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Test Bank Complete_ Health Assessment for Nursing Practice 7th Edition, (2020) Wilson & Giddens; All Chapters 1-24| Verified| + Rationale
UNIT I: FOUNDATIONS FOR HEALTH ASSESSMENT 3
Chapter 01: Introduction To Health Assessment 3
Chapter 02: Interviewing Patients to Obtain a Health History 12
C...
Test Bank Complete_
Health Assessment for Nursing Practice 7th Edition, (2020)
By Susan Fickertt Wilson & Jean Foret Giddens
All Chapters 1-24| Verified| + Rationale
7th Edition
,UNIT I: FOUNDATIONS FOR HEALTH ASSESSMENT _________________________________ 3
Chapter 01: Introduction To Health Assessment ______________________________________ 3
Chapter 02: Interviewing Patients to Obtain a Health History ___________________________ 12
Chapter 03: Techniques And Equipment For Physical Assessment _______________________ 33
Chapter 04: General Inspection And Measurement Of Vital Signs _______________________ 51
Chapter 05: Ethnic, Cultural, And Spiritual Considerations _____________________________ 61
Chapter 06: Pain Assessment _____________________________________________________ 72
Chapter 07: Mental Health and Abusive Behavior Assessment __________________________ 82
Chapter 08: Nutritional Assessment _______________________________________________ 94
UNIT II: HEALTH ASSESSMENT OF THE ADULT __________________________________ 107
Chapter 09: Skin, Hair, And Nails _________________________________________________ 107
Chapter 10: Head, Eyes, Ears, Nose, And Throat _____________________________________ 125
Chapter 11: Lungs And Respiratory System ________________________________________ 166
Chapter 12: Heart And Peripheral Vascular System __________________________________ 185
Chapter 13: Abdomen And Gastrointestinal System _________________________________ 203
Chapter 14: Musculoskeletal System _____________________________________________ 226
Chapter 15: Neurologic System __________________________________________________ 243
Chapter 16: Breasts And Axillae _________________________________________________ 263
Chapter 17: Reproductive System And The Perineum ________________________________ 276
UNIT III: HEALTH ASSESSMENT ACROSS THE LIFE SPAN ___________________________ 297
Chapter 18: Developmental Assessment Throughout The Life Span _____________________ 297
Chapter 19: Assessment Of The Infant, Child, And Adolescent _________________________ 308
Chapter 20: Assessment Of The Pregnant Patient ___________________________________ 333
Chapter 21: Assessment Of The Older Adult ________________________________________ 349
UNIT IV: SYNTHESIS AND APPLICATION OF HEALTH ASSESSMENT __________________ 361
Chapter 22: Conducting A Head-To-Toe Examination ________________________________ 361
Chapter 23: Documenting the Head-to-Toe Health Assessment ________________________ 365
Chapter 24: Adapting Health Assessment __________________________________________ 369
,UNIT I: FOUNDATIONS FOR HEALTH ASSESSMENT
Chapter 01: Introduction To Health Assessment
Wilson: Health Assessment for Nursing Practice 7th Edition, (2020) Test Bank
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 | P. 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.
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 | P. 3
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 | P. 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 | P. 4
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe And Effective Care Environment: Management Of
Care: Establishing Priorities
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
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