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WEBER-HEALTH ASSESSMENT IN NURSING 6TH EDITION TEST BANK

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WEBER-HEALTH ASSESSMENT IN NURSING 6TH EDITION TEST BANK A nurse has admitted a client to the medical unit and is describing the purpose for obtaining a comprehensive health history. Which of the following purposes should the nurse describe? A) “This helps us to complete your health record accurately.” B) “This helps us to establish a trusting interpersonal relationship.” C) “This helps us to evaluate the seriousness of your risk factors for disease.” D) “This helps us have an appropriate focus for the physical examination.” 12. A clinic nurse has reviewed a new client's available health record and will now begin taking the client's health history. Which of the following questions should the nurse ask first when obtaining the health history? A) “Do you have adequate health insurance coverage?” B) “Are you generally fairly healthy?” C) “What is your major health concern at this time?” D) “Did you bring all your medications with you?” 13. A client has presented for care with complaints of persistent lower back pain. When using the mnemonic COLDSPA, which question should the nurse use to evaluate the “P”? A) “What makes it worse?” B) “When did it start?” C) “How does it feel?” N D) “How would you rate your pain?” 14. A medical nurse has completed the review of systems component of the client's health history. Which assessment finding should the nurse document under the review of systems? A) “High school diploma plus 2 years of college” B) “Caregiver reliable source of information” C) “Menarche at age 13” D) “Lungs clear to auscultation bilaterally” 15. A client has been admitted following an unexplained weight loss of 15 pounds over the past 3 months. How should the nurse best assess the subjective component of the client's nutritional status? A) Ask the client to explain MyPlate. B) Obtain a 24-hour diet recall. C) Ask about the contents of one typical meal. D) Elicit the client's favorite foods. 16. A client's elevated body mass index (BMI) has prompted the nurse to assess the client's activity and exercise level. Which statement would indicate to the nurse that the client is getting the recommended amount of exercise? A) “I walk briskly on the treadmill once or twice a week.” B) “I play basketball with a team every Friday night without fail.” C) “I go to a step class for an hour three times a week.” D) “I swim for at least half an hour each Saturday morning.” 17. During an assessment, the nurse determines that a client sees more than one primary care provider and has obtained prescriptions from each provider. Which method would be most appropriate to determine a client's current medication regimen? A) Ask the client to identify which medications taken every day. B) Ask the client to bring all the medications and supplements to an interview. C) Ask the caregiver whether the client is taking prescribed medications. D) Ask the client about the use of any over-the-counter medications. 18. The nurse is preparing to assess an adult woman's activities related to health promotion and maintenance. Which question should the nurse ask to obtain the most objective and thorough assessment data? A) “Do you always wear your seatbelt when driving?” B) “How much beer, wine, or alcohol do you drink?” C) “Do you use condoms with each sexual encounter?” N D) “Could you describe how you perform self-breast exams?” 19. A nurse is creating a genogram of a client's family health history. The nurse should use which of the following symbols to denote the client's female relatives? A) Circle B) Square C) Triangle D) Rectangle 20. A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the nurse is in the introductory phase of the client interview. Which of the following activities should the nurse perform first? A) Collaborate with the client to identify problems. B) Explain the purpose of the interview. C) Determine the client's vital signs. D) Obtain family health history data.

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WEBER-HEALTH
ASSESSMENT IN NURSING 6TH
EDITION TEST BANK

,CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA



1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy (gall
bladder removal). What is the overall purpose of assessment for this client?

A) Collecting accurate data

B) Assisting the primary care provider

C) Validating previous data

D) Making clinical judgments




2. A client has presented to the emergency department (ED) with complaints of abdominal pain.
Which member of the care team would most likely be responsible for collecting the subjective data on
the client during the initial comprehensive assessment?

A) Gastroenterologist

B) ED nurse

C) Admissions clerk

D) Diagnostic technician




3. The nurse has completed an initial assessment of a newly admitted client and is applying the
nursing process to plan the client's care. What principle should the nurse apply when using the nursing
process?

A) Each step is independent of the others.

B) It is ongoing and continuous.

C) It is used primarily in acute care settings. N

D) It involves independent nursing actions.




4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform a
comprehensive health assessment. Which of the following actions should the nurse perform first?

,A) Review the client's medical record.

B) Obtain basic biographic data.

C) Consult clinical resources explaining the client's diagnosis.

D) Validate information with the client.




5. Which of the following client situations would the nurse interpret as requiring an emergency
assessment?

A) A pediatric client with severe sunburn

B) A client needing an employment physical

C) A client who overdosed on acetaminophen

D) A distraught client who wants a pregnancy test



10. A nurse has completed gathering some basic data about a client who has multiple health problems
that stem from heavy alcohol use. The nurse has then reflected on her personal

6. In response to a client's query, the nurse is explaining the differences between the physician's
medical exam and the comprehensive health assessment performed by the nurse. The nurse should
describe the fact that the nursing assessment focuses on which aspect of the client's situation?

A) Current physiologic status

B) Effect of health on functional status

C) Past medical history

D) Motivation for adherence to treatment




7. 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 being
foundational to all other pha ses?

A) Assessment

B) Planning

C) Implementation

D) Evaluation

, 8. The nurse has completed the comprehensive health assessment of a client who has been
admitted for the treatment of community-acquired pneumonia. Following the completion of this
assessment, the nurse periodically performs a partial assessment primarily for which reason?

A) Reassess previously deteNcted problems

B) Provide information for the client's record

C) Address areas previously omitted

D) Determine the need for crisis intervention




9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. 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 45-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




feelings about the client and his circumstances. 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



11. The nurse is collecting data from a client who has recently been diagnosed with type 1 diabetes
and who will begin an educational program. The nurse is collecting subjective and objective data. Which
of the following would the nurse categorize as objective data?

A) Family history

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