HealthAssessmentinNursing7thEdition by WeberChapters 1
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Answers are at the end of each chapter
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CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
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1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
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(gall
11 1 1bladder removal). What is the overall purpose of assessment for this client?
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A) Collecting accurate data 11 11
B) Assisting the primary care provider 11 11 11 11
C) Validating previous data 11 11
D) Making clinical judgments 11 11
2. A client has presented to the emergency department (ED) with complaints of abdominal
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pain. Which member of the care team would most likely be responsible for collecting the
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subjective data on the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse 11
C) Admissions clerk 11
D) Diagnostic technician 11
,3. The nurse has completed an initial assessment of a newly admitted client and is applying
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11 the nursing process to plan the client's care. What principle should the nurse apply when using
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11 the nursing process?
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A) Each step is independent of the others.
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B) It is ongoing and continuous.
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C) It is used primarily in acute care settings. N
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D) It involves independent nursing actions.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
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11 perform a comprehensive health assessment. Which of the following actions should the nurse
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11 perform first? 11
A) Review the client's medical record. 11 11 11 11
B) Obtain basic biographic data. 11 11 11
C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. 11 11 11 11
5. Which of the following client situations would the nurse interpret as requiring an
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emergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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10. A nurse has completed gathering some basic data about a client who has multiple health
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problems that stem from heavy alcohol use. The nurse has then reflected on her personal
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, 6. In response to a client's query, the nurse is explaining the differences between the
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physician's medical exam and the comprehensive health assessment performed by the nurse.
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The nurse should describe the fact that the nursing assessment focuses on which aspect of the
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client's situation?
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A) Current physiologic status 11 11
B) Effect of health on functional status
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C) Past medical history 11 11
D) Motivation for adherence to treatment 11 11 11 11
7. After teaching a group of students about the phases of the nursing process, the
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instructor determines that the teaching was successful when the students identify which phase
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as being foundational to all other pha ses?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
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been admitted for the treatment of community-acquired pneumonia. Following the
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completion of this assessment, the nurse periodically performs a partial assessment
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primarily for which reason?
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A) Reassess previously deteNcted problems 11 11 11
B) Provide information for the client's record
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C) Address areas previously omitted 11 11 11
D) Determine the need for crisis intervention 11 11 11 11 11