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Health Assessment for Nursing Practice 7th Edition by Susan Fickertt
Wilson, Jean Foret Giddens
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YTREW
, UYTRFEDSW
Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition
r și mai eficient.
MULTIPLE CHOICEFiecare document este organizat logic pentru a te ajuta
să înțelegi
1.
rapid conceptele importante. Materialele sunt ideale pentru
A patient comes to the emergency department and tells the triage nurse that he is “having
pregătirea examenelor,
a heart attack.” What is the recapitulare șiatconsolidarea
nurse’s top priority this time? cunoștințelor.
the patient’s personal data and insurance coverage.
Accentula.b.esteDetermine
pus pe calitate și acuratețe, astfel încât să poți studia cu
Ask the patient to take a seat in the waiting room until his name is called.
încredere.
c. Studenții
Request that apreciază
a nurse collect dataexplicațiile concise
for a comprehensive history. și rezumatele practice
care economisesc
d. Ask a nursetimp
to startși reduc
a focused stresul.
assessment of thisScopul
patient now.meu este să îți ofer
ANS: D
resurse utile
The nursecare săbegin
needs to îți ancrească
assessment asîncrederea și isperformanța
soon as possible that academică.
focused on this patient’s
Descarcă materiale
cardiovascular system.bine
The typestructurate și transformă
of health assessment studiul
performed by the nurse is also într-o
driven by
patient need. Personal data and insurance information will be obtained, but in this situation, these
experiență mai
data can waitorganizată și isproductivă.
until after the patient assessed. Based also on Maslow’s hierarchy of needs,
physiologic needs take precedence. Rather than asking the patient to wait, the nurse needs to
begin data collection, such as vital signs, immediately to determine the patient’s health status.
Malay (±130 words)
Complications can be prevented if an immediate assessment is made to analyze the patient’s
symptoms. A comprehensive history is not indicated in this situation at this time. Some
Selamatsubjective
datang ke kedai Stuvia saya! Di sini anda akan menemui
data will be collected, such as allergies and medical history related to cardiovascular
disease. Eyes, ears, or a complete musculoskeletal or mental health assessment is not a priority at
bahan pembelajaran
this time. yang disusun dengan teliti untuk membantu anda
belajar dengan lebih mudah dan
DIF: Cognitive Level: Apply
berkesan. Setiap dokumen direka
REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
secara teratur
MSC: NCLEX supaya maklumat
Patient Needs: penting
Safe and Effective senangManagement
Care Environment: difahami dan diingati.
of Care:
Bahan ini sesuai untuk persediaan peperiksaan, ulang kaji, dan
Establishing Priorities
pengukuhan
2. pengetahuan.
Which situation illustratesKualiti
a screeningdan ketepatan sentiasa menjadi
assessment?
keutamaan,
a. memastikan anda
A patient visits an obstetric boleh
clinic belajar
for the first time anddengan yakin.
the nurse conducts Pelajar
a detailed
history and physical examination.
menghargai
b. ringkasan
A hospital sponsorsyang
a healthjelas
fair at adan penerangan
local mall praktikal
and provides cholesterol and bloodyang
menjimatkan masa
pressure checks serta
to mall mengurangkan tekanan. Matlamat saya
patrons.
c. The nurse in an urgent care center checks the vital signs of a patient who is complaining
adalah untuk menjadikan pengalaman belajar anda lebih teratur dan
of leg pain.
produktif.d. Muat turun
A patient newlydeng
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
YTREW
, TREWGFD
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:
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 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?
, TREWGFD
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.