Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide 2023/2024

Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide 2023/2024 . d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level. ANS: B A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a screening assessment focused on disease detection. A detailed history and physical examination conducted during a first-time visit to an obstetric clinic is an example of a comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of an urgent care center is an example of a problem-based/focused assessment. A patient’s return appointment 1 month after today’s office visit to report fasting blood glucose levels is an example of an episodic or follow-up assessment. DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening 3. For which person is a screening assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement ANS: B A screening assessment is performed for the purpose of disease detection. In this case this person may have diabetes mellitus. A shift assessment is most appropriate for the person who is recovering in the hospital from surgery. A comprehensive assessment is performed during admission to a facility to obtain a detailed history and complete physical examination. An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of the procedure. DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide 2023/2024 . Establishing Priorities 4. For which person is a shift assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement ANS: A A shift assessment is most appropriate for the person who is recovering in the hospital from surgery. A screening assessment is performed for the purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is performed during admission to a This study source was downloaded by from CourseH on :46:13 GMT -06:00 facility to obtain a detailed history and complete physical examination. An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of the procedure. DIF: Cognitive Level: Understand REF: Box 1-3 | p. 4 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing Priorities 5. For which person is a comprehensive assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement ANS: C A comprehensive assessment is performed during admission to a facility to obtain a detailed history and complete physical examination. A shift assessment is most appropriate for the person who is recovering in the hospital from surgery. A screening assessment is performed for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of the procedure. DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing Priorities 6. For which person is an episodic or follow-up assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement ANS: D An episodic or follow-up assessment is performed after the knee replacement to evaluate the outcome of the procedure. A shift assessment is most appropriate for the person who is recovering in the hospital from surgery. A screening assessment is performed for the purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is performed during admission to a facility to obtain a detailed history and complete physical examination. DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing Priorities 7. Which is an example of data a nurse collects during a physical examination? a. The patient’s lack of hair and shiny skin over both shins b. The patient’s stated concern about lack of money for prescriptions c. The patient’s complaints of tingling sensations in the feet d. The patient’s mother’s statements that the patient is very nervous lately ANS: A The lack of hair and shiny skin over both shins are objective data or signs that are part of the physical examination. A patient’s concerns about lack of money are subjective data and are part of the health history. A patient’s complaints of tingling sensations in the feet are subjective data and are part of the health history. A patient’s family statements are considered secondary data, are subjective data, and are part of the health history. DIF: Cognitive Level: Apply REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific Assessments 8. The nurse documents which information in the patient’s history? a. The patient’s skin feels warm to the touch. b. The patient is scratching his arm. c. The patient’s temperature is 100° F. d. The patient complains of itching. ANS: D A patient’s complaint of itching is subjective information, which means it is a symptom and is documented in the history. The patient’s warm skin is objective information gathered by the nurse through palpation, is also a sign, and is documented in the physical examination. The patient’s scratching is objective information gathered by the nurse through observation, is also a sign, and is documented in the physical examination. The Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide 2023/2024 . patient’s elevated temperature is objective information gathered by the nurse through measurement, is also a sign, and is documented in the physical examination. DIF: Cognitive Level: Apply REF: p. 1 | p. 2 and Box 1-2 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing Priorities 9. Which patient information does the nurse document in the patient’s physical assessment? a. Slurred speech b. Immunizations c. Smoking habit d. Allergies This study source was downloaded by from CourseH on :46:13 GMT -06:00 Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide 2023/2024 . ANS: A Slurred speech should be noticed by the nurse and documented as objective data in the physical assessment. Data on immunizations are collected from the patient, are subjective, and documented in the history. A smoking habit is information that comes from the patient, making it subjective data that is documented in the history. Allergies are information that come from the patient, making it subjective data that is documented in the history. DIF: Cognitive Level: Apply REF: p. 1-2 and Box 1-2 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing Priorities 10. After collecting the data, the nurse begins data analysis with which action? a. Clustering data b. Documenting subjective data c. Reporting information to other health team members d. Documenting objective information ANS: A After collecting data, the nurse organizes or clusters the data so that the problems appear more clearly. To cluster data, the nurse interprets the assessment data collected. Documenting subjective data is necessary for the medical record, but does not provide analysis. Before reporting data to health team members, the nurse clusters and interprets data. Documenting objective data is necessary for the medical record, but does not provide analysis. DIF: Cognitive Level: Understand REF: p. 4 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing Priorities 11. Which activity illustrates the concept of primary prevention? a. Monthly breast self-examination b. Annual cervical (Papanicolaou test) examination c. Education about living with asthma d. Exercising three times a week Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide 2023/2024 . ANS: D Exercising is an example of primary prevention that prevents disease from developing by maintaining a healthy lifestyle. Monthly breast self-examination is an example of secondary prevention and screening efforts to promote early detection of disease. Annual cervical (Papanicolaou test) examination is an example of secondary prevention and screening efforts to promote early detection of disease. Teaching a patient how to live with a chronic disease such as asthma is an example of tertiary prevention directed toward minimizing the disability from chronic disease and helping the patient maximize his or her health. DIF: Cognitive Level: