, Health Assessment for Nursing Practice 6th Edition Wilson Test Bank - ISBN: 9780323377768
FE FE FE FE FE FE FE FE FE FE FE FE
Table of Contents
FE FE
Unit I. Foundations for Health Assessment
FE FE FE FE FE
1. Introduction to Health Assessment
FE FE FE
2. Interviewing Patients to Obtain a Health History
FE FE FE FE FE FE
3. Techniques and Equipment for Physical Assessment
FE FE FE FE FE
4. General Inspection and Measurement of Vital Signs
FE FE FE FE FE FE
5. Ethnic, Cultural, and Spiritual Considerations
FE FE FE FE
6. Pain Assessment
FE
7. Mental Health and Abusive Behavior Assessment
FE FE FE FE FE
8. Nutritional Assessment FE
Unit II. Health Assessment of the Adult
FE FE FE FE FE FE
9. Skin, Hair, and Nails
FE FE FE
10. Head, Eyes, Ears, Nose, and Throat
FE FE FE FE FE
11. Lungs and Respiratory System
FE FE FE
12. Heart and Peripheral Vascular System
FE FE FE FE
13. Abdomen and Gastrointestinal System
FE FE FE
,14. Musculoskeletal System FE
15. Neurologic System FE
16. Breasts and Axillae
FE FE
17. Reproductive System and the Perineum
FE FE FE FE
Unit III. Health Assessment Across the Life Span
FE FE FE FE FE FE FE
18. Developmental Assessment Throughout the Life Span
FE FE FE FE FE
19. Assessment of the Infant, Child, and Adolescent
FE FE FE FE FE FE
20. Assessment of the Pregnant Patient
FE FE FE FE
21. Assessment of the Older Adult
FE FE FE FE
Unit IV. Synthesis and Application of Health Assessment
FE FE FE FE FE FE FE
22. Conducting a Head-to-Toe Examination
FE FE FE
23. Documenting the Head-to-Toe Health Assessment
FE FE FE FE
24. Adapting Health Assessment to an Ill Patient
FE FE FE FE FE FE
, Chapter 01: Introduction to Health Assessment
FE FE FE FE FE
Wilson: Health Assessment for Nursing Practice, 6th Edition
FE FE FE FE FE FE FE
MULTIPLE CHOICE FE
1. A patient comes to the emergency department and tells the triage nurse that he is
FE FE FE FE FE FE FE FE FE FE FE FE FE FE
FE ―having a heart attack.‖ What is the nurse‘s top priority at this time?
FE FE FE FE FE FE FE FE FE FE FE FE
a. Determine the patient‘s personal data and insurance coverage.
FE FE FE FE FE FE FE
b. Ask the patient to take a seat in the waiting room until his name is called.
FE FE FE FE FE FE FE FE FE FE FE FE FE FE FE
c. Request that a nurse collect data for a comprehensive history.
FE FE FE FE FE FE FE FE FE
d. Ask a nurse to start a focused assessment of this patient now.
FE FE FE FE FE FE FE FE FE FE FE
ANS: D FE
The nurse needs to begin an assessment as soon as possible that is focused on this
FE FE FE FE FE FE FE FE FE FE FE FE FE FE FE
patient‘s cardiovascular system. The type of health assessment performed by the nurse
FE FE FE FE FE FE FE FE FE FE FE FE
is also driven by patient need. Personal data and insurance information will be
FE FE FE FE FE FE FE FE FE FE FE FE FE
obtained, but in this situation, these data can wait until after the patient is
FE FE FE FE FE FE FE FE FE FE FE FE FE FE
assessed. Based also on Maslow‘s hierarchy of needs, physiologic needs take
FE FE FE FE FE FE FE FE FE FE FE
precedence. Rather than asking the patient to wait, the nurse needs to begin data
FE FE FE FE FE FE FE FE FE FE FE FE FE FE
collection, such as vital signs, immediately to determine the patient‘s health status.
FE FE FE FE FE FE FE FE FE FE FE FE
Complications can be prevented if an immediate assessment is made to analyze the
FE FE FE FE FE FE FE FE FE FE FE FE FE
patient‘s symptoms. A comprehensive history is not indicated in this situation at this
FE FE FE FE FE FE FE FE FE FE FE FE FE
time. Some subjective data will be collected, such as allergies and medical history
FE FE FE FE FE FE FE FE FE FE FE FE FE
related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental
FE FE FE FE FE FE FE FE FE FE FE FE
health assessment is not a priority at this time.
FE FE FE FE FE FE FE FE FE
DIF: Cognitive Level: Apply REF: Box 1-3 | FE FE FE FE FE
p. 3 TOP: Nursing Process: Assessment
FE FE FE F E FE FE
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
F E FE FE FE FE FE FE FE FE FE FE
Establishing Priorities
FE FE
2. Which situation illustrates a screening assessment?
FE FE FE FE FE
a. A patient visits an obstetric clinic for the first time and the nurse
FE FE FE FE FE FE FE FE FE FE FE FE
conducts a detailed history and physical examination.
FE FE FE FE FE FE FE
b. A hospital sponsors a health fair at a local mall and provides cholesterol
FE FE FE FE FE FE FE FE FE FE FE FE
and blood pressure checks to mall patrons.
FE FE FE FE FE FE FE
c. The nurse in an urgent care center checks the vital signs of a patient who is
FE FE FE FE FE FE FE FE FE FE FE FE FE FE FE
complaining of leg pain. FE FE FE
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting
FE FE FE FE FE FE FE FE FE FE FE
blood glucose level.
FE FE FE
ANS: B FE
FE FE FE FE FE FE FE FE FE FE FE FE
Table of Contents
FE FE
Unit I. Foundations for Health Assessment
FE FE FE FE FE
1. Introduction to Health Assessment
FE FE FE
2. Interviewing Patients to Obtain a Health History
FE FE FE FE FE FE
3. Techniques and Equipment for Physical Assessment
FE FE FE FE FE
4. General Inspection and Measurement of Vital Signs
FE FE FE FE FE FE
5. Ethnic, Cultural, and Spiritual Considerations
FE FE FE FE
6. Pain Assessment
FE
7. Mental Health and Abusive Behavior Assessment
FE FE FE FE FE
8. Nutritional Assessment FE
Unit II. Health Assessment of the Adult
FE FE FE FE FE FE
9. Skin, Hair, and Nails
FE FE FE
10. Head, Eyes, Ears, Nose, and Throat
FE FE FE FE FE
11. Lungs and Respiratory System
FE FE FE
12. Heart and Peripheral Vascular System
FE FE FE FE
13. Abdomen and Gastrointestinal System
FE FE FE
,14. Musculoskeletal System FE
15. Neurologic System FE
16. Breasts and Axillae
FE FE
17. Reproductive System and the Perineum
FE FE FE FE
Unit III. Health Assessment Across the Life Span
FE FE FE FE FE FE FE
18. Developmental Assessment Throughout the Life Span
FE FE FE FE FE
19. Assessment of the Infant, Child, and Adolescent
FE FE FE FE FE FE
20. Assessment of the Pregnant Patient
FE FE FE FE
21. Assessment of the Older Adult
FE FE FE FE
Unit IV. Synthesis and Application of Health Assessment
FE FE FE FE FE FE FE
22. Conducting a Head-to-Toe Examination
FE FE FE
23. Documenting the Head-to-Toe Health Assessment
FE FE FE FE
24. Adapting Health Assessment to an Ill Patient
FE FE FE FE FE FE
, Chapter 01: Introduction to Health Assessment
FE FE FE FE FE
Wilson: Health Assessment for Nursing Practice, 6th Edition
FE FE FE FE FE FE FE
MULTIPLE CHOICE FE
1. A patient comes to the emergency department and tells the triage nurse that he is
FE FE FE FE FE FE FE FE FE FE FE FE FE FE
FE ―having a heart attack.‖ What is the nurse‘s top priority at this time?
FE FE FE FE FE FE FE FE FE FE FE FE
a. Determine the patient‘s personal data and insurance coverage.
FE FE FE FE FE FE FE
b. Ask the patient to take a seat in the waiting room until his name is called.
FE FE FE FE FE FE FE FE FE FE FE FE FE FE FE
c. Request that a nurse collect data for a comprehensive history.
FE FE FE FE FE FE FE FE FE
d. Ask a nurse to start a focused assessment of this patient now.
FE FE FE FE FE FE FE FE FE FE FE
ANS: D FE
The nurse needs to begin an assessment as soon as possible that is focused on this
FE FE FE FE FE FE FE FE FE FE FE FE FE FE FE
patient‘s cardiovascular system. The type of health assessment performed by the nurse
FE FE FE FE FE FE FE FE FE FE FE FE
is also driven by patient need. Personal data and insurance information will be
FE FE FE FE FE FE FE FE FE FE FE FE FE
obtained, but in this situation, these data can wait until after the patient is
FE FE FE FE FE FE FE FE FE FE FE FE FE FE
assessed. Based also on Maslow‘s hierarchy of needs, physiologic needs take
FE FE FE FE FE FE FE FE FE FE FE
precedence. Rather than asking the patient to wait, the nurse needs to begin data
FE FE FE FE FE FE FE FE FE FE FE FE FE FE
collection, such as vital signs, immediately to determine the patient‘s health status.
FE FE FE FE FE FE FE FE FE FE FE FE
Complications can be prevented if an immediate assessment is made to analyze the
FE FE FE FE FE FE FE FE FE FE FE FE FE
patient‘s symptoms. A comprehensive history is not indicated in this situation at this
FE FE FE FE FE FE FE FE FE FE FE FE FE
time. Some subjective data will be collected, such as allergies and medical history
FE FE FE FE FE FE FE FE FE FE FE FE FE
related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental
FE FE FE FE FE FE FE FE FE FE FE FE
health assessment is not a priority at this time.
FE FE FE FE FE FE FE FE FE
DIF: Cognitive Level: Apply REF: Box 1-3 | FE FE FE FE FE
p. 3 TOP: Nursing Process: Assessment
FE FE FE F E FE FE
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
F E FE FE FE FE FE FE FE FE FE FE
Establishing Priorities
FE FE
2. Which situation illustrates a screening assessment?
FE FE FE FE FE
a. A patient visits an obstetric clinic for the first time and the nurse
FE FE FE FE FE FE FE FE FE FE FE FE
conducts a detailed history and physical examination.
FE FE FE FE FE FE FE
b. A hospital sponsors a health fair at a local mall and provides cholesterol
FE FE FE FE FE FE FE FE FE FE FE FE
and blood pressure checks to mall patrons.
FE FE FE FE FE FE FE
c. The nurse in an urgent care center checks the vital signs of a patient who is
FE FE FE FE FE FE FE FE FE FE FE FE FE FE FE
complaining of leg pain. FE FE FE
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting
FE FE FE FE FE FE FE FE FE FE FE
blood glucose level.
FE FE FE
ANS: B FE