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HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION JEAN FORET GIDDENS TESTBANK/ CH 1-24/COMPLETE GUIDE
HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION JEAN FORET GIDDENS TESTBANK/ CH 1-24/COMPLETE GUIDE
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HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITIONJEAN FORET GIDDENS TESTBANK/ CH 1-24/COMPLETE GUIDE
2024-2025
, CH 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A hospital patient comes to the emergency department and tells the triage medical caretaker
that he is ―having a heart attack.‖ What is the medical caretaker‘s top priority at this time?
a. Determine the clinic patient‘s personal data and insurance coverage.
b. Ask the hospital patient to take a seat in the waiting room until his name is called.
c. Request that a medical caretaker collect data for a comprehensive history.
d. Ask a medical caretaker to start a focused assessment of this hospital patient now.
ACCURATE CHOICE:- D
Reasoning:->>The medical caretaker needs to begin an assessment as soon as possible that is
focused on this clinic patient‘s cardiovascular system. The type of health assessment
performed by the medical caretaker is also driven by hospital patient need. Personal data and
insurance information will be obtained, but in this situation, these data can wait until after the
hospital patient is assessed. Based also on Maslow‘s hierarchy of needs, physiologic needs
take precedence. Rather than asking the hospital patient to wait, the medical caretaker needs
to begin data collection, such as vital signs, immediately to determine the clinic patient‘s
health status. Complications can be prevented if an immediate assessment is made to analyze
the clinic 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
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
2. Which situation illustrates a screening assessment?
a. A hospital patient visits an obstetric clinic for the first time and the medical
caretaker conducts a detailed history and physical examination.
b. A health center sponsors a health fair at a local mall and provides cholesterol and
blood pressure checks to mall patrons.
c. The medical caretaker in an urgent care center checks the vital signs of a
hospital patient who is complaining of leg pain.
d. A hospital patient newly diagnosed with diabetes mellitus comes to test his
fasting blood glucose level.
SELECT ANSWER:- B
Reasoning:->>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 hospital patient complaining of leg pain
in the triage area of an urgent care center is an example of a problem-based/focused
assessment. A clinic 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
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital 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
SELECT ANSWER:- B
Reasoning:->>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 health center 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
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital 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
SELECT ANSWER:- A
Reasoning:->>A shift assessment is most appropriate for the person who is recovering in the
health center 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
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital 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
SELECT ANSWER:- C
Reasoning:->>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 health center 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.
, DIF:Cognitive Level: Understand REF: Box 1-3
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
6. For which person is an episodic or follow-up 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
SELECT ANSWER:- D
Reasoning:->>An episodic or follow-up assessment is performed after the knee replacement
to evaluate the outcome of the procedure. A shift assessment is most appropriate for the
person who is recovering in the health center 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.
DIF:Cognitive Level: Understand REF: Box 1-3
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
7. Which is an example of data a medical caretaker collects during a physical examination?
a. The clinic patient‘s lack of hair and shiny skin over both shins
b. The clinic patient‘s stated concern about lack of money for prescriptions
c. The clinic patient‘s complaints of tingling sensations in the feet
d. The clinic patient‘s mother‘s statements that the hospital patient is very nervous lately
SELECT ANSWER:- A
Reasoning:->>The lack of hair and shiny skin over both shins are objective data or signs that
are part of the physical examination. A clinic patient‘s concerns about lack of money are
subjective data and are part of the health history. A clinic patient‘s complaints of tingling
sensations in the feet are subjective data and are part of the health history. A clinic patient‘s
family statements are considered secondary data, are subjective data, and are part of the health
history.
DIF:Cognitive Level: Apply REF: Box 1-3
TOPIC:Nursing Process: Assessment
MSC:NCLEX Hospital patient Needs: Physiological Integrity: Reduction of Risk Potential: System
Specific Assessments
8. The medical caretaker documents which information in the clinic patient‘s history?
a. The clinic patient‘s skin feels warm to the touch.
b. The hospital patient is scratching his arm.
c. The clinic patient‘s temperature is 100 F.
d. The hospital patient complains of itching.
SELECT ANSWER:- D
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