TEST BANK FOR HEALTH ASSESSMENT FOR NURSING
PRACTICE 8TH EDITION BY SUSAN FICKERTT WILSON
AND JEAN FORET GIDDENS ISBN-9780443124433
month?
,Chapter 01: Introduction to Health Assessment Wilson: Health
Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A patient comes to the emergency department and tells the
triage nurse that he is ―having a heart attack.‖ What is the
nurse‘s top priority at this time?
a. Determine the patient‘s personal data and insurance
coverage.
b. Ask the patient to take a seat in the waiting room until his
name is called.
c. Request that a nurse collect data for a comprehensive
history.
,TEST BANK FOR HEALTH ASSESSMENT FOR NURSING
PRACTICE 8TH EDITION BY SUSAN FICKERTT WILSON
AND JEAN FORET GIDDENS ISBN-9780443124433
d. Ask a nurse to start a focused assessment of this patient
now.
CORRECT ANSWER : D
The nurse needs to begin an assessment as soon as possible
that is focused on this patient‘s cardiovascular system. The
type of health assessment performed by the nurse is also
driven by patient need. Personal data and insurance
information will be obtained, but in this situation, these data
can wait until after the patient is 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. Complications can be
month?
, 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 disease. Eyes, ears, or a complete
musculoskeletal or mental health assessment is not a priority
at this time.
DIF:Cognitive Level: Apply REF: Box 1-3
TOP:Nursing Process: Assessment
MSC:NCLEX Patient Needs: Safe and Effective Care
Environment: Management of Care: Establishing Priorities
2. Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic for the first time and
the nurse conducts a detailed history and physical
examination.
PRACTICE 8TH EDITION BY SUSAN FICKERTT WILSON
AND JEAN FORET GIDDENS ISBN-9780443124433
month?
,Chapter 01: Introduction to Health Assessment Wilson: Health
Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A patient comes to the emergency department and tells the
triage nurse that he is ―having a heart attack.‖ What is the
nurse‘s top priority at this time?
a. Determine the patient‘s personal data and insurance
coverage.
b. Ask the patient to take a seat in the waiting room until his
name is called.
c. Request that a nurse collect data for a comprehensive
history.
,TEST BANK FOR HEALTH ASSESSMENT FOR NURSING
PRACTICE 8TH EDITION BY SUSAN FICKERTT WILSON
AND JEAN FORET GIDDENS ISBN-9780443124433
d. Ask a nurse to start a focused assessment of this patient
now.
CORRECT ANSWER : D
The nurse needs to begin an assessment as soon as possible
that is focused on this patient‘s cardiovascular system. The
type of health assessment performed by the nurse is also
driven by patient need. Personal data and insurance
information will be obtained, but in this situation, these data
can wait until after the patient is 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. Complications can be
month?
, 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 disease. Eyes, ears, or a complete
musculoskeletal or mental health assessment is not a priority
at this time.
DIF:Cognitive Level: Apply REF: Box 1-3
TOP:Nursing Process: Assessment
MSC:NCLEX Patient Needs: Safe and Effective Care
Environment: Management of Care: Establishing Priorities
2. Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic for the first time and
the nurse conducts a detailed history and physical
examination.
