Health Assessment for Nursing Practice
7th Edition by Wilson Chapter 1 - 24
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,TABLE OF CONTENTS
Unit I: Foundations for Health Assessment
1. Introduction to Health Assessment
2. Interviewing Patients to Obtain a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Ethnic, Cultural, and Spiritual Considerations
6. Pain Assessment
7. Mental Health and Abusive Behavior Assessment
8. Nutritional Assessment
Unit II: Health Assessment of the Adult
9. Skin, Hair, and Nails
10. Head, Eyes, Ears, Nose, and Throat
11. Lungs and Respiratory System
12. Heart and Peripheral Vascular System
13. Abdomen and Gastrointestinal System
14. Musculoskeletal System
15. Neurologic System
16. Breasts and Axillae
17. Reproductive System and the Perineum
Unit III: Health Assessment Across the Life Span
18. Developmental Assessment Throughout the Life Span
19. Assessment of the Infant, Child, and Adolescent
20. Assessment of the Pregnant Patient
21. Assessment of the Older Adult
Unit IV: Synthesis and Application of Health Assessment
22. Conducting a Head-to-Toe Examination
23. Documenting the Head-to-Toe Health Assessment
24. Adapting Health Assessment
Chapter 01: Introduction to Health Assessment
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1. A patient comes to the emergency department and tells the triage nurse that hei
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s “having a heart attack.” What is the nurse’s top priority at this time?
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a. Determine the patient’s personal data and ins ty ty ty ty ty ty
urance coverage. ty
b. Ask the patient to take a seat in the waiting ro ty ty ty ty ty ty ty ty ty ty
om until his name is called. ty ty ty ty ty
c. Request that a nurse collect data for ty ty ty ty ty ty
acomprehensive history. ty
d. Ask a nurse to start a focused assessment ty ty ty ty ty ty ty
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ANSWER: D ty
The nurse needs to begin an assessment as soon as possible that is focused on this patient’s cardi
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ovascular system. The type of health assessment performed by the nurse is also driven by patie
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nt need. Personal data and insurance information will be obtained, but in this situation, these
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data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of needs,
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physiologic needs take precedence. Rather than asking the patient to wait, the nurse needs to
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begin data collection, such as vital signs, immediately to determine the patient’s health status.
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Complications can be prevented if an immediate assessment is made to analyze the patient’s
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symptoms. A comprehensive history is not indicated in this situation at this time. Some subjec
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tive data will be collected, such as allergies and medical history related to cardiovascular dise
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ase. Eyes, ears, or a complete musculoskeletal or mental health assessment is not a priority a
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t this time.
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DIF: Cognitive Level: Apply
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3 | p. 3 TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
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Priorities
2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for the first ty ty ty ty ty ty ty ty
time and the nurse conducts a detailedhistory a ty ty ty ty ty ty ty
nd physical examination. ty ty
b. A hospital sponsors a health fair at a
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localmall and provides cholesterol and bloo ty ty ty ty ty
d pressure checks to mall patrons.
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c. The nurse in an urgent care center checks
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the vital signs of a patient who is complainin
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g of leg pain.
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