NURS 308 Health Assessment Exam 1 – Questions With Expert Solutions

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NURS 308 Health Assessment Exam 1 – Questions
With Expert Solutions

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Which step of the nursing process is • a. Assessment
primarily concerned with collecting Explanation: The assessment step focuses on
subjective and objective client data? collecting important subjective and objective client
• a. Assessment data to form the database for care.
• b. Planning
• c. Implementation
• d. Evaluation


The Nursing process is a ___________________ continuous
and ______________________ five step process systematic
that is used to develop a plan of care


What is the Nursing Process? Assessment
Diagnosis
Planning
Implementation
Evaluation


The Clinical Judgment Model (CJM) is • b. An approach based on the nursing process
best described as: • emphasizing critical thinking
a. A legal documentation format Explanation: The CJM is based on the nursing process
• b. An approach based on the nursing and designed to highlight critical thinking to improve
process emphasizing critical thinking client outcomes.
• c. A tool for billing and
reimbursement
• d. An approach based on the nursing
process emphasizing common sense

,An initial comprehensive assessment is • b. The client is new to the facility or unit
required when:
• a. A client requests discharge
• b. The client is new to the facility or
unit
• c. The client refuses care
• d. A client is in full palliative care


Which type of assessment is very • d. Emergency assessment
rapid and performed in life- Explanation: Emergency assessment is a very rapid
threatening situations? assessment performed to evaluate ABCs and
• a. Focused assessment immediate life-sustaining needs.
• b. Ongoing assessment
• c. Initial comprehensive assessment
• d. Emergency assessment


Which type of assessment is • c. Initial comprehensive assessment
completed on admission, open-
ended, and a collection of subjective
data
• a. Focused assessment
• b. Ongoing assessment
• c. Initial comprehensive assessment
• d. Emergency assessment


Which type of assessment is only on • a. Focused assessment
one major area of the body and
nothing else?
• a. Focused assessment
• b. Ongoing assessment
• c. Initial comprehensive assessment
• d. Emergency assessment


Which type of assessment occurs after • b. Ongoing assessment
data collection, which occurs after
comprehensive data is established?
• a. Focused assessment
• b. Ongoing assessment
• c. Initial comprehensive assessment
• d. Emergency assessment

,Which type of assessment occurs • b. Ongoing assessment
when assessment and documentation
of an established and known problem
• a. Focused assessment
• b. Ongoing assessment
• c. Initial comprehensive assessment
• d. Emergency assessment


Which of the following is subjective ● c. Client report of chest pain
data? Explanation: Subjective data are symptoms or
● a. Blood pressure reading information reported by the client.
● b. Temperature measurement
● c. Client report of chest pain
● d. Laboratory WBC value


Which nursing process phase involves ● c. Planning
setting priorities and creating a plan Explanation: The planning phase establishes
of care? priorities, goals, and interventions.
● a. Evaluation
● b. Assessment
● c. Planning
● d. Diagnosis


Which nursing process phase involves ● b. Assessment
review of systems? Explanation: In particular, this is subjective data
● a. Evaluation
● b. Assessment
● c. Planning
● d. Diagnosis


Which nursing process phase involves ● d. Diagnosis
analysis of subjective and objective
data to make a professional nursing
judgement?
● a. Evaluation
● b. Assessment
● c. Planning
● d. Diagnosis

, Which nursing process phase involves ● d. Diagnosis
drawing inferences, identifying, and
prioritizing client concerns?
● a. Evaluation
● b. Assessment
● c. Planning
● d. Diagnosis


Which nursing process phase involves ● c. Planning
detrmining outcome goal to be met,
criteria necessary to meet the goal,
and the development of a plan of care
● a. Evaluation
● b. Implementation
● c. Planning
● d. Diagnosis


Which nursing process phase involves ● c. Planning
creating SMART goals?
● a. Evaluation
● b. Implementation
● c. Planning
● d. Diagnosis


Which nursing process phase involves ● b. Implementation
carrying out the plan
● a. Evaluation
● b. Implementation
● c. Planning
● d. Diagnosis


Which nursing process phase involves ● a. Evaluation
figuring out if the outcome goal is met
and revising the plan to reach the
outcome goal?
● a. Evaluation
● b. Assessment
● c. Planning
● d. Implementation