Stuvia.com - The Marketplace to Buy and Sell your Study Material
g g g g g g g g g g
ownloaded by: Bookista |
g g g g Want to earn $1.236
g g g
Test Bank for Health Assessment for
g g g g g
g Nursing Practice 7th Edition by Wilson
g g g g g
Chapter 1 - 24 g g g
Distribution of this document is illegal
g g g g g extra per year?
g g
,Stuvia.com - The Marketplace to Buy and Sell your Study Material
g g g g g g g g g g
Downloaded by: Bookista |
g g g g Want to earn $1.236
g g g
Distribution of this document is illegal
g g g g g extra per year?
g g
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
g g g g g g g g g g
Chapter01:Introduction toHealth Assessment
g g g g g
MULTIPLE CHOICE g
1. Apatientcomesto the emergencydepartment andtellsthe triage nursethat he is
g g g g g g g g g g g g g g
“having a heart attack.” What is the nurse’s top priorityat this time?
g g g g g g g g g g g g g
a. Determinethepatient’spersonaldataand g g g g g
insurance coverage. g g
b. Ask the patient totake a seat inthe waiting
g g g g g g g g g
room until his name is called.
g g g g g g
c. Requestthat a nurse collect data for a g g g g g g g
comprehensive history.
g g
d. Ask a nurseto start a focused assessment of
g g g g g g g g
this patient now.
g g g
ANSWER: D g
The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
g g g g g g g g g g g g g g g g
cardiovascular system. The type of health assessment performed by the nurse is also driven by
g g g g g g g g g g g g g g g
patient need. Personal data and insurance information will be obtained, but in this situation,
g g g g g g g g g g g g g g
these data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of
g g g g g g g g g g g g g g g g
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
g g g g g g g g g g g g g g
needs to begin data collection, such as vital signs, immediately to determine the patient’s health
g g g g g g g g g g g g g g g
status. Complications can be prevented if an immediate assessment is made to analyze the
g g g g g g g g g g g g g g
patient’s symptoms. A comprehensive history is not indicated in this situation at this time.
g g g g g g g g g g g g g g
Some subjective data will be collected, such as allergies and medical history related to
g g g g g g g g g g g g g g
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment
g g g g g g g g g g g g
is not a priority at this time.
g g g g g g g
DIF: Cognitive Level: Apply
g REF: Box 1-3 | p. 3 g g g g g g g
TOP: Nursing Process: Assessment
g g g g
MSC: NCLEXPatient Needs: Safe and Effective Care Environment: Management of Care:
g g g g g g g g g g g
Establishing Priorities
g g
2. Which situationillustratesa screeningassessment?
g g g g g
a. A patient visits an obstetric clinic for the g g g g g g g
firsttimeandthenurseconductsa detailed g g g g g g g g
history and physical examination. g g g g
b. Ahospital sponsorsa health fair ata local mall g g g g g g g g g
and provides cholesterol and blood pressure g g g g g g
checks to mall patrons. g g g g
c. The nurse inan urgent care centerchecks the g g g g g g g g
vital signs of a patient who is complaining g g g g g g g g
of leg pain. g g g
Downloaded by: Bookista | g g g g Want to earn $1.236 g g g
Distribution of this document is illegal g g g g g extra per year?
g g
, Stuvia.com - The Marketplace to Buy and Sell your Study Material g g g g g g g g g g
d. Apatient newlydiagnosed withdiabetes
g g g g g
mellitus comes to test his fasting blood
g g g g g g g
glucose level.
g g
ANSWER: B g
A health fair at a local mall that provides cholesterol and blood
g g g g g g g g g g g g g g g g g g g g g g
pressure checks is an example of a screening assessment focused on
g g g g g g g g g g g g g g g g g g g g g
disease g
detection. A detailed history and physical examination conducted during a g g g g g g g g g
gfirst-time visit to an obstetric clinic is an example of a comprehensive g g g g g g g g g g
assessment. Assessing a patient complaining of leg pain in the triage
g g g g g g g g g g g g g g g g g g g g g g
garea
of an urgent care center is an example of a problem-based/focused
g g g g g g g g g g
g assessment. A patient’s return appointment 1 month after today’s office g g g g g g g g g g g g g g g g g g
visit to report fasting blood glucose levels is an example of an episodic
g g g g g g g g g g g g g g g g
or follow-up assessment.
g g g
DIF: Cognitive Level: UnderstandREF: Box 1-3 g g g g g g g g g
| p. 3 TOP: Nursing Process: Assessment
g g g g g g g g g
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
g g g g g g g g g g g g
3. For which person is a screening assessment indicated?
g g g g g g g g
a. The person who had g g
abdominal surgery yesterday g g g
b. The person who is unaware g g g g
of his high serum glucose g g g g g
levels g
c. The person who is being g g g g
admitted to a long-term care g g g g g
facility
d. The person who is beginning g g g g
rehabilitation after a knee g g g
replacement g
ANSWER: B
A screening assessment is performed for the purpose of disease detection.
g g g g g g g g g g g g g g g g g g g g
In this case this person may have diabetes mellitus. A shift assessment
g g g g g g g g g g g g g g g g g g g g g
is most appropriate for the person who is recovering in the hospital
g g g g g g g g g g g
from surgery. A comprehensive assessment is performed during admission
g g g g g g g g g
to a facility to obtain a detailed history and complete physical
g g g g g g g g g g g
examination. An episodic or follow-up assessment is performed after
g g g g g g g g g g g g g g g g
knee replacement to g g g g g
evaluate the outcome of the procedure. g g g g g g g g g g
DIF: Cognitive Level: UnderstandREF: Box 1-3 g g g g g g g g g
| p. 3 TOP: Nursing Process: Assessment
g g g g g g g g g
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
g g g g g g g g g g g
Care: Establishing Priorities
g g g
4. For which person is a shift assessment indicated?
g g g g g g g g g g
a. The person who had g g
abdominal surgery yesterday g g g
b. The person who is unaware g g g g
of his high serum glucose g g g g g
levels g
c. The person who is being g g g
admitted to a g g g
long-term care facility g g g
d. The person who is beginning g g g g
rehabilitation after a knee g g g
g g g g g g g g g g
ownloaded by: Bookista |
g g g g Want to earn $1.236
g g g
Test Bank for Health Assessment for
g g g g g
g Nursing Practice 7th Edition by Wilson
g g g g g
Chapter 1 - 24 g g g
Distribution of this document is illegal
g g g g g extra per year?
g g
,Stuvia.com - The Marketplace to Buy and Sell your Study Material
g g g g g g g g g g
Downloaded by: Bookista |
g g g g Want to earn $1.236
g g g
Distribution of this document is illegal
g g g g g extra per year?
g g
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
g g g g g g g g g g
Chapter01:Introduction toHealth Assessment
g g g g g
MULTIPLE CHOICE g
1. Apatientcomesto the emergencydepartment andtellsthe triage nursethat he is
g g g g g g g g g g g g g g
“having a heart attack.” What is the nurse’s top priorityat this time?
g g g g g g g g g g g g g
a. Determinethepatient’spersonaldataand g g g g g
insurance coverage. g g
b. Ask the patient totake a seat inthe waiting
g g g g g g g g g
room until his name is called.
g g g g g g
c. Requestthat a nurse collect data for a g g g g g g g
comprehensive history.
g g
d. Ask a nurseto start a focused assessment of
g g g g g g g g
this patient now.
g g g
ANSWER: D g
The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
g g g g g g g g g g g g g g g g
cardiovascular system. The type of health assessment performed by the nurse is also driven by
g g g g g g g g g g g g g g g
patient need. Personal data and insurance information will be obtained, but in this situation,
g g g g g g g g g g g g g g
these data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of
g g g g g g g g g g g g g g g g
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
g g g g g g g g g g g g g g
needs to begin data collection, such as vital signs, immediately to determine the patient’s health
g g g g g g g g g g g g g g g
status. Complications can be prevented if an immediate assessment is made to analyze the
g g g g g g g g g g g g g g
patient’s symptoms. A comprehensive history is not indicated in this situation at this time.
g g g g g g g g g g g g g g
Some subjective data will be collected, such as allergies and medical history related to
g g g g g g g g g g g g g g
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment
g g g g g g g g g g g g
is not a priority at this time.
g g g g g g g
DIF: Cognitive Level: Apply
g REF: Box 1-3 | p. 3 g g g g g g g
TOP: Nursing Process: Assessment
g g g g
MSC: NCLEXPatient Needs: Safe and Effective Care Environment: Management of Care:
g g g g g g g g g g g
Establishing Priorities
g g
2. Which situationillustratesa screeningassessment?
g g g g g
a. A patient visits an obstetric clinic for the g g g g g g g
firsttimeandthenurseconductsa detailed g g g g g g g g
history and physical examination. g g g g
b. Ahospital sponsorsa health fair ata local mall g g g g g g g g g
and provides cholesterol and blood pressure g g g g g g
checks to mall patrons. g g g g
c. The nurse inan urgent care centerchecks the g g g g g g g g
vital signs of a patient who is complaining g g g g g g g g
of leg pain. g g g
Downloaded by: Bookista | g g g g Want to earn $1.236 g g g
Distribution of this document is illegal g g g g g extra per year?
g g
, Stuvia.com - The Marketplace to Buy and Sell your Study Material g g g g g g g g g g
d. Apatient newlydiagnosed withdiabetes
g g g g g
mellitus comes to test his fasting blood
g g g g g g g
glucose level.
g g
ANSWER: B g
A health fair at a local mall that provides cholesterol and blood
g g g g g g g g g g g g g g g g g g g g g g
pressure checks is an example of a screening assessment focused on
g g g g g g g g g g g g g g g g g g g g g
disease g
detection. A detailed history and physical examination conducted during a g g g g g g g g g
gfirst-time visit to an obstetric clinic is an example of a comprehensive g g g g g g g g g g
assessment. Assessing a patient complaining of leg pain in the triage
g g g g g g g g g g g g g g g g g g g g g g
garea
of an urgent care center is an example of a problem-based/focused
g g g g g g g g g g
g assessment. A patient’s return appointment 1 month after today’s office g g g g g g g g g g g g g g g g g g
visit to report fasting blood glucose levels is an example of an episodic
g g g g g g g g g g g g g g g g
or follow-up assessment.
g g g
DIF: Cognitive Level: UnderstandREF: Box 1-3 g g g g g g g g g
| p. 3 TOP: Nursing Process: Assessment
g g g g g g g g g
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
g g g g g g g g g g g g
3. For which person is a screening assessment indicated?
g g g g g g g g
a. The person who had g g
abdominal surgery yesterday g g g
b. The person who is unaware g g g g
of his high serum glucose g g g g g
levels g
c. The person who is being g g g g
admitted to a long-term care g g g g g
facility
d. The person who is beginning g g g g
rehabilitation after a knee g g g
replacement g
ANSWER: B
A screening assessment is performed for the purpose of disease detection.
g g g g g g g g g g g g g g g g g g g g
In this case this person may have diabetes mellitus. A shift assessment
g g g g g g g g g g g g g g g g g g g g g
is most appropriate for the person who is recovering in the hospital
g g g g g g g g g g g
from surgery. A comprehensive assessment is performed during admission
g g g g g g g g g
to a facility to obtain a detailed history and complete physical
g g g g g g g g g g g
examination. An episodic or follow-up assessment is performed after
g g g g g g g g g g g g g g g g
knee replacement to g g g g g
evaluate the outcome of the procedure. g g g g g g g g g g
DIF: Cognitive Level: UnderstandREF: Box 1-3 g g g g g g g g g
| p. 3 TOP: Nursing Process: Assessment
g g g g g g g g g
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
g g g g g g g g g g g
Care: Establishing Priorities
g g g
4. For which person is a shift assessment indicated?
g g g g g g g g g g
a. The person who had g g
abdominal surgery yesterday g g g
b. The person who is unaware g g g g
of his high serum glucose g g g g g
levels g
c. The person who is being g g g
admitted to a g g g
long-term care facility g g g
d. The person who is beginning g g g g
rehabilitation after a knee g g g
