NUR 3066C: HEALTH ASSESSMENT:
CHAPTER 1: THE NURSE'S ROLE IN
HEALTH ASSESSMENT
What are nurses able to detect through the health assessment? - ANSWER-Areas in
need of health adjustments
Staff are talking to the hospital educator and ask about "a government project that is
meant to improve the health of people in the United States." The educator bases her
response on the knowledge of - ANSWER-Healthy People 2030 is a government
project intended to increase the quality of life for people in the United States.
An older adult client has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem? - ANSWER-Measure the client's blood glucose
four times daily.
ex.Collaborative problems, such as changes in blood glucose, are certain
physiologic complications that nurses monitor to detect onset or changes in status.
Nurses manage collaborative problems by implementing both physician- and nurse-
prescribed interventions to reduce further complications. Nutrition (oral fluids,
bedtime snack) and hygiene are most often considered to be independent nursing
concerns.
When the nurse clusters the data to make a judgment or statement about the client's
condition, this is known as what? - ANSWER-Diagnosis occurs when the data has
been analyzed and a professional judgment occurs. Assessment is the collection of
data. Planning is determining outcome criteria and developing a plan. Evaluation
assesses whether the outcome criteria have been met.
A nurse has assessed a client who was admitted to the medical unit to treat acute
complications of type 1 diabetes. During the assessment, the client admitted that his
blood sugar monitoring when he is at home is "a bit sporadic." How should the nurse
best respond to this assessment finding? - ANSWER-Identify a nursing diagnosis of
Ineffective Health Maintenance.
emergency nursing assessment - ANSWER-focus on life threats
ABC: airway, breathing, circulation
*occurs most in ER*
comprehensive nursing assessment - ANSWER-complete health history/ physical
assessment
*annual*
CHAPTER 1: THE NURSE'S ROLE IN
HEALTH ASSESSMENT
What are nurses able to detect through the health assessment? - ANSWER-Areas in
need of health adjustments
Staff are talking to the hospital educator and ask about "a government project that is
meant to improve the health of people in the United States." The educator bases her
response on the knowledge of - ANSWER-Healthy People 2030 is a government
project intended to increase the quality of life for people in the United States.
An older adult client has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem? - ANSWER-Measure the client's blood glucose
four times daily.
ex.Collaborative problems, such as changes in blood glucose, are certain
physiologic complications that nurses monitor to detect onset or changes in status.
Nurses manage collaborative problems by implementing both physician- and nurse-
prescribed interventions to reduce further complications. Nutrition (oral fluids,
bedtime snack) and hygiene are most often considered to be independent nursing
concerns.
When the nurse clusters the data to make a judgment or statement about the client's
condition, this is known as what? - ANSWER-Diagnosis occurs when the data has
been analyzed and a professional judgment occurs. Assessment is the collection of
data. Planning is determining outcome criteria and developing a plan. Evaluation
assesses whether the outcome criteria have been met.
A nurse has assessed a client who was admitted to the medical unit to treat acute
complications of type 1 diabetes. During the assessment, the client admitted that his
blood sugar monitoring when he is at home is "a bit sporadic." How should the nurse
best respond to this assessment finding? - ANSWER-Identify a nursing diagnosis of
Ineffective Health Maintenance.
emergency nursing assessment - ANSWER-focus on life threats
ABC: airway, breathing, circulation
*occurs most in ER*
comprehensive nursing assessment - ANSWER-complete health history/ physical
assessment
*annual*
