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An instructor is describing a comprehensive nursing health assessment to a group of students.
The instructor determines that the teaching was successful when the students identify which of
the following as the overall purpose?
A) Collect accurate data
B) Assist the physician
C) Validate previous data
D) Make a clinical judgment
CORRECT ANSWER: d
Which individual typically would be responsible for collecting the subjective data on a client
during the initial comprehensive assessment?
A) Physician
B) Nurse
C) Secretary
D) Technician
CORRECT ANSWER: b
When discussing the nursing process with a group of students, which of the following
statements best describes it?
A) Each step is independent of the others.
B) It is ongoing and continuous.
,C) It is used primarily in acute care settings.
D) It involves independent nursing actions.
CORRECT ANSWER: b
Before meeting the client and performing a comprehensive health assessment, which of the
following would be most important for the nurse to do?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult essential resources.
D) Validate information with the client.
CORRECT ANSWER: a
Which of the following client situations would the nurse interpret as requiring an emergency
assessment?
A) A client with severe sunburn
B) A client needing an employment physical
C) A client who took a drug overdose
D) A client who wants a pregnancy test
CORRECT ANSWER: c
In comparison with the physician's medical exam, the comprehensive health assessment
performed by the nurse focuses on which aspect?
A) Current physiologic status
B) Effect of health on lifestyle
,C) Past medical history
D) Motivation for compliance
CORRECT ANSWER: b
After teaching a group of students about the phases of the nursing process, the instructor
determines that the teaching was successful when the students identify which phase as most
important?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
CORRECT ANSWER: a
Following completion of the comprehensive health assessment, the nurse periodically performs
a partial assessment primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
CORRECT ANSWER: a
The nurse is working in an ambulatory care clinic. Which client would the nurse determine to be
in most need of an emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 35-year-old man with chest pain and diaphoresis for 1 hour
, C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg
CORRECT ANSWER: b
A nurse has completed gathering some basic data about a client and then reflects on personal
feelings about the client. The nurse does this primarily to accomplish which of the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care
CORRECT ANSWER: c
The nurse is collecting data from a client. Which of the following best reflects objective data?
A) Religion
B) Occupation
C) Appearance
D) Age
CORRECT ANSWER: c
Which of the following would the nurse implement in response to a collaborative problem?
A) Encouraging oral fluids
B) Providing bedtime protein snack
C) Assisting with personal hygiene