Health Assessment For Nursing Practice, 7th Edition By Susan F Wilson, Jean Foret Giddens
All Chapters 1-24
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,Table Of Contents
Chapter 01: Introduction To Health Assessment ................................................................................................................ 3
Chapter 02: Obtaining A Health History ............................................................................................................................... 9
Chapter 03: Techniques And Equipment For Physical Assessment ................................................................................... 24
Chapter 04: General Inspection And Measurement Of Vital Signs ................................................................................... 37
Chapter 05: Cultural Assessment ....................................................................................................................................... 45
Chapter 06: Pain Assessment ............................................................................................................................................. 53
Chapter 07: Mental Health Assessment ............................................................................................................................. 61
Chapter 08: Nutritional Assessment .................................................................................................................................. 70
Chapter 09: Skin, Hair, And Nails ..................................................................................................................................... 84
Chapter 10: Head, Eyes, Ears, Nose, And Throat ............................................................................................................. 99
Chapter 11: Lungs And Respiratory System................................................................................................................... 133
Chapter 12: Heart And Peripheral Vascular System ...................................................................................................... 149
Chapter 13: Abdomen And Gastrointestinal System ...................................................................................................... 164
Chapter 14: Musculoskeletal System .............................................................................................................................. 183
Chapter 15: Neurologic System ....................................................................................................................................... 196
Chapter 16: Breasts And Axillae .................................................................................................................................... 213
Chapter 17: Reproductive System And The Perineum .................................................................................................... 215
Chapter 18: Developmental Assessment Throughout The Life Span ............................................................................. 233
Chapter 19: Assessment Of The Infant, Child, And Adolescent Test Bank .................................................................. 242
Chapter 20: Assessment Of The Pregnant Patient .......................................................................................................... 268
Chapter 21: Assessment Of The Older Adult .................................................................................................................. 281
Chapter 22: Conducting A Head-To-Toe Examination .................................................................................................. 291
Chapter 23: Documenting The Comprehensive Health Assessment ................................................................................. 295
Chapter 24: Adapting Health Assessment To The Hospitalized Patient .......................................................................... 298
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Chapter 01: Introduction To Health Assessment
Wilson: Health Assessment For Nursing Practice, 7th Edition
Multiple Choice
1. A Patient Comes To The Emergency Department And Tells The Triage Nurse That He Is
“Having A Heart Attack.” What Is The Nurse’s Top Priority At This Time?
a. Determine The Patient’s Personal Data And Insurance Coverage.
b. Ask The Patient To Take A Seat In The Waiting Room Until His Name Is Called.
c. Request That A Nurse Collect Data For A Comprehensive History.
d. Ask A Nurse To Start A Focused Assessment Of This Patient
Now. Answer: D
The Nurse Needs To Begin An Assessment As Soon As Possible That Is Focused On This
Patient’s Cardiovascular System. The Type Of Health Assessment Performed By The Nurse Is
Also Driven By Patient Need. Personal Data And Insurance Information Will Be Obtained, But In
This Situation, These Data Can Wait Until After The Patient Is Assessed. Based Also On
Maslow’s Hierarchy Of Needs, Physiologic Needs Take Precedence. Rather Than Asking The
Patient To Wait, The Nurse Needs To Begin Data Collection, Such As Vital Signs,
Immediately To Determine The Patient’s Health Status.
Complications Can Be Prevented If An Immediate Assessment Is Made To Analyze The
Patient’s Symptoms. A Comprehensive History Is Not Indicated In This Situation At This
Time. Some Subjective Data Will Be Collected, Such As Allergies And Medical History
Related To Cardiovascular Disease. Eyes, Ears, Or A Complete Musculoskeletal Or Mental
Health Assessment Is Not A Priority At This Time.
2. Which Situation Illustrates A Screening Assessment?
a. A Patient Visits An Obstetric Clinic For The First Time And The Nurse Conducts A
Detailed History And Physical Examination.
b. A Hospital Sponsors A Health Fair At A Local Mall And Provides Cholesterol And
Blood Pressure Checks To Mall Patrons.
c. The Nurse In An Urgent Care Center Checks The Vital Signs Of A Patient Who Is
Complaining Of Leg Pain.
d. A Patient Newly Diagnosed With Diabetes Mellitus Comes To Test His Fasting
Blood Glucose Level.
Answer: B
A Health Fair At A Local Mall That Provides Cholesterol And Blood Pressure Checks Is An
Example Of A Screening Assessment Focused On Disease Detection. A Detailed History And
Physical
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Examination Conducted During A First-Time Visit To An Obstetric Clinic Is An Example Of
A Comprehensive Assessment. Assessing A Patient Complaining Of Leg Pain In The Triage Area
Of An Urgent Care Center Is An Example Of A Problem-Based/Focused Assessment. A
Patient’s Return Appointment 1 Month After Today’s Office Visit To Report Fasting Blood
Glucose Levels Is An Example Of An Episodic Or Follow-Up Assessment.
3. For Which Person Is A Screening Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
Replacement Answer: B
A Screening Assessment Is Performed For The Purpose Of Disease Detection. In This Case This
Person May Have Diabetes Mellitus. A Shift Assessment Is Most Appropriate For The Person
Who Is Recovering In The Hospital From Surgery. A Comprehensive Assessment Is Performed
During Admission To A Facility To Obtain A Detailed History And Complete Physical
Examination. An Episodic Or Follow-Up Assessment Is Performed After Knee Replacement To
Evaluate The Outcome Of The Procedure.
4. For Which Person Is A Shift Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
Replacement Answer: A
A Shift Assessment Is Most Appropriate For The Person Who Is Recovering In The Hospital
From Surgery. A Screening Assessment Is Performed For The Purpose Of Disease Detection, In
This Case Diabetes Mellitus. A Comprehensive Assessment Is Performed During Admission To
A Facility To Obtain A Detailed History And Complete Physical Examination. An Episodic Or
Follow-Up Assessment Is Performed After Knee Replacement To Evaluate The Outcome Of The
Procedure.
5. For Which Person Is A Comprehensive Assessment Indicated?
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