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Nursing Health Assessment The Foundation of Clinical Practice,
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NM 3rd Edition, Patricia M. Dillon
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,Table of Contents
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1. Introduction to Assessment
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2. Assessing the Integumentary System
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3. Assessing the Head, Face and Neck
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4. Assessing Eyes and the Ears
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5. Assessing the Respiratory System
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6. Assessing the Cardiovascular System
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7. Assessing the Peripheral -Vascular and Lymphatic Systems
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8. Assessing the Breasts
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9. Assessing the Abdomen
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10. Assessing the Female Genitourinary
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11. Assessing the Male Genitourinary
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12. Assessing the Motor Musculoskeletal System
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13. Assessing the Sensory Neurological System
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14. Assessing the Mother to Be
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15. Assessing the Newborn and Infant
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16. Assessing the Toddler and Preschooler
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17. Assessing the School-Age Child and Adolescent
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18. Assessing the Older Adult
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19. Assessing the Homeless Person
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20. Assessing Pain
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,21. Approach to the Mental Health Assessment
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22. Assessing Nutrition
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23. Assessing Spirituality
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24. Assessing Culture
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25. Assessing the Patient’s Environment
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26. Assessing Abuse
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27. Assessing the Dying Patient—new
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, Chapter 01: The Complete Health Assessment
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NM NM ANSWERS AT THE END OF EVERY CHAPTER.
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
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1) Divergent thinking NM
2) Reasoning
3) Creativity
4) Reflection
2. The primary level of preventive health care focuses on which topic?
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1) Health promotion NM
2) Early detection NM
3) Promotion intervention NM
4) End-of-life care NM
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
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1) Pain rating of 4 on a 1 to 10 numeric scale
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2) New diagnosis of type 2 diabetes mellitus (DM)
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3) Blood pressure of 130/90 mmHg NM NM NM NM
4) Pulse oximetry reading of 73% NM NM NM NM
4. Which type of skill is most important when performing a physical assessment?
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1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which activity is an example of secondary prevention?
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1) Wound débridement NM
2) Immunization
3) Preoperative teaching NM
4) Long-term nasogastric feedings NM NM
6. Which assessment data is considered a symptom?
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1) Rapid respirations NM
2) Sweaty palms NM
3) Belching
4) Feelings of anxiety NM NM
7. Who or what is considered the primary data source for a toddler-age patient?
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1) The toddler NM
2) A parent NM
3) The medical record NM NM
4) Other healthcare providers NM NM
8. Which part of the assessment provides the most subjective data?
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1) Health history NM
2) Physical assessment NM
3) Review of medical records NM NM NM
4) Medication record NM