Nursing Health Assessment
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Reference: Ch. 1, Section: The Nurse’s Role in Health
Assessment — Roles of the Professional Nurse
Question Stem: A newly graduated RN is preparing to perform a
comprehensive health assessment on a 68-year-old admitted
with new-onset confusion. Which role best describes the nurse
when integrating assessment data to plan and evaluate nursing
interventions?
A. Manager of care
B. Provider of care
C. Member of a profession
D. Advanced practice registered nurse
Correct Answer: B
Rationale (Correct): As a provider of care, the RN directly
collects and interprets assessment data to plan, implement, and
evaluate nursing interventions for the patient. This role focuses
on hands-on clinical decision-making and patient care. (Aligns
with sections describing Provider of Care.)
,Rationale (A): Manager of care focuses on coordinating
resources and delegating tasks; it is broader than the bedside
assessment and immediate intervention.
Rationale (C): Member of a profession emphasizes advocacy,
ethics, and professional development rather than direct data
collection and intervention planning.
Rationale (D): APRN denotes advanced licensure and scope
beyond the typical RN role; not appropriate for a newly
graduated RN.
Teaching Point: The RN as provider of care integrates
assessment into care planning.
Citation: Jensen & Smock, Nursing Health Assessment, 4th Ed.,
Ch. 1, “Roles of the Professional Nurse.”
2.
Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem: An RN is asked to perform a preoperative
focused assessment for a patient scheduled for
cholecystectomy. Which element distinguishes the RN’s focused
assessment from an APRN’s specialty assessment?
A. Collecting a detailed family history for genetic risk
B. Screening for immediate airway compromise
C. Documenting current medications and allergies
D. Performing a comprehensive organ system exam
Correct Answer: C
,Rationale (Correct): Documenting current medications and
allergies is a key RN responsibility in a focused preoperative
assessment to identify immediate risks and medication
interactions. It is within the RN scope and essential for safe
care.
Rationale (A): A detailed genetic family history often falls into
specialty or advanced assessment scopes and is not routinely
required in a focused preoperative RN assessment.
Rationale (B): Screening for airway compromise is an
immediate safety-focused RN assessment and could also be
performed by an APRN but is not a distinguishing advanced
feature.
Rationale (D): A comprehensive organ system exam is broader
than a focused RN preoperative assessment and may be part of
an APRN’s specialty evaluation.
Teaching Point: RN focused assessments prioritize immediate
safety and medication/allergy checks.
Citation: Jensen & Smock, Nursing Health Assessment, 4th Ed.,
Ch. 1, “Registered Nurse Versus Specialty or Advanced Practice
Assessments.”
3.
Reference: Ch. 2, Section: Teaching and Health Promotion —
Wellness and Illness
Question Stem: During a wellness visit, a 45-year-old with
hypertension reports feeling well but admits to inconsistent
, medication adherence. Which teaching priority best aligns with
health promotion principles?
A. Reassure the patient that feeling well negates the need for
daily medication
B. Explore barriers to adherence and co-develop a practical plan
C. Switch to an over-the-counter remedy to improve compliance
D. Delay education until the next visit when blood pressure is
abnormal
Correct Answer: B
Rationale (Correct): Exploring barriers and co-developing a plan
uses patient-centered teaching and health promotion to
improve adherence and outcomes—consistent with
wellness/illness and teaching principles.
Rationale (A): Reassurance that feeling well eliminates
medication need is dangerous and contradicts health
promotion for chronic disease management.
Rationale (C): Recommending OTC remedies without evidence
is inappropriate and could harm the patient or worsen
hypertension.
Rationale (D): Delaying education misses a teachable moment
and undermines timely health promotion interventions.
Teaching Point: Address barriers and co-create adherence
strategies during wellness visits.
Citation: Jensen & Smock, Nursing Health Assessment, 4th Ed.,
Ch. 2, “Teaching and Health Promotion.”
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Reference: Ch. 1, Section: The Nurse’s Role in Health
Assessment — Roles of the Professional Nurse
Question Stem: A newly graduated RN is preparing to perform a
comprehensive health assessment on a 68-year-old admitted
with new-onset confusion. Which role best describes the nurse
when integrating assessment data to plan and evaluate nursing
interventions?
A. Manager of care
B. Provider of care
C. Member of a profession
D. Advanced practice registered nurse
Correct Answer: B
Rationale (Correct): As a provider of care, the RN directly
collects and interprets assessment data to plan, implement, and
evaluate nursing interventions for the patient. This role focuses
on hands-on clinical decision-making and patient care. (Aligns
with sections describing Provider of Care.)
,Rationale (A): Manager of care focuses on coordinating
resources and delegating tasks; it is broader than the bedside
assessment and immediate intervention.
Rationale (C): Member of a profession emphasizes advocacy,
ethics, and professional development rather than direct data
collection and intervention planning.
Rationale (D): APRN denotes advanced licensure and scope
beyond the typical RN role; not appropriate for a newly
graduated RN.
Teaching Point: The RN as provider of care integrates
assessment into care planning.
Citation: Jensen & Smock, Nursing Health Assessment, 4th Ed.,
Ch. 1, “Roles of the Professional Nurse.”
2.
Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem: An RN is asked to perform a preoperative
focused assessment for a patient scheduled for
cholecystectomy. Which element distinguishes the RN’s focused
assessment from an APRN’s specialty assessment?
A. Collecting a detailed family history for genetic risk
B. Screening for immediate airway compromise
C. Documenting current medications and allergies
D. Performing a comprehensive organ system exam
Correct Answer: C
,Rationale (Correct): Documenting current medications and
allergies is a key RN responsibility in a focused preoperative
assessment to identify immediate risks and medication
interactions. It is within the RN scope and essential for safe
care.
Rationale (A): A detailed genetic family history often falls into
specialty or advanced assessment scopes and is not routinely
required in a focused preoperative RN assessment.
Rationale (B): Screening for airway compromise is an
immediate safety-focused RN assessment and could also be
performed by an APRN but is not a distinguishing advanced
feature.
Rationale (D): A comprehensive organ system exam is broader
than a focused RN preoperative assessment and may be part of
an APRN’s specialty evaluation.
Teaching Point: RN focused assessments prioritize immediate
safety and medication/allergy checks.
Citation: Jensen & Smock, Nursing Health Assessment, 4th Ed.,
Ch. 1, “Registered Nurse Versus Specialty or Advanced Practice
Assessments.”
3.
Reference: Ch. 2, Section: Teaching and Health Promotion —
Wellness and Illness
Question Stem: During a wellness visit, a 45-year-old with
hypertension reports feeling well but admits to inconsistent
, medication adherence. Which teaching priority best aligns with
health promotion principles?
A. Reassure the patient that feeling well negates the need for
daily medication
B. Explore barriers to adherence and co-develop a practical plan
C. Switch to an over-the-counter remedy to improve compliance
D. Delay education until the next visit when blood pressure is
abnormal
Correct Answer: B
Rationale (Correct): Exploring barriers and co-developing a plan
uses patient-centered teaching and health promotion to
improve adherence and outcomes—consistent with
wellness/illness and teaching principles.
Rationale (A): Reassurance that feeling well eliminates
medication need is dangerous and contradicts health
promotion for chronic disease management.
Rationale (C): Recommending OTC remedies without evidence
is inappropriate and could harm the patient or worsen
hypertension.
Rationale (D): Delaying education misses a teachable moment
and undermines timely health promotion interventions.
Teaching Point: Address barriers and co-create adherence
strategies during wellness visits.
Citation: Jensen & Smock, Nursing Health Assessment, 4th Ed.,
Ch. 2, “Teaching and Health Promotion.”
