Test Bank for Health Assessment in Nursing 7th Edition by Janet R. Weber and Jane H. Kelley

Test Bank for Health Assessment in Nursing 7th Edition by Janet R. Weber and Jane H. Kelley CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA 1. A nursing practitioner on a postsurgical unit is admitting a patient following the patient's cholecystectomy (gall bladder removal). What is the overall purpose of assessment for this patient? A) Collecting accurate data B) Assisting the primary care provider C) Validating previous data D) Making clinical judgments 2. A patient has presented to the emergency department (ED) with complaints of abdominal pain. Which member of the care team would most likely be responsible for collecting the subjective data on the patient during the initial comprehensive assessment? A) Gastroenterologist B) ED nurse C) Admissions clerk D) Diagnostic technician 3. The nursing practitioner has completed an initial assessment of a newly admitted patient and is applying the nursing process to plan the patient's care. What principle should the nursing practitioner apply when using the nursing process? A) Each step is independent of the others. B) It is ongoing and continuous. C) It is used primarily in acute care settings. D) It involves independent nursing actions. 4. The nursing practitioner who provides care at an ambulatory clinic is preparing to meet a patient and perform a comprehensive health assessment. Which of the following actions should the nursing practitioner perform first? A) Review the patient's medical record. B) Obtain basic biographic data. C) Consult clinical resources explaining the patient's diagnosis. D) Validate information with the patient. 5. Which of the following patient situations would the nursing practitioner interpret as requiring an emergency assessment? A) A pediatric patient with severe sunburn B) A patient needing an employment physical C) A patient who overdosed on acetaminophen D) A distraught patient who wants a pregnancy test 6. In response to a patient's query, the nursing practitioner is explaining the differences between the physician's medical exam and the comprehensive health assessment performed by the nurse. The nursing practitioner should describe the fact that the nursing assessment focuses on which aspect of the patient's situation? A) Current physiologic status B) Effect of health on functional status C) Past medical history D) Motivation for adherence to treatment 7. After teaching a group of students about the phases of the nursing process, the instructor determines that the teaching was successful when the students identify which phase as being foundational to all other pha ses? A) Assessment B) Planning C) Implementation D) Evaluation 8. The nursing practitioner has completed the comprehensive health assessment of a patient who has been admitted for the treatment of community-acquired pneumonia. Following the completion of this assessment, the nursing practitioner periodically performs a partial assessment primarily for which reason? A) Reassess previously deteNcted problems B) Provide information for the patient's record C) Address areas previously omitted D) Determine the need for crisis intervention 9. The nursing practitioner is working in an ambulatory care clinic that is located in a busy, inner-city neighborhood. Which patient would the nursing practitioner determine to be in most need of an emergency assessment? A) A 14-year-old girl who is crying because she thinks she is pregnant B) A 45-year-old man with chest pain and diaphoresis for 1 hour C) A 3-year-old child with fever, rash, and sore throat D) A 20-year-old man with a 3-inch shallow laceration on his leg 10. A nursing practitioner has completed gathering some basic data about a patient who has multiple health problems that stem from heavy alcohol use. The nursing practitioner has then reflected on her personal feelings about the patient and his circumstances. The nursing practitioner does this primarily to accomplish which of the following? A) Determine if pertinent data has been omitted B) Identify the need for referral C) Avoid biases and judgments D) Construct a plan of care 11. The nursing practitioner is collecting data from a patient who has recently been diagnosed with type 1 diabetes and who will begin an educational program. The nursing practitioner is collecting subjective and objective data. Which of the following would the nursing practitioner categorize as objective data? A) Family history B) Occupation C) Appearance D) History of present health concern 12. An older adult patient has been admitted to the hospital with failure to thrive resulting from complications of diabetes. Which of the following would the nursing practitioner implement in response to a collaborative problem? A) Encourage the patient to increase oral fluid intake. B) Provide the patient with a bedtime protein snack. N C) Assist the patient with personal hygiene. D) Measure the patient's blood glucose four times daily. 13. The nursing practitioner at a busy primary care clinic is analyzing the data obtained from the following patients. For which patients would the nursing practitioner most likely expect to facilitate a referral? A) An 80-year-old patient who lives with her daughter B) A 50-year-old patient newly diagnosed with diabetes C) An adult presenting for an influenza vaccination D) A teenager seeking information about contraception 14. An instructor is reviewing the evolution of the nurse's role in health assessment. The instructor determines that the teaching was successful when the students identify which of the following as the major method used by nursing practitioners early in the history of the profession? A) Natural senses B) Biomedical knowledge C) Simple technology D) Critical pathways 15. When describing the expansion of the depth and scope of nursing assessment over the past several decades, which of the following would the nursing practitioner identify as being the primary force? A) Documentation B) Informatics C) Diversification D) Technology 16. A group of nursing practitioners are reviewing information about the potential opportunities for nursing practitioners who have advanced assessment skills. When discussing phenomena that have contributed to these increased opportunities, what should the nursing practitioners identify? A) Expansion of health care networks B) Decrease in patient participation in care C) The shrinking cost of medical care D) Public mistrust of physicians 17. A nursing practitioner has documented the findings of a comprehensive assessment of a new patient. What is the primary rationale that the nursing practitioner should identify for accurate and thorough documentation? A) Guaranteeing a continual assessment process B) Identifying abnormal data N C) Assuring valid conclusions from analyzed data D) Allowing for drawing inferences and identifying problems 18. A nursing practitioner has received a report on a patient who will soon be admitted to the medical unit from the emergency department. When preparing for the assessment phase of the nursing process, which of the following should the nursing practitioner do first? A) Collect objective data. B) Validate important data. C) Collect subjective data. D) Document the data. 19. A community health nursing practitioner is assessing an older adult patient in the patient's home. When the nursing practitioner is gathering subjective data, which of the following would the nursing practitioner identify? A) The patient's feelings of happiness B) The patient's posture C) The patient's affect D) The patient's behavior 20. A nursing practitioner on the hospital's subacute medical unit is planning to perform a patient's focused assessment. Which of the following statements should inform the nurse's practice? A) The focused assessment should be done before the physical exam. B) The focused assessment replaces the comprehensive database. C) The focused assessment addresses a particular patient problem. D) The focused assessment is done after gathering subjective data. 21. The nursing practitioner is reviewing a patient's health history and the results of the most recent physical examination. Which of the following data would the nursing practitioner identify as being subjective? Select all that apply. A) ìI feel so tired sometimes.î B) Weight: 145 lbs C) Lungs clear to auscultation D) Patient complains of a headache E) ìMy father died of a heart attack.î F) Pupils equal, round, and reactive to light 22. The nursing practitioner has been applying the nursing process in the care of an adult patient who is being treated for acute pancreatitis. Place the nurse's actions in their proper sequence from first to last. A) Identifying outcomes C,B,A,E,D B) Determining patient's nursing problem N C) Collecting information about the patient D) Determining outcome achievement E) Carrying out interventions 23. A nursing practitioner is completing an assessment that will involve gathering subjective and objective data. Which of the following assessment techniques will best allow the nursing practitioner to collect objective data? A) Inspection B) Therapeutic communication C) Interviewing D) Active listening 24. The nursing practitioner is performing a health assessment on a community-dwelling patient who is recovering from hip replacement surgery. Which of the following actions should the nursing practitioner prioritize during assessment? A) Focus the assessment on the patient as a member of her age group. B) Interpret the information about the patient in context. C) Corroborate the patient's statements with trusted sources. D) Gather information from a variety of sources. 25. A patient comes to the health care provider's office for a visit. The patient has been seen in this office on occasion for the past 5 years and arrives today complaining of a fever and sore throat. Which type of assessment would the nursing practitioner most likely perform? A) Comprehensive assessment B) Ongoing assessment C) Focused assessment D) Emergency assessment 26. A nursing practitioner has assessed a patient who was admitted to the medical unit to treat acute complications of type 1 diabetes. During the assessment, the patient admitted that his blood sugar monitoring when he is at home is ìa bit sporadic.î How should the nursing practitioner best respond to this assessment finding? A) Identify a nursing diagnosis of Ineffective Health Maintenance. B) Identify a collaborative problem that should involve the occupational therapist. C) Make a referral to the unit's social work department. D) Reassess the patient's blood glucose level. 27. The nursing practitioner is utilizing the Health Belief Model in the care of a patient whose type 1 diabetes is inadequately controlled. When implementing this model, the nursing practitioner should begin by assessing which of the following? A) The patient's motivation for change N B) The patient's medical comorbidities C) The patient's learning style D) The patient's prognosis for recovery 28. A nursing practitioner will complete an initial comprehensive assessment of a 60-year-old patient who is new to the clinic. What goal should the nursing practitioner identify for this type of assessment? A) Identify the most appropriate forms of medical intervention for the patient. B) Determine the most likely prognosis for the patient's health problem. C) Identify the status of the patient's airway, breathing, and circulation. D) Establish a baseline for the comparison of future health changes. 30. A patient who is new to the facility has a recent history of chronic pain that is attributed to fibromyalgia. The nursing practitioner has reviewed the available health records and suspects that pain management will be a major focus of nursing care. How can the nursing practitioner best validate this assumption? A) Review the patient's medication administration record for analgesic use. B) Ask the patient about the most recent experiences of pain. C) Meet with the patient's spouse and daughter to discuss the patient's pain. D) Collaborate with the physician who is treating the patient. N 29. A nursing practitioner who provides care in a hospital setting is creating a plan of nursing care for a patient who has a diagnosis of chronic renal failure. The nurse's plan specifies frequent ongoing assessments. The frequency of these nursing assessments should be primarily determined by what variable? A) The patient's age B) The unit's protocols C) The patient's acuity D) The nurse's potential for liability Answer Key 1. D 2. B 3. B 4. A 5. C 6. B 7. A 8. A 9. B 10. C 11. C 12. D 13. B 14. A 15. D 16. A 17. C 18. C 19. A 20. C 21. A, D, E 22. C, B, A, E, D N 23. A 24. B 25. C 26. A 27. A 28. D 29. C 30. B Powered byTC PDF ( . org) CHAPTER 2: COLSLtuEviaC.cTomIN- GTheSMUaBrkeJtEplCacTe tIoVBEuyDanAd TSS HISTORY eAll :yoTurHSEtudIyNMTatEerRialVIEW AND HEALTH CHAPTER 2: COLLECTING SUBJECTIVE DATA: THE INTERVIEW AND HEALTH HISTORY 1. A nursing practitioner is preparing to assess a patient who is new to the clinic. When beginning the collection of the patient database, which of the following actions should the nursing practitioner prioritize? A) Establishing a trusting relationship B) Determining the patient's strengths C) Identifying potential health problems D) Making clinical inferences 2. A nursing practitioner is interpreting and validating information from an older adult patient who has been experiencing a functional decline. The nursing practitioner is in which phase of the interview? A) Introductory B) Working C) Summary D) Closing 3. A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy, and the nursing practitioner is collecting subjective data prior to surgery. Which statement by the nursing practitioner could be construed as judgmental? A) ―How often do your adult children typically visit you?‖ B) ―Your husband's death must have been very difficult for you.‖ C) ―You must quit smoking because it affects others, not only you.‖ D) ―How would you describe your feelings about getting older?‖ N 4. A nursing practitioner is interviewing a 22-year-old patient of the campus medical clinic. Which nonverbal behavior should the nursing practitioner adopt to best facilitate communication during this phase of assessment? A) Standing while the patient is seated B) Using a moderate amount of eye contact C) Sitting across the room from the patient D) Minimizing facial expressions 5. A nursing practitioner is providing feedback to a colleague after observing the colleague's interview of a newly admitted patient. Which of the following would the nursing practitioner identify as an example of a closed-ended question or statement? Page 1 This study source was downloaded by from CourseH on :34:19 GMT -05:00 A) ―Tell me about your relationship with your children?‖ B) ―Tell me what you eat in a normal day?‖ C) ―Are you allergic to any medications?‖ D) ―What is your typical day like?‖ 6. A patient has presented to the emergency department and is having difficulty describing her vague sensation of physical discomfort and unease. How can the nursing practitioner best elicit meaningful assessment data about the nature of the patient's complaint? A) Ignore the complaint for now and return to it later in the assessment. B) Provide a laundry list of descriptive words. C) Restate the question using simpler terms. D) Wait in silence until the patient can determine the correct words. 7. A nursing practitioner is eliciting a patient's health history and the patient asks, ―Can I take the herb ginkgo biloba with my other medications?‖ What action would be best if the nursing practitioner is unsure of the answer? A) Promise to find out the information for the patient. B) Change the subject and return to this topic later. C) Teach the patient to only take prescribed medications. D) Encourage the patient to ask the pharmacist or primary care provider. 8. The nursing practitioner is preparing to assess the mental status of a 90-year-old patient who is being admitted to the hospital from a long-term care facility. Which of the following should the nursing practitioner assess first? A) The patient's sensory abilities B) The patient's general intelligence C) The presence of any phobias N D) The patient's judgment and insight 9. A nursing practitioner provides care in a rural hospital that serves a community that has few minority residents. When interviewing a patient from a minority culture, the nursing practitioner has enlisted the assistance of a ―culture broker.‖ How can this individual best facilitate the patient's care? A) By interpreting the patient's language and culture B) By evaluating the patient's culturally based health practices C) By teaching the patient about health care D) By making the patient feel comfortable and safe 10. Upon entering an exam room, the patient states, ―Well! I was getting ready to leave. My schedule is very busy and I don't have time to waste waiting until you have the time to see me!‖ Which response by the nursing practitioner would be most appropriate? A) ―Our schedule is very busy also. We got to you as soon as we could.‖ B) ―No one is forcing you to be here, and you are free to leave at any time.‖ C) ―Would you like to report your complaints to someone with power?‖ D) ―You're certainly justified in being upset, but I am ready to begin your exam now.‖ 11. A nursing practitioner has admitted a patient to the medical unit and is describing the purpose for obtaining a comprehensive health history. Which of the following purposes should the nursing practitioner describe? A) ―This helps us to complete your health record accurately.‖ B) ―This helps us to establish a trusting interpersonal relationship.‖ C) ―This helps us to evaluate the seriousness of your risk factors for disease.‖ D) ―This helps us have an appropriate focus for the physical examination.‖ 12. A clinic nursing practitioner has reviewed a new patient's available health record and will now begin taking the patient's health history. Which of the following questions should the nursing practitioner ask first when obtaining the health history? A) ―Do you have adequate health insurance coverage?‖ B) ―Are you generally fairly healthy?‖ C) ―What is your major health concern at this time?‖ D) ―Did you bring all your medications with you?‖ 13. A patient has presented for care with complaints of persistent lower back pain. When using the mnemonic COLDSPA, which question should the nursing practitioner use to evaluate the ―P‖? A) ―What makes it worse?‖ B) ―When did it start?‖ C) ―How does it feel?‖ N D) ―How would you rate your pain?‖ 14. A medical nursing practitioner has completed the review of systems component of the patient's health history. Which assessment finding should the nursing practitioner document under the review of systems? A) ―High school diploma plus 2 years of college‖ B) ―Caregiver reliable source of information‖ C) ―Menarche at age 13‖ D) ―Lungs clear to auscultation bilaterally‖ 15. A patient has been admitted following an unexplained weight loss of 15 pounds over the past 3 months. How should the nursing practitioner best assess the subjective component of the patient's nutritional status? A) Ask the patient to explain MyPlate. B) Obtain a 24-hour diet recall. C) Ask about the contents of one typical meal. D) Elicit the patient's favorite foods. 16. A patient's elevated body mass index (BMI) has prompted the nursing practitioner to assess the patient's activity and exercise level. Which statement would indicate to the nursing practitioner that the patient is getting the recommended amount of exercise? A) ―I walk briskly on the treadmill once or twice a week.‖ B) ―I play basketball with a team every Friday night without fail.‖ C) ―I go to a step class for an hour three times a week.‖ D) ―I swim for at least half an hour each Saturday morning.‖ 17. During an assessment, the nursing practitioner determines that a patient sees more than