TEST BANK FOR Health Assessment in Nursing 6th Edition by Janet R. Weber & Jane H. Kelley , ISBN: 9781496344380 |All Chapters Complete| Guide A+

, CHAPTER ff1: f f NURSE’S ffROLE ffIN ffHEALTH ffASSESSMENT: ffCOLLECTING ffAND ffANALYZING ffDATA




1. A nurse on a postsurgical unit is admitting a client following the client's
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cholecystectomy (gall bladder removal). What is the overall purpose of assessment
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for this client?
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A) Collecting accurate data ff ff


B) Assisting the primary care provider ff ff ff ff


C) Validating previous data ff ff


D) Making clinical judgments ff ff




2. A client has presented to the emergency department (ED) with complaints of
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abdominal pain. Which member of the care team would most likely be responsible for
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collecting the subjective data on the client during the initial comprehensive
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assessment?
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A) Gastroenterologist
B) ED nurse ff


C) Admissions clerk ff


D) Diagnostic technician ff




3. The nurse has completed an initial assessment of a newly admitted client and is
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applying the nursing process to plan the client's care. What principle should the nurse
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apply when using the nursing process?
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A) Each step is independent of the others. ff ff ff ff ff ff


B) It is ongoing and continuous.
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C) It is used primarily in acute care settings. N
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D) It involves independent nursing actions.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
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perform a comprehensive health assessment. Which of the following actions should
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the nurse perform first?
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A) Review the client's medical record. ff ff ff ff


B) Obtain basic biographic data. ff ff ff


C) Consult clinical resources explaining the client's diagnosis. ff ff ff ff ff ff


D) Validate information with the client. ff ff ff ff




5. Which of the following client situations would the nurse interpret as requiring
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an emergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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,6. In response to a client's query, the nurse is explaining the differences between the
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physician's medical exam and the comprehensive health assessment performed by
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the nurse. The nurse should describe the fact that the nursing assessment focuses on
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which aspect of the client's situation?
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A) Current physiologic status ff ff


B) Effect of health on functional status ff ff ff ff ff


C) Past medical history ff ff


D) Motivation for adherence to treatment ff ff ff ff




7. After teaching a group of students about the phases of the nursing process, the
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instructor determines that the teaching was successful when the students identify
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which phase as being foundational to all other pha ses?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation


8. The nurse has completed the comprehensive health assessment of a client who has
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been admitted for the treatment of community-acquired pneumonia. Following the
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completion of this assessment, the nurse periodically performs a partial assessment
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primarily for which reason?
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A) Reassess previously deteNcted problems ff ff ff


B) Provide information for the client's record ff ff ff ff ff


C) Address areas previously omitted ff ff ff


D) Determine the need for crisis intervention ff ff ff ff ff




9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
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city neighborhood. Which client would the nurse determine to be in most need of
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an emergency assessment?
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A) A 14-year-old girl who is crying because she thinks she is pregnant
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B) A 45-year-old man with chest pain and diaphoresis for 1 hour
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C) A 3-year-old child with fever, rash, and sore throat
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D) A 20-year-old man with a 3-inch shallow laceration on his leg
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10. A nurse has completed gathering some basic data about a client who has multiple
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health problems that stem from heavy alcohol use. The nurse has then reflected on her
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personal
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feelings about the client and his circumstances. The nurse does this primarily to
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accomplish which of the following?
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A) Determine if pertinent data has been omitted ff ff ff ff ff ff


B) Identify the need for referral ff ff ff ff


C) Avoid biases and judgments ff ff ff


D) Construct a plan of care ff ff ff ff

, 11. The nurse is collecting data from a client who has recently been diagnosed with type 1
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diabetes and who will begin an educational program. The nurse is collecting
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subjective and objective data. Which of the following would the nurse categorize as
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objective data?
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A) Family history ff


B) Occupation
C) Appearance
D) History of present health concern ff ff ff ff




12. An older adult client has been admitted to the hospital with failure to thrive
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resulting from complications of diabetes. Which of the following would the nurse
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implement in response to a collaborative problem?
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A) Encourage the client to increase oral fluid intake. ff ff ff ff ff ff ff


B) Provide the client with a bedtime protein snack. N ff ff ff ff ff ff ff ff


C) Assist the client with personal hygiene. ff ff ff ff ff


D) Measure the client's blood glucose four times daily. ff ff ff ff ff ff ff




13. The nurse at a busy primary care clinic is analyzing the data obtained from the
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following clients. For which clients would the nurse most likely expect to facilitate a
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referral?
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A) An 80-year-old client who lives with her daughter
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B) A 50-year-old client newly diagnosed with diabetes
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C) An adult presenting for an influenza vaccination
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D) A teenager seeking information about contraception
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14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
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instructor determines that the teaching was successful when the students identify
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which of the following as the major method used by nurses early in the history of
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the profession? A) Natural senses
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B) Biomedical knowledge ff


C) Simple technology ff


D) Critical pathways ff




15. When describing the expansion of the depth and scope of nursing assessment over
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the past several decades, which of the following would the nurse identify as being
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the primary force? A) Documentation
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B) Informatics
C) Diversification
D) Technology


16. A group of nurses are reviewing information about the potential opportunities for
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nurses who have advanced assessment skills. When discussing phenomena that have
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contributed to these increased opportunities, what should the nurses identify?
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A) Expansion of health care networks ff ff ff ff


B) Decrease in client participation in care ff ff ff ff ff


C) The shrinking cost of medical care ff ff ff ff ff


D) Public mistrust of physicians ff ff ff