HealthAssessmentinNursing7thEdition by WeberChapters 1
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-34
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Answers are at the end of each chapter
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CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
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1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy (gall
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r b bladder removal). What is the overall purpose of assessment for this client?
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A) Collecting accurate data rb rb
B) Assisting the primary care provider rb rb rb rb
C) Validating previous data rb rb
D) Making clinical judgments rb rb
2. A client has presented to the emergency department (ED) with complaints of abdominal
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rb pain. Which member of the care team would most likely be responsible for collecting the
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rb subjective data on the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse rb
C) Admissions clerk rb
D) Diagnostic technician rb
,3. The nurse has completed an initial assessment of a newly admitted client and is applying the
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r bnursing process to plan the client's care. What principle should the nurse apply when using the
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rb nursing process? r b
A) Each step is independent of the others.
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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 perform
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rb a r b comprehensive health assessment. Which of the following actions should the nurse perform first?
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A) Review the client's medical record. rb rb rb rb
B) Obtain basic biographic data. rb rb rb
C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. rb rb rb rb
5. Which of the following client situations would the nurse interpret as requiring an emergency
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r b assessment?
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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10. A nurse has completed gathering some basic data about a client who has multiple health
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problems that stem from heavy alcohol use. The nurse has then reflected on her personal
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, 6. In response to a client's query, the nurse is explaining the differences between the
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rb physician's medical exam and the comprehensive health assessment performed by the nurse. The
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rb nurse should describe the fact that the nursing assessment focuses on which aspect of the client's
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rb situation?
A) Current physiologic status rb rb
B) Effect of health on functional status rb rb rb rb rb
C) Past medical history rb rb
D) Motivation for adherence to treatment rb rb rb rb
7. After teaching a group of students about the phases of the nursing process, the
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rb instructor determines that the teaching was successful when the students identify which phase
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rb 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 been
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r badmitted for the treatment of community-acquired pneumonia. Following the completion of
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rb this assessment, the nurse periodically performs a partial assessment primarily for which
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rb reason?
A) Reassess previously deteNcted problems rb rb rb
B) Provide information for the client's record rb rb rb rb rb
C) Address areas previously omitted rb rb rb
D) Determine the need for crisis intervention rb rb rb rb rb