n n n
NURSING HEALTH ASSESSMENT THE FOUNDATION OF
n n n n n
CLINICAL PRACTICE,
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3RD EDITION, PATRICIA M. DILLON
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,Table of Contents
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1. Introduction to Assessment
n n n
2. Assessing the Integumentary System
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3. Assessing the Head, Face and Neck
n n n n n n
4. Assessing Eyes and the Ears
n n n n n
5. Assessing the Respiratory System
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6. Assessing the Cardiovascular System
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7. Assessing the Peripheral -Vascular and Lymphatic Systems
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8. Assessing the Breasts
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9. Assessing the Abdomen
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10. Assessing the Female Genitourinary
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11. Assessing the Male Genitourinary
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12. Assessing the Motor Musculoskeletal System
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13. Assessing the Sensory Neurological System
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14. Assessing the Mother to Be
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15. Assessing the Newborn and Infant
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16. Assessing the Toddler and Preschooler
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17. Assessing the School-Age Child and Adolescent
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18. Assessing the Older Adult
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19. Assessing the Homeless Person
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,20. Assessing Pain
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21. Approach to the Mental Health Assessment
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22. Assessing Nutrition
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23. Assessing Spirituality
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24. Assessing Culture
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25. Assessing the Patient’s Environment
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26. Assessing Abuse
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27. Assessing the Dying Patient—new
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, Chapter 01: The Complete Health Assessment
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Multiple nChoice
Identify nthe nchoice nthat nbest ncompletes nthe nstatement nor nanswers nthe nquestion.
1. Which ncritical nthinking nskill nallows nthe nnurse nto nthink noutside nof nthe nbox nwhen nassessing na
npatient?
1) Divergent nthinking
2) Reasoning
3) Creativity
4) Reflection
2. The nprimary nlevel nof npreventive nhealth ncare nfocuses non nwhich ntopic?
1) Health npromotion
2) Early ndetection
3) Promotion nintervention
4) End-of-life ncare
3. The nnurse nis nprioritizing ndata ncollected nduring nthe nhealth nassessment. nWhich ndata nis nprimary?
1) Pain nrating nof n4 non na n1 nto n10 nnumeric nscale
2) New ndiagnosis nof ntype n2 ndiabetes nmellitus n(DM)
3) Blood npressure nof n130/90 nmmHg
4) Pulse noximetry nreading nof n73%
4. Which ntype nof nskill nis nmost nimportant nwhen nperforming na nphysical nassessment?
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which nactivity nis nan nexample nof nsecondary nprevention?
1) Wound ndébridement
2) Immunization
3) Preoperative nteaching
4) Long-term nnasogastric nfeedings
6. Which nassessment ndata nis nconsidered na nsymptom?
1) Rapid nrespirations
2) Sweaty npalms
3) Belching
4) Feelings nof nanxiety
7. Who nor nwhat nis nconsidered nthe nprimary ndata nsource nfor na ntoddler-age npatient?
1) The ntoddler
2) A nparent
3) The nmedical nrecord
4) Other nhealthcare nproviders
8. Which npart nof nthe nassessment nprovides nthe nmost nsubjective ndata?
1) Health nhistory
2) Physical nassessment