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HealthAssessmentinNursing7thEdition by WeberChapters 1 -
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34
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Answers are at the end of each chapter
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CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
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1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy (gall
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n bladder removal). What is the overall purpose of assessment for this client?
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A) Collecting accurate data n n
B) Assisting the primary care provider n n n n
C) Validating previous data n n
D) Making clinical judgments n n
2. A client has presented to the emergency department (ED) with complaints of abdominal pain.
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n Which member of the care team would most likely be responsible for collecting the subjective data on
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n the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse n
C) Admissions clerk n
D) Diagnostic technician n
,3. The nurse has completed an initial assessment of a newly admitted client and is applying the
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n nursing process to plan the client's care. What principle should the nurse apply when using the nursing
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n process?
A) Each step is independent of the others.
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B) It is ongoing and continuous.
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C) It is used primarily in acute care settings. N
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D) It involves independent nursing actions.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform a
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n comprehensive health assessment. Which of the following actions should the nurse perform first?
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A) Review the client's medical record. n n n n
B) Obtain basic biographic data. n n n
C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. n n n n
5. Which of the following client situations would the nurse interpret as requiring an emergency
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n assessment?
A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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10. A nurse has completed gathering some basic data about a client who has multiple health problems
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nthat stem from heavy alcohol use. The nurse has then reflected on her personal
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, 6. In response to a client's query, the nurse is explaining the differences between the physician's
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n medical exam and the comprehensive health assessment performed by the nurse. The nurse should
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n describe the fact that the nursing assessment focuses on which aspect of the client's situation?
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A) Current physiologic status n n
B) Effect of health on functional status
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C) Past medical history n n
D) Motivation for adherence to treatment n n n n
7. After teaching a group of students about the phases of the nursing process, the instructor
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n determines that the teaching was successful when the students identify which phase as being
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n foundational to all other pha ses? n n n n n
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
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n admitted for the treatment of community-acquired pneumonia. Following the completion of this
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n assessment, the nurse periodically performs a partial assessment primarily for which reason?
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A) Reassess previously deteNcted problems n n n
B) Provide information for the client's record n n n n n
C) Address areas previously omitted n n n
D) Determine the need for crisis intervention n n n n n