JANET R. WEBER RN EDD (AUTHOR), JANE H. KELLEY RN PHD (AUTHOR)
COMPLETE GUIDE WITH COMPLETE CHAPTERS 1-34|| VERIFIED QUESTIONS
WITH ACCURATE ANSWERS(BEST ANSWERS) Answer Key Provided After Every
Chapter||ALREADY RATED A+
,Table of Contents
UNIT 1 NURSING DATA COLLECTION, DOCUMENTATION, AND ANALYSIS ................................................ 3
Chapter 1: Nurse’s Role In Health Assessment: Collecting And Analyzing Data....................................... 3
Chapter 2: Collecting Subjective Data: The Interview And Health History ............................................. 12
Chapter 3: Collecting Objective Data: The Physical Examination ........................................................... 22
Chapter 4: Validating And Documenting Data ........................................................................................ 29
Chapter 5: Thinking Critically To Analyze Data And Make Informed Nursing Judgments ...................... 35
UNIT 2 INTEGRATIVE HOLISTIC NURSING ASSESSMENT ........................................................................... 45
Chapter 6: Assessing Mental Status Including Risk For Substance ......................................................... 45
Chapter 7: Assessing Psychosocial, Cognitive, and Moral Development ............................................... 55
Chapter 8: Assessing General Health Status And Vital Signs .................................................................. 64
Chapter 9: Assessing Pain: The 5th Vital Sign ......................................................................................... 73
Chapter 10: Assessing For Violence ........................................................................................................ 83
Chapter 11: Assessing Culture ................................................................................................................ 88
Chapter 12: Assessing Spirituality And Religious Practices..................................................................... 96
Chapter 13: Assessing Nutritional Status .............................................................................................. 106
UNIT 3 NURSING ASSESSMENT OF PHYSICAL SYSTEMS .......................................................................... 128
Chapter 14: Assessing Skin, Hair, And Nails .......................................................................................... 128
Chapter 15: Assessing Head And Neck ................................................................................................. 137
Chapter 16: Assessing Eyes ................................................................................................................... 147
Chapter 17: Assessing Ears ................................................................................................................... 156
Chapter 18: Assessing Mouth, Throat, Nose, And Sinuses ................................................................... 179
Chapter 19: Assessing Thorax And Lungs.............................................................................................. 189
Chapter 20: Assessing Breasts And Lymphatic System ......................................................................... 198
Chapter 21: Assessing Heart And Neck Vessels .................................................................................... 209
Chapter 22: Assessing Peripheral Vascular System .............................................................................. 219
Chapter 23: Assessing Abdomen .......................................................................................................... 228
Chapter 24: Assessing Musculoskeletal System ................................................................................... 238
Chapter 25: Assessing Neurologic System ............................................................................................ 247
Chapter 26: Assessing Male Genitalia And Rectum .............................................................................. 256
Chapter 27: Assessing Female Genitalia, Anus, And Rectum ............................................................... 266
Chapter 28: Pulling It All Together: Integrated Head-To-Toe Assessment ........................................... 275
UNIT 4 NURSING ASSESSMENT OF SPECIAL GROUPS ............................................................................. 284
, Chapter 29: Assessing Childbearing Women ........................................................................................ 284
Chapter 30: Assessing Newborns And Infants ...................................................................................... 294
Chapter 31: Assessing Children And Adolescents ................................................................................. 303
Chapter 32: Assessing Older Adults ...................................................................................................... 313
Chapter 33: Assessing Families ............................................................................................................. 322
Chapter 34: Assessing Communities ..................................................................................................... 331
UNIT 1 NURSING DATA COLLECTION, DOCUMENTATION, AND ANALYSIS
Chapter 1: Nurse’s Role In Health Assessment: Collecting And Analyzing Data
1. A Nurse On A Postsurgical Unit Is Admitting A Client Following The Client's Cholecystectomy
(Gall Bladder Removal). What Is The Overall Purpose Of Assessment For This Client?
A) Collecting Accurate Data
B) Assisting The Primary Care Provider
C) Validating Previous Data
D) Making Clinical Judgments
2. A Client 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 Client During The Initial Comprehensive Assessment?
A) Gastroenterologist
B) ED Nurse
C) Admissions Clerk
D) Diagnostic Technician
3. The Nurse Has Completed An Initial Assessment Of A Newly Admitted Client And Is Applying The
Nursing Process To Plan The Client's Care. What Principle Should The Nurse 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 Nurse Who Provides Care At An Ambulatory Clinic Is Preparing To Meet A Client And
Perform A Comprehensive Health Assessment. Which Of The Following Actions Should The Nurse
Perform First?
A) Review The Client's Medical Record.
B) Obtain Basic Biographic Data.
C) Consult Clinical Resources Explaining The Client's Diagnosis.
D) Validate Information With The Client.
5. Which Of The Following Client Situations Would The Nurse Interpret As Requiring An Emergency
Assessment?
A) A Pediatric Client With Severe Sunburn
B) A Client Needing An Employment Physical
C) A Client Who Overdosed On Acetaminophen
D) A Distraught Client Who Wants A Pregnancy Test
6. In Response To A Client's Query, The Nurse Is Explaining The Differences Between The
Physician's Medical Exam And The Comprehensive Health Assessment Performed By The Nurse. The
Nurse Should Describe The Fact That The Nursing Assessment Focuses On Which Aspect Of The Client's
Situation?
A) Current Physiologic Status
B) Effect Of Health On Functional Status
C) Past Medical History
D) Motivation For Adherence To Treatment