Test Bank for Nursing Health Assessment The Foundation of Clinical Practice, 3rd Edition, Patricia M. Dillon

Table of Contents 1. Introduction to Assessment 2. Assessing the Integumentary System 3. Assessing the Head, Face and Neck 4. Assessing Eyes and the Ears 5. Assessing the Respiratory System 6. Assessing the Cardiovascular System 7. Assessing the Peripheral -Vascular and Lymphatic Systems 8. Assessing the Breasts 9. Assessing the Abdomen 10. Assessing the Female Genitourinary 11. Assessing the Male Genitourinary 12. Assessing the Motor Musculoskeletal System 13. Assessing the Sensory Neurological System 14. Assessing the Mother to Be 15. Assessing the Newborn and Infant 16. Assessing the Toddler and Preschooler 17. Assessing the School-Age Child and Adolescent 18. Assessing the Older Adult 19. Assessing the Homeless Person 20. Assessing Pain 21. Approach to the Mental Health Assessment 22. Assessing Nutrition 23. Assessing Spirituality 24. Assessing Culture 25. Assessing the Patient’s Environment 26. Assessing Abuse 27. Assessing the Dying Patient—new Chapter 01: The Complete Health Assessment Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient? 1) Divergent thinking 2) Reasoning 3) Creativity 4) Reflection 2. The primary level of preventive health care focuses on which topic? 1) Health promotion 2) Early detection 3) Promotion intervention 4) End-of-life care 3. The nurse is prioritizing data collected during the health assessment. Which data is primary? 1) Pain rating of 4 on a 1 to 10 numeric scale 2) New diagnosis of type 2 diabetes mellitus (DM) 3) Blood pressure of 130/90 mmHg 4) Pulse oximetry reading of 73% 4. Which type of skill is most important when performing a physical assessment? 1) Psychomotor 2) Interpersonal 3) Ethical 4) Affective 5. Which activity is an example of secondary prevention? 1) Wound débridement 2) Immunization 3) Preoperative teaching 4) Long-term nasogastric feedings 6. Which assessment data is considered a symptom? 1) Rapid respirations 2) Sweaty palms 3) Belching 4) Feelings of anxiety 7. Who or what is considered the primary data source for a toddler-age patient? 1) The toddler 2) A parent 3) The medical record 4) Other healthcare providers 8. Which part of the assessment provides the most subjective data? 1) Health history 2) Physical assessment 3) Review of medical records 4) Medication record 9. The nurse is preparing to conduct a health history for a new patient. Where would the nurse gather data for this portion of the assessment? 1) The patient's chart 2) A physical assessment 3) Laboratory tests 4) A discussion with the patient 10. The nurse is preparing to begin a health history for a new patient. Which question is most appropriate for the nurse to begin the process? 1) “What problem brought you here today?” 2) “How old are you?” 3) “Have you had any difficulty breathing?” 4) “What childhood illnesses have you had?” 11. Which is the reason for asking the patient about family history of diseases when conducting a health history interview? 1) To identify functional or dysfunctional family dynamics 2) To identify support systems 3) To identify familial or genetically linked health disorders 4) To identify rehabilitation needs 12. Which data are part of the past health history? 1) Health beliefs 2) Surgeries 3) Genetically linked diseases 4) Age of siblings 13. Which is the purpose of the nursing health history? 1) To determine the patient's response to the health problem 2) To determine the extent of the health problem 3) To determine which medications are appropriate to alleviate the health problem 4) All of the above 14. Which setting is the best place to gather data for a health history? 1) Waiting room 2) Hallway 3) Patient's room 4) On the way to surgery 15. The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the nurse to assume during this process? 1) Leaning over the bed 2) Standing at the bedside 3) Sitting on the bed 4) Sitting on a chair at the bedside 16. The nurse is asking a patient questions about health practices and beliefs. In which portion of the health history will the nurse document these findings? 1) Psychosocial profile 2) Current health problems 3) Past health problems 4) Developmental considerations