Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson

Test Bank for Health Assessment for Nu
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rsing Practice 7th Edition by Wilson Chapt
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er 1 - 24
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,Chapteri01:iIntroductionitoiHealthiAssessment
MULTIPLEiCHOICE

1. Aipatienticomesitoitheiemergencyidepartmentianditellsitheitriageinurseithatiheiisi“
havingiaiheartiattack.”iWhatiisitheinurse’sitopipriorityiatithisitime?
a. Determineitheipatient’sipersonalidataiandiinsu
ranceicoverage.
b. Askitheipatientitoitakeiaiseatiinitheiwaitingiroo
miuntilihisinameiisicalled.
c. Requestithatiainurseicollectidataiforiaic
omprehensiveihistory.
d. Askiainurseitoistartiaifocusediassessmentio
fithisipatientinow.
ANSWER:iD
Theinurseineedsitoibeginianiassessmentiasisooniasipossibleithatiisifocusedionithisipatient’sicard
iovascularisystem.iTheitypeiofihealthiassessmentiperformedibyitheinurseiisialsoidrivenibyipatie
ntineed.iPersonalidataiandiinsuranceiinformationiwillibeiobtained,ibutiinithisisituation,itheseida
taicaniwaitiuntiliafteritheipatientiisiassessed.iBasedialsoioniMaslow’sihierarchyiofineeds,iphysi
ologicineedsitakeiprecedence.iRatherithaniaskingitheipatientitoiwait,itheinurseineedsitoibeginid
ataicollection,isuchiasivitalisigns,iimmediatelyitoidetermineitheipatient’sihealthistatus.iCompli
cationsicanibeipreventediifianiimmediateiassessmentiisimadeitoianalyzeitheipatient’sisymptom
s.iAicomprehensiveihistoryiisinotiindicatediinithisisituationiatithisitime.iSomeisubjectiveidatai
willibeicollected,isuchiasiallergiesiandimedicalihistoryirelateditoicardiovascularidisease.iEyes,i
ears,ioriaicompleteimusculoskeletaliorimentalihealthiassessmentiisinotiaipriorityiatithisitime.

DIF:iii CognitiveiLevel:iApply REF:iBoxi1-
3i|ip.i3iTOP:iNursingiProcess:iAssessment
MSC:iNCLEXiPatientiNeeds:iSafeiandiEffectiveiCareiEnvironment:iManagementiofiCare:iEstablishin
giPriorities

2. Whichisituationiillustratesiaiscreeningiassessment?
a. Aipatientivisitsianiobstetricicliniciforitheifirstit
imeianditheinurseiconductsiaidetailedihistoryia
ndiphysicaliexamination.
b. Aihospitalisponsorsiaihealthifairiatiailocalim
alliandiprovidesicholesteroliandibloodipres
sureichecksitoimallipatrons.
c. Theinurseiinianiurgenticareicenterichecksith
eivitalisignsiofiaipatientiwhoiisicomplainin
giofilegipain.

, d. Aipatientinewlyidiagnosediwithidiabetesi
mellitusicomesitoitestihisifastingibloodigl
ucoseilevel.
ANSWER:iB
Aihealthifairiatiailocalimallithatiprovidesicholesteroliandibloodipressureichecksiisianiexampleio
fiaiscreeningiassessmentifocusedionidiseaseidetection.iAidetailedihistoryiandiphysicaliexamin
ationiconductediduringiaifirst-
timeivisititoianiobstetricicliniciisianiexampleiofiaicomprehensiveiassessment.iAssessingiaipatie
nticomplainingiofilegipainiinitheitriageiareaiofianiurgenticareicenteriisianiexampleiofiaiproblem
-
based/focusediassessment.iAipatient’sireturniappointmenti1imonthiafteritoday’siofficeivisititoi
reportifastingibloodiglucoseilevelsiisianiexampleiofianiepisodiciorifollow-upiassessment.

DIF:iiiCognitiveiLevel:iUnderstand REF:iBoxi1-
3i|ip.i3iTOP:iNursingiProcess:iAssessment
MSC:iNCLEXiPatientiNeeds:iHealthiPromotioniandiMaintenance:iHealthiScreening

3. Foriwhichipersoniisiaiscreeningiassessmentiindicated?
a. Theipersoniwhoihadiabdominalisurgeryiy
esterday
b. Theipersoniwhoiisiunawareiofihisihighis
erumiglucoseilevels
c. Theipersoniwhoiisibeingiadmitteditoiailo
ng-termicareifacility
d. Theipersoniwhoiisibeginningirehabilitationiaft
eriaikneeireplacement
ANSWER:iB
Aiscreeningiassessmentiisiperformediforitheipurposeiofidiseaseidetection.iInithisicaseithisiper
sonimayihaveidiabetesimellitus.iAishiftiassessmentiisimostiappropriateiforitheipersoniwhoiisir
ecoveringiinitheihospitalifromisurgery.iAicomprehensiveiassessmentiisiperformediduringiad
missionitoiaifacilityitoiobtainiaidetailedihistoryiandicompleteiphysicaliexamination.iAniepiso
diciorifollow-
upiassessmentiisiperformediafterikneeireplacementitoievaluateitheioutcomeiofitheiprocedure.

DIF:iiiCognitiveiLevel:iUnderstand REF:iBoxi1-
3i|ip.i3iTOP:iNursingiProcess:iAssessment
MSC:iNCLEXiPatientiNeeds:iSafeiandiEffectiveiCareiEnvironment:iManagementiofiCare:iEstablishin
giPriorities

4. Foriwhichipersoniisiaishiftiassessmentiindicated?
a. Theipersoniwhoihadiabdominalisurgeryiy
esterday
b. Theipersoniwhoiisiunawareiofihisihighis
erumiglucoseilevels
c. Theipersoniwhoiisibeingiadmitteditoia
long-termicareifacility
d. Theipersoniwhoiisibeginningirehabilitationia
fteriaikneeireplacement
ANSWER:iA
Aishiftiassessmentiisimostiappropriateiforitheipersoniwhoiisirecoveringiinitheihospitalifromisur
gery.iAiscreeningiassessmentiisiperformediforitheipurposeiofidiseaseidetection,iinithisicaseidia
betesimellitus.iAicomprehensiveiassessmentiisiperformediduringiadmissionitoia

, facilityitoiobtainiaidetailedihistoryiandicompleteiphysicaliexamination.iAniepisodiciorifollo
w-
upiassessmentiisiperformediafterikneeireplacementitoievaluateitheioutcomeiofitheiprocedure.

DIF:iiiCognitiveiLevel:iUnderstand REF:iBoxi1-
3i|ip.i4iTOP:iNursingiProcess:iAssessment
MSC:iNCLEXiPatientiNeeds:iSafeiandiEffectiveiCareiEnvironment:iManagementiofiCare:iEstablishin
giPriorities

5. Foriwhichipersoniisiaicomprehensiveiassessmentiindicated?
a. Theipersoniwhoihadiabdominalisurgeryiy
esterday
b. Theipersoniwhoiisiunawareiofihisihighis
erumiglucoseilevels
c. Theipersoniwhoiisibeingiadmitteditoiailo
ng-termicareifacility
d. Theipersoniwhoiisibeginningirehabilitationiaft
eriaikneeireplacement
ANSWER:iC
Aicomprehensiveiassessmentiisiperformediduringiadmissionitoiaifacilityitoiobtainia

detailedihistoryiandicompleteiphysicaliexamination.iAishiftiassessmentiisimostiappropriateifor
itheipersoniwhoiisirecoveringiinitheihospital ifromisurgery.iAiscreeningiassessmentiis iperform

ediforitheipurposeiofidiseaseidetection,iinithisicaseidiabetesimellitus.iAniepisodiciorifollow-
upiassessmentiisiperformediafterikneeireplacementitoievaluateitheioutcomeiofitheiprocedure.

DIF:iiiCognitiveiLevel:iUnderstand REF:iBoxi1-
3i|ip.i3iTOP:iNursingiProcess:iAssessment
MSC:iNCLEXiPatientiNeeds:iSafeiandiEffectiveiCareiEnvironment:iManagementiofiCare:iEstablishin
giPriorities

6. Foriwhichipersoniisianiepisodiciorifollow-upiassessmentiindicated?
a. Theipersoniwhoihadiabdominalisurgeryiy
esterday
b. Theipersoniwhoiisiunawareiofihisihighis
erumiglucoseilevels
c. Theipersoniwhoiisibeingiadmitteditoia
long-termicareifacility
d. Theipersoniwhoiisibeginningirehabilitationiaft
eriaikneeireplacement
ANSWER:iD
Aniepisodiciorifollow-
upiassessmentiisiperformediafteritheikneeireplacementitoievaluateitheioutcomeiofitheiprocedu
re.iAishiftiassessmentiisimostiappropriateiforitheipersoniwhoiisirecoveringiinitheihospitalifromi
surgery.iAiscreeningiassessmentiisiperformediforitheipurposeiofidiseaseidetection,iinithisicasei
diabetesimellitus.iAicomprehensiveiassessmentiisiperformediduringiadmissionitoiaifacilityitoi
obtainiaidetailedihistoryiandicompleteiphysicaliexamination.

DIF:iiiCognitiveiLevel:iUnderstand REF:iBoxi1-
3i|ip.i3iTOP:iNursingiProcess:iAssessment