Update) Health Assessment Questions with
Verified Answers | 100% Correct| Graded A -
Galen College of Nursing.
Question:
A patient admitted to the hospital with asthma has the following
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problems identified based on an admission health history and physical
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assessment. Which problem is a first-level priority?
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a. Ineffective self-health management
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b. Impaired gas exchange
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c. Readiness for enhanced spiritual well-being
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d. Risk for infection?
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Answer:
b. Impaired gas exchange
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First-level priority problems are problems that are emergent, life-
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threatening, and immediate. Impaired gas exchange is an emergent and
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immediate problem. Third-level priority problems are problems that are
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important to the patient's health but can be addressed after more urgent
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health problems are addressed. Ineffective self-health management is an
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example of a third-level priority. Second-level priority problems are
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problems that are next in urgency; these problems require prompt
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,intervention to forestall further deterioration. Risk for infection is an
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example of a second-level priority. Third-level priority problems are
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problems that are important to the patient's health but can be addressed
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after more urgent health problems are addressed. Wellness diagnoses are
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third-level priority problems. i,- i,-
Question:
Which of the following actions/behaviors in the critical-thinking process
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are important for the novice nurse to remember? (Select all that apply.)
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a. Disregard initial cues
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b. Approach assessment with a nonjudgmental attitude
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c. Cluster associated assessment data
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d. Perform assessment in whatever manner works for you.
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e. Avoid making assumptions?
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Answer:
b, c, e
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The nurse should never make assumptions as they may bias data
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collection and selection of diagnoses. An important aspect to gain trust
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with the patient is to maintain a nonjudgmental attitude. Once all health
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assessment data has been collected, it is important to cluster signs and
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symptoms as this will help in the critical thinking and decision-making
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process regarding medical and nursing diagnoses. It also helps to
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categorize problems as the first, second, or third priority. The nurse
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,should never disregard any cues. These are important in the critical
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thinking and diagnosis decision-making process. Novice nurses do not
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have enough experience to vary from the step-by-step process for health
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assessment data collection. As the nurse gains experience, he/she will
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learn when it's appropriate to vary the process.
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Question:
An example of subjective data is
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a. decreased range of motion.
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b. crepitation in the left knee joint.
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c. arthritis.
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d. left knee has been swollen and hot for the past 3 days.?
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Answer:
d. left knee has been swollen and hot for the past 3 days.
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Subjective data is what the patient says about himself or herself during
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history taking. Objective data is what the health professional observes by
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inspecting, percussing, palpating, and auscultating during the physical
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examination. Range of motion is assessed by inspection. Objective data is
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what the health professional observes by inspecting, percussing,
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palpating, and auscultating during the physical examination. Crepitation is
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assessed by palpating. Arthritis is a medical diagnosis.
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, Question:
An example of objective data is
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a. a report of impaired mobility from left knee pain as evidenced by an
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inability to walk, swelling, and pain on passive range of motion.
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b. a complaint of left knee pain.
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c. crepitation in the left knee joint.
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d. left knee has been swollen and hot for the past 3 days.?
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Answer:
c. crepitation in the left knee joint.
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Objective data is what the health professional observes by inspecting,
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percussing, palpating, and auscultating during the physical examination.
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Crepitation is assessed by palpation. Subjective data is what the person
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says about himself or herself during history taking.
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Question:
While evaluating the health history, the nurse determines that the patient
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subscribes to the hot/cold theory of health. Which of the following would
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most likely describe this patient's view of wellness?
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a. The phlegm will be replaced with dryness.
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b. The humors must be balanced.
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c. Good is hot.
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