, HealthgAssessmentgforgNursinggPracticeg6thgEditiongWilsongTestgBankg-gISBN:g9780323377768
TablegofgContents
UnitgI.gFoundationsgforgHealthgAssessment
1. IntroductiongtogHealthgAssessment
2. InterviewinggPatientsgtogObtaingagHealthgHistory
3. TechniquesgandgEquipmentgforgPhysicalgAssessment
4. GeneralgInspectiongandgMeasurementgofgVitalgSigns
5. Ethnic,gCultural,gandgSpiritualgConsiderations
6. PaingAssessment
7. MentalgHealthgandgAbusivegBehaviorgAssessment
8. NutritionalgAssessment
UnitgII.gHealthgAssessmentgofgthegAdult
9. Skin,gHair,gandgNails
10. Head,gEyes,gEars,gNose,gandgThroat
11. LungsgandgRespiratorygSystem
12. HeartgandgPeripheralgVasculargSystem
13. AbdomengandgGastrointestinalgSystem
,14. MusculoskeletalgSystem
15. NeurologicgSystem
16. BreastsgandgAxillae
17. ReproductivegSystemgandgthegPerineum
UnitgIII.gHealthgAssessmentgAcrossgthegLifegSpan
18. DevelopmentalgAssessmentgThroughoutgthegLifegSpan
19. AssessmentgofgthegInfant,gChild,gandgAdolescent
20. AssessmentgofgthegPregnantgPatient
21. AssessmentgofgthegOldergAdult
UnitgIV.gSynthesisgandgApplicationgofgHealthgAssessment
22. ConductinggagHead-to-ToegExamination
23. DocumentinggthegHead-to-ToegHealthgAssessment
24. AdaptinggHealthgAssessmentgtogangIllgPatient
, Chapterg01:gIntroductiongtogHealthgAssessment
Wilson:gHealthgAssessmentgforgNursinggPractice,g6thgEdition
MULTIPLEgCHOICE
1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriagegnursegthatghegisg“having
a heartgattack.”gWhatgisgthegnurse’sgtopgprioritygatgthisgtime?
g g
a. Determinegthegpatient’sgpersonalgdatagandginsurancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitinggroomguntilghisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforgagcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessmentgofgthisgpatientgnow.
ANS:g D
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatient’sg
cardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsogdrivengb
ygpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthisgsituation
,gthesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow’sghierarchygofg
needs,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgtogwait,gthegnursegn
eedsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdeterminegthegpatient’sgheal
thgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmentgisgmadegtoganalyzegthe
gpatient’sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingthisgsituationgatgthisgtime.gS
omegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgmedicalghistorygrelatedgtogcardio
vasculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalgorgmentalghealthgassessmentgisgno
tgagprioritygatgthisgtime.
DIF: CognitivegLevel:gApply REF:gBoxg1-
3g|gp.g3gTOP:g NursinggProcess:gAssessment
MSC:g NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities
2. Whichgsituationgillustratesgagscreeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgthegfirstgtimegandgthegnursegconductsg
agdetailedghistorygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgaglocalgmallgandgprovidesgcholesterolgandgbloo
dgpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergchecksgthegvitalgsignsgofgagpatientgwhogis
complaininggofgleggpain.
d. Agpatientgnewlygdiagnosedgwithgdiabetesgmellitusgcomesgtogtestghisgfastinggbloo
dgglucoseglevel.
ANS:g B
TablegofgContents
UnitgI.gFoundationsgforgHealthgAssessment
1. IntroductiongtogHealthgAssessment
2. InterviewinggPatientsgtogObtaingagHealthgHistory
3. TechniquesgandgEquipmentgforgPhysicalgAssessment
4. GeneralgInspectiongandgMeasurementgofgVitalgSigns
5. Ethnic,gCultural,gandgSpiritualgConsiderations
6. PaingAssessment
7. MentalgHealthgandgAbusivegBehaviorgAssessment
8. NutritionalgAssessment
UnitgII.gHealthgAssessmentgofgthegAdult
9. Skin,gHair,gandgNails
10. Head,gEyes,gEars,gNose,gandgThroat
11. LungsgandgRespiratorygSystem
12. HeartgandgPeripheralgVasculargSystem
13. AbdomengandgGastrointestinalgSystem
,14. MusculoskeletalgSystem
15. NeurologicgSystem
16. BreastsgandgAxillae
17. ReproductivegSystemgandgthegPerineum
UnitgIII.gHealthgAssessmentgAcrossgthegLifegSpan
18. DevelopmentalgAssessmentgThroughoutgthegLifegSpan
19. AssessmentgofgthegInfant,gChild,gandgAdolescent
20. AssessmentgofgthegPregnantgPatient
21. AssessmentgofgthegOldergAdult
UnitgIV.gSynthesisgandgApplicationgofgHealthgAssessment
22. ConductinggagHead-to-ToegExamination
23. DocumentinggthegHead-to-ToegHealthgAssessment
24. AdaptinggHealthgAssessmentgtogangIllgPatient
, Chapterg01:gIntroductiongtogHealthgAssessment
Wilson:gHealthgAssessmentgforgNursinggPractice,g6thgEdition
MULTIPLEgCHOICE
1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriagegnursegthatghegisg“having
a heartgattack.”gWhatgisgthegnurse’sgtopgprioritygatgthisgtime?
g g
a. Determinegthegpatient’sgpersonalgdatagandginsurancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitinggroomguntilghisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforgagcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessmentgofgthisgpatientgnow.
ANS:g D
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatient’sg
cardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsogdrivengb
ygpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthisgsituation
,gthesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow’sghierarchygofg
needs,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgtogwait,gthegnursegn
eedsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdeterminegthegpatient’sgheal
thgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmentgisgmadegtoganalyzegthe
gpatient’sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingthisgsituationgatgthisgtime.gS
omegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgmedicalghistorygrelatedgtogcardio
vasculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalgorgmentalghealthgassessmentgisgno
tgagprioritygatgthisgtime.
DIF: CognitivegLevel:gApply REF:gBoxg1-
3g|gp.g3gTOP:g NursinggProcess:gAssessment
MSC:g NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities
2. Whichgsituationgillustratesgagscreeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgthegfirstgtimegandgthegnursegconductsg
agdetailedghistorygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgaglocalgmallgandgprovidesgcholesterolgandgbloo
dgpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergchecksgthegvitalgsignsgofgagpatientgwhogis
complaininggofgleggpain.
d. Agpatientgnewlygdiagnosedgwithgdiabetesgmellitusgcomesgtogtestghisgfastinggbloo
dgglucoseglevel.
ANS:g B
