Nursing Health Assessment
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Question 1
Reference: Ch. 1, Section: Roles of the Professional Nurse
Question Stem:
A newly licensed registered nurse is conducting a health
assessment on a patient admitted with uncontrolled
hypertension. Which action by the nurse best demonstrates the
"Provider of Care" role?
• A) Delegating vital sign reassessment to unlicensed
assistive personnel
• B) Consulting a clinical nurse specialist for complex patient
education
• C) Analyzing blood pressure trends to identify potential
medication non-adherence
• D) Serving as the chairperson for the unit's quality
improvement committee
,Options:
• A) Delegating vital sign reassessment to unlicensed
assistive personnel
• B) Consulting a clinical nurse specialist for complex patient
education
• C) Analyzing blood pressure trends to identify potential
medication non-adherence
• D) Serving as the chairperson for the unit's quality
improvement committee
Correct Answer: C
Rationales:
• Correct: Analyzing data to identify a patient problem is a
direct "Provider of Care" activity, involving diagnostic
reasoning and clinical judgment .
• Incorrect A: Delegation is a "Manager of Care" function.
• Incorrect B: Consulting a specialist is a "Member of a
Profession" activity.
• Incorrect D: Committee work is a "Member of a
Profession" role.
Teaching Point: The Provider of Care role centers on direct
patient assessment, diagnosis, and intervention.
Question 2
,Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem:
A patient with a history of diabetes presents to a community
clinic with a foot ulcer. Which assessment activity is within the
scope of practice for a Registered Nurse (RN) in this setting?
• A) Performing a sharp debridement of the necrotic tissue
at the wound site
• B) Prescribing a new regimen of oral antibiotics for the
wound infection
• C) Conduct a comprehensive health history and focused
foot assessment
• D) Making a medical diagnosis of "osteomyelitis" based on
clinical signs
Options:
• A) Performing a sharp debridement of the necrotic tissue
at the wound site
• B) Prescribing a new regimen of oral antibiotics for the
wound infection
• C) Conduct a comprehensive health history and focused
foot assessment
• D) Making a medical diagnosis of "osteomyelitis" based on
clinical signs
, Correct Answer: C
Rationales:
• Correct: RNs are educated to conduct comprehensive and
focused health assessments, which form the basis for
nursing diagnoses and care plans .
• Incorrect A: Sharp debridement is an advanced skill,
typically requiring additional certification.
• Incorrect B: Prescribing medication is a function of an
Advanced Practice Registered Nurse (APRN) or physician.
• Incorrect D: Medical diagnoses are made by physicians or
APRNs; RNs formulate nursing diagnoses.
Teaching Point: RN assessments focus on gathering data to
identify patient responses to health problems.
Question 3
Reference: Ch. 1, Section: Social Determinants of Health:
Healthy People 2030
Question Stem:
During a health history, a nurse is assessing the social
determinants of health (SDOH). Which patient statement most
directly reflects an SDOH that impacts health status?
• A) "I have a family history of heart disease and high
cholesterol."
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Question 1
Reference: Ch. 1, Section: Roles of the Professional Nurse
Question Stem:
A newly licensed registered nurse is conducting a health
assessment on a patient admitted with uncontrolled
hypertension. Which action by the nurse best demonstrates the
"Provider of Care" role?
• A) Delegating vital sign reassessment to unlicensed
assistive personnel
• B) Consulting a clinical nurse specialist for complex patient
education
• C) Analyzing blood pressure trends to identify potential
medication non-adherence
• D) Serving as the chairperson for the unit's quality
improvement committee
,Options:
• A) Delegating vital sign reassessment to unlicensed
assistive personnel
• B) Consulting a clinical nurse specialist for complex patient
education
• C) Analyzing blood pressure trends to identify potential
medication non-adherence
• D) Serving as the chairperson for the unit's quality
improvement committee
Correct Answer: C
Rationales:
• Correct: Analyzing data to identify a patient problem is a
direct "Provider of Care" activity, involving diagnostic
reasoning and clinical judgment .
• Incorrect A: Delegation is a "Manager of Care" function.
• Incorrect B: Consulting a specialist is a "Member of a
Profession" activity.
• Incorrect D: Committee work is a "Member of a
Profession" role.
Teaching Point: The Provider of Care role centers on direct
patient assessment, diagnosis, and intervention.
Question 2
,Reference: Ch. 1, Section: Registered Nurse Versus Specialty or
Advanced Practice Assessments
Question Stem:
A patient with a history of diabetes presents to a community
clinic with a foot ulcer. Which assessment activity is within the
scope of practice for a Registered Nurse (RN) in this setting?
• A) Performing a sharp debridement of the necrotic tissue
at the wound site
• B) Prescribing a new regimen of oral antibiotics for the
wound infection
• C) Conduct a comprehensive health history and focused
foot assessment
• D) Making a medical diagnosis of "osteomyelitis" based on
clinical signs
Options:
• A) Performing a sharp debridement of the necrotic tissue
at the wound site
• B) Prescribing a new regimen of oral antibiotics for the
wound infection
• C) Conduct a comprehensive health history and focused
foot assessment
• D) Making a medical diagnosis of "osteomyelitis" based on
clinical signs
, Correct Answer: C
Rationales:
• Correct: RNs are educated to conduct comprehensive and
focused health assessments, which form the basis for
nursing diagnoses and care plans .
• Incorrect A: Sharp debridement is an advanced skill,
typically requiring additional certification.
• Incorrect B: Prescribing medication is a function of an
Advanced Practice Registered Nurse (APRN) or physician.
• Incorrect D: Medical diagnoses are made by physicians or
APRNs; RNs formulate nursing diagnoses.
Teaching Point: RN assessments focus on gathering data to
identify patient responses to health problems.
Question 3
Reference: Ch. 1, Section: Social Determinants of Health:
Healthy People 2030
Question Stem:
During a health history, a nurse is assessing the social
determinants of health (SDOH). Which patient statement most
directly reflects an SDOH that impacts health status?
• A) "I have a family history of heart disease and high
cholesterol."
