TEST BANK FOR
Health Assessment for Nursing Practice 8th Edition by Susan Fickertt
Wilson, Jean Foret Giddens
FULL TEST BANK!!!
YTREW
, UYTRFEDSW
პატარა ქალაქში, მდინარის პირას, ცხოვრობდა ქეთევანი,
რომელიც ხელით ამზადებდა მინის სამკაულებს. მისი
Chapter 01: Introduction to Health Assessment
სახელოსნო სავსე იყო
Wilson: Health Assessment ფერადი
for Nursing Practice,მინის ნატეხებით, რომლებიც
8th Edition
მზის შუქზე ციმციმებდნენ.
MULTIPLE CHOICE
ერთ
1. დღეს A patientადგილობრივმა გალერეამ
comes to the emergency department სთხოვა,
and tells the რომ
triage nurse that he is სპეციალური
“having
კოლექცია შეექმნა ქალაქის დღესასწაულისთვის. ქეთევანმა
a heart attack.” What is the nurse’s top priority at this time?
a. Determine the patient’s personal data and insurance coverage.
შთაგონება
b. მდინარის
Ask the patient to take a seat ტალღებიდან
in the waiting room until აიღო
his name isდა თითოეულ
called.
ნამუშევარში
c.
d.
ცისფერი და მწვანე ფერები შეუთავსა.
Request that a nurse collect data for a comprehensive history.
Ask a nurse to start a focused assessment of this patient now.
ANS: D
დღესასწაულზე
The nurse needs to begin an მისი სამკაულები
assessment სწრაფად
as soon as possible that გაიყიდა.
is focused on this patient’s ხალხი
cardiovascular system. The type of health assessment performed by the nurse is also driven by
ამბობდა, რომ data
patient need. Personal ისინი თითქოს
and insurance სინათლეს
information will be obtained, butატარებდნენ.
in this situation, these
data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of needs,
ქეთევანმა გააცნობიერა, რომ მისი ხელოვნება უბრალო
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.
დეკორაცია კი არა, სიხარულის გაზიარების საშუალება იყო.
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
subjective data will be collected, such as allergies and medical history related to cardiovascular
ძველ
disease.უბანში
Eyes, ears, orცხოვრობდა ალექსანდრე,
a complete musculoskeletal რომელიც
or mental health assessment ხელით
is not a priority at
ამზადებდა ხის სათამაშო მატარებლებს. მისი სამუშაო მაგიდა
this time.
სავსე
DIF: იყო პატარა
Cognitive ბორბლებით
Level: Apply REF: Box 1-3 და საღებავებით.
| p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
ერთ დღეს საბავშვო ბაღმა სთხოვა, რომ რამდენიმე მატარებელი
შეექმნა
2.
a.
სათამაშო კუთხისთვის. ალექსანდრემ თითოეული
Which situation illustrates a screening assessment?
A patient visits an obstetric clinic for the first time and the nurse conducts a detailed
ვაგონი სხვადასხვა
history and physical examination. ფერში შეღება და უსაფრთხოდ დაამუშავა.
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
როდესაც მატარებლები ბავშვებს
checks the vital გადასცეს, ისინი მაშინვე
pressure checks to mall patrons.
c. The nurse in an urgent care center signs of a patient who is complaining
დაიწყეს
of leg pain. თამაში და ისტორიების მოფიქრება. ოთახი სიცილით
აივსო.
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
glucose level.
ANS: B
ალექსანდრემ მიხვდა, რომ მისი პატარა ქმნილებები ბავშვების
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
ფანტაზიას ამდიდრებდა
a screening assessment და ყოველდღიურობას
focused on disease detection. A detailed history and physical უფრო ნათელს
ხდიდა.
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.