Test Bank for Health Assessment for Nursing Practice, 7th Edition by Wilson, Giddens, Fickertt, and Foret (Chapters 1-24 Complete)

Test Bank for Health Assessment for
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Nursing Practice 7th Edition by Wilson
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Chapter 1 - 24 I I I

,ChapterI01:IIntroductionItoIHealthIAssessment
MULTIPLEICHOICE

1. AIpatientIcomesItoItheIemergencyIdepartmentIandItellsItheItriageI nurseIthatI heIisI“
havingIaIheartIattack.”IWhatIisItheInurse’sItopIpriorityIatIthisItime?
a. DetermineItheIpatient’sIpersonalIdataIandIinsu
ranceIcoverage.
b. AskItheIpatientItoItakeIaIseatIinItheIwaitingIroo
m untilI hisInameIisIcalled.
c. RequestIthatIaInurseIcollectIdataIfor
aIcomprehensiveIhistory.
d. AskIaInurseItoIstartIaIfocusedIassessment
ofIthisIpatientInow.
ANSWER:I D
TheInurseIneedsItoIbeginIanIassessmentIasIsoonIasIpossibleIthatIisIfocusedIonIthisIpatient’sIcard
iovascularIsystem.ITheItypeIofIhealthIassessmentIperformedIbyItheInurseIisIalsoIdrivenIbyIpatie
ntIneed.IPersonalIdataIandIinsuranceIinformationIwillIbeIobtained,IbutIinIthisIsituation,ItheseIda
taIcanIwaitIuntilIafterItheIpatientIisIassessed.IBasedIalsoIonIMaslow’sIhierarchyIofIneeds,Iphysi
ologicIneedsItakeIprecedence.IRatherIthanIaskingItheIpatientItoIwait,ItheInurseIneedsItoIbeginId
ataIcollection,IsuchIasIvitalIsigns,IimmediatelyItoIdetermineItheIpatient’sIhealthIstatus.ICompli
cationsIcanIbeIpreventedIifIanIimmediateIassessmentIisImadeItoIanalyzeItheIpatient’sIsymptom
s.IAIcomprehensiveIhistoryIisInotIindicatedIinIthisIsituationIatIthisItime.ISomeIsubjectiveIdataI
willIbeIcollected,IsuchIasIallergiesIandImedicalIhistoryIrelatedItoIcardiovascularIdisease.IEyes,I
ears,IorIaIcompleteImusculoskeletalIorImentalI healthIassessmentIisInotIaIpriorityIatIthisItime.

DIF:III CognitiveILevel:IApply REF:IBoxI1-
3I|Ip.I3ITOP:INursingIProcess:IAssessment
MSC:INCLEXIPatientINeeds:ISafeIandIEffectiveICareIEnvironment:IManagementIofICare:IEstablishin
gIPriorities

2. WhichIsituationIillustratesIaI screeningIassessment?
a. AIpatientIvisitsIanIobstetricIclinicIforItheIfirstIt
imeIandItheInurseIconductsIaIdetailedIhistoryIa
ndIphysicalIexamination.
b. AIhospitalIsponsorsIaIhealthIfairIatIaIlocalIm
allIandIprovidesIcholesterolIandIbloodIpres
sureIchecksItoImallIpatrons.
c. TheInurseIinIanIurgentIcareIcenterIchecksIth
eIvitalIsignsIofIaIpatientIwhoIisIcomplainin
gIofIlegIpain.

, d. AIpatientI newlyIdiagnosedIwithIdiabetesI
mellitusIcomesItoItestIhisIfastingIbloodIgl
ucoseIlevel.
ANSWER:IB
AIhealthIfairIatIaIlocalImallIthatIprovidesIcholesterolIandIbloodIpressureIchecksIisIanIexampleIo
fIaIscreeningIassessmentIfocusedIonIdiseaseIdetection.IAIdetailedIhistoryIandIphysicalIexamin
ationIconductedIduringIaIfirst-
timeIvisitItoIanIobstetricIclinicIisIanIexampleIofIaIcomprehensiveIassessment.IAssessingIaIpatie
ntIcomplainingIofIlegIpainIinItheItriageIareaIofIanIurgentIcareIcenterIisIanIexampleIofIaIproblem
-
based/focusedIassessment.IAIpatient’sIreturnIappointmentI1ImonthIafterItoday’sIofficeIvisitItoI
reportIfastingIbloodIglucoseIlevelsIisIanIexampleIofIanIepisodicIorIfollow-upIassessment.

DIF:III CognitiveILevel:IUnderstand REF:IBoxI1-
3I|Ip.I3ITOP:INursingIProcess:IAssessment
MSC:INCLEXIPatientI Needs:I HealthIPromotionIandIMaintenance:IHealthIScreening

3. ForIwhichIpersonIisIaIscreeningIassessmentIindicated?
a. TheIpersonIwhoIhadIabdominalIsurgeryIy
esterday
b. TheIpersonIwhoIisIunawareIofIhisIhighIs
erumIglucoseIlevels
c. TheIpersonIwhoIisIbeingIadmittedItoIaIlo
ng-termIcareIfacility
d. TheIpersonIwhoIisIbeginningIrehabilitationIaft
erIaIkneeIreplacement
ANSWER:IB
AIscreeningIassessmentIisIperformedIforItheIpurposeIofIdiseaseIdetection.IInIthisIcaseIthisIper
sonImayIhaveIdiabetesImellitus.IAIshiftIassessmentIisImostIappropriateIforItheIpersonIwhoIisIr
ecoveringIinItheIhospitalIfromIsurgery.IAIcomprehensiveIassessmentIisIperformedIduringIad
missionItoIaIfacilityItoIobtainIaIdetailedIhistoryIandIcompleteIphysicalIexamination.IAnIepiso
dicIorIfollow-
upIassessmentIisIperformedIafterIkneeIreplacementItoIevaluateItheIoutcomeIofItheIprocedure.

DIF:III CognitiveILevel:IUnderstand REF:IBoxI1-
3I|Ip.I3ITOP:INursingIProcess:IAssessment
MSC:INCLEXIPatientINeeds:ISafeIandIEffectiveICareIEnvironment:IManagementIofICare:IEstablishin
gIPriorities

4. ForIwhichIpersonIisIaIshiftIassessmentIindicated?
a. TheIpersonIwhoIhadIabdominalIsurgeryIy
esterday
b. TheIpersonIwhoIisIunawareIofIhisIhighIs
erumIglucoseIlevels
c. TheIpersonIwhoIisIbeingIadmittedItoIa
long-termIcareIfacility
d. TheIpersonIwhoIisIbeginningIrehabilitationIa
fterIaIkneeIreplacement
ANSWER:I A
AIshiftIassessmentIisImostIappropriateIforItheIpersonIwhoIisIrecoveringIinItheIhospitalIfromIsur
gery.IAIscreeningIassessmentIisIperformedIforItheIpurposeIofIdiseaseIdetection,IinIthisIcaseIdia
betesImellitus.I AIcomprehensiveIassessmentIisIperformedIduringIadmissionItoIa

, facilityItoIobtainIaIdetailedIhistoryIandIcompleteIphysicalIexamination.IAnIepisodicIorIfollo
w-
upIassessmentIisIperformedIafterIkneeIreplacementItoIevaluateItheIoutcomeIofItheIprocedure.

DIF:III CognitiveILevel:IUnderstand REF:IBoxI1-
3I|Ip.I4ITOP:INursingIProcess:IAssessment
MSC:INCLEXIPatientINeeds:ISafeIandIEffectiveICareIEnvironment:IManagementIofICare:IEstablishin
gIPriorities

5. ForIwhichIpersonIisIaIcomprehensiveIassessmentIindicated?
a. TheIpersonIwhoIhadIabdominalIsurgeryIy
esterday
b. TheIpersonIwhoIisIunawareIofIhisIhighIs
erumIglucoseIlevels
c. TheIpersonIwhoIisIbeingIadmittedItoIaIlo
ng-termIcareIfacility
d. TheIpersonIwhoIisIbeginningIrehabilitationIaft
erIaIkneeIreplacement
ANSWER:IC
AIcomprehensiveIassessmentIisIperformedIduringIadmissionItoIaIfacilityItoIobtainIa

detailedIhistoryIandIcompleteIphysicalIexamination.IAIshiftIassessmentIisImostIappropriateIfor
ItheIpersonIwhoIisIrecoveringIinItheIhospitalIfromIsurgery.IAIscreeningIassessmentIisIperform

edIforItheIpurposeIofIdiseaseIdetection,IinIthisIcaseIdiabetesImellitus.IAnIepisodicIorIfollow-
upIassessmentIisIperformedIafterIkneeIreplacementItoIevaluateItheIoutcomeIofItheIprocedure.

DIF:III CognitiveILevel:IUnderstand REF:IBoxI1-
3I|Ip.I3ITOP:INursingIProcess:IAssessment
MSC:INCLEXIPatientINeeds:ISafeIandIEffectiveICareIEnvironment:IManagementIofICare:IEstablishin
gIPriorities

6. ForIwhichIpersonIisIanIepisodicIorIfollow-upIassessmentIindicated?
a. TheIpersonIwhoIhadIabdominalIsurgeryIy
esterday
b. TheIpersonIwhoIisIunawareIofIhisIhighIs
erumIglucoseIlevels
c. TheIpersonIwhoIisIbeingIadmittedItoIa
long-termIcareIfacility
d. TheIpersonIwhoIisIbeginningIrehabilitationIaft
erIaIkneeIreplacement
ANSWER:I D
AnIepisodicIorIfollow-
upIassessmentIisIperformedIafterItheIkneeIreplacementItoIevaluateItheIoutcomeIofItheIprocedu
re.IAIshiftIassessmentIisImostIappropriateIforItheIpersonIwhoIisIrecoveringIinItheIhospitalIfromI
surgery.IAIscreeningIassessmentIisIperformedIforItheIpurposeIofIdiseaseIdetection,IinIthisIcaseI
diabetesImellitus.IAIcomprehensiveIassessmentIisIperformedIduringIadmissionItoIaIfacilityItoI
obtainIaIdetailedIhistoryIandIcompleteIphysicalIexamination.

DIF:III CognitiveILevel:IUnderstand REF:IBoxI1-
3I|Ip.I3ITOP:INursingIProcess:IAssessment