, HealthbAssessmentbforbNursingbPracticeb6thbEditionbWilsonbTestbBankb-bISBN:b9780323377768
TablebofbContents
UnitbI.bFoundationsbforbHealthbAssessment
1. IntroductionbtobHealthbAssessment
2. InterviewingbPatientsbtobObtainbabHealthbHistory
3. TechniquesbandbEquipmentbforbPhysicalbAssessment
4. GeneralbInspectionbandbMeasurementbofbVitalbSigns
5. Ethnic,bCultural,bandbSpiritualbConsiderations
6. PainbAssessment
7. MentalbHealthbandbAbusivebBehaviorbAssessment
8. NutritionalbAssessment
UnitbII.bHealthbAssessmentbofbthebAdult
9. Skin,bHair,bandbNails
10. Head,bEyes,bEars,bNose,bandbThroat
11. LungsbandbRespiratorybSystem
12. HeartbandbPeripheralbVascularbSystem
13. AbdomenbandbGastrointestinalbSystem
,14. MusculoskeletalbSystem
15. NeurologicbSystem
16. BreastsbandbAxillae
17. ReproductivebSystembandbthebPerineum
UnitbIII.bHealthbAssessmentbAcrossbthebLifebSpan
18. DevelopmentalbAssessmentbThroughoutbthebLifebSpan
19. AssessmentbofbthebInfant,bChild,bandbAdolescent
20. AssessmentbofbthebPregnantbPatient
21. AssessmentbofbthebOlderbAdult
UnitbIV.bSynthesisbandbApplicationbofbHealthbAssessment
22. ConductingbabHead-to-ToebExamination
23. DocumentingbthebHead-to-ToebHealthbAssessment
24. AdaptingbHealthbAssessmentbtobanbIllbPatient
, Chapter 01: Introduction to Health Assessment
b b b b b
Wilson: Health Assessment for Nursing Practice, 6th Edition
b b b b b b b
MULTIPLEbCHOICE
1. Abpatientbcomesbtobthebemergencybdepartmentbandbtellsbthebtriagebnursebthatbhebisb“havingbabh
eartbattack.”bWhatbisbthebnurse’sbtopbprioritybatbthisbtime?
a. Determinebthebpatient’sbpersonalbdatabandbinsurancebcoverage.
b. Askbthebpatientbtobtakebabseatbinbthebwaitingbroombuntilbhisbnamebisbcalled.
c. Requestbthatbabnursebcollectbdatabforbabcomprehensivebhistory.
d. Askbabnursebtobstartbabfocusedbassessmentbofbthisbpatientbnow.
ANS:b D
Thebnursebneedsbtobbeginbanbassessmentbasbsoonbasbpossiblebthatbisbfocusedbonbthisbpatient’sbcard
iovascularbsystem.bThebtypebofbhealthbassessmentbperformedbbybthebnursebisbalsobdrivenbbybpatie
ntbneed.bPersonalbdatabandbinsurancebinformationbwillbbebobtained,bbutbinbthisbsituation,bthesebda
tabcanbwaitbuntilbafterbthebpatientbisbassessed.bBasedbalsobonbMaslow’sbhierarchybofbneeds,bphysi
ologicbneedsbtakebprecedence.bRatherbthanbaskingbthebpatientbtobwait,bthebnursebneedsbtobbeginbd
atabcollection,bsuchbasbvitalbsigns,bimmediatelybtobdeterminebthebpatient’sbhealthbstatus.bComplic
ationsbcanbbebpreventedbifbanbimmediatebassessmentbisbmadebtobanalyzebthebpatient’sbsymptoms.b
Abcomprehensivebhistorybisbnotbindicatedbinbthisbsituationbatbthisbtime.bSomebsubjectivebdatabwill
bbebcollected,bsuchbas ballergiesbandbmedical bhistorybrelatedbtobcardiovascularbdisease.bEyes,bears,
borbabcompletebmusculoskeletalborbmentalbhealthbassessmentbisbnotbabprioritybatbthisbtime.
DIF: CognitivebLevel:bApply REF:bBoxb1-
3b|bp.b3bTOP:b NursingbProcess:bAssessment
MSC:b NCLEXbPatientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare:bEstablishin
gbPriorities
2. Whichbsituationbillustratesbabscreeningbassessment?
a. Abpatientbvisitsbanbobstetricbclinicbforbthebfirstbtimebandbthebnursebconductsbabd
etailedbhistorybandbphysicalbexamination.
b. Abhospitalbsponsorsbabhealthbfairbatbablocalbmallbandbprovidesbcholesterolbandbbloodbp
ressurebchecksbtobmallbpatrons.
c. Thebnursebinbanburgentbcarebcenterbchecksbthebvitalbsignsbofbabpatientbwhobis
complainingbofblegbpain.
d. Abpatientbnewlybdiagnosedbwithbdiabetesbmellitusbcomesbtobtestbhisbfastingbbloodb
glucoseblevel.
ANS:b B
TablebofbContents
UnitbI.bFoundationsbforbHealthbAssessment
1. IntroductionbtobHealthbAssessment
2. InterviewingbPatientsbtobObtainbabHealthbHistory
3. TechniquesbandbEquipmentbforbPhysicalbAssessment
4. GeneralbInspectionbandbMeasurementbofbVitalbSigns
5. Ethnic,bCultural,bandbSpiritualbConsiderations
6. PainbAssessment
7. MentalbHealthbandbAbusivebBehaviorbAssessment
8. NutritionalbAssessment
UnitbII.bHealthbAssessmentbofbthebAdult
9. Skin,bHair,bandbNails
10. Head,bEyes,bEars,bNose,bandbThroat
11. LungsbandbRespiratorybSystem
12. HeartbandbPeripheralbVascularbSystem
13. AbdomenbandbGastrointestinalbSystem
,14. MusculoskeletalbSystem
15. NeurologicbSystem
16. BreastsbandbAxillae
17. ReproductivebSystembandbthebPerineum
UnitbIII.bHealthbAssessmentbAcrossbthebLifebSpan
18. DevelopmentalbAssessmentbThroughoutbthebLifebSpan
19. AssessmentbofbthebInfant,bChild,bandbAdolescent
20. AssessmentbofbthebPregnantbPatient
21. AssessmentbofbthebOlderbAdult
UnitbIV.bSynthesisbandbApplicationbofbHealthbAssessment
22. ConductingbabHead-to-ToebExamination
23. DocumentingbthebHead-to-ToebHealthbAssessment
24. AdaptingbHealthbAssessmentbtobanbIllbPatient
, Chapter 01: Introduction to Health Assessment
b b b b b
Wilson: Health Assessment for Nursing Practice, 6th Edition
b b b b b b b
MULTIPLEbCHOICE
1. Abpatientbcomesbtobthebemergencybdepartmentbandbtellsbthebtriagebnursebthatbhebisb“havingbabh
eartbattack.”bWhatbisbthebnurse’sbtopbprioritybatbthisbtime?
a. Determinebthebpatient’sbpersonalbdatabandbinsurancebcoverage.
b. Askbthebpatientbtobtakebabseatbinbthebwaitingbroombuntilbhisbnamebisbcalled.
c. Requestbthatbabnursebcollectbdatabforbabcomprehensivebhistory.
d. Askbabnursebtobstartbabfocusedbassessmentbofbthisbpatientbnow.
ANS:b D
Thebnursebneedsbtobbeginbanbassessmentbasbsoonbasbpossiblebthatbisbfocusedbonbthisbpatient’sbcard
iovascularbsystem.bThebtypebofbhealthbassessmentbperformedbbybthebnursebisbalsobdrivenbbybpatie
ntbneed.bPersonalbdatabandbinsurancebinformationbwillbbebobtained,bbutbinbthisbsituation,bthesebda
tabcanbwaitbuntilbafterbthebpatientbisbassessed.bBasedbalsobonbMaslow’sbhierarchybofbneeds,bphysi
ologicbneedsbtakebprecedence.bRatherbthanbaskingbthebpatientbtobwait,bthebnursebneedsbtobbeginbd
atabcollection,bsuchbasbvitalbsigns,bimmediatelybtobdeterminebthebpatient’sbhealthbstatus.bComplic
ationsbcanbbebpreventedbifbanbimmediatebassessmentbisbmadebtobanalyzebthebpatient’sbsymptoms.b
Abcomprehensivebhistorybisbnotbindicatedbinbthisbsituationbatbthisbtime.bSomebsubjectivebdatabwill
bbebcollected,bsuchbas ballergiesbandbmedical bhistorybrelatedbtobcardiovascularbdisease.bEyes,bears,
borbabcompletebmusculoskeletalborbmentalbhealthbassessmentbisbnotbabprioritybatbthisbtime.
DIF: CognitivebLevel:bApply REF:bBoxb1-
3b|bp.b3bTOP:b NursingbProcess:bAssessment
MSC:b NCLEXbPatientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare:bEstablishin
gbPriorities
2. Whichbsituationbillustratesbabscreeningbassessment?
a. Abpatientbvisitsbanbobstetricbclinicbforbthebfirstbtimebandbthebnursebconductsbabd
etailedbhistorybandbphysicalbexamination.
b. Abhospitalbsponsorsbabhealthbfairbatbablocalbmallbandbprovidesbcholesterolbandbbloodbp
ressurebchecksbtobmallbpatrons.
c. Thebnursebinbanburgentbcarebcenterbchecksbthebvitalbsignsbofbabpatientbwhobis
complainingbofblegbpain.
d. Abpatientbnewlybdiagnosedbwithbdiabetesbmellitusbcomesbtobtestbhisbfastingbbloodb
glucoseblevel.
ANS:b B
