Nursing Health Assessment
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Reference: Ch. 1, Section: Roles of the Professional Nurse —
Provider/Manager/Member of a Profession
Question Stem: A staff RN coordinates discharge teaching,
assigns home health referrals, and ensures all medications are
reconcilied before discharge. Which role best describes the
nurse’s primary function in this scenario?
A. Member of a profession
B. Manager of care
C. Provider of care
D. Advanced Practice Registered Nurse (APRN)
,Correct Answer: B
Rationales:
• Correct (B): The nurse is coordinating and organizing care
across settings and providers, which aligns with the
manager of care role described in the text (focus on
continuity, delegation, and coordination).
• A: Being a professional member emphasizes ethics and
professional development, not the operational
coordination shown here.
• C: Provider of care involves direct hands-on clinical care;
while present, the scenario emphasizes coordination over
bedside interventions.
• D: APRN denotes an advanced licensure and scope
(diagnosing/prescribing); the activities described fall within
RN management, not APRN prescriptive authority.
Teaching Point: Coordination and continuity of care define
the manager role.
Citation: Nursing Health Assessment: A Clinical Judgment
Approach, 4th Ed., Ch. 1, Section: Roles of the Professional
Nurse.
2.
Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem: A hospital RN notes a new, irregular mass on
,abdominal palpation and considers further action. Which action
is outside the RN’s typical independent scope and should be
deferred to an APRN or physician?
A. Documenting the finding and notifying the provider
B. Performing a focused abdomen reassessment and measuring
circumference
C. Ordering diagnostic imaging to evaluate the mass
D. Teaching the patient to monitor for changes and return
precautions
Correct Answer: C
Rationales:
• Correct (C): Ordering diagnostic studies (e.g., imaging)
generally requires advanced practice or provider authority;
RNs collect data and escalate per policies.
• A: Documenting and communicating findings is a core RN
responsibility.
• B: Performing focused reassessment and objective
measurements is appropriate RN practice.
• D: Providing patient education and return precautions is
within the RN’s scope.
Teaching Point: RNs assess and escalate; ordering tests
requires prescriptive authority.
Citation: Nursing Health Assessment: A Clinical Judgment
Approach, 4th Ed., Ch. 1, Section: RN Versus
Specialty/Advanced Practice Assessments.
, 3.
Reference: Ch. 1, Section: Teaching and Health Promotion
Question Stem: A nurse has taught a patient how to perform
daily foot inspections after new diagnosis of diabetes. The nurse
asks the patient to explain and demonstrate back to her. Which
teaching strategy is the nurse using and why is it effective?
A. Lecture — efficient for large amounts of information
B. Teach-back — verifies patient understanding and retention
C. Demonstration only — shows the correct technique
D. Passive handout — provides written reinforcement without
assessment
Correct Answer: B
Rationales:
• Correct (B): Teach-back asks the patient to explain or
demonstrate, confirming understanding and identifying
gaps, consistent with evidence-based patient education
methods.
• A: Lecture does not verify comprehension and is less
interactive.
• C: Demonstration is useful but without the patient
returning the demonstration, understanding is not
confirmed.
• D: Handouts are supportive but do not assess learning.
Teaching Point: Teach-back confirms learning and reduces
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Reference: Ch. 1, Section: Roles of the Professional Nurse —
Provider/Manager/Member of a Profession
Question Stem: A staff RN coordinates discharge teaching,
assigns home health referrals, and ensures all medications are
reconcilied before discharge. Which role best describes the
nurse’s primary function in this scenario?
A. Member of a profession
B. Manager of care
C. Provider of care
D. Advanced Practice Registered Nurse (APRN)
,Correct Answer: B
Rationales:
• Correct (B): The nurse is coordinating and organizing care
across settings and providers, which aligns with the
manager of care role described in the text (focus on
continuity, delegation, and coordination).
• A: Being a professional member emphasizes ethics and
professional development, not the operational
coordination shown here.
• C: Provider of care involves direct hands-on clinical care;
while present, the scenario emphasizes coordination over
bedside interventions.
• D: APRN denotes an advanced licensure and scope
(diagnosing/prescribing); the activities described fall within
RN management, not APRN prescriptive authority.
Teaching Point: Coordination and continuity of care define
the manager role.
Citation: Nursing Health Assessment: A Clinical Judgment
Approach, 4th Ed., Ch. 1, Section: Roles of the Professional
Nurse.
2.
Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem: A hospital RN notes a new, irregular mass on
,abdominal palpation and considers further action. Which action
is outside the RN’s typical independent scope and should be
deferred to an APRN or physician?
A. Documenting the finding and notifying the provider
B. Performing a focused abdomen reassessment and measuring
circumference
C. Ordering diagnostic imaging to evaluate the mass
D. Teaching the patient to monitor for changes and return
precautions
Correct Answer: C
Rationales:
• Correct (C): Ordering diagnostic studies (e.g., imaging)
generally requires advanced practice or provider authority;
RNs collect data and escalate per policies.
• A: Documenting and communicating findings is a core RN
responsibility.
• B: Performing focused reassessment and objective
measurements is appropriate RN practice.
• D: Providing patient education and return precautions is
within the RN’s scope.
Teaching Point: RNs assess and escalate; ordering tests
requires prescriptive authority.
Citation: Nursing Health Assessment: A Clinical Judgment
Approach, 4th Ed., Ch. 1, Section: RN Versus
Specialty/Advanced Practice Assessments.
, 3.
Reference: Ch. 1, Section: Teaching and Health Promotion
Question Stem: A nurse has taught a patient how to perform
daily foot inspections after new diagnosis of diabetes. The nurse
asks the patient to explain and demonstrate back to her. Which
teaching strategy is the nurse using and why is it effective?
A. Lecture — efficient for large amounts of information
B. Teach-back — verifies patient understanding and retention
C. Demonstration only — shows the correct technique
D. Passive handout — provides written reinforcement without
assessment
Correct Answer: B
Rationales:
• Correct (B): Teach-back asks the patient to explain or
demonstrate, confirming understanding and identifying
gaps, consistent with evidence-based patient education
methods.
• A: Lecture does not verify comprehension and is less
interactive.
• C: Demonstration is useful but without the patient
returning the demonstration, understanding is not
confirmed.
• D: Handouts are supportive but do not assess learning.
Teaching Point: Teach-back confirms learning and reduces
