Exam
TEST BANK For Health Assessment in Nursing,
7th Edition by Weber, Verified Chapters 1 - 34
Assessment - ANSWER: Collection of subjective and objective data
Diagnoses - ANSWER: Analysis of subjective and objective data to make a professional
nursing judgement
Planning - ANSWER: Developing a plan of nursing care and outcome criteria
Implementation - ANSWER: Carrying out the plan of care
Evaluation - ANSWER: Assessing whether outcome criteria have been met and revising
the plan of care if necessary
Nursing Diagnosis - ANSWER: Clinical judgement about individual, family or community
responses to actual or potential health problems and life processes
Subjective Data - ANSWER: Sensations or symptoms that can be verified only by the
client (ex. pain)
Objective Data - ANSWER: Findings directly observed or indirectly observed through
measurements (ex. body temperature)
Collaborative Problem - ANSWER: Physiologic complications that nurses monitor to
detect their onset or changes in status
Referral Problem - ANSWER: Problem that requires the attention or assistance of other
health care professionals
A medical examination differs from a comprehensive nursing examination in that the
medical examination focuses primarily on the client's - ANSWER: Physiologic status
The result of a nursing assessment is the - ANSWER: Formulation of nursing diagnoses
Although the assessment phase of the nursing process precedes the other phases, the
assessment phase is - ANSWER: Continuous
When a client first enters the hospital for an elective surgical procedure, the nurse
should perform an assessment termed - ANSWER: Comprehensive
An ongoing or partial assessment of a client - ANSWER: Includes a brief reassessment
of the client's normal body system
The purpose of the comprehensive health assessment is to - ANSWER: Arrive at
conclusions about the client's health
, Exam
TEST BANK For Health Assessment in Nursing,
7th Edition by Weber, Verified Chapters 1 - 34
The use of this type of question can keep a client interview from going off track -
ANSWER: Closed-ended
A nurse can clarify a client's statements by - ANSWER: Rephrasing the client's
statements
During what phase of the interview between a nurse and client do you collaborate to
identify problems and goals - ANSWER: Working phase
When dealing with a manipulative client it is important for the nurse to - ANSWER:
Provide structure and set limits
The primary purpose of the health history is to - ANSWER: Identify risk factors to the
client and his or her significant others
Define the "COLDSPAA" accronym - ANSWER: Character, Onset, Location, Duration,
Severity, Pattern, Associated factors, how it Affects the client
Sim's position - ANSWER: Side-lying position used during the rectal examination
Sitting Position - ANSWER: Position used during much of the physical examination
including examination of the head, neck, lungs, chest, back, breast, axilla, heart, vital
signs, and upper extremities
Supine Position - ANSWER: Back-lying position used for examination of the abdomen
(with one small pillow under the head and another under the knees); this position also
allows easy access for palpation of peripheral pulses
Standing Position - ANSWER: Position used to examine male genitalia and to assess
gait, posture, and balance
Prone Position - ANSWER: Client lies on abdomen with head turned to the side; may be
used to assess back and mobility of hip joint
Lithotomy Position - ANSWER: Back-lying position with hips at edge of examining table
and feet supported in stirrups; used for examination of female genitalia, reproductive
tract, and rectum
What part of the examiner's hand is used to feel for fine discriminations: pulses, texture,
size, consistency, shape, and crepitus - ANSWER: Fingerpads
TEST BANK For Health Assessment in Nursing,
7th Edition by Weber, Verified Chapters 1 - 34
Assessment - ANSWER: Collection of subjective and objective data
Diagnoses - ANSWER: Analysis of subjective and objective data to make a professional
nursing judgement
Planning - ANSWER: Developing a plan of nursing care and outcome criteria
Implementation - ANSWER: Carrying out the plan of care
Evaluation - ANSWER: Assessing whether outcome criteria have been met and revising
the plan of care if necessary
Nursing Diagnosis - ANSWER: Clinical judgement about individual, family or community
responses to actual or potential health problems and life processes
Subjective Data - ANSWER: Sensations or symptoms that can be verified only by the
client (ex. pain)
Objective Data - ANSWER: Findings directly observed or indirectly observed through
measurements (ex. body temperature)
Collaborative Problem - ANSWER: Physiologic complications that nurses monitor to
detect their onset or changes in status
Referral Problem - ANSWER: Problem that requires the attention or assistance of other
health care professionals
A medical examination differs from a comprehensive nursing examination in that the
medical examination focuses primarily on the client's - ANSWER: Physiologic status
The result of a nursing assessment is the - ANSWER: Formulation of nursing diagnoses
Although the assessment phase of the nursing process precedes the other phases, the
assessment phase is - ANSWER: Continuous
When a client first enters the hospital for an elective surgical procedure, the nurse
should perform an assessment termed - ANSWER: Comprehensive
An ongoing or partial assessment of a client - ANSWER: Includes a brief reassessment
of the client's normal body system
The purpose of the comprehensive health assessment is to - ANSWER: Arrive at
conclusions about the client's health
, Exam
TEST BANK For Health Assessment in Nursing,
7th Edition by Weber, Verified Chapters 1 - 34
The use of this type of question can keep a client interview from going off track -
ANSWER: Closed-ended
A nurse can clarify a client's statements by - ANSWER: Rephrasing the client's
statements
During what phase of the interview between a nurse and client do you collaborate to
identify problems and goals - ANSWER: Working phase
When dealing with a manipulative client it is important for the nurse to - ANSWER:
Provide structure and set limits
The primary purpose of the health history is to - ANSWER: Identify risk factors to the
client and his or her significant others
Define the "COLDSPAA" accronym - ANSWER: Character, Onset, Location, Duration,
Severity, Pattern, Associated factors, how it Affects the client
Sim's position - ANSWER: Side-lying position used during the rectal examination
Sitting Position - ANSWER: Position used during much of the physical examination
including examination of the head, neck, lungs, chest, back, breast, axilla, heart, vital
signs, and upper extremities
Supine Position - ANSWER: Back-lying position used for examination of the abdomen
(with one small pillow under the head and another under the knees); this position also
allows easy access for palpation of peripheral pulses
Standing Position - ANSWER: Position used to examine male genitalia and to assess
gait, posture, and balance
Prone Position - ANSWER: Client lies on abdomen with head turned to the side; may be
used to assess back and mobility of hip joint
Lithotomy Position - ANSWER: Back-lying position with hips at edge of examining table
and feet supported in stirrups; used for examination of female genitalia, reproductive
tract, and rectum
What part of the examiner's hand is used to feel for fine discriminations: pulses, texture,
size, consistency, shape, and crepitus - ANSWER: Fingerpads
