Questions and Answers for all 34
Chapters in Health Assessment in
Nursing 5th Edition by Weber, Janet R.
and Kelley, Jane H.
, Table of Contents
Chapter 1. Nurse's Role in Health Assessment: Collecting and Analyzing Data ............. 3
Chapter 2. Collecting Subjective Data: The Interview and Health History ..................... 13
Chapter 3. Collecting Objective Data: The Physical Examination ................................. 23
Chapter 4. Validating and Documenting Data ................................................................ 33
Chapter 5. Thinking Critically to Analyze Data and Make Informed Nursing Judgments43
Chapter 6. Assessing Mental Status and Substance Abuse .......................................... 54
Chapter 7. Assessing Psychosocial, Cognitive, and Moral Development ...................... 64
Chapter 8. Assessing General Status and Vital Signs ................................................... 74
Chapter 9. Assessing Pain: The 5th Vital Sign .............................................................. 84
Chapter 10. Assessing for Violence ............................................................................... 94
Chapter 11. Assessing Culture .................................................................................... 103
Chapter 12. Assessing Spirituality and Religious Practices ......................................... 113
Chapter 13. Assessing Nutritional Status .................................................................... 124
Chapter 14. Assessing Skin, Hair, and Nails ............................................................... 134
Chapter 15. Assessing Head and Neck ....................................................................... 144
Chapter 16. Assessing Eyes........................................................................................ 154
Chapter 17. Assessing Ears ........................................................................................ 163
Chapter 18. Assessing Mouth, Throat, Nose, and Sinuses ......................................... 173
Chapter 19. Assessing Thorax and Lungs ................................................................... 183
Chapter 20. Assessing Breasts and Lymphatic System .............................................. 192
Chapter 21. Assessing Heart and Neck Vessels ......................................................... 202
Chapter 22. Assessing Peripheral Vascular System .................................................... 211
Chapter 23. Assessing Abdomen ................................................................................ 221
Chapter 24. Assessing Musculoskeletal System ......................................................... 230
Chapter 25. Assessing Neurological System ............................................................... 240
Chapter 26. Assessing Male Genitalia and Rectum .................................................... 249
Chapter 27. Assessing Female Genitalia and Rectum ................................................ 258
Chapter 28. Pulling It All Together: Integrated Head-to-Toe Assessment .................... 267
Chapter 29. Assessing Childbearing Women .............................................................. 277
Chapter 30. Assessing Newborns and Infants ............................................................. 287
Chapter 31. Assessing Children and Adolescents ....................................................... 296
Chapter 32. Assessing the Elderly............................................................................... 305
Chapter 33. Assessing Families .................................................................................. 315
Chapter 34. Assessing Communities ........................................................................... 325
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, 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
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
B) ED nurse
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