TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, All Chapters 1 - 24, Complete Guide A+.TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, All Chapters 1 - 24, Complete Guide A+.TEST BANK For Health Assessment for Nursing Practice, 7th Edition...
,HEALTH ASSESSMENT FOR NURSING PRACTICE7TH EDITION BY i’l i’l i’l i’l i’l i’l
SUSAN FICKERTT WILSON, JEAN FORET GIDDENS CHAPTER 1-24
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QUESTIONS WITH ANSWERS [TEST BANK]
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Chapter 01: Introduction to Health Assessment i ’l i ’ l i ’ l i’l i ’ l
Wilson: Health Assessment for Nursing Practice, 7th Edition
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MULTIPLE CHOICE i ’ l
1. A patient comes to the emergency department and tells the triage nurse that he is
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―having a heart attack.‖ What is the nurse’s top priority at this time?
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a. Determine the patient’s personal data and insurance coverage. i’ l i’l i’ l i’l i’ l i’ l i’l
b. Ask the patient to take a seat in the waiting room until his name is called.
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c. Request that a nurse collect data for a comprehensive history. i’l i’ l i’ l i’ l i ’ l i’l i’ l i’ l i’l
d. Ask a nurse to start a focused assessment of this patient i’l i’l i’l i’l i’l i’l i’l i’l i’l i’l
now.ANS: D
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The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
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cardiovascular system. The type of health assessment performed by the nurse is also driven by
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patient need. Personal data and insurance information will be obtained, but in this
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situation, thesedata can wait until after the patient is assessed. Based also on Maslow’s
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hierarchy of needs, physiologic needs take precedence. Rather than asking the patient to wait,
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i ’the nurse needs to begin data collection, such as vital signs, immediately to
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determine the patient’s health status.
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Complications can be prevented if an immediate assessment is made to analyze the patient’s i’l i’l i’l i’l i’l i’l i’l i’l i’l i’l i’l i’l i’l
symptoms. A comprehensive history is not indicated in this situation at this time. Some
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subjective data will be collected, such as allergies and medical history related to cardiovascular
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disease. Eyes, ears, or a complete musculoskeletal or mental health assessment is not a priority
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atthis time.
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DIF: Cognitive Level: Apply REF: Box 1-3 | p. 3 TOP: Nursing Process: i’ l i ’ l i’ l i’l i ’ l i’ l i’ l i’ l i’ l i’ l
AssessmentMSC: NCLEX Patient Needs: Safe and Effective Care Environment:
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Management of Care: Establishing Priorities
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2. Which situation illustrates a screening assessment? i’l i’ l i’ l i ’ l i’l
a. A patient visits an obstetric clinic for the first time and the nurse conducts a
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detailedhistory and physical examination.
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b. A hospital sponsors a health fair at a local mall and provides cholesterol and
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bloodpressure checks to mall patrons.
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c. The nurse in an urgent care center checks the vital signs of a patient who is
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complainingof leg pain.
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d. A patient newly diagnosed with diabetes mellitus comes to test his
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fasting bloodglucose level.
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ANS: B i’l
,A health fair at a local mall that provides cholesterol and blood pressure checks is an
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example ofa screening assessment focused on disease detection. A detailed history and
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physical
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, examination conducted during a first-time visit to an obstetric clinic is an example of a
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comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of
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anurgent care center is an example of a problem-based/focused assessment. A
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patient’s returnappointment 1 month after today’s office visit to report fasting blood
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glucose levels is an example of an episodic or follow-up assessment.
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DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: i’l i’ l i’ l i’l i’l i ’ l i’l i’ l i’l i’ l i’ l
AssessmentMSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health
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Screening
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3. For which person is a screening assessment indicated?
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a. The person who had abdominal surgery yesterday i’ l i’ l i’ l i’ l i ’ l i’ l
b. The person who is unaware of his high serum glucose levels
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c. The person who is being admitted to a long-term care facility
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d. The person who is beginning rehabilitation after a knee
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replacementANS: B
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A screening assessment is performed for the purpose of disease detection. In this case this
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person may have diabetes mellitus. A shift assessment is most appropriate for the person
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who is recovering in the hospital from surgery. A comprehensive assessment is performed
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during admission to a facility to obtain a detailed history and complete physical examination.
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An episodic or follow-up assessment is performed after knee replacement to evaluate the
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
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Establishing Priorities
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4. For which person is a shift assessment indicated?i’l i’ l i’ l i’l i’l i’ l i ’ l
a. The person who had abdominal surgery yesterday i’ l i’ l i’ l i’ l i ’ l i’ l
b. The person who is unaware of his high serum glucose levels
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c. The person who is being admitted to a long-term care facility
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d. The person who is beginning rehabilitation after a knee
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replacementANS: A
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A shift assessment is most appropriate for the person who is recovering in the hospital from
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surgery. A screening assessment is performed for the purpose of disease detection, in this case
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diabetes mellitus. A comprehensive assessment is performed during admission to a
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facility toobtain a detailed history and complete physical examination. An episodic or
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follow-up assessment is performed after knee replacement to evaluate the outcome of the
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
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Establishing Priorities
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5. For which person is a comprehensive assessment indicated?
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a. The person who had abdominal surgery yesterday
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b. The person who is unaware of his high serum glucose levels
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c. The person who is being admitted to a long-term care facility
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d. The person who is beginning rehabilitation after a knee
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