, 1
TEST BANK v
5th Edition Weber and Kelley Health Assessment in Nursing
v
v v v v v v v
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-cards
https://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
v
flash- cards/ v
Quizlet Name: v v lei_achacoso
1. A nurse on a postsurgical unit is admitting a client following the client's
v v v v v v v v v v v v v
vcholecystectomy (gall bladder removal). What is the overall purpose of v v v v v v v v v
vassessment for this client? v v v
A) Collecting accurate data v v
B) Assisting the primary care provider v v v v
C) Validating previous data v v
D) Making clinical judgments v v
D) Making clinical judgments
v v v
2. A client has presented to the emergency department (ED) with complaints of
v v v v v v v v v v v v
vabdominal pain. Which member of the care team would most likely be v v v v v v v v v v v
vresponsible for collecting the subjective data on the client during the initialv v v v v v v v v v v
vcomprehensive assessment? v
A) Gastroenterologist
B) ED nurse v
C) Admissions clerk v
D) Diagnostic technician v
B) ED nurse
v v
3. The nurse has completed an initial assessment of a newly admitted
v v v v v v v v v v
v client and is applying the nursing process to plan the client's care. What principle
v v v v v v v v v v v v v
vshould the nurse apply when using the nursing process?
v v v v v v v v
A) Each step is independent of the others. v v v v v v
B) It is ongoing and continuous.
v v v v
C) It is used primarily in acute care settings.
v v v v v v v
D) It involves independent nursing actions.
v v v v
B) It is ongoing and continuous.
v v v v
4. The nurse who provides care at an ambulatory clinic is preparing to meet a
v v v v v v v v v v v v v
vclient and perform a comprehensive health assessment. Which of the following actions
v v v v v v v v v v v
v should the nurse perform first? v v v v
A) Review the client's medical record. v v v v
B) Obtain basic biographic data. v v v
C) Consult clinical resources explaining the client's diagnosis.v v v v v v
D) Validate information with the client. v v v v
A) Review the client's medical record. v v v v
5. Which of the following client situations would the nurse interpret
v v v v v v v v v
v as requiring an emergency assessment?
v v v v
A) A pediatric client with severe sunburn
v v v v v
B) A client needing an employment physical
v v v v v
C) A client who overdosed on acetaminophen
v v v v v
D) A distraught client who wants a pregnancy test
v v v v v v v
C) A client who overdosed on acetaminophen
v v v v v
6. In response to a client's query, the nurse is explaining the differences
v v v v v v v v v v v
vbetween the physician's medical exam and the comprehensive health
v v v v v v v v
vassessment performed by the nurse. The nurse should describe the fact v v v v v v v v v v
vthat the nursing assessment focuses on which aspect of the client's
v v v v v v v v v v
vsituation?
, 2
C) Past medical history v v
D) Motivation for adherence to treatment v v v v
B) Effect of health on functional statusv v v v v
7. After teaching a group of students about the phases of the nursing
v v v v v v v v v v v
v process, the instructor determines that the teaching was successful when the
v v v v v v v v v v
v students identify which phase as being foundational to all other phases?
v v v v v v v v v v
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client
v v v v v v v v v v
vwho has been admitted for the treatment of community-acquired pneumonia.
v v v v v v v v v
vFollowing the completion of this assessment, the nurse periodically performs
v v v v v v v v v
v a partial assessment primarily for which reason?
v v v v v v
A) Reassess previously detected problems v v v
B) Provide information for the client's record v v v v v
C) Address areas previously omitted v v v
D) Determine the need for crisis intervention v v v v v
A) Reassess previously detected problems v v v
9. The nurse is working in an ambulatory care clinic that is located in a busy,
v v v v v v v v v v v v v v
vinner-city neighborhood. Which client would the nurse determine to be in
v v v v v v v v v v
v most need of an emergency assessment?
v v v v v
A) A 14-year-old girl who is crying because she thinks she is pregnant
v v v v v v v v v v v
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
v v v v v v v v v v
C) A 3-year-old child with fever, rash, and sore throat
v v v v v v v v
D) A 20-year-old man with a 3-inch shallow laceration on his leg
v v v v v v v v v v
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
v v v v v v v v v v
10. A nurse has completed gathering some basic data about a client who has
v v v v v v v v v v v v
vmultiple health problems that stem from heavy alcohol use. The nurse has
v v v v v v v v v v v
v then reflected on her personal feelings about the client and his circumstances.
v v v v v v v v v v v
v The nurse does this primarily to accomplish which of the following?
v v v v v v v v v v
A) Determine if pertinent data has been omitted v v v v v v
B) Identify the need for referral v v v v
C) Avoid biases and judgments v v v
D) Construct a plan of care v v v v
C) Avoid biases and judgments v v v
11. The nurse is collecting data from a client who has recently been diagnosed
v v v v v v v v v v v v
vwith type 1 diabetes and who will begin an educational program. The nurse is
v v v v v v v v v v v v v
vcollecting subjective and objective data. Which of the following would the v v v v v v v v v
v nurse categorize as objective data?
v v v v
A) Family history v
B) Occupation
C) Appearance
D) History of present health concern v v v v
C) Appearance
v
12. An older adult client has been admitted to the hospital with failure to thrive
v v v v v v v v v v v v v
vresulting from complications of diabetes. Which of the following would the
v v v v v v v v v v
v nurse implement in response to a collaborative problem?
v v v v v v v
A) Encourage the client to increase oral fluid intake. v v v v v v v
B) Provide the client with a bedtime protein snack. v v v v v v v
C) Assist the client with personal hygiene. v v v v v
D) Measure the client's blood glucose four times daily. v v v v v v v
D) Measure the client's blood glucose four times daily.
v v v v v v v v
13. The nurse at a busy primary care clinic is analyzing the data obtained
v v v v v v v v v v v v
vfrom the following clients. For which clients would the nurse most likely
v v v v v v v v v v v
, 3
A) An 80-year-old client who lives with her daughter
v v v v v v v
B) A 50-year-old client newly diagnosed with diabetes
v v v v v v
C) An adult presenting for an influenza vaccination
v v v v v v
D) A teenager seeking information about contraception
v v v v v
B) A 50-year-old client newly diagnosed with diabetes
v v v v v v
14. An instructor is reviewing the evolution of the nurse's role in health
v v v v v v v v v v v
vassessment. The instructor determines that the teaching was successful v v v v v v v v
v when the students identify which of the following as the major method used by
v v v v v v v v v v v v v
vnurses early in the history of the profession?
v v v v v v v
A) Natural senses v
B) Biomedical knowledge v
C) Simple technology v
D) Critical pathways v
A) Natural senses v
15. When describing the expansion of the depth and scope of nursing
v v v v v v v v v v
vassessment over the past several decades, which of the following would v v v v v v v v v v
vthe nurse identify as being the primary force?
v v v v v v v
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians v v v
16. A group of nurses are reviewing information about the potential
v v v v v v v v v
vopportunities for nurses who have advanced assessment skills. When v v v v v v v v
vdiscussing phenomena that have contributed to these increased opportunities,
v v v v v v v v
vwhat should the nurses identify?
v v v v
A) Expansion of health care networks v v v v
B) Decrease in client participation in care v v v v v
C) The shrinking cost of medical care v v v v v
D) Public mistrust of physicians v v v
A) Expansion of health care networks v v v v
17. A nurse has documented the findings of a comprehensive assessment of
v v v v v v v v v v
v a new client. What is the primary rationale that the nurse should identify
v v v v v v v v v v v v
vfor accurate and thorough documentation?
v v v v
A) Guaranteeing a continual assessment process v v v v
B) Identifying abnormal data v v
C) Assuring valid conclusions from analyzed data v v v v v
D) Allowing for drawing inferences and identifying problems v v v v v v
C) Assuring valid conclusions from analyzed data v v v v v
18. A nurse has received a report on a client who will soon be admitted to
v v v v v v v v v v v v v v
vthe medical unit from the emergency department. When preparing for the
v v v v v v v v v v
vassessment phase of the nursing process, which of the following should the v v v v v v v v v v v
vnurse do first? v v
A) Collect objective data. v v
B) Validate important data. v v
C) Collect subjective data. v v
D) Document the data. v v
C) Collect subjective data.
v v v
19. A community health nurse is assessing an older adult client in the client's home.
v v v v v v v v v v v v v
vWhen the nurse is gathering subjective data, which of the following would
v v v v v v v v v v v
vthe nurse identify?v v
A) The client's feelings of happiness v v v v
B) The client's posture v v
C) The client's affect v v
D) The client's behavior v v
A) The client's feelings of happiness v v v v
TEST BANK v
5th Edition Weber and Kelley Health Assessment in Nursing
v
v v v v v v v
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-cards
https://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
v
flash- cards/ v
Quizlet Name: v v lei_achacoso
1. A nurse on a postsurgical unit is admitting a client following the client's
v v v v v v v v v v v v v
vcholecystectomy (gall bladder removal). What is the overall purpose of v v v v v v v v v
vassessment for this client? v v v
A) Collecting accurate data v v
B) Assisting the primary care provider v v v v
C) Validating previous data v v
D) Making clinical judgments v v
D) Making clinical judgments
v v v
2. A client has presented to the emergency department (ED) with complaints of
v v v v v v v v v v v v
vabdominal pain. Which member of the care team would most likely be v v v v v v v v v v v
vresponsible for collecting the subjective data on the client during the initialv v v v v v v v v v v
vcomprehensive assessment? v
A) Gastroenterologist
B) ED nurse v
C) Admissions clerk v
D) Diagnostic technician v
B) ED nurse
v v
3. The nurse has completed an initial assessment of a newly admitted
v v v v v v v v v v
v client and is applying the nursing process to plan the client's care. What principle
v v v v v v v v v v v v v
vshould the nurse apply when using the nursing process?
v v v v v v v v
A) Each step is independent of the others. v v v v v v
B) It is ongoing and continuous.
v v v v
C) It is used primarily in acute care settings.
v v v v v v v
D) It involves independent nursing actions.
v v v v
B) It is ongoing and continuous.
v v v v
4. The nurse who provides care at an ambulatory clinic is preparing to meet a
v v v v v v v v v v v v v
vclient and perform a comprehensive health assessment. Which of the following actions
v v v v v v v v v v v
v should the nurse perform first? v v v v
A) Review the client's medical record. v v v v
B) Obtain basic biographic data. v v v
C) Consult clinical resources explaining the client's diagnosis.v v v v v v
D) Validate information with the client. v v v v
A) Review the client's medical record. v v v v
5. Which of the following client situations would the nurse interpret
v v v v v v v v v
v as requiring an emergency assessment?
v v v v
A) A pediatric client with severe sunburn
v v v v v
B) A client needing an employment physical
v v v v v
C) A client who overdosed on acetaminophen
v v v v v
D) A distraught client who wants a pregnancy test
v v v v v v v
C) A client who overdosed on acetaminophen
v v v v v
6. In response to a client's query, the nurse is explaining the differences
v v v v v v v v v v v
vbetween the physician's medical exam and the comprehensive health
v v v v v v v v
vassessment performed by the nurse. The nurse should describe the fact v v v v v v v v v v
vthat the nursing assessment focuses on which aspect of the client's
v v v v v v v v v v
vsituation?
, 2
C) Past medical history v v
D) Motivation for adherence to treatment v v v v
B) Effect of health on functional statusv v v v v
7. After teaching a group of students about the phases of the nursing
v v v v v v v v v v v
v process, the instructor determines that the teaching was successful when the
v v v v v v v v v v
v students identify which phase as being foundational to all other phases?
v v v v v v v v v v
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client
v v v v v v v v v v
vwho has been admitted for the treatment of community-acquired pneumonia.
v v v v v v v v v
vFollowing the completion of this assessment, the nurse periodically performs
v v v v v v v v v
v a partial assessment primarily for which reason?
v v v v v v
A) Reassess previously detected problems v v v
B) Provide information for the client's record v v v v v
C) Address areas previously omitted v v v
D) Determine the need for crisis intervention v v v v v
A) Reassess previously detected problems v v v
9. The nurse is working in an ambulatory care clinic that is located in a busy,
v v v v v v v v v v v v v v
vinner-city neighborhood. Which client would the nurse determine to be in
v v v v v v v v v v
v most need of an emergency assessment?
v v v v v
A) A 14-year-old girl who is crying because she thinks she is pregnant
v v v v v v v v v v v
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
v v v v v v v v v v
C) A 3-year-old child with fever, rash, and sore throat
v v v v v v v v
D) A 20-year-old man with a 3-inch shallow laceration on his leg
v v v v v v v v v v
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
v v v v v v v v v v
10. A nurse has completed gathering some basic data about a client who has
v v v v v v v v v v v v
vmultiple health problems that stem from heavy alcohol use. The nurse has
v v v v v v v v v v v
v then reflected on her personal feelings about the client and his circumstances.
v v v v v v v v v v v
v The nurse does this primarily to accomplish which of the following?
v v v v v v v v v v
A) Determine if pertinent data has been omitted v v v v v v
B) Identify the need for referral v v v v
C) Avoid biases and judgments v v v
D) Construct a plan of care v v v v
C) Avoid biases and judgments v v v
11. The nurse is collecting data from a client who has recently been diagnosed
v v v v v v v v v v v v
vwith type 1 diabetes and who will begin an educational program. The nurse is
v v v v v v v v v v v v v
vcollecting subjective and objective data. Which of the following would the v v v v v v v v v
v nurse categorize as objective data?
v v v v
A) Family history v
B) Occupation
C) Appearance
D) History of present health concern v v v v
C) Appearance
v
12. An older adult client has been admitted to the hospital with failure to thrive
v v v v v v v v v v v v v
vresulting from complications of diabetes. Which of the following would the
v v v v v v v v v v
v nurse implement in response to a collaborative problem?
v v v v v v v
A) Encourage the client to increase oral fluid intake. v v v v v v v
B) Provide the client with a bedtime protein snack. v v v v v v v
C) Assist the client with personal hygiene. v v v v v
D) Measure the client's blood glucose four times daily. v v v v v v v
D) Measure the client's blood glucose four times daily.
v v v v v v v v
13. The nurse at a busy primary care clinic is analyzing the data obtained
v v v v v v v v v v v v
vfrom the following clients. For which clients would the nurse most likely
v v v v v v v v v v v
, 3
A) An 80-year-old client who lives with her daughter
v v v v v v v
B) A 50-year-old client newly diagnosed with diabetes
v v v v v v
C) An adult presenting for an influenza vaccination
v v v v v v
D) A teenager seeking information about contraception
v v v v v
B) A 50-year-old client newly diagnosed with diabetes
v v v v v v
14. An instructor is reviewing the evolution of the nurse's role in health
v v v v v v v v v v v
vassessment. The instructor determines that the teaching was successful v v v v v v v v
v when the students identify which of the following as the major method used by
v v v v v v v v v v v v v
vnurses early in the history of the profession?
v v v v v v v
A) Natural senses v
B) Biomedical knowledge v
C) Simple technology v
D) Critical pathways v
A) Natural senses v
15. When describing the expansion of the depth and scope of nursing
v v v v v v v v v v
vassessment over the past several decades, which of the following would v v v v v v v v v v
vthe nurse identify as being the primary force?
v v v v v v v
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians v v v
16. A group of nurses are reviewing information about the potential
v v v v v v v v v
vopportunities for nurses who have advanced assessment skills. When v v v v v v v v
vdiscussing phenomena that have contributed to these increased opportunities,
v v v v v v v v
vwhat should the nurses identify?
v v v v
A) Expansion of health care networks v v v v
B) Decrease in client participation in care v v v v v
C) The shrinking cost of medical care v v v v v
D) Public mistrust of physicians v v v
A) Expansion of health care networks v v v v
17. A nurse has documented the findings of a comprehensive assessment of
v v v v v v v v v v
v a new client. What is the primary rationale that the nurse should identify
v v v v v v v v v v v v
vfor accurate and thorough documentation?
v v v v
A) Guaranteeing a continual assessment process v v v v
B) Identifying abnormal data v v
C) Assuring valid conclusions from analyzed data v v v v v
D) Allowing for drawing inferences and identifying problems v v v v v v
C) Assuring valid conclusions from analyzed data v v v v v
18. A nurse has received a report on a client who will soon be admitted to
v v v v v v v v v v v v v v
vthe medical unit from the emergency department. When preparing for the
v v v v v v v v v v
vassessment phase of the nursing process, which of the following should the v v v v v v v v v v v
vnurse do first? v v
A) Collect objective data. v v
B) Validate important data. v v
C) Collect subjective data. v v
D) Document the data. v v
C) Collect subjective data.
v v v
19. A community health nurse is assessing an older adult client in the client's home.
v v v v v v v v v v v v v
vWhen the nurse is gathering subjective data, which of the following would
v v v v v v v v v v v
vthe nurse identify?v v
A) The client's feelings of happiness v v v v
B) The client's posture v v
C) The client's affect v v
D) The client's behavior v v
A) The client's feelings of happiness v v v v
