Nursing Health Assessment
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
1.
Reference: Ch. 1, Section: The Nurse’s Role in Health
Assessment
Question Stem: A 56-year-old man presents with new shortness
of breath. Which action reflects the Registered Nurse’s (RN)
primary responsibility during initial health assessment?
A. Formulate a medical diagnosis and prescribe treatment.
B. Collect subjective and objective data to identify nursing
problems.
C. Perform a specialist diagnostic procedure such as
bronchoscopy.
D. Change the patient’s medication orders without prescriber
approval.
Correct Answer: B
Rationales:
, • B (Correct): The RN’s role is to gather comprehensive
subjective and objective data and identify nursing
problems and needs—foundational to planning nursing
care. This aligns with the RN scope described in the
chapter.
• A: Formulating a medical diagnosis and prescribing are
provider/APRN/physician responsibilities, not RN scope.
• C: Specialized diagnostic procedures (e.g., bronchoscopy)
are performed by advanced practitioners or specialists.
• D: Changing medication orders unilaterally is outside RN
scope and violates professional and legal standards.
Teaching Point: RNs assess and identify nursing problems;
diagnosis/prescribing is outside RN scope.
Citation: Jensen & Smock (2022), Ch. 1, The Nurse’s Role in
Health Assessment
2.
Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem: A patient with complex endocrine symptoms
requires an expanded assessment. Which choice best explains
when to involve an Advanced Practice Registered Nurse
(APRN)?
A. APRN involvement is unnecessary; RNs can perform any
assessments.
,B. When findings suggest a need for diagnostic interpretation,
differential diagnosis, or prescriptive authority.
C. Only when the patient requests an APRN specifically.
D. APRNs should replace RNs for all routine vital sign collection.
Correct Answer: B
Rationales:
• B (Correct): APRNs provide advanced assessment,
diagnostic reasoning, and prescriptive authority; refer
when problems exceed RN scope or require advanced
diagnostic interpretation.
• A: RNs cannot perform scope-limited advanced diagnostic
assessments or prescribe; APRNs have expanded practice
authority.
• C: Patient request alone doesn’t define clinical need for
APRN involvement—clinical judgment does.
• D: APRNs are not required for routine tasks; RNs perform
routine assessments and monitoring.
Teaching Point: Refer to APRN when assessment requires
diagnostic interpretation or prescriptive authority.
Citation: Jensen & Smock (2022), Ch. 1, Registered Nurse Versus
Specialty or Advanced Practice Assessments
3.
Reference: Ch. 1, Section: Teaching and Health Promotion;
, Social Determinants of Health: Healthy People 2030
Question Stem: A community health nurse plans outreach for
diabetes prevention in a neighborhood with limited grocery
access. Which social determinant of health (SDOH) should guide
the intervention?
A. Genetic predisposition only.
B. Access to healthy foods and neighborhood resources.
C. Individual willpower exclusively.
D. Only hospital-based screening programs.
Correct Answer: B
Rationales:
• B (Correct): Access to healthy foods and neighborhood
resources is an SDOH that directly affects diabetes risk and
is emphasized by Healthy People 2030 as a target for
health promotion.
• A: Genetics contribute to risk but are not a modifiable
SDOH for community intervention.
• C: Individual behavior matters, but focusing only on
willpower ignores structural determinants.
• D: Hospital-based programs are helpful but do not address
community-level SDOH like food access.
Teaching Point: Address structural SDOH (e.g., food access) for
effective community prevention.
Citation: Jensen & Smock (2022), Ch. 1, Teaching and Health
Promotion; Social Determinants of Health
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
1.
Reference: Ch. 1, Section: The Nurse’s Role in Health
Assessment
Question Stem: A 56-year-old man presents with new shortness
of breath. Which action reflects the Registered Nurse’s (RN)
primary responsibility during initial health assessment?
A. Formulate a medical diagnosis and prescribe treatment.
B. Collect subjective and objective data to identify nursing
problems.
C. Perform a specialist diagnostic procedure such as
bronchoscopy.
D. Change the patient’s medication orders without prescriber
approval.
Correct Answer: B
Rationales:
, • B (Correct): The RN’s role is to gather comprehensive
subjective and objective data and identify nursing
problems and needs—foundational to planning nursing
care. This aligns with the RN scope described in the
chapter.
• A: Formulating a medical diagnosis and prescribing are
provider/APRN/physician responsibilities, not RN scope.
• C: Specialized diagnostic procedures (e.g., bronchoscopy)
are performed by advanced practitioners or specialists.
• D: Changing medication orders unilaterally is outside RN
scope and violates professional and legal standards.
Teaching Point: RNs assess and identify nursing problems;
diagnosis/prescribing is outside RN scope.
Citation: Jensen & Smock (2022), Ch. 1, The Nurse’s Role in
Health Assessment
2.
Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem: A patient with complex endocrine symptoms
requires an expanded assessment. Which choice best explains
when to involve an Advanced Practice Registered Nurse
(APRN)?
A. APRN involvement is unnecessary; RNs can perform any
assessments.
,B. When findings suggest a need for diagnostic interpretation,
differential diagnosis, or prescriptive authority.
C. Only when the patient requests an APRN specifically.
D. APRNs should replace RNs for all routine vital sign collection.
Correct Answer: B
Rationales:
• B (Correct): APRNs provide advanced assessment,
diagnostic reasoning, and prescriptive authority; refer
when problems exceed RN scope or require advanced
diagnostic interpretation.
• A: RNs cannot perform scope-limited advanced diagnostic
assessments or prescribe; APRNs have expanded practice
authority.
• C: Patient request alone doesn’t define clinical need for
APRN involvement—clinical judgment does.
• D: APRNs are not required for routine tasks; RNs perform
routine assessments and monitoring.
Teaching Point: Refer to APRN when assessment requires
diagnostic interpretation or prescriptive authority.
Citation: Jensen & Smock (2022), Ch. 1, Registered Nurse Versus
Specialty or Advanced Practice Assessments
3.
Reference: Ch. 1, Section: Teaching and Health Promotion;
, Social Determinants of Health: Healthy People 2030
Question Stem: A community health nurse plans outreach for
diabetes prevention in a neighborhood with limited grocery
access. Which social determinant of health (SDOH) should guide
the intervention?
A. Genetic predisposition only.
B. Access to healthy foods and neighborhood resources.
C. Individual willpower exclusively.
D. Only hospital-based screening programs.
Correct Answer: B
Rationales:
• B (Correct): Access to healthy foods and neighborhood
resources is an SDOH that directly affects diabetes risk and
is emphasized by Healthy People 2030 as a target for
health promotion.
• A: Genetics contribute to risk but are not a modifiable
SDOH for community intervention.
• C: Individual behavior matters, but focusing only on
willpower ignores structural determinants.
• D: Hospital-based programs are helpful but do not address
community-level SDOH like food access.
Teaching Point: Address structural SDOH (e.g., food access) for
effective community prevention.
Citation: Jensen & Smock (2022), Ch. 1, Teaching and Health
Promotion; Social Determinants of Health
