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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 b b
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 Adultb b b b
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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, Chapter01:The CompleteHealthAssessment
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MultipleChoice
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Identifythe choicethatbestcompletes the statementor answers the question.
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1. Whichcriticalthinkingskill allowsthenurse to thinkoutside of the box when assessinga patient?
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1) Divergentthinking b
2) Reasoning
3) Creativity
4) Reflection
2. Theprimarylevel of preventive health carefocusesonwhichtopic?
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1) Healthpromotion b
2) Earlydetection b
3) Promotionintervention b
4) End-of-lifecare b
3. Thenurseis prioritizingdata collected duringthehealth assessment. Which datais primary?
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1) Painratingof 4 on a 1 to 10 numeric scale b b b b b b b b b b
2) Newdiagnosis oftype2 diabetes mellitus (DM) b b b b b b b
3) Blood pressureof 130/90mmHg b b b b
4) Pulse oximetryreadingof 73% b b b b
4. Whichtype of skill is mostimportant when performinga physical assessment?
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1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Whichactivityis anexample of secondaryprevention?
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1) Wound débridement b
2) Immunization
3) Preoperativeteaching b
4) Long-termnasogastricfeedings b b
6. Which assessment data is considered a symptom?
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1) Rapid respirations b
2) Sweatypalms b
3) Belching
4) Feelings of anxiety b b
7. Who or what isconsidered the primarydata sourcefor a toddler-age patient?
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1) The toddler b
2) A parent b
3) The medical record b b
4) Otherhealthcareproviders b b
8. Whichpart oftheassessment providesthemost subjective data?
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1) Healthhistory b
2) Physicalassessment b
3) Review of medical records b b b