FULL TEST BANK Nursing Health Assessment A Clinical Judgment Approach 4rd Edition By Sharon Jensen (Author) Latest Update

TEST BANK FOR m m


m HEALTH ASSESSMENT IN NURSING 6TH EDITION BY
m m m m m m


WEBER




CHAPTER m1: m NURSE’S mROLE mIN mHEALTH mASSESSMENT: mCOLLECTING mAND mANALYZING mDATA

, TEST BANK FOR m m


m HEALTH ASSESSMENT IN NURSING 6TH EDITION BY m m m m m m


WEBER

1. A nurse on a postsurgical unit is admitting a client following the client's
m m m m m m m m m m m m


cholecystectomy (gall bladder removal). What is the overall purpose of assessment
m m m m m m m m m m m


for this client?
m m m


A) Collecting accurate data m m


B) Assisting the primary care provider m m m m


C) Validating previous data m m


D) Making clinical judgments m m




2. A client has presented to the emergency department (ED) with complaints of
m m m m m m m m m m m


abdominal pain. Which member of the care team would most likely be responsible for
m m m m m m m m m m m m m m


collecting the subjective data on the client during the initial comprehensive
m m m m m m m m m m m


assessment?
m


A) Gastroenterologist
B) ED nurse m


C) Admissions clerk m


D) Diagnostic technician m




3. The nurse has completed an initial assessment of a newly admitted client and is
m m m m m m m m m m m m m


applying the nursing process to plan the client's care. What principle should the
m m m m m m m m m m m m m


nurse apply when using the nursing process?
m m m m m m m


A) Each step is independent of the others.
m m m m m m


B) It is ongoing and continuous.
m m m m


C) It is used primarily in acute care settings. N
m m m m m m m m


D) It involves independent nursing actions.
m m m m




4. The nurse who provides care at an ambulatory clinic is preparing to meet a client
m m m m m m m m m m m m m m


and perform a comprehensive health assessment. Which of the following actions
m m m m m m m m m m m


should the nurse perform first?
m m m m m


A) Review the client's medical record. m m m m


B) Obtain basic biographic data. m m m


C) Consult clinical resources explaining the client's diagnosis.
m m m m m m


D) Validate information with the client. m m m m




5. Which of the following client situations would the nurse interpret as requiring
m m m m m m m m m m m


an emergency assessment?
m m m


A) A pediatric client with severe sunburn
m m m m m


B) A client needing an employment physical
m m m m m


C) A client who overdosed on acetaminophen
m m m m m


D) A distraught client who wants a pregnancy test
m m m m m m m

, TEST BANK FOR m m


m HEALTH ASSESSMENT IN NURSING 6TH EDITION BY
m m m m m m


WEBER


6. In response to a client's query, the nurse is explaining the differences between the
m m m m m m m m m m m m m


mphysician's medical exam and the comprehensive health assessment performed by
m m m m m m m m m


mthe nurse. The nurse should describe the fact that the nursing assessment focuses on
m m m m m m m m m m m m m


mwhich aspect of the client's situation?
m m m m m


A) Current physiologic status m m


B) Effect of health on functional statusm m m m m


C) Past medical history m m


D) Motivation for adherence to treatment m m m m




7. After teaching a group of students about the phases of the nursing process, the
m m m m m m m m m m m m m


instructor determines that the teaching was successful when the students identify
m m m m m m m m m m m


which phase as being foundational to all other pha ses?
m m m m m m m m m m


A) Assessment
B) Planning
C) Implementation
D) Evaluation


8. The nurse has completed the comprehensive health assessment of a client who has
m m m m m m m m m m m m


been admitted for the treatment of community-acquired pneumonia. Following the
m m m m m m m m m m


completion of this assessment, the nurse periodically performs a partial assessment
m m m m m m m m m m m


primarily for which reason?
m m m m



A) Reassess previously deteNcted problems m m m


B) Provide information for the client's record m m m m m


C) Address areas previously omitted m m m


D) Determine the need for crisis intervention m m m m m




9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
m m m m m m m m m m m m m m m


city neighborhood. Which client would the nurse determine to be in most need of
m m m m m m m m m m m m m


man emergency assessment?
m m


A) A 14-year-old girl who is crying because she thinks she is pregnant
m m m m m m m m m m m


B) A 45-year-old man with chest pain and diaphoresis for 1 hour
m m m m m m m m m m


C) A 3-year-old child with fever, rash, and sore throat
m m m m m m m m


D) A 20-year-old man with a 3-inch shallow laceration on his leg
m m m m m m m m m m




10. A nurse has completed gathering some basic data about a client who has multiple
m m m m m m m m m m m m m


health problems that stem from heavy alcohol use. The nurse has then reflected on
m m m m m m m m m m m m m m


her personal
m m



feelings about the client and his circumstances. The nurse does this primarily to
m m m m m m m m m m m m


maccomplish which of the following? m m m m


A) Determine if pertinent data has been omitted m m m m m m


B) Identify the need for referral m m m m


C) Avoid biases and judgments m m m


D) Construct a plan of care m m m m

, TEST BANK FOR m m


m HEALTH ASSESSMENT IN NURSING 6TH EDITION BY m m m m m m


WEBER
11. The nurse is collecting data from a client who has recently been diagnosed with type
m m m m m m m m m m m m m m


1 diabetes and who will begin an educational program. The nurse is collecting
m m m m m m m m m m m m m


subjective and objective data. Which of the following would the nurse categorize as
m m m m m m m m m m m m m


objective data?
m m


A) Family history m


B) Occupation
C) Appearance
D) History of present health concern m m m m




12. An older adult client has been admitted to the hospital with failure to thrive
m m m m m m m m m m m m m


resulting from complications of diabetes. Which of the following would the nurse
m m m m m m m m m m m m


implement in response to a collaborative problem?
m m m m m m m


A) Encourage the client to increase oral fluid intake. m m m m m m m


B) Provide the client with a bedtime protein snack. N m m m m m m m m


C) Assist the client with personal hygiene. m m m m m


D) Measure the client's blood glucose four times daily. m m m m m m m




13. The nurse at a busy primary care clinic is analyzing the data obtained from the
m m m m m m m m m m m m m m


following clients. For which clients would the nurse most likely expect to facilitate a
m m m m m m m m m m m m m m


referral?
m


A) An 80-year-old client who lives with her daughter
m m m m m m m


B) A 50-year-old client newly diagnosed with diabetes
m m m m m m


C) An adult presenting for an influenza vaccination
m m m m m m


D) A teenager seeking information about contraception
m m m m m




14. An instructor is reviewing the evolution of the nurse's role in health assessment.
m m m m m m m m m m m m


The instructor determines that the teaching was successful when the students
m m m m m m m m m m m


identify which of the following as the major method used by nurses early in the
m m m m m m m m m m m m m m m


history of the profession? A) Natural senses
m m m m m m m


B) Biomedical knowledge m


C) Simple technology m


D) Critical pathways m




15. When describing the expansion of the depth and scope of nursing assessment over
m m m m m m m m m m m m


the past several decades, which of the following would the nurse identify as being
m m m m m m m m m m m m m m


the primary force? A) Documentation
m m m m m


B) Informatics
C) Diversification
D) Technology


16. A group of nurses are reviewing information about the potential opportunities for
m m m m m m m m m m m


nurses who have advanced assessment skills. When discussing phenomena that have
m m m m m m m m m m m


contributed to these increased opportunities, what should the nurses identify?
m m m m m m m m m m


A) Expansion of health care networks m m m m


B) Decrease in client participation in care m m m m m


C) The shrinking cost of medical care
m m m m m


D) Public mistrust of physicians m m m