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HEALTHLASSESSMENTLINLNURSINGL6THLEDITIONLBYL
WEBER
AnswersLareLatLtheLendLofLeachLchapter
CHAPTERL1:LNURSE’SLROLELINLHEALTHLASSESSMENT:LCOLLECTINGLANDLANALYZINGLDATA
1. ALnurseLonLaLpostsurgicalLunitLisLadmittingLaLclientLfollowingLtheLclient'sLcholecystectomyL(g
allLbladderLremoval).LWhatLisLtheLoverallLpurposeLofLassessmentLforLthisLclient?
A) CollectingLaccurateLdata
B) AssistingLtheLprimaryLcareLprovider
C) ValidatingLpreviousLdata
D) MakingLclinicalLjudgments
2. ALclientLhasLpresentedLtoLtheLemergencyLdepartmentL(ED)LwithLcomplaintsLofLabdominalLpa
in.LWhichLmemberLofLtheLcareLteamLwouldLmostLlikelyLbeLresponsibleLforLcollectingLtheLsubjectiveLd
ataLonLtheLclientLduringLtheLinitialLcomprehensiveLassessment?
A) Gastroenterologist
B) EDLnurse
C) AdmissionsLclerk
D) DiagnosticLtechnician
,3. TheLnurseLhasLcompletedLanLinitialLassessmentLofLaLnewlyLadmittedLclientLandLisLapplyingLth
eLnursingLprocessLtoLplanLtheLclient'sLcare.LWhatLprincipleLshouldLtheLnurseLapplyLwhenLusingLtheLnu
rsingLprocess?
A) EachLstepLisLindependentLofLtheLothers.
B) ItLisLongoingLandLcontinuous.
C) ItLisLusedLprimarilyLinLacuteLcareLsettings.LN
D) ItLinvolvesLindependentLnursingLactions.
4. TheLnurseLwhoLprovidesLcareLatLanLambulatoryLclinicLisLpreparingLtoLmeetLaLclientLandLperfor
mLaLcomprehensiveLhealthLassessment.LWhichLofLtheLfollowingLactionsLshouldLtheLnurseLperformLfirst
?
A) ReviewLtheLclient'sLmedicalLrecord.
B) ObtainLbasicLbiographicLdata.
C) ConsultLclinicalLresourcesLexplainingLtheLclient'sLdiagnosis.
D) ValidateLinformationLwithLtheLclient.
5. WhichLofLtheLfollowingLclientLsituationsLwouldLtheLnurseLinterpretLasLrequiringLanLemergen
cyLassessment?
A) ALpediatricLclientLwithLsevereLsunburn
B) ALclientLneedingLanLemploymentLphysical
C) ALclientLwhoLoverdosedLonLacetaminophen
D) ALdistraughtLclientLwhoLwantsLaLpregnancyLtest
10. ALnurseLhasLcompletedLgatheringLsomeLbasicLdataLaboutLaLclientLwhoLhasLmultipleLhealthLproble
msLthatLstemLfromLheavyLalcoholLuse.LTheLnurseLhasLthenLreflectedLonLherLpersonal
,6. InLresponseLtoLaLclient'sLquery,LtheLnurseLisLexplainingLtheLdifferencesLbetweenLtheLphysicia
n'sLmedicalLexamLandLtheLcomprehensiveLhealthLassessmentLperformedLbyLtheLnurse.LTheLnurseLsh
ouldLdescribeLtheLfactLthatLtheLnursingLassessmentLfocusesLonLwhichLaspectLofLtheLclient'sLsituation
?
A) CurrentLphysiologicLstatus
B) EffectLofLhealthLonLfunctionalLstatus
C) PastLmedicalLhistory
D) MotivationLforLadherenceLtoLtreatment
7. AfterLteachingLaLgroupLofLstudentsLaboutLtheLphasesLofLtheLnursingLprocess,LtheLinstruc
torLdeterminesLthatLtheLteachingLwasLsuccessfulLwhenLtheLstudentsLidentifyLwhichLphaseLasLbei
ngLfoundationalLtoLallLotherLphaLses?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. TheLnurseLhasLcompletedLtheLcomprehensiveLhealthLassessmentLofLaLclientLwhoLhasLbe
enLadmittedLforLtheLtreatmentLofLcommunity-
acquiredLpneumonia.LFollowingLtheLcompletionLofLthisLassessment,LtheLnurseLperiodicallyLperf
ormsLaLpartialLassessmentLprimarilyLforLwhichLreason?
A) ReassessLpreviouslyLdeteNctedLproblems
B) ProvideLinformationLforLtheLclient'sLrecord
C) AddressLareasLpreviouslyLomitted
D) DetermineLtheLneedLforLcrisisLintervention
, 9. TheLnurseLisLworkingLinLanLambulatoryLcareLclinicLthatLisLlocatedLinLaLbusy,Linner-
cityLneighborhood.LWhichLclientLwouldLtheLnurseLdetermineLtoLbeLinLmostLneedLofLanLeme
rgencyLassessment?
A) AL14-year-oldLgirlLwhoLisLcryingLbecauseLsheLthinksLsheLisLpregnant
B) AL45-year-oldLmanLwithLchestLpainLandLdiaphoresisLforL1Lhour
C) AL3-year-oldLchildLwithLfever,Lrash,LandLsoreLthroat
D) AL20-year-oldLmanLwithLaL3-inchLshallowLlacerationLonLhisLleg
feelingsLaboutLtheLclientLandLhisLcircumstances.LTheLnurseLdoesLthisLprimarilyLtoLaccomplishLwhichLofLtheLf
ollowing?
A) DetermineLifLpertinentLdataLhasLbeenLomitted
B) IdentifyLtheLneedLforLreferral
C) AvoidLbiasesLandLjudgments
D) ConstructLaLplanLofLcare
11. TheLnurseLisLcollectingLdataLfromLaLclientLwhoLhasLrecentlyLbeenLdiagnosedLwithLtypeL1Ldiabe
tesLandLwhoLwillLbeginLanLeducationalLprogram.LTheLnurseLisLcollectingLsubjectiveLandLobjectiveLdata.L
WhichLofLtheLfollowingLwouldLtheLnurseLcategorizeLasLobjectiveLdata?
A) FamilyLhistory
B) Occupation
C) Appearance
D) HistoryLofLpresentLhealthLconcern
12. AnLolderLadultLclientLhasLbeenLadmittedLtoLtheLhospitalLwithLfailureLtoLthriveLresultingLfr
omLcomplicationsLofLdiabetes.LWhichLofLtheLfollowingLwouldLtheLnurseLimplementLinLresponseLt
oLaLcollaborativeLproblem?