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Nursing Health AssessmentTheFoundation ofClinicalPractice,
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x 3rd Edition, Patricia M. Dillon
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,TableofContents
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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 RespiratorySystem
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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 SensoryNeurological 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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, Chapter01:TheCompleteHealthAssessment
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MultipleChoice
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Identifythechoicethatbestcompletesthestatementoranswersthequestion.
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1. Whichcriticalthinkingskill allowsthenurseto thinkoutside of the box whenassessinga patient?
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1) Divergentthinking x
2) Reasoning
3) Creativity
4) Reflection
2. Theprimarylevel ofpreventive health carefocusesonwhichtopic?
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1) Healthpromotion x
2) Earlydetection x
3) Promotionintervention x
4) End-of-lifecare x
3. Thenurseis prioritizingdata collected duringthehealthassessment. Which datais primary?
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1) Painratingof 4 on a 1to 10 numeric scale x x x x x x x x x x
2) Newdiagnosis oftype2 diabetes mellitus (DM) x x x x x x x
3) Blood pressureof 130/90mmHg x x x x
4) Pulseoximetryreadingof 73% x x x x
4. Whichtype of skill is mostimportant whenperforminga physical assessment?
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1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Whichactivityis anexample of secondaryprevention?
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1) Wound débridement x
2) Immunization
3) Preoperativeteaching x
4) Long-termnasogastricfeedings x x
6. Which assessment datais considered a symptom?
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1) Rapidrespirations x
2) Sweatypalms x
3) Belching
4) Feelings of anxiety x x
7. Who or whatisconsideredtheprimarydata sourcefor a toddler-age patient?
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1) The toddler x
2) A parent x
3) Themedical record x x
4) Otherhealthcareproviders x x
8. Whichpartoftheassessment providesthemost subjectivedata?
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1) Healthhistory x
2) Physicalassessment x
3) Reviewof medical records x x x
4) Medicationrecord x