TEST BANK for Health Assessment for N
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ursing Practice 8th Edition by Susan Fick
fh fh fh fh fh fh
ertt Wilson & Jean Foret Giddens
fh fh fh fh fh
CompletefhChaptersfh1-
24fhWithfhExpertfhApprovedfhQ&Asfh&fhExplanationsfhforfhExa
mfhPreparation|fhA+fhPASSfhGUARANTEED
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, Chapterfh1:fhImportancefhoffhHealthfhAssessmentfh
MULTIPLEfhCHOICE
1. Afhpatientfhcomesfhtofhthefhemergencyfhdepartmentfhandfhtellsfhthefhtriagefhnursefhthatfhhefhisfh―havin
gfhafhheartfhattack.‖fhWhatfhisfhthefhnurse‘sfhtopfhpriorityfhatfhthisfhtime?
a. Determinefhthefhpatient‘sfhpersonalfhdatafhandfhinsurancefhcoverage.
b. Askfhthefhpatientfhtofhtakefhafhseatfhinfhthefhwaitingfhroomfhuntilfhhisfhnamefhisfhcalled.
c. Requestfhthatfhafhnursefhcollectfhdatafhforfhafhcomprehensivefhhistory.
d. Askfhafhnursefhtofhstartfhafhfocusedfhassessmentfhoffhthisfhpatientfhnow.
CORRECTfhANSWER:fh
D
Feedback
A Personalfhdatafhandfhinsurancefhinformationfhwillfhbefhobtained,fhbutfhinfhthisfhsituation,fhthesefhdataf
hcanfhwaitfhuntilfhafterfhthefhpatientfhisfhassessed.
B Ratherfhthanfhaskingfhthefhpatientfhtofhwait,fhthefhnursefhneedsfhtofhbeginfhdatafhcollection,fhsuchfhasfhvitalf
hsigns,
immediatelyfhtofhdeterminefhthefhpatient‘sfhhealthfhstatus.
C Afhcomprehensivefhhistoryfhisfhnotfhindicatedfhinfhthisfhsituationfhatfhthisfhtime.fhSomefhsubjectivef
hdatafhwillfhbefhcollected,fhsuchfhasfhallergiesfhandfhmedicalfhhistoryfhrelatedfhtofhcardiovascularfhdisease.
D Thefhnursefhneedsfhtofhbeginfhanfhassessmentfhasfhsoonfhasfhpossiblefhthatfhisfhfocusedfhon
thisfhpatient‘sfhcardiovascularfhsystem.fhThefhtypefhoffhhealthfhassessmentfhperformedfhbyfhthefhnursefhisfhalsofhdri
ven
byfhpatientfhneed.
DIF: CognitivefhLevel:fhApplyfh REF:fh3fhTOP:fhNursingfhProcess:fhAssessment
MSC:fhNCLEXfhPatientfhNeeds:fhSafefhandfhEffectivefhCarefhEnvironment:fhManagementfhoffhCare:fhEstabl
ishingfhPriorities
2. Whichfhsituationfhillustratesfhafhscreeningfhassessment?
a. Afhpatientfhvisitsfhanfhobstetricfhclinicfhforfhthefhfirstfhtimefhandfhthefhnursefhconductsfhafhdetailedfh
historyfhandfhphysicalfhexamination.
b. Afhhospitalfhsponsorsfhafhhealthfhfairfhatfhafhlocalfhmallfhandfhprovidesfhcholesterolfhandfhblood
fhpressurefhchecksfhtofhmallfhpatrons.
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,c. Thefhnursefhinfhanfhurgentfhcarefhcenterfhchecksfhthefhvitalfhsignsfhoffhafhpatientfhwhofhisfhcomplai
ningfhoffhlegfhpain.
d. Afhpatientfhnewlyfhdiagnosedfhwithfhdiabetesfhmellitusfhcomesfhtofhtestfhhisfhfastingfhbloodfhglucosefhleve
l.
CORRECTfhANSWER:fh
B
Feedback
A Afhdetailedfhhistoryfhandfhphysicalfhexaminationfhconductedfhduringfhafhfirst-
timefhvisitfhtofhanfhobstetricfhclinicfhisfhanfhexamplefhoffhafhcomprehensivefhassessment.
B Afhhealthfhfairfhatfhafhlocalfhmallfhthatfhprovidesfhcholesterolfhandfhbloodfhpressurefhchecksfhisfhanfh
examplefhoffhafhscreeningfhassessmentfhfocusedfhonfhdiseasefhdetection.
C Assessingfhafhpatientfhcomplainingfhoffhlegfhpainfhinfhthefhtriagefhareafhoffhanfhurgentfhcarefhc
enterfhisfhanfhexamplefhoffhafhproblem-based/focusedfhassessment.
D Afhpatient‘sfhreturnfhappointmentfh1fhmonthfhafterfhtoday‘sfhofficefhvisitfhtofhreportfhfastingfhbloodfhgluco
se
levelsfhisfhanfhexamplefhoffhanfhepisodicfhorfhfollow-upfhassessment.
DIF: CognitivefhLevel:fhUnderstand
REF:fh3fhTOP:fhNursingfhProcess:fhAssessmentfhMSC:fhNCLEXfhPatientfhNe
eds:fhHealthfhPromotionfhandfhMaintenance:fhHealthfhScreening
3. Forfhwhichfhpersonfhisfhafhscreeningfhassessmentfhindicated?
a. Thefhpersonfhwhofhhadfhabdominalfhsurgeryfhyesterday
b. Thefhpersonfhwhofhisfhunawarefhoffhhisfhhighfhserumfhglucosefhlevels
c. Thefhpersonfhwhofhisfhbeingfhadmittedfhtofhafhlong-termfhcarefhfacility
d. Thefhpersonfhwhofhisfhbeginningfhrehabilitationfhafterfhafhkneefhreplac
ementfhCORRECTfhANSWER:fhB
Feedback
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, A Afhshiftfhassessmentfhisfhmostfhappropriatefhforfhthefhpersonfhwhofhisfhrecoveringfhinfhthefhhos
pitalfhfromfhsurgery.
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fh fh fh fh fh fh
ursing Practice 8th Edition by Susan Fick
fh fh fh fh fh fh
ertt Wilson & Jean Foret Giddens
fh fh fh fh fh
CompletefhChaptersfh1-
24fhWithfhExpertfhApprovedfhQ&Asfh&fhExplanationsfhforfhExa
mfhPreparation|fhA+fhPASSfhGUARANTEED
1fh|fhPfhafhgf
e
, Chapterfh1:fhImportancefhoffhHealthfhAssessmentfh
MULTIPLEfhCHOICE
1. Afhpatientfhcomesfhtofhthefhemergencyfhdepartmentfhandfhtellsfhthefhtriagefhnursefhthatfhhefhisfh―havin
gfhafhheartfhattack.‖fhWhatfhisfhthefhnurse‘sfhtopfhpriorityfhatfhthisfhtime?
a. Determinefhthefhpatient‘sfhpersonalfhdatafhandfhinsurancefhcoverage.
b. Askfhthefhpatientfhtofhtakefhafhseatfhinfhthefhwaitingfhroomfhuntilfhhisfhnamefhisfhcalled.
c. Requestfhthatfhafhnursefhcollectfhdatafhforfhafhcomprehensivefhhistory.
d. Askfhafhnursefhtofhstartfhafhfocusedfhassessmentfhoffhthisfhpatientfhnow.
CORRECTfhANSWER:fh
D
Feedback
A Personalfhdatafhandfhinsurancefhinformationfhwillfhbefhobtained,fhbutfhinfhthisfhsituation,fhthesefhdataf
hcanfhwaitfhuntilfhafterfhthefhpatientfhisfhassessed.
B Ratherfhthanfhaskingfhthefhpatientfhtofhwait,fhthefhnursefhneedsfhtofhbeginfhdatafhcollection,fhsuchfhasfhvitalf
hsigns,
immediatelyfhtofhdeterminefhthefhpatient‘sfhhealthfhstatus.
C Afhcomprehensivefhhistoryfhisfhnotfhindicatedfhinfhthisfhsituationfhatfhthisfhtime.fhSomefhsubjectivef
hdatafhwillfhbefhcollected,fhsuchfhasfhallergiesfhandfhmedicalfhhistoryfhrelatedfhtofhcardiovascularfhdisease.
D Thefhnursefhneedsfhtofhbeginfhanfhassessmentfhasfhsoonfhasfhpossiblefhthatfhisfhfocusedfhon
thisfhpatient‘sfhcardiovascularfhsystem.fhThefhtypefhoffhhealthfhassessmentfhperformedfhbyfhthefhnursefhisfhalsofhdri
ven
byfhpatientfhneed.
DIF: CognitivefhLevel:fhApplyfh REF:fh3fhTOP:fhNursingfhProcess:fhAssessment
MSC:fhNCLEXfhPatientfhNeeds:fhSafefhandfhEffectivefhCarefhEnvironment:fhManagementfhoffhCare:fhEstabl
ishingfhPriorities
2. Whichfhsituationfhillustratesfhafhscreeningfhassessment?
a. Afhpatientfhvisitsfhanfhobstetricfhclinicfhforfhthefhfirstfhtimefhandfhthefhnursefhconductsfhafhdetailedfh
historyfhandfhphysicalfhexamination.
b. Afhhospitalfhsponsorsfhafhhealthfhfairfhatfhafhlocalfhmallfhandfhprovidesfhcholesterolfhandfhblood
fhpressurefhchecksfhtofhmallfhpatrons.
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,c. Thefhnursefhinfhanfhurgentfhcarefhcenterfhchecksfhthefhvitalfhsignsfhoffhafhpatientfhwhofhisfhcomplai
ningfhoffhlegfhpain.
d. Afhpatientfhnewlyfhdiagnosedfhwithfhdiabetesfhmellitusfhcomesfhtofhtestfhhisfhfastingfhbloodfhglucosefhleve
l.
CORRECTfhANSWER:fh
B
Feedback
A Afhdetailedfhhistoryfhandfhphysicalfhexaminationfhconductedfhduringfhafhfirst-
timefhvisitfhtofhanfhobstetricfhclinicfhisfhanfhexamplefhoffhafhcomprehensivefhassessment.
B Afhhealthfhfairfhatfhafhlocalfhmallfhthatfhprovidesfhcholesterolfhandfhbloodfhpressurefhchecksfhisfhanfh
examplefhoffhafhscreeningfhassessmentfhfocusedfhonfhdiseasefhdetection.
C Assessingfhafhpatientfhcomplainingfhoffhlegfhpainfhinfhthefhtriagefhareafhoffhanfhurgentfhcarefhc
enterfhisfhanfhexamplefhoffhafhproblem-based/focusedfhassessment.
D Afhpatient‘sfhreturnfhappointmentfh1fhmonthfhafterfhtoday‘sfhofficefhvisitfhtofhreportfhfastingfhbloodfhgluco
se
levelsfhisfhanfhexamplefhoffhanfhepisodicfhorfhfollow-upfhassessment.
DIF: CognitivefhLevel:fhUnderstand
REF:fh3fhTOP:fhNursingfhProcess:fhAssessmentfhMSC:fhNCLEXfhPatientfhNe
eds:fhHealthfhPromotionfhandfhMaintenance:fhHealthfhScreening
3. Forfhwhichfhpersonfhisfhafhscreeningfhassessmentfhindicated?
a. Thefhpersonfhwhofhhadfhabdominalfhsurgeryfhyesterday
b. Thefhpersonfhwhofhisfhunawarefhoffhhisfhhighfhserumfhglucosefhlevels
c. Thefhpersonfhwhofhisfhbeingfhadmittedfhtofhafhlong-termfhcarefhfacility
d. Thefhpersonfhwhofhisfhbeginningfhrehabilitationfhafterfhafhkneefhreplac
ementfhCORRECTfhANSWER:fhB
Feedback
3fh|fhPfhafhgf
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, A Afhshiftfhassessmentfhisfhmostfhappropriatefhforfhthefhpersonfhwhofhisfhrecoveringfhinfhthefhhos
pitalfhfromfhsurgery.
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