,Table of Contents
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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 Adult
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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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, Chapter 01: The Complete Health Assessment
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
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1) Divergent thinking RK
2) Reasoning
3) Creativity
4) Reflection
2. The primary level of preventive health care focuses on which topic?
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1) Health promotion RK
2) Early detection RK
3) Promotion intervention RK
4) End-of-life care RK
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
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1) Pain rating of 4 on a 1 to 10 numeric scale
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2) New diagnosis of type 2 diabetes mellitus (DM)
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3) Blood pressure of 130/90 mmHg RK RK RK RK
4) Pulse oximetry reading of 73% RK RK RK RK
4. Which type of skill is most important when performing a physical assessment?
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1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which activity is an example of secondary prevention?
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1) Wound débridement RK
2) Immunization
3) Preoperative teaching RK
4) Long-term nasogastric feedings RK RK
6. Which assessment data is considered a symptom?
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1) Rapid respirations RK
2) Sweaty palms RK
3) Belching
4) Feelings of anxiety RK RK
7. Who or what is considered the primary data source for a toddler-age patient?
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1) The toddler RK
2) A parent RK
3) The medical record RK RK
4) Other healthcare providers RK RK
8. Which part of the assessment provides the most subjective data?
RK RK RK RK RK RK RK RK RK
1) Health history RK
2) Physical assessment RK
3) Review of medical records RK RK RK
4) Medication record RK
RK RK
1. Introduction to Assessment
RK RK
2. Assessing the Integumentary System
RK RK RK
3. Assessing the Head, Face and Neck
RK RK RK RK RK
4. Assessing Eyes and the Ears
RK RK RK RK
5. Assessing the Respiratory System
RK RK RK
6. Assessing the Cardiovascular System
RK RK RK
7. Assessing the Peripheral -Vascular and Lymphatic Systems
RK RK RK RK RK RK
8. Assessing the Breasts
RK RK
9. Assessing the Abdomen
RK RK
10. Assessing the Female Genitourinary
RK RK RK
11. Assessing the Male Genitourinary
RK RK RK
12. Assessing the Motor Musculoskeletal System
RK RK RK RK
13. Assessing the Sensory Neurological System
RK RK RK RK
14. Assessing the Mother to Be
RK RK RK RK
15. Assessing the Newborn and Infant
RK RK RK RK
16. Assessing the Toddler and Preschooler
RK RK RK RK
17. Assessing the School-Age Child and Adolescent
RK RK RK RK RK
18. Assessing the Older Adult
RK RK RK
19. Assessing the Homeless Person
RK RK RK
,20. Assessing Pain
RK
21. Approach to the Mental Health Assessment
RK RK RK RK RK
22. Assessing Nutrition
RK
23. Assessing Spirituality
RK
24. Assessing Culture
RK
25. Assessing the Patient’s Environment
RK RK RK
26. Assessing Abuse
RK
27. Assessing the Dying Patient—new
RK RK RK
, Chapter 01: The Complete Health Assessment
RK RK RK RK RK
Multiple Choice
RK
Identify the choice that best completes the statement or answers the question.
RK RK RK RK RK RK RK RK RK RK RK
1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
RK RK RK RK RK RK RK RK RK RK RK RK RK RK RK RK
1) Divergent thinking RK
2) Reasoning
3) Creativity
4) Reflection
2. The primary level of preventive health care focuses on which topic?
RK RK RK RK RK RK RK RK RK RK
1) Health promotion RK
2) Early detection RK
3) Promotion intervention RK
4) End-of-life care RK
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
RK RK RK RK RK RK RK RK RK RK RK RK RK
1) Pain rating of 4 on a 1 to 10 numeric scale
RK RK RK RK RK RK RK RK RK RK
2) New diagnosis of type 2 diabetes mellitus (DM)
RK RK RK RK RK RK RK
3) Blood pressure of 130/90 mmHg RK RK RK RK
4) Pulse oximetry reading of 73% RK RK RK RK
4. Which type of skill is most important when performing a physical assessment?
RK RK RK RK RK RK RK RK RK RK RK
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which activity is an example of secondary prevention?
RK RK RK RK RK RK RK
1) Wound débridement RK
2) Immunization
3) Preoperative teaching RK
4) Long-term nasogastric feedings RK RK
6. Which assessment data is considered a symptom?
RK RK RK RK RK RK
1) Rapid respirations RK
2) Sweaty palms RK
3) Belching
4) Feelings of anxiety RK RK
7. Who or what is considered the primary data source for a toddler-age patient?
RK RK RK RK RK RK RK RK RK RK RK RK
1) The toddler RK
2) A parent RK
3) The medical record RK RK
4) Other healthcare providers RK RK
8. Which part of the assessment provides the most subjective data?
RK RK RK RK RK RK RK RK RK
1) Health history RK
2) Physical assessment RK
3) Review of medical records RK RK RK
4) Medication record RK