Test Bank For Health Assessment for Nursing Practice 7th Edition By Susan Fickertt Wilson Jean Foret Giddens | 9780323661195 | Chapter 1- 24 | All Chapters with Answers and Rationals

Test Bank for Health Assessment for
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mm Nursing Practice 7th Edition by Wilson
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mm Chapter 1 - 24mm mm mm

,Chapter 01: Introduction to Health Assessment
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MULTIPLE CHOICE mm




1. A patient comes to the emergency department and tells the triage nurse
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that heis ―having a heart attack.‖ What is the nurse‘s top priority at this time?
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a. Determine the patient‘s personal data mm mm mm mm



andinsurance coverage. mm m mm




b. Ask the patient to take a seat in the
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waitingroom until his name is called.
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c. Request that a nurse collect data mm mm mm mm mm



for acomprehensive history.
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d. Ask a nurse to start a focused
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assessmentof this patient now.
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ANSWER: D mm



The nurse needs to begin an assessment as soon as possible that is focused on this
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patient‘scardiovascular system. The type of health assessment performed by the
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nurse is also drivenby patient need. Personal data and insurance information will be
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obtained, but in this situation, these data can wait until after the patient is
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assessed. Based also on Maslow‘s hierarchy of needs, physiologic needs take
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precedence. Rather than asking the patient to wait, the nurse needs to begin data
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collection, such as vital signs, immediately to determinethe patient‘s health status.
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Complications can be prevented if an immediate assessment is made to analyze the
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patient‘s symptoms. A comprehensive history is not indicated in this situation at
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this time. Some subjective data will be collected, such as allergies and medical
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history related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal
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or mental health assessment is not a priority at this time.
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DIF: Cognitive Level: Apply
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p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
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Care:Establishing Priorities
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2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for mm mm mm mm mm mm



the first time and the nurse conducts a mm mm mm mm mm mm mm mm



detailedhistory and physical examination. mm m mm mm mm




b. A hospital sponsors a health fair at a mm mm mm mm mm mm mm



localmall and provides cholesterol mm m mm mm mm



and blood pressure checks to mall mm mm mm mm mm mm



patrons. mm



c. The nurse in an urgent care center mm mm mm mm mm mm



checksthe vital signs of a patient mm m mm mm mm mm mm



who is complaining of leg pain. mm mm mm mm mm mm

, d. A patient newly diagnosed with
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diabetesmellitus comes to test his
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fasting blood glucose level.
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ANSWER: B mm



A health fair at a local mall that provides cholesterol and blood pressure checks is
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an example of a screening assessment focused on disease detection. A detailed
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history and physical examination conducted during a first-time visit to an obstetric
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clinic is an exampleof a comprehensive assessment. Assessing a patient complaining
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of leg pain in the triage area of an urgent care center is an example of a problem-
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based/focused assessment. A patient‘s return appointment 1 month after today‘s
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office visit to report fasting blood glucose levels is an example of an episodic or
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follow-up assessment.
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DIF: Cognitive Level: Understand
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p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
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3. For which person is a screening assessment indicated?
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a. The person who had abdominal mm mm mm mm



surgeryyesterday mm m




b. The person who is unaware of his mm mm mm mm mm mm



highserum glucose levels mm m mm mm




c. The person who is being admitted mm mm mm mm mm



to along-term care facility mm mm m mm mm




d. The person who is beginning mm mm mm mm



rehabilitationafter a knee replacement mm m mm mm mm




ANSWER: B mm



A screening assessment is performed for the purpose of disease detection. In this
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case thisperson may have diabetes mellitus. A shift assessment is most appropriate
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for the person who is recovering in the hospital from surgery. A comprehensive
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assessment is performedduring admission to a facility to obtain a detailed history
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and complete physical examination. An episodic or follow-up assessment is
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performed after knee replacement toevaluate the outcome of the procedure.
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DIF: Cognitive Level: Understand
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p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
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Care:Establishing Priorities
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4. For which person is a shift assessment indicated?
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a. The person who had abdominal mm mm mm mm



surgeryyesterday mm m




b. The person who is unaware of his mm mm mm mm mm mm



highserum glucose levels mm m mm mm




c. The person who is being admitted to a mm mm mm mm mm mm mm



long-term care facility mm mm




d. The person who is beginning mm mm mm mm



rehabilitationafter a knee replacement mm m mm mm mm




ANSWER: A mm



A shift assessment is most appropriate for the person who is recovering in the
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hospital fromsurgery. A screening assessment is performed for the purpose of
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disease detection, in this case diabetes mellitus. A comprehensive assessment is
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performed during admission to a
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, facility to obtain a detailed history and complete physical examination. An
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episodic or follow-up assessment is performed after knee replacement to evaluate
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the outcome of theprocedure.
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DIF: Cognitive Level: Understand
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p. 4TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
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Care:Establishing Priorities
mm m mm




5. For which person is a comprehensive assessment indicated?
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a. The person who had abdominal mm mm mm mm



surgeryyesterday mm m




b. The person who is unaware of his mm mm mm mm mm mm



highserum glucose levels mm m mm mm




c. The person who is being admitted mm mm mm mm mm



to along-term care facility mm mm m mm mm




d. The person who is beginning mm mm mm mm



rehabilitationafter a knee replacement mm m mm mm mm




ANSWER: C mm



A comprehensive assessment is performed during admission to a facility to obtain a
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detailed history and complete physical examination. A shift assessment is most
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appropriatefor the person who is recovering in the hospital from surgery. A
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screening assessment is performed for the purpose of disease detection, in this
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case diabetes mellitus. An episodic or follow-up assessment is performed after
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knee replacement to evaluate the outcome of the procedure.
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DIF: Cognitive Level: Understand
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p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
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Care:Establishing Priorities
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6. For which person is an episodic or follow-up assessment indicated?
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a. The person who had abdominal mm mm mm mm



surgeryyesterday mm m




b. The person who is unaware of his mm mm mm mm mm mm



highserum glucose levels mm m mm mm




c. The person who is being admitted to a mm mm mm mm mm mm mm



long-term care facility mm mm




d. The person who is beginning mm mm mm mm



rehabilitationafter a knee replacement mm m mm mm mm




ANSWER: D mm



An episodic or follow-up assessment is performed after the knee replacement to
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evaluate the outcome of the procedure. A shift assessment is most appropriate for
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the person who isrecovering in the hospital from surgery. A screening assessment
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is performed for the purpose of disease detection, in this case diabetes mellitus. A
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comprehensive assessment is performed during admission to a facility to obtain a
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detailed history and complete physicalexamination.
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DIF: Cognitive Level: Understand
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p. 3TOP: Nursing Process: Assessment
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