HEALTH ASSESSMENT FOR NURSING PRACTICE 6TH EDITION TEST BANK BY Susan FICKERTT WILSON AND JEAN FORET GIDDENS

HEALTH ASSESSMENT FOR NURSING PRACTICE 6TH EDITION TEST BANK BY Susan FICKERTT WILSON AND JEAN FORET GIDDENS. A community organization sponsors a health fair to increase awareness of colon cancer. At the health fair, colorectal cancer screening kits are distributed, and health care professionals answer questions, take blood pressure, and distribute literature. What level of health prevention is being implemented by this community organization? a. Primary b. Secondary c. Tertiary d. Risk factor ANS: B Secondary prevention consists of screening efforts to promote early detection of disease—in this scenario, colorectal cancer and hypertension. Primary prevention is focused on preventing disease from developing through the promotion of a healthy lifestyle. Tertiary prevention is directed toward minimizing the disability from chronic disease and helping the patient maximize his or her health. Risk factor prevention is part of primary prevention that focuses on preventing disease by managing risk factors. DIF: Cognitive Level: Apply REF: Table 1-1 | p. 5-6 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs Test Bank For Health Assessment For Nursing Practice 6th Edition By Wilson Chapter 02: Obtaining a Health History Wilson: Health Assessment for Nursing Practice, 6th Edition MULTIPLE CHOICE 1. Which statement or question does the nurse use during the introduction phase of the interview? a. “I‟m here to learn more about the pain you‟re experiencing.” b. “Can you describe the pain that you‟re experiencing?” c. “I heard you say that the pain is „all over‟ your body.” d. “What relieves the pain you are having?” ANS: A “I‟m here to learn more about the pain you‟re experiencing” is an example of the introduction phase a nurse may use to explain the purpose of the interview to a patient. “Can you describe the pain that you‟re experiencing?” is an example of part of a symptom analysis that occurs in the discussion phase. “I heard you say that the pain is „all over‟ your body” is an example of a summary statement by the nurse that occurs in the summary phase. “What relieves the pain you are having?” is an example of part of a symptom analysis that occurs in the discussion phase. DIF: Cognitive Level: Apply REF: Box 2-1 | p. 8-9 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 2. Which statement is appropriate to use when beginning an interview with a new patient? a. “Have you ever been a paNtiUenRt SinIthNisGcTlinBOfore?” b. “What is your purpose for coming to the clinic today?” c. “Tell me a little about yourself and your family.” d. “Did you have any difficulty finding the clinic?” ANS: B “What is your purpose for coming to the clinic today?” is an open-ended question that focuses on the patient‟s reason for seeking care. “Have you ever been a patient in this clinic before?” is a close-ended question that yields a “yes” or “no” response. This question may be asked on the first visit, but not as an opening question for a health interview. “Tell me a little about yourself and your family” is an open-ended question, but it is too general, and it is at least two questions: one about the patient and another about the family. “Did you have any difficulty finding the clinic?” is a social question and does not focus on the patient‟s purpose for the visit. DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 3. Which statement by the nurse demonstrates a patient-centered interview? a. “I need to complete this questionnaire about your medical and family history.” b. “The hospital requires me to complete this assessment as soon as possible.” Test Bank For Health Assessment For Nursing Practice 6th Edition By Wilson c. “Tell me about the symptoms you‟ve been having.” d. “I‟ve had the same symptoms that you‟ve described.” ANS: C “Tell me about the symptoms you‟ve been having” focuses on the needs of the patient so that the patient is free to share concerns, beliefs, and values in his or her own words. “I need to complete this questionnaire about your medical and family history” focuses on the nurse‟s need to complete the assessment rather than the needs of the patient. “The hospital requires me to complete this assessment as soon as possible” focuses on the nurse‟s need to meet hospital requirements rather than the needs of the patient. “I‟ve had the same symptoms that you‟ve described” focuses on the nurse rather than on the patient. DIF: Cognitive Level: Apply REF: p. 8 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 4. Which question is an example of an open-ended question? a. “Have you experienced this pain before?” b. “Do you have someone to help you at home?” c. “How many times a day do you use your inhaler?” d. “What were you doing when you felt the pain?” ANS: D “What were you doing when you felt the pain?” is a broadly stated question that encourages a free-flowing, open response. “Have you experienced this pain before?” is closed-ended, which can obtain a “yes” or “no” answer to the question without any additional data. “Do you have someone to help you at home?” is closed-ended, which can obtain a “yes” or “no” answer to the question without any additional data. “How many times a day do you use your inhaler?” is closed-ended, which can obtain an answer of a specific number without any additional data. DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 5. A nurse suspects a female patient is a victim of physical abuse. Which response is most likely to encourage the patient to confide in the nurse? a. “You‟ve got a huge bruise on your face. Did your husband hit you?” b. “That bruise looks tender. I don‟t know how people can do that to one another.” c. “If your boyfriend hit you, you can get a restraining order against him.” d. “I‟ve seen women who have been hurt by boyfriends or husbands. Does anyone hit you?” ANS: D “I‟ve seen women who have been hurt by boyfriends or husbands” is an example of a Test Bank For Health Assessment For Nursing Practice 6th Edition By Wilson technique referred to as “permission giving” in which the nurse communicates that it is safe to discuss uncomfortable topics. “You‟ve got a huge bruise on your face. Did your husband hit you?” assumes that domestic violence did occur, and the comment does not encourage the patient to divulge additional information. “That bruise looks tender. I don‟t know how people can do that to one another” assumes that domestic violence did occur, and the comment does not encourage the patient to divulge additional information. “If your boyfriend has hit you, you can get a restraining order against him” assumes that domestic violence did occur, and the comment does not encourage the patient to divulge additional information. DIF: Cognitive Level: Apply REF: p. 10 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Abuse/Neglect 6. Which technique used by the nurse encourages a patient to continue talking during an interview? a. Laughing and smiling during conversation b. Using phrases such as “Go on,” and “Then?” c. Repeating what the patient said, but using different words d. Asking the patient to clarify a point ANS: B Using phrases such as “Go on” and “Then?” encourages the patient to continue talking. Laughing and smiling during conversation may show attentiveness during the interview, but does not encourage more talking. Rephrasing what the patient has said is restatement. It confirms your interpretation of what they said, but does not encourage additional talking. Asking the patient to clarify a point is done when the information is conflicting, vague, or ambiguous. DIF: Cognitive Level: Remember REF: p. 11 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 7. During the history, the patient states that she does not use many drugs. What is the nurse‟s appropriate response to this statement? a. “Tell me about the drugs you are using currently.” b. “To some people six or seven is not many.” c. “Do you mean prescription drugs or illicit drugs?” d. “How often are you usingNtUheRseSdIruNgGs?T”B.COM ANS: A “Tell me about the drugs you are using currently” is an open-ended question that allows patients to provide further data. “To some people six or seven is not many” is a comment that does not ask a question or obtain useful data. “Do you mean prescription drugs or illicit street drugs?” is a closed-ended question that yields data about the type of drugs used only. “How often Test Bank For Health Assessment For Nursing Practice 6th Edition By Wilson are you using these drugs?” asks about frequency of drug use, which is not useful until the drugs are known. DIF: Cognitive Level: Apply REF: p. 11 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications