Test Bank for Health Assessment Nursing Exam Questions & Answers | Complete Guide for Physical Examination & Clinical Assessment Skills

,
,Test Bank For Health Assessment for Nursing Practice 8th
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Edition by Susan Fickertt Wilson, Jean Foret Giddens
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Chapter 1-24 b b




Chapter 01: Introduction to Health Assessment
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Wilson: Health Assessment for Nursing Practice, 7th Edition
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MULTIPLE CHOICE b




1. A patient comes to the emergency department and tells the triagenursethat he is ―having a heart
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attack.‖ What is the nurse‘s top priority at this time?
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a. Determine the patient‘s personal data and insurance coverage. b b b b b b b




b. Ask the patient to take a seat in the waiting room until his name is called.
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c. Request that a nurse collect data for a comprehensive history. b b b b b b b b b




d. Ask a nurse to start a focused assessment of this patient now.
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ANS: D b




The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
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cardiovascular system. The type of health assessment performed by the nurse is also driven by
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patient need. Personal data and insurance information will be obtained, but in this situation, these
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data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of needs,
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physiologic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin
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data collection, such as vital signs, immediately to determine the patient‘s health status.
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Complications can be prevented if an immediate assessment is made to analyze the patient‘s
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symptoms. A comprehensive history is not indicated in this situation at this time. Some subjective
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data will be collected, such as allergies and medical history related to cardiovascular disease.
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Eyes, ears, or a complete musculoskeletal or mental health assessment is not a priority at this time.
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DIF:Cognitive Level: Apply REF: Box 1-3 b b b b




TOP:Nursing Process: Assessment
b b b




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




Priorities
b




2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for the first time and the nurse conducts a
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detailed history and physical examination.
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b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
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pressure checks to mall patrons.
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c. The nurse in an urgent care center checks the vital signs of a patient who is
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complaining of leg pain.
b b b b




d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
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glucose level.
b b




ANS: B b




A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
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screening assessment focused on disease detection. A detailed history and physical examination
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conducted during a first-time visit to an obstetric clinic is an example of a comprehensive
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assessment. Assessing a patient complaining of leg pain in the triage area of an urgent care center
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is an example of a problem-based/focused assessment. A patient‘s return appointment 1 month
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after today‘s office visit to report fasting blood glucose levels is an example of an episodic or
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follow-up assessment.
b b

, DIF:Cognitive Level: Understand
b b REF: Box 1-3
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