, 1
TESTjBANK
5thjEditionjW eberjandjKelleyjHealthjAssessmentjinjNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardsjhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-jcards/
QuizletjName:jlei_achacoso
1. Ajnursejonjajpostsurgicaljunitjisjadmittingjajclientjfollowingjthejclient'sjcholecystectomyj(
galljbladderjremoval).jWhatjisjthejoveralljpurposejofjassessmentjforjthisjclient?
A) Collectingjaccuratejdata
B) Assistingjthejprimaryjcarejprovider
C) Validatingjpreviousjdata
D) Makingjclinicaljjudgments
D)jMakingjclinicaljjudgments
2. Ajclientjhasjpresentedjtojthejemergencyjdepartmentj(ED)jwithjcomplaintsjofjabdominaljpa
in.jWhichjmemberjofjthejcarejteamjwouldjmostjlikelyjbejresponsiblejforjcollectingjthejsubjecti
vejdatajonjthejclientjduringjthejinitialjcomprehensivejassessment?
A) Gastroenterologist
B) EDjnurse
C) Admissionsjclerk
D) Diagnosticjtechnician
B)jEDjnurse
3. Thejnursejhasjcompletedjanjinitialjassessmentjofjajnewlyjadmittedjclientjandjisjapplyin
gjthejnursingjprocessjtojplanjthejclient'sjcare.jWhatjprinciplejshouldjthejnursejapplyjwhenju
singjthejnursingjprocess?
A) Eachjstepjisjindependentjofjthejothers.
B) Itjisjongoingjandjcontinuous.
C) Itjisjusedjprimarilyjinjacutejcarejsettings.
D) Itjinvolvesjindependentjnursingjactions.
B) Itjisjongoingjandjcontinuous.
4. Thejnursejwhojprovidesjcarejatjanjambulatoryjclinicjisjpreparingjtojmeetjajclientjandjperfor
mjajcomprehensivejhealthjassessment.jWhichjofjthejfollowingjactionsjshouldjthejnursejperf
ormjfirst?
A) Reviewjthejclient'sjmedicaljrecord.
B) Obtainjbasicjbiographicjdata.
C) Consultjclinicaljresourcesjexplainingjthejclient'sjdiagnosis.
D) Validatejinformationjwithjthejclient.
A) Reviewjthejclient'sjmedicaljrecord.
5. Whichjofjthejfollowingjclientjsituationsjwouldjthejnursejinterpretjasjrequiringjanjemer
gencyjassessment?
A) Ajpediatricjclientjwithjseverejsunburn
B) Ajclientjneedingjanjemploymentjphysical
C) Ajclientjwhojoverdosedjonjacetaminophen
D) Ajdistraughtjclientjwhojwantsjajpregnancyjtest
C) Ajclientjwhojoverdosedjonjacetaminophen
6. Injresponsejtojajclient'sjquery,jthejnursejisjexplainingjthejdifferencesjbetweenjthejphysici
an'sjmedicaljexamjandjthejcomprehensivejhealthjassessmentjperformedjbyjthejnurse.jThej
nursejshouldjdescribejthejfactjthatjthejnursingjassessmentjfocusesjonjwhichjaspectjofjthejcl
ient'sjsituation?
A) Currentjphysiologicjstatus
B) Effectjofjhealthjonjfunctionaljstatus
, 2
C) Pastjmedicaljhistory
D) Motivationjforjadherencejtojtreatment
B) Effectjofjhealthjonjfunctionaljstatus
7. Afterjteachingjajgroupjofjstudentsjaboutjthejphasesjofjthejnursingjprocess,jthejinstructorjd
eterminesjthatjthejteachingjwasjsuccessfuljwhenjthejstudentsjidentifyjwhichjphasejasjbeingjf
oundationaljtojalljotherjphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thejnursejhasjcompletedjthejcomprehensivejhealthjassessmentjofjajclientjwhojhasjbeenj
admittedjforjthejtreatmentjofjcommunity-
acquiredjpneumonia.jFollowingjthejcompletionjofjthisjassessment,jthejnursejperiodicallyjp
erformsjajpartialjassessmentjprimarilyjforjwhichjreason?
A) Reassessjpreviouslyjdetectedjproblems
B) Providejinformationjforjthejclient'sjrecord
C) Addressjareasjpreviouslyjomitted
D) Determinejthejneedjforjcrisisjintervention
A) Reassessjpreviouslyjdetectedjproblems
9. Thejnursejisjworkingjinjanjambulatoryjcarejclinicjthatjisjlocatedjinjajbusy,jinner-
cityjneighborhood.jWhichjclientjwouldjthejnursejdeterminejtojbejinjmostjneedjofjanjemerge
ncyjassessment?
A) Aj14-year-oldjgirljwhojisjcryingjbecausejshejthinksjshejisjpregnant
B) Aj45-year-oldjmanjwithjchestjpainjandjdiaphoresisjforj1jhour
C) Aj3-year-oldjchildjwithjfever,jrash,jandjsorejthroat
D) Aj20-year-oldjmanjwithjaj3-inchjshallowjlacerationjonjhisjleg
B) Aj45-year-oldjmanjwithjchestjpainjandjdiaphoresisjforj1jhour
10. Ajnursejhasjcompletedjgatheringjsomejbasicjdatajaboutjajclientjwhojhasjmultiplejhealthj
problemsjthatjstemjfromjheavyjalcoholjuse.jThejnursejhasjthenjreflectedjonjherjpersonaljfee
lingsjaboutjthejclientjandjhisjcircumstances.jThejnursejdoesjthisjprimarilyjtojaccomplishjwhi
chjofjthejfollowing?
A) Determinejifjpertinentjdatajhasjbeenjomitted
B) Identifyjthejneedjforjreferral
C) Avoidjbiasesjandjjudgments
D) Constructjajplanjofjcare
C) Avoidjbiasesjandjjudgments
11. Thejnursejisjcollectingjdatajfromjajclientjwhojhasjrecentlyjbeenjdiagnosedjwithjtypej1jdiab
etesjandjwhojwilljbeginjanjeducationaljprogram.jThejnursejisjcollectingj subjectivejandjobject
ivejdata.jWhichjofjthejfollowingjwouldjthejnursejcategorizejasjobjectivejdata?
A) Familyjhistory
B) Occupation
C) Appearance
D) Historyjofjpresentjhealthjconcern
C)jAppearance
12. Anjolderjadultjclientjhasjbeenjadmittedjtojthejhospitaljwithjfailurejtojthrivejresultingjfromjc
omplicationsjofjdiabetes.jWhichjofjthejfollowingjwouldjthejnursejimplementjinjresponsejtojaj
collaborativejproblem?
A) Encouragejthejclientjtojincreasejoraljfluidjintake.
B) Providejthejclientjwithjajbedtimejproteinjsnack.
C) Assistjthejclientjwithjpersonaljhygiene.
D) Measurejthejclient'sjbloodjglucosejfourjtimesjdaily.
D)jMeasurejthejclient'sjbloodjglucosejfourjtimesjdaily.
13. Thejnursejatjajbusyjprimaryjcarejclinicjisjanalyzingjthejdatajobtainedjfromjthejfollow
ingjclients.jForjwhichjclientsjwouldjthejnursejmostjlikelyjexpectjtojfacilitatejajreferral?
, 3
A) Anj80-year-oldjclientjwhojlivesjwithjherjdaughter
B) Aj50-year-oldjclientjnewlyjdiagnosedjwithjdiabetes
C) Anjadultjpresentingjforjanjinfluenzajvaccination
D) Ajteenagerjseekingjinformationjaboutjcontraception
B) Aj50-year-oldjclientjnewlyjdiagnosedjwithjdiabetes
14. Anjinstructorjisjreviewingjthejevolutionjofjthejnurse'sjrolejinjhealthjassessment.jThejinstru
ctorjdeterminesjthatjthejteachingjwasjsuccessfuljwhenjthejstudentsjidentifyjwhichjofjthejfollo
wingjasjthejmajorjmethodjusedjbyjnursesjearlyjinjthejhistoryjofjthejprofession?
A) Naturaljsenses
B) Biomedicaljknowledge
C) Simplejtechnology
D) Criticaljpathways
A) Naturaljsenses
15. Whenjdescribingjthejexpansionjofjthejdepthjandjscopejofjnursingjassessmentjoverjthejp
astjseveraljdecades,jwhichjofjthejfollowingjwouldjthejnursejidentifyjasjbeingjthejprimaryjforc
e?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publicjmistrustjofjphysicians
16. Ajgroupjofjnursesjarejreviewingjinformationjaboutjthejpotentialjopportunitiesjforjnursesj
whojhavejadvancedjassessmentjskills.jWhenjdiscussingjphenomenajthatjhavejcontributed
jtojthesejincreasedjopportunities,jwhatjshouldjthejnursesjidentify?
A) Expansionjofjhealthjcarejnetworks
B) Decreasejinjclientjparticipationjinjcare
C) Thejshrinkingjcostjofjmedicaljcare
D) Publicjmistrustjofjphysicians
A) Expansionjofjhealthjcarejnetworks
17. Ajnursejhasjdocumentedjthejfindingsjofjajcomprehensivejassessmentjofjajnewjclient
.jWhatjisjthejprimaryjrationalejthatjthejnursejshouldjidentifyjforjaccuratejandjthoroughjdo
cumentation?
A) Guaranteeingjajcontinualjassessmentjprocess
B) Identifyingjabnormaljdata
C) Assuringjvalidjconclusionsjfromjanalyzedjdata
D) Allowingjforjdrawingjinferencesjandjidentifyingjproblems
C) Assuringjvalidjconclusionsjfromjanalyzedjdata
18. Ajnursejhasjreceivedjajreportjonjajclientjwhojwilljsoonjbejadmittedjtojthejmedicaljunitjfro
mjthejemergencyjdepartment.jWhenjpreparingjforjthejassessmentjphasejofjthejnursingjpro
cess,jwhichjofjthejfollowingjshouldjthejnursejdojfirst?
A) Collectjobjectivejdata.
B) Validatejimportantjdata.
C) Collectjsubjectivejdata.
D) Documentjthejdata.
C)jCollectjsubjectivejdata.
19. Ajcommunityjhealthjnursejisjassessingjanjolderjadultjclientjinjthejclient'sjhome.jWhe
njthejnursejisjgatheringjsubjectivejdata,jwhichjofjthejfollowingjwouldjthejnursejidentify?
A) Thejclient'sjfeelingsjofjhappiness
B) Thejclient'sjposture
C) Thejclient'sjaffect
D) Thejclient'sjbehavior
A) Thejclient'sjfeelingsjofjhappiness
20. Ajnursejonjthejhospital'sjsubacutejmedicaljunitjisjplanningjtojperformjajclient'sjfocus
edjassessment.jWhichjofjthejfollowingjstatementsjshouldjinformjthejnurse'sjpractice?
TESTjBANK
5thjEditionjW eberjandjKelleyjHealthjAssessmentjinjNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardsjhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-jcards/
QuizletjName:jlei_achacoso
1. Ajnursejonjajpostsurgicaljunitjisjadmittingjajclientjfollowingjthejclient'sjcholecystectomyj(
galljbladderjremoval).jWhatjisjthejoveralljpurposejofjassessmentjforjthisjclient?
A) Collectingjaccuratejdata
B) Assistingjthejprimaryjcarejprovider
C) Validatingjpreviousjdata
D) Makingjclinicaljjudgments
D)jMakingjclinicaljjudgments
2. Ajclientjhasjpresentedjtojthejemergencyjdepartmentj(ED)jwithjcomplaintsjofjabdominaljpa
in.jWhichjmemberjofjthejcarejteamjwouldjmostjlikelyjbejresponsiblejforjcollectingjthejsubjecti
vejdatajonjthejclientjduringjthejinitialjcomprehensivejassessment?
A) Gastroenterologist
B) EDjnurse
C) Admissionsjclerk
D) Diagnosticjtechnician
B)jEDjnurse
3. Thejnursejhasjcompletedjanjinitialjassessmentjofjajnewlyjadmittedjclientjandjisjapplyin
gjthejnursingjprocessjtojplanjthejclient'sjcare.jWhatjprinciplejshouldjthejnursejapplyjwhenju
singjthejnursingjprocess?
A) Eachjstepjisjindependentjofjthejothers.
B) Itjisjongoingjandjcontinuous.
C) Itjisjusedjprimarilyjinjacutejcarejsettings.
D) Itjinvolvesjindependentjnursingjactions.
B) Itjisjongoingjandjcontinuous.
4. Thejnursejwhojprovidesjcarejatjanjambulatoryjclinicjisjpreparingjtojmeetjajclientjandjperfor
mjajcomprehensivejhealthjassessment.jWhichjofjthejfollowingjactionsjshouldjthejnursejperf
ormjfirst?
A) Reviewjthejclient'sjmedicaljrecord.
B) Obtainjbasicjbiographicjdata.
C) Consultjclinicaljresourcesjexplainingjthejclient'sjdiagnosis.
D) Validatejinformationjwithjthejclient.
A) Reviewjthejclient'sjmedicaljrecord.
5. Whichjofjthejfollowingjclientjsituationsjwouldjthejnursejinterpretjasjrequiringjanjemer
gencyjassessment?
A) Ajpediatricjclientjwithjseverejsunburn
B) Ajclientjneedingjanjemploymentjphysical
C) Ajclientjwhojoverdosedjonjacetaminophen
D) Ajdistraughtjclientjwhojwantsjajpregnancyjtest
C) Ajclientjwhojoverdosedjonjacetaminophen
6. Injresponsejtojajclient'sjquery,jthejnursejisjexplainingjthejdifferencesjbetweenjthejphysici
an'sjmedicaljexamjandjthejcomprehensivejhealthjassessmentjperformedjbyjthejnurse.jThej
nursejshouldjdescribejthejfactjthatjthejnursingjassessmentjfocusesjonjwhichjaspectjofjthejcl
ient'sjsituation?
A) Currentjphysiologicjstatus
B) Effectjofjhealthjonjfunctionaljstatus
, 2
C) Pastjmedicaljhistory
D) Motivationjforjadherencejtojtreatment
B) Effectjofjhealthjonjfunctionaljstatus
7. Afterjteachingjajgroupjofjstudentsjaboutjthejphasesjofjthejnursingjprocess,jthejinstructorjd
eterminesjthatjthejteachingjwasjsuccessfuljwhenjthejstudentsjidentifyjwhichjphasejasjbeingjf
oundationaljtojalljotherjphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thejnursejhasjcompletedjthejcomprehensivejhealthjassessmentjofjajclientjwhojhasjbeenj
admittedjforjthejtreatmentjofjcommunity-
acquiredjpneumonia.jFollowingjthejcompletionjofjthisjassessment,jthejnursejperiodicallyjp
erformsjajpartialjassessmentjprimarilyjforjwhichjreason?
A) Reassessjpreviouslyjdetectedjproblems
B) Providejinformationjforjthejclient'sjrecord
C) Addressjareasjpreviouslyjomitted
D) Determinejthejneedjforjcrisisjintervention
A) Reassessjpreviouslyjdetectedjproblems
9. Thejnursejisjworkingjinjanjambulatoryjcarejclinicjthatjisjlocatedjinjajbusy,jinner-
cityjneighborhood.jWhichjclientjwouldjthejnursejdeterminejtojbejinjmostjneedjofjanjemerge
ncyjassessment?
A) Aj14-year-oldjgirljwhojisjcryingjbecausejshejthinksjshejisjpregnant
B) Aj45-year-oldjmanjwithjchestjpainjandjdiaphoresisjforj1jhour
C) Aj3-year-oldjchildjwithjfever,jrash,jandjsorejthroat
D) Aj20-year-oldjmanjwithjaj3-inchjshallowjlacerationjonjhisjleg
B) Aj45-year-oldjmanjwithjchestjpainjandjdiaphoresisjforj1jhour
10. Ajnursejhasjcompletedjgatheringjsomejbasicjdatajaboutjajclientjwhojhasjmultiplejhealthj
problemsjthatjstemjfromjheavyjalcoholjuse.jThejnursejhasjthenjreflectedjonjherjpersonaljfee
lingsjaboutjthejclientjandjhisjcircumstances.jThejnursejdoesjthisjprimarilyjtojaccomplishjwhi
chjofjthejfollowing?
A) Determinejifjpertinentjdatajhasjbeenjomitted
B) Identifyjthejneedjforjreferral
C) Avoidjbiasesjandjjudgments
D) Constructjajplanjofjcare
C) Avoidjbiasesjandjjudgments
11. Thejnursejisjcollectingjdatajfromjajclientjwhojhasjrecentlyjbeenjdiagnosedjwithjtypej1jdiab
etesjandjwhojwilljbeginjanjeducationaljprogram.jThejnursejisjcollectingj subjectivejandjobject
ivejdata.jWhichjofjthejfollowingjwouldjthejnursejcategorizejasjobjectivejdata?
A) Familyjhistory
B) Occupation
C) Appearance
D) Historyjofjpresentjhealthjconcern
C)jAppearance
12. Anjolderjadultjclientjhasjbeenjadmittedjtojthejhospitaljwithjfailurejtojthrivejresultingjfromjc
omplicationsjofjdiabetes.jWhichjofjthejfollowingjwouldjthejnursejimplementjinjresponsejtojaj
collaborativejproblem?
A) Encouragejthejclientjtojincreasejoraljfluidjintake.
B) Providejthejclientjwithjajbedtimejproteinjsnack.
C) Assistjthejclientjwithjpersonaljhygiene.
D) Measurejthejclient'sjbloodjglucosejfourjtimesjdaily.
D)jMeasurejthejclient'sjbloodjglucosejfourjtimesjdaily.
13. Thejnursejatjajbusyjprimaryjcarejclinicjisjanalyzingjthejdatajobtainedjfromjthejfollow
ingjclients.jForjwhichjclientsjwouldjthejnursejmostjlikelyjexpectjtojfacilitatejajreferral?
, 3
A) Anj80-year-oldjclientjwhojlivesjwithjherjdaughter
B) Aj50-year-oldjclientjnewlyjdiagnosedjwithjdiabetes
C) Anjadultjpresentingjforjanjinfluenzajvaccination
D) Ajteenagerjseekingjinformationjaboutjcontraception
B) Aj50-year-oldjclientjnewlyjdiagnosedjwithjdiabetes
14. Anjinstructorjisjreviewingjthejevolutionjofjthejnurse'sjrolejinjhealthjassessment.jThejinstru
ctorjdeterminesjthatjthejteachingjwasjsuccessfuljwhenjthejstudentsjidentifyjwhichjofjthejfollo
wingjasjthejmajorjmethodjusedjbyjnursesjearlyjinjthejhistoryjofjthejprofession?
A) Naturaljsenses
B) Biomedicaljknowledge
C) Simplejtechnology
D) Criticaljpathways
A) Naturaljsenses
15. Whenjdescribingjthejexpansionjofjthejdepthjandjscopejofjnursingjassessmentjoverjthejp
astjseveraljdecades,jwhichjofjthejfollowingjwouldjthejnursejidentifyjasjbeingjthejprimaryjforc
e?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publicjmistrustjofjphysicians
16. Ajgroupjofjnursesjarejreviewingjinformationjaboutjthejpotentialjopportunitiesjforjnursesj
whojhavejadvancedjassessmentjskills.jWhenjdiscussingjphenomenajthatjhavejcontributed
jtojthesejincreasedjopportunities,jwhatjshouldjthejnursesjidentify?
A) Expansionjofjhealthjcarejnetworks
B) Decreasejinjclientjparticipationjinjcare
C) Thejshrinkingjcostjofjmedicaljcare
D) Publicjmistrustjofjphysicians
A) Expansionjofjhealthjcarejnetworks
17. Ajnursejhasjdocumentedjthejfindingsjofjajcomprehensivejassessmentjofjajnewjclient
.jWhatjisjthejprimaryjrationalejthatjthejnursejshouldjidentifyjforjaccuratejandjthoroughjdo
cumentation?
A) Guaranteeingjajcontinualjassessmentjprocess
B) Identifyingjabnormaljdata
C) Assuringjvalidjconclusionsjfromjanalyzedjdata
D) Allowingjforjdrawingjinferencesjandjidentifyingjproblems
C) Assuringjvalidjconclusionsjfromjanalyzedjdata
18. Ajnursejhasjreceivedjajreportjonjajclientjwhojwilljsoonjbejadmittedjtojthejmedicaljunitjfro
mjthejemergencyjdepartment.jWhenjpreparingjforjthejassessmentjphasejofjthejnursingjpro
cess,jwhichjofjthejfollowingjshouldjthejnursejdojfirst?
A) Collectjobjectivejdata.
B) Validatejimportantjdata.
C) Collectjsubjectivejdata.
D) Documentjthejdata.
C)jCollectjsubjectivejdata.
19. Ajcommunityjhealthjnursejisjassessingjanjolderjadultjclientjinjthejclient'sjhome.jWhe
njthejnursejisjgatheringjsubjectivejdata,jwhichjofjthejfollowingjwouldjthejnursejidentify?
A) Thejclient'sjfeelingsjofjhappiness
B) Thejclient'sjposture
C) Thejclient'sjaffect
D) Thejclient'sjbehavior
A) Thejclient'sjfeelingsjofjhappiness
20. Ajnursejonjthejhospital'sjsubacutejmedicaljunitjisjplanningjtojperformjajclient'sjfocus
edjassessment.jWhichjofjthejfollowingjstatementsjshouldjinformjthejnurse'sjpractice?
