100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Test Bank For Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson, Jean Foret Giddens Chapter 1-24 A+ COMPLETE SOLUTION LATEST 2023 $19.99   Add to cart

Exam (elaborations)

Test Bank For Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson, Jean Foret Giddens Chapter 1-24 A+ COMPLETE SOLUTION LATEST 2023

 35 views  2 purchases
  • Course
  • Institution
  • Book

Test Bank For Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson, Jean Foret Giddens Chapter 1-24 A+ COMPLETE SOLUTION LATEST 2023

Preview 4 out of 535  pages

  • October 4, 2023
  • 535
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
avatar-seller
lOMoARcPSD|30878495




Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition




MULTIPLE CHOICE


1. A patient comes to the emergency department and tells the triage nurse that he is ―having
a heart attack.‖ What is the nurse‘s top priority at this time?
a.
Determine the patient‘s personal data and insurance coverage.
b.
Ask the patient to take a seat in the waiting room until his name is called.
c.
Request that a nurse collect data for a comprehensive history.
d.
Ask a nurse to start a focused assessment of this patient now.

ANS: D
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
cardiovascular system. The type of health assessment performed by the nurse is also driven by
patient need. Personal data and insurance information will be obtained, but in this situation,
these data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
needs to begin data collection, such as vital signs, immediately to determine the patient‘s
health status. Complications can be prevented if an immediate assessment is made to analyze
the patient‘s symptoms. A comprehensive history is not indicated in this situation at this time.
Some subjective data will be collected, such as allergies and medical history related to
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment
is not a priority at this time.


DIF:Cognitive Level: Apply REF: Box 1-3
TOP:Nursing Process: Assessment
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities


2. Which situation illustrates a screening assessment?
a.
A patient visits an obstetric clinic for the first time and the nurse conducts a
detailed history and physical examination.
b.
A hospital sponsors a health fair at a local mall and provides cholesterol and blood
pressure checks to mall patrons.
c.
The nurse in an urgent care center checks the vital signs of a patient who is
complaining of leg pain.

, lOMoARcPSD|30878495




d.
A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
glucose level.

ANS: B
A health fair at a local mall that provides cholesterol and blood pressure checks is an example
of a screening assessment focused on disease detection. A detailed history and physical
examination conducted during a first-time visit to an obstetric clinic is an example of a
comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of
an urgent care center is an example of a problem-based/focused assessment. A patient‘s return
appointment 1 month after today‘s office visit to report fasting blood glucose levels is an
example of an episodic or follow-up assessment.


DIF:Cognitive Level: Understand REF: Box 1-3

, lOMoARcPSD|30878495




TOP:Nursing Process: Assessment
MSC:NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening


3. For which person is a screening assessment indicated?
a.
The person who had abdominal surgery yesterday
b.
The person who is unaware of his high serum glucose levels
c.
The person who is being admitted to a long-term care facility
d.
The person who is beginning rehabilitation after a knee replacement

ANS: B
A screening assessment is performed for the purpose of disease detection. In this case this
person may have diabetes mellitus. A shift assessment is most appropriate for the person who
is recovering in the hospital from surgery. A comprehensive assessment is performed during
admission to a facility to obtain a detailed history and complete physical examination. An
episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
of the procedure.


DIF:Cognitive Level: Understand REF: Box 1-3
TOP:Nursing Process: Assessment
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities


4. For which person is a shift assessment indicated?
a.
The person who had abdominal surgery yesterday
b.
The person who is unaware of his high serum glucose levels
c.
The person who is being admitted to a long-term care facility
d.
The person who is beginning rehabilitation after a knee replacement

ANS: A
A shift assessment is most appropriate for the person who is recovering in the hospital from
surgery. A screening assessment is performed for the purpose of disease detection, in this case
diabetes mellitus. A comprehensive assessment is performed during admission to a facility to
obtain a detailed history and complete physical examination. An episodic or follow-up
assessment is performed after knee replacement to evaluate the outcome of the procedure.


DIF:Cognitive Level: Understand REF: Box 1-3
TOP:Nursing Process: Assessment
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities

, lOMoARcPSD|30878495




5. For which person is a comprehensive assessment indicated?
a.
The person who had abdominal surgery yesterday
b.
The person who is unaware of his high serum glucose levels
c.
The person who is being admitted to a long-term care facility
d.
The person who is beginning rehabilitation after a knee replacement

ANS: C
A comprehensive assessment is performed during admission to a facility to obtain a detailed
history and complete physical examination. A shift assessment is most appropriate for the
person who is recovering in the hospital from surgery. A screening assessment is performed
for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up
assessment is performed after knee replacement to evaluate the outcome of the procedure.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ASolution. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $19.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you


$19.99  2x  sold
  • (0)
  Add to cart