Chapter 1, The Nurse's Role in Health Assessment
MULTIPLE CHOICE
1. Which is one of the broad goals within nursing?
A) To provide cost-effective care
B) To form broad nursing diagnoses
C) To promote self-care
D) To treat human responses
ANS: D
Feedback: Four broad goals are within nursing: (1) to promote health (state of optimal
functioning or well-being with physical, social, and mental components); (2) to prevent
illness; (3) to treat human responses to health or illness; and (4) to advocate for individuals,
families, communities, and populations. The other options listed are not broad goals.
Nursing focuses on promoting health; while cost-effective care is strived for, it is not a part
of the broad goal, and therefore this is not a broad goal within nursing. Nursing looks to
develop specific nursing diagnoses, not broad. Promoting self-care is important, but does
not correctly answer the question.
PTS: 1 REF: Page: 4 | Header: Roles of the Professional Nurse
OBJ: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Caring
BLM: Cognitive Level: Remember
2. The nurse is conducting a physical assessment. The data the nurse would collect vary
depending on what?
A) How much time the nurse has
B) The client's acuity
C) The client's cooperation
D) Onset of current symptoms
ANS: B
Feedback: Data that nurses collect during a physical assessment vary depending on a client's
acuity (condition), health history, and current symptoms. The data collected during a
physical assessment do not depend on how much time the nurse has, how cooperative the
client is, or the onset of the current symptoms.
PTS: 1 REF: Page: 6 | Header: What is health assessment?
OBJ: 5
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
3. A nursing instructor is discussing the purposes of health assessment. Which is one purpose
of health assessment?
A) To establish a database against which subsequent assessments can be measured
B) To establish rapport with the client and family
, C) To gather information for specialists to whom the client might be referred
D) To quantify the degree of pain a client may be experiencing
ANS: A
Feedback: A health assessment is performed to gain further insight into the current condition
and to establish a database that subsequent assessments can be measured against.
PTS: 1 REF: Page: 6 | Header: What is health assessment?
OBJ: 2
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
4. How do nurses facilitate the achievement of high-level wellness with a client?
A) Encouraging the client to keep appointments
B) Providing the client information on alternative treatments
C) Promoting health in the client
D) Providing good client care
ANS: C
Feedback: High-level wellness is a process by which people maintain balance and direction
in the most favorable environment. The role of nurses is to facilitate this achievement
through health promotion and teaching. Nurses do not facilitate the achievement of high-
level wellness by encouraging clients to keep appointments, providing information on
alternative treatments, or providing “good” patient care.
PTS: 1 REF: Page: 6 | Header: Wellness and Illness
OBJ: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Caring
BLM: Cognitive Level: Understand
5. The nurse is caring for a client who, on the continuum between wellness and illness, is
moving toward illness and premature death. How would the nurse know this to be true?
A) The client stops doing wellness-promoting activities.
B) The client develops signs and symptoms.
C) The client begins exercising.
D) The client verbalizes anxiety over the cost of medications.
ANS: B
Feedback: The person who moves toward illness and premature death develops signs,
symptoms, and disability, which, unfortunately, is when most treatment occurs in the current
health care system. The client may stop doing wellness-promoting activities and not tell the
nurse of this fact, which makes “The client stops doing wellness-promoting activities”
incorrect. “The client begins exercising” is incorrect because a client who begins exercising
is moving toward wellness, not illness. “The client verbalizes anxiety over the cost of
medications” is incorrect because the verbalization of anxiety over financial matters is not
an indication of illness.
PTS: 1 REF: Page: 6 | Header: Wellness and Illness
MULTIPLE CHOICE
1. Which is one of the broad goals within nursing?
A) To provide cost-effective care
B) To form broad nursing diagnoses
C) To promote self-care
D) To treat human responses
ANS: D
Feedback: Four broad goals are within nursing: (1) to promote health (state of optimal
functioning or well-being with physical, social, and mental components); (2) to prevent
illness; (3) to treat human responses to health or illness; and (4) to advocate for individuals,
families, communities, and populations. The other options listed are not broad goals.
Nursing focuses on promoting health; while cost-effective care is strived for, it is not a part
of the broad goal, and therefore this is not a broad goal within nursing. Nursing looks to
develop specific nursing diagnoses, not broad. Promoting self-care is important, but does
not correctly answer the question.
PTS: 1 REF: Page: 4 | Header: Roles of the Professional Nurse
OBJ: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Caring
BLM: Cognitive Level: Remember
2. The nurse is conducting a physical assessment. The data the nurse would collect vary
depending on what?
A) How much time the nurse has
B) The client's acuity
C) The client's cooperation
D) Onset of current symptoms
ANS: B
Feedback: Data that nurses collect during a physical assessment vary depending on a client's
acuity (condition), health history, and current symptoms. The data collected during a
physical assessment do not depend on how much time the nurse has, how cooperative the
client is, or the onset of the current symptoms.
PTS: 1 REF: Page: 6 | Header: What is health assessment?
OBJ: 5
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
3. A nursing instructor is discussing the purposes of health assessment. Which is one purpose
of health assessment?
A) To establish a database against which subsequent assessments can be measured
B) To establish rapport with the client and family
, C) To gather information for specialists to whom the client might be referred
D) To quantify the degree of pain a client may be experiencing
ANS: A
Feedback: A health assessment is performed to gain further insight into the current condition
and to establish a database that subsequent assessments can be measured against.
PTS: 1 REF: Page: 6 | Header: What is health assessment?
OBJ: 2
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
4. How do nurses facilitate the achievement of high-level wellness with a client?
A) Encouraging the client to keep appointments
B) Providing the client information on alternative treatments
C) Promoting health in the client
D) Providing good client care
ANS: C
Feedback: High-level wellness is a process by which people maintain balance and direction
in the most favorable environment. The role of nurses is to facilitate this achievement
through health promotion and teaching. Nurses do not facilitate the achievement of high-
level wellness by encouraging clients to keep appointments, providing information on
alternative treatments, or providing “good” patient care.
PTS: 1 REF: Page: 6 | Header: Wellness and Illness
OBJ: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Caring
BLM: Cognitive Level: Understand
5. The nurse is caring for a client who, on the continuum between wellness and illness, is
moving toward illness and premature death. How would the nurse know this to be true?
A) The client stops doing wellness-promoting activities.
B) The client develops signs and symptoms.
C) The client begins exercising.
D) The client verbalizes anxiety over the cost of medications.
ANS: B
Feedback: The person who moves toward illness and premature death develops signs,
symptoms, and disability, which, unfortunately, is when most treatment occurs in the current
health care system. The client may stop doing wellness-promoting activities and not tell the
nurse of this fact, which makes “The client stops doing wellness-promoting activities”
incorrect. “The client begins exercising” is incorrect because a client who begins exercising
is moving toward wellness, not illness. “The client verbalizes anxiety over the cost of
medications” is incorrect because the verbalization of anxiety over financial matters is not
an indication of illness.
PTS: 1 REF: Page: 6 | Header: Wellness and Illness
