TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, Verified Chapters 1 - 24, Complete Newest Version

HEALTH ASSESSMENT FOR NURSING PRACTICE
TEST BANK For Health Assessment for Nursing Practice, 7th Edition

by Wilson, Verified Chapters 1 - 24, Complete Newest Version

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,TABLE OF CONTENTS t t t




Unit I: Foundations for Health Assessment
t t t t t




1. Introduction to Health Assessment t t t




2. Interviewing Patients to Obtain a Health History t t t t t t




3. Techniques and Equipment for Physical Assessment t t t t t




4. General Inspection and Measurement of Vital Signs
t t t t t t




5. Ethnic, Cultural, and Spiritual Considerations
t t t t




6. Pain Assessment
t




7. Mental Health and Abusive Behavior Assessment
t t t t t




8. Nutritional Assessment t




Unit II: Health Assessment of the Adult
t t t t t t




9. Skin, Hair, and Nails
t t t




10. Head, Eyes, Ears, Nose, and Throat
t t t t t




11. Lungs and Respiratory System t t t




12. Heart and Peripheral Vascular System
t t t t




13. Abdomen and Gastrointestinal System t t t




14. Musculoskeletal System t




15. Neurologic System t




16. Breasts and Axillae t t




17. Reproductive System and the Perineum t t t t




Unit III: Health Assessment Across the Life Span
t t t t t t t




18. Developmental Assessment Throughout the Life Span t t t t t




19. Assessment of the Infant, Child, and Adolescent t t t t t t




20. Assessment of the Pregnant Patient t t t t




21. Assessment of the Older Adult t t t t




Unit IV: Synthesis and Application of Health Assessment
t t t t t t t




22. Conducting a Head-to-Toe Examination t t t




23. Documenting the Head-to-Toe Health Assessment t t t t




24. Adapting Health Assessment t t




Chapter 01: Introduction to Health Assessment t t t t t

,MULTIPLE CHOICE t




1. A patient comes to the emergency department and tells the triage nurse that
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t heis “having a heart attack.” What is the nurse’s top priority at this time?
t t t t t t t t t t t t t


a. Determine the patient’s personal data and t t t t t


insurance coverage. t t



b. Ask the patient to take a seat in the waiting
t t t t t t t t t


room until his name is called.
t t t t t t



c. Request that a nurse collect data for t t t t t t


acomprehensive history. t



d. Ask a nurse to start a focused assessment
t t t t t t t


of this patient now.
t t t



ANSWER: D t


The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
t t t t t t t t t t t t t t t t


cardiovascular system. The type of health assessment performed by the nurse is also driven by
t t t t t t t t t t t t t t t


patient need. Personal data and insurance information will be obtained, but in this situation,
t t t t t t t t t t t t t t


these data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of
t t t t t t t t t t t t t t t t


needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
t t t t t t t t t t t t t t


needs to begin data collection, such as vital signs, immediately to determine the patient’s health
t t t t t t t t t t t t t t t


status. Complications can be prevented if an immediate assessment is made to analyze the
t t t t t t t t t t t t t t


patient’s symptoms. A comprehensive history is not indicated in this situation at this time.
t t t t t t t t t t t t t t


Some subjective data will be collected, such as allergies and medical history related to
t t t t t t t t t t t t t t


cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health
t t t t t t t t t t t


assessment is not a priority at this time.
t t t t t t t t




DIF: Cognitive Level: Apply
t REF: Box 1-3 | p. 3 t t t t t t t


TOP: Nursing Process: Assessment
t t t t


MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
t t t t t t t t t t t


Priorities
t




2. Which situation illustrates a screening assessment?
t t t t t


a. A patient visits an obstetric clinic for the first t t t t t t t t


time and the nurse conducts a detailedhistory t t t t t t


and physical examination. t t t



b. A hospital sponsors a health fair at a
t t t t t t t


localmall and provides cholesterol and t t t t


blood pressure checks to mall patrons.
t t t t t t



c. The nurse in an urgent care center checks
t t t t t t t


the vital signs of a patient who is
t t t t t t t


complaining of leg pain.
t t t t

, d. A patient newly diagnosed with
t t t t


diabetesmellitus comes to test his fasting blood t t t t t t


glucose level.
t t



ANSWER: B t


A health fair at a local mall that provides cholesterol and blood pressure checks is an example
t t t t t t t t t t t t t t t t


of a screening assessment focused on disease detection. A detailed history and physical
t t t t t t t t t t t t t


examination conducted during a first-time visit to an obstetric clinic is an exampleof a
t t t t t t t t t t t t t t


comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of an
t t t t t t t t t t t t t t t


urgent care center is an example of a problem-based/focused assessment. A patient’s return
t t t t t t t t t t t t t


appointment 1 month after today’s office visit to report fasting blood glucose levels is an
t t t t t t t t t t t t t t t


example of an episodic or follow-up assessment.
t t t t t t t




DIF: Cognitive Level: Understand
t REF: Box 1-3 | p. 3 t t t t t t t


TOP: Nursing Process: Assessment
t t t t


MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
t t t t t t t t t




3. For which person is a screening assessment indicated?
t t t t t t t


a. The person who had abdominal surgery t t t t t


yesterday
b. The person who is unaware of his high
t t t t t t t


serum glucose levels
t t t



c. The person who is being admitted to a
t t t t t t t


long-term care facility t t



d. The person who is beginning rehabilitation
t t t t t


after a knee replacement t t t



ANSWER: B t


A screening assessment is performed for the purpose of disease detection. In this case this
t t t t t t t t t t t t t t


person may have diabetes mellitus. A shift assessment is most appropriate for the person who
t t t t t t t t t t t t t t t


is recovering in the hospital from surgery. A comprehensive assessment is performed during
t t t t t t t t t t t t t


admission to a facility to obtain a detailed history and complete physical examination. An
t t t t t t t t t t t t t t


episodic or follow-up assessment is performed after knee replacement to evaluate the
t t t t t t t t t t t t


outcome of the procedure.
t t t t




DIF: Cognitive Level: Understand
t REF: Box 1-3 | p. 3 t t t t t t t


TOP: Nursing Process: Assessment
t t t t


MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
t t t t t t t t t t t


tPriorities

4. For which person is a shift assessment indicated?
t t t t t t t


a. The person who had abdominal surgery t t t t t


yesterday
b. The person who is unaware of his high
t t t t t t t


serum glucose levels t t



c. The person who is being admitted to a
t t t t t t t


long-term care facility t t



d. The person who is beginning rehabilitation
t t t t t


after aknee replacement t t t



ANSWER: A t


A shift assessment is most appropriate for the person who is recovering in the hospital from
t t t t t t t t t t t t t t t


surgery. A screening assessment is performed for the purpose of disease detection, in this
t t t t t t t t t t t t t t


case diabetes mellitus. A comprehensive assessment is performed during admission to a
t t t t t t t t t t t t