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HEALTH ASSESSMENT IN NURSING 6TH EDITION BY
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WEBER g
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Answers are at the end of each chapter
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CHAPTERg1:gNURSE’SgROLEgINgHEALTHgASSESSMENT:gCOLLECTINGgANDgANALYZINGgDATAg
g
1.g
Agnursegongagpostsurgicalgunitgisgadmittinggagclientgfollowinggthegclient'sgcholecystectomyg(gallgbladder
gremoval).gWhatgisgthegoverallgpurposegofgassessmentgforgthisgclient?g
A) Collectinggaccurategdatag
B) Assistinggthegprimarygcaregproviderg
C) Validatinggpreviousgdatag
D) Makinggclinicalgjudgmentsg
g
g
2.g
Agclientghasgpresentedgtogthegemergencygdepartmentg(ED)gwithgcomplaintsgofgabdominalgpain.gWhichg
membergofgthegcaregteamgwouldgmostglikelygbegresponsiblegforgcollectinggthegsubjectivegdatagongthegcl
ientgduringgtheginitialgcomprehensivegassessment?g
A) Gastroenterologistg
B) EDgnurseg
C) Admissionsgclerkg
D) Diagnosticgtechniciang
g
g
,3.g
Thegnurseghasgcompletedganginitialgassessmentgofgagnewlygadmittedgclientgandgisgapplyinggthegnursingg
processgtogplangthegclient'sgcare.gWhatgprinciplegshouldgthegnursegapplygwhengusinggthegnursingg
process?g
A) Eachgstepgisgindependentgofgthegothers.g
B) Itgisgongoinggandgcontinuous.g
C) Itgisgusedgprimarilygingacutegcaregsettings.gNg
D) Itginvolvesgindependentgnursinggactions.g
g
g
4.g
Thegnursegwhogprovidesgcaregatgangambulatorygclinicgisgpreparinggtogmeetgagclientgandgperformgagcom
prehensiveghealthgassessment.gWhichgofgthegfollowinggactionsgshouldgthegnursegperformgfirst?gA)g
Reviewgthegclient'sgmedicalgrecord.g
B) Obtaingbasicgbiographicgdata.g
C) Consultgclinicalgresourcesgexplaininggthegclient'sgdiagnosis.g
D) Validateginformationgwithgthegclient.g
g
5.g Whichgofgthegfollowinggclientgsituationsgwouldgthegnurseginterpretgasgrequiringgangemergencyg
assessment?g
A) Agpediatricgclientgwithgseveregsunburng
B) Agclientgneedinggangemploymentgphysicalg
C) Agclientgwhogoverdosedgongacetaminopheng
D) Agdistraughtgclientgwhogwantsgagpregnancygtestg
gg
g
,10.gAgnurseghasgcompletedggatheringgsomegbasicgdatagaboutgagclientgwhoghasgmultipleghealthgproblem
sgthatgstemgfromgheavygalcoholguse.gThegnurseghasgthengreflectedgonghergpersonalg
6.
Ingresponsegtogagclient'sgquery,gthegnursegisgexplaininggthegdifferencesgbetweengthegphysician'sgmedica
lgexamgandgthegcomprehensiveghealthgassessmentgperformedgbygthegnurse.gThegnursegshouldgdescribe
gthegfactgthatgthegnursinggassessmentgfocusesgongwhichgaspectgofgthegclient'sgsituation?g
A) Currentgphysiologicgstatusg
B) Effectgofghealthgongfunctionalgstatusg
C) Pastgmedicalghistoryg
D) Motivationgforgadherencegtogtreatmentg
g
g
7.g
Aftergteachinggaggroupgofgstudentsgaboutgthegphasesgofgthegnursinggprocess,gtheginstructorgdetermines
gthatgthegteachinggwasgsuccessfulgwhengthegstudentsgidentifygwhichgphasegasgbeinggfoundationalgtogall
gothergphagses?g
A) Assessmentg
B) Planningg
C) Implementationg
D) Evaluationg
g
g
8.g
Thegnurseghasgcompletedgthegcomprehensiveghealthgassessmentgofgagclientgwhoghasgbeengadmittedgfo
rgthegtreatmentgofgcommunity-
acquiredgpneumonia.gFollowinggthegcompletiongofgthisgassessment,gthegnursegperiodicallygperformsgag
partialgassessmentgprimarilygforgwhichgreason?g
A) ReassessgpreviouslygdeteNctedgproblemsg
B) Provideginformationgforgthegclient'sgrecordgC)g
Addressgareasgpreviouslygomittedg
, D)g Determinegthegneedgforgcrisisginterventiong
g
g
9. Thegnursegisgworkinggingangambulatorygcaregclinicgthatgisglocatedgingagbusy,ginner-
citygneighborhood.gWhichgclientgwouldgthegnursegdeterminegtogbegingmostgneedgofgangemergencyg
assessment?g
A) Ag14-year-oldggirlgwhogisgcryinggbecausegshegthinksgshegisgpregnantg
B) Ag45-year-oldgmangwithgchestgpaingandgdiaphoresisgforg1ghourg
C) Ag3-year-oldgchildgwithgfever,grash,gandgsoregthroatg
D) Ag20-year-oldgmangwithgag3-inchgshallowglacerationgonghisglegg
g
g
feelingsgaboutgthegclientgandghisgcircumstances.gThegnursegdoesgthisgprimarilygtogaccomplishgwhichgofg
thegfollowing?g
A) Determinegifgpertinentgdataghasgbeengomittedg
B) Identifygthegneedgforgreferralg
C) Avoidgbiasesgandgjudgmentsg
D) Constructgagplangofgcareg
gg
11.g
Thegnursegisgcollectinggdatagfromgagclientgwhoghasgrecentlygbeengdiagnosedgwithgtypeg1gdiabetesgandg
whogwillgbegingangeducationalgprogram.gThegnursegisgcollectinggsubjectivegandgobjectivegdata.gWhichgo
fgthegfollowinggwouldgthegnursegcategorizegasgobjectivegdata?g
A) Familyghistoryg
B) Occupationg
C) Appearanceg
D) Historygofgpresentghealthgconcerng
g