Male Breasts And Reproductive System ..............................................................480
Chapter 20: Assessing The Anus And Rectum ................................................................................................504
Chapter 21: Assessing The Newborn ...............................................................................................................520
Chapter 22: Assessing The Child And Adolescent ..........................................................................................558
Chapter 23 Assessing The Pregnant Woman ...................................................................................................586
Chapter 24: Assessing The Older Adult ...........................................................................................................615
, WWW.
Chapter 1: Understanding Health Assessment
1. The World Health Organization (Who) Established A Global Strategy Called “Health For
All.” The Goal For This Strategy Is:
1. All Individuals To Get The Same Health Care Throughout Their Life Spans.
2. The Government To Supply Money To Care For All The People In The World.
3. Resources For Health Care To Be Evenly Distributed And Accessible.
4. Health-Care Providers Can Never Deny Patients Health Care.
2. Health Assessment Is A Foundational And Priority Nursing Skill. This Essential
Skill Requiresregistered Nurses (Rns) To:
1. Diagnose And Treat Patients.
2. Identify Normal And Abnormal Findings.
3. Refer Patients With Abnormal Findings.
4. Counsel Patients With Psychosocial Needs.
3. You Are Assessing A Patient With Five Gunshot Wounds On A Trauma Unit. There Is
A Police Presence Outside His Door Because The Patient Is A Known Drug Dealer In The
Community. You Know That Nurses Must Treat All Patients As Persons. This Is Called:
1. Caring.
2. Holistic Process.
3. Person-Centered Care (Pcc).
4. Standards Of Care.
4. The Science-Based Framework Updated Every 10 Years By The U.S. Department Of
Health And Human Services That Has Set National Goals And Objectives For Health
Promotion And Disease Prevention Is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
5. A 38-Year-Old Male Has A Family History Of Colon Cancer. His Father Died Of Colon Cancer
At Age
48. The Doctor Recommended That This Patient Have A Colonoscopy This Year. This Is An
Example Of:
1. Primary Health Prevention.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
2. Secondary Health Prevention.
3. Tertiary Health Prevention.
6. A Patient In The Hospital Puts On His Call Light And Tells The Person Answering That He
“Thinks He Is Running A Fever And Has Stomach Discomfort.” You Are The Registered Nurse
In Charge. What Should You Do?
1. Ask The Medical Assistant To Go To The Patient’s Room And Assess His Complaints.
2. Go Check To See If The Patient Has An Order For Tylenol For A Fever.
3. PAGE The Resident On Call Immediately To Assess The Patient.
4. Go To The Patient’s Room And Assess For Fever And The Epigastric Discomfort.
7. You Are Leading An Interdisciplinary Team Conference To Discuss How To Provide Better
Care For A Challenging Patient Who Has Behavioral Problems. There Are Several Areas That
Need To Be Problem Solved And New Ideas Formulated To Create An Improved Plan Of Care.
What Cognitive Skills Are You Using?
1. Critical Thinking
2. Clinical Decision Making
3. Intuitive Thinking
4. Clinical Reasoning
8. Best Practice Assessment Techniques And Instruments Have Been Validated By:
1. American Nurses Association.
2. Code Of Ethics For Nurses With Interpretive Statements.
3. Research And Evidence-Based Practice.
4. Patient Protection And Affordable Care Act.
9. Health And Illness Are Determined By Many Factors. What Are The Determinants Of
Health Identified By The Centers For Disease Control And Prevention (Cdc)? Select All
That Apply.
1. Genetics And Biology
2. Gender And Occupation
3. Individual Behavior
4. Social Environment
5. Physical Environment
6. Health Services
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
10. The U.S. Health-Care System Is Evolving, And Care Is Becoming More Focused On Which
Of The Following? Select All That Apply.
1. Wellness
2. Functional Status
3. Disease Prevention
4. Health Promotion
5. Acute Illness Management
11. You Are Performing A Health Assessment On A 32-Year-Old Female Patient Who Reports
“Feelingfatigued All The Time.” She States, “I Have Not Had A Physical In Over 8 Years
Because I Did Not Have Medical Insurance.” The Patient Will Be Having A Physical Today.
What Will Be Part Of The Health Assessment? Select All That Apply.
1. Collecting Data On Past Health
2. Collecting Data On Present Health
3. Collecting Data On Significant Other’s Health
4. Assessing Factors Influencing Health
5. Performing A Physical Examination
12. You Are Working With A Patient As A Copartner In Care. The Patient Has Multiple
Medical Problems. Put The Following Steps Of The Nursing Process In The Correct Order (1–
5). (Enter The Number Of Each Step In The Proper Sequence; Do Not Use Punctuation Or
Spaces. Example: 1234.)
1. Planning
2. Evaluation
3. Assessment
4. Implementation
5. Diagnosis
13. You Are Working On A Medical Surgical Unit And Are Caring For A 24-Year-Old Patient
Who Is 3 Hours Post-Op. The Patient Seems Confused And Restless Since You Assessed Her An
Hour Ago. You Have A Gut Feeling That Something Is Very Wrong. This Is An Example Of
Thinking.
14. The Four Techniques Of Health Assessment Include Inspection, Palpation, Percussion, And
.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Answers
1. The World Health Organization (Who) Established A Global Strategy Called “Health For
All.” The Goal For This Strategy Is:
1. All Individuals To Get The Same Health Care Throughout Their Life Spans.
2. The Government To Supply Money To Care For All The People In The World.
3. Resources For Health Care To Be Evenly Distributed And Accessible.
4. Health-Care Providers Can Never Deny Patients Health Care.
ANSWER: 3
PAGE: 1
Feedback
1. This Is Incorrect. “Health For All” Does Not Mean That All Individuals Get The
Same Health Care Throughout Their Life Spans.
2. This Is Incorrect. “Health For All” Does Not Mean The Government Will Supply
Money To Care For All The People In The World.
3. This Is Correct. “Health For All” Means That Resources For Health Care Are Evenly
Distributed And Accessible To Everyone.
4. This Is Incorrect. “Health For All” Does Not Mean That Health-Care Providers Can
Deny
Patients Health Care.
2. Health Assessment Is A Foundational And Priority Nursing Skill. This Essential Skill
Requiresregistered Nurses (Rns) To:
1. Diagnose And Treat Patients.
2. Identify Normal And Abnormal Findings.
3. Refer Patients With Abnormal Findings.
4. Counsel Patients With Psychosocial Needs.
ANSWER: 2
PAGE: 5-6
Feedback
1. This Is Incorrect. The Role Of The Rn Is Not To Diagnose And Treat Patients.
2. This Is Correct. Assessing Patients And Being Able To Identify Normal From
Abnormal Findings Is An Essential Role Of The Rn.
3. This Is Incorrect. Rns In Collaboration With The Health-Care Providers Do Refer
Patients. This Is Not The Essential And Foundational Role In Health Assessment.
4. This Is Incorrect. Rns Do Counsel Patients, But It Is Not The Essential And
Foundational Role In Health Assessment.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
3. You Are Assessing A Patient With Five Gunshot Wounds On A Trauma Unit. There Is
A Police Presence Outside His Door Because The Patient Is A Known Drug Dealer In The
Community. You Know That Nurses Must Treat All Patients As Persons. This Is Called:
1. Caring.
2. Holistic Process.
3. Person-Centered Care (Pcc).
4. Standards Of Care.
ANSWER: 3
PAGE: 2
Feedback
1. This Is Incorrect. Caring Is Displaying A Concern For Patients.
2. This Is Incorrect. The Holistic Caring Process Is A Relational Process; The
Nursecollaborates With The Individual To Pursue Goals For Health And Well-
Being.
3. This Is Correct. The New Movement In Health Care Is Person-Centered Care (Pcc),
Which Emphasizes The Intrinsic Value Of Treating All Patients As Persons.
4. This Is Incorrect. Standards Of Care Identify Standards Of Professional Nursing
Practice.
4. The Science-Based Framework Updated Every 10 Years By The U.S. Department Of
Health And Human Services That Has Set N at i on a lggroaalsd aensd mo o
b jrecet i.V ecsof omr Health
Promotion And Disease Prevention Is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
ANSWER: 2
PAGE: 2
Feedback
1. This Is Incorrect. Healthy People Is The General Title For The Nation’s Federal
Initiative.
2. This Is Correct. Healthy People 2020 Specifically Identifies Science-Based, National
Goals And Objectives With 10-Year Targets Designed To Guide National Health
Promotion
And Disease Prevention Efforts To Improve The Health Of All People In The
United States.
3. This Is Incorrect. The U.S. Preventive Services Task Force’s Goal Is To Use
Evidence- Based Medicine To Improve The Health Of All Americans By Making
Evidence-Based
Recommendations About Clinical Preventive Services Such As Screenings,
Counseling Services, And Preventive Medications.
4. This Is Incorrect. The World Health Organization Is A Specialized Agency Of The
United Nations Working To Improve The Health Of The World’s People.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
5. A 38-Year-Old Male Has A Family History Of Colon Cancer. His Father Died Of Colon Cancer
At Age
48. The Doctor Recommended That This Patient Have A Colonoscopy This Year. This Is An
Example Of:
1. Primary Health Prevention.
2. Secondary Health Prevention.
3. Tertiary Health Prevention.
ANSWER: 2
PAGE: 4
Feedback
1. This Is Incorrect. This Is Not An Example Of Primary Prevention. Primary Prevention
Is The Prevention Of Disease And Disability And Focuses On Improving An
Individual’s
Overall Health And Well-Being. Immunizations And Health Education Are Examples
Of Primary Prevention.
2. This Is Correct. Colonoscopy Is An Example Of Secondary Prevention, Which
Encompasses Early Screenings And Detection Of Disease And Treatment Of Diseases.
3. This Is Incorrect. This Is Not An Example Of Tertiary Prevention. Tertiary Prevention
Encompasses The Restoration Of Health After Illness Or Disease Has Occurred. A
Rehabilitation Program For Stroke Patients Is An Example Of Tertiary Prevention.
6. A Patient In The Hospital Puts On His Call Light And Tells The Person Answering That He
“Thinks He Is Running A Fever And Has Stomach Discomfort.” You Are The Registered Nurse
In Charge. What Should You Do?
1. Ask The Medical Assistant To Go To The Patient’s Room And Assess His Complaints.
2. Go Check To See If The Patient Has An Order For Tylenol For A Fever.
3. PAGE The Resident On Call Immediately To Assess The Patient.
4. Go To The Patient’s Room And Assess For Fever And The Epigastric Discomfort.
ANSWER: 4
PAGE: 5
Feedback
1. This Is Incorrect. The Medical Assistant Role Should Never Be To Assess A Patient.
2. This Is Incorrect. The First Priority Would Be To Assess The Patient Prior To
Checking
Medication Orders For Fever.
3. This Is Incorrect. The Nurse Should First Assess The Patient To Give An Objective
Reportto The Resident.
4. This Is Correct. Assessing A Patient Is Always A Priority Role Of The Rn. This Is A
Role That Should Never Be Delegated To The Licensed Practical Nurse Or
Unlicensed
Assistivepersonnel.
, WWW.
Stuvia.com - The Marketplace to Buy and Sell your Study Material
7. You Are Leading An Interdisciplinary Team Conference To Discuss How To Provide Better
Care For A Challenging Patient Who Has Behavioral Problems. There Are Several Areas That
Need To Be Problem Solved And New Ideas Formulated To Create An Improved Plan Of Care.
What Cognitive Skills Are You Using?
1. Critical Thinking
2. Clinical Decision Making
3. Intuitive Thinking
4. Clinical Reasoning
ANSWER: 1
PAGE: 5
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1. This Is Correct. Critical Thinking Is A Unique Problem-Solving, Reflective Process.
2. This Is Incorrect. Clinical Decision Making Determines What Is Needed And When It
Is
Needed.
3. This Is Incorrect. Intuitive Thinking Is A “Gut Feeling” That Something Is Wrong
Or That The Nurse Should Do Something, Even If There Is No Real Evidence To
Support
Thatfeeling.
4. This Is Incorrect. Clinical Reasoning Uses An Individual’s History, Physical Signs,
Symptoms, Laboratory Data,Gar ndaddie
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Formulate A Treatment Plan.
8. Best Practice Assessment Techniques And Instruments Have Been Validated By:
1. American Nurses Association.
2. Code Of Ethics For Nurses With Interpretive Statements.
3. Research And Evidence-Based Practice.
4. Patient Protection And Affordable Care Act.
ANSWER: 3
PAGE: 7
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1. This Is Incorrect. The American Nurses Association Is The Professional Nursing
Organization Providing Standards Of Nursing Care, Promoting A Safe And Ethical
Work
Environment, And Advocating Health-Care Issues.
2. This Is Incorrect. The Code Of Ethics For Nurses With Interpretive Statements
Provides A Statement Of The Ethical Values And Duties Of Every Individual Who
Enters The Nursing Profession.
3. This Is Correct. Best Practice Assessments And Instruments Have Been Validated By
Research. Nursing Research And Evidence-Based Practice Guide Our Assessments
And
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Clinical Decisions To Provide Safe And Effective Care.
4. This Is Incorrect. The Patient Protection And Affordable Care Act, Known As
Obamacare, Has Goals To Provide Higher-Quality, Safer, And More Affordable And
Accessible Care.
9. Health And Illness Are Determined By Many Factors. What Are The Determinants Of
Health Identified By The Centers For Disease Control And Prevention (Cdc)? Select All
That Apply.
1. Genetics And Biology
2. Gender And Occupation
3. Individual Behavior
4. Social Environment
5. Physical Environment
6. Health Services
ANSWER: 1, 3, 4, 5, 6
PAGE: 2
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1. This Is Correct. The Cdc Identifies Genetics And Biology (I.E., Age And Sex) As A
Determinant Of Health.
2. This Is Incorrect. Occupation Is Not Identified As A Determinant Of Health.
3. This Is Correct. The Cdc Identifies Individual Behavior (I.E., Alcohol Use,
Unprotected Sex, Smoking) As A Determinant Of Health.
4. This Is Correct. The Cdc Identifies Social Environment (I.E., Income And Lifestyle)
As A Determinant Of Health.
5. This Is Correct. The Cdc Identifies Physical Environment (I.E., Where The Individual
Lives) As A Determinant Of Health.
6. This Is Correct. The Cdc Identifies Health Services (I.E., Insurance And Access To
Health Care) As A Determinant Of Health.
10. The U.S. Health-Care System Is Evolving, And Care Is Becoming More Focused On Which
Of The Following? Select All That Apply.
1. Wellness
2. Functional Status
3. Disease Prevention
4. Health Promotion
5. Acute Illness Management
ANSWER: 1, 3, 4
PAGE: 1
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