TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, Verified Chapters 1 - 24, Complete Newest Version

Test Bank for Health Assessment for
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24

,Chapter 01:Introduction to Health Assessment DR DR DR DR DR




MULTIPLE CHOICE DR




1. Apatient comesto the emergencydepartment and tells the triage nurse that heis “h D
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avinga heart attack.” What isthe nurse’s top priorityat this time?
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a. Determine thepatient’s personaldata andinsur DR DR DR DR DR D
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ance coverage. DR




b. Ask the patient totake a seat inthe waitingroo
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m until his name is called.
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c. Request that a nurse collect data for aco DR DR DR DR DR DR DR D
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mprehensive history. DR




d. Ask a nurse to start a focused assessmentof
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thispatient now. D
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ANSWER: D D R




The nurse needs to begin an assessment as soon as possible that is focused on this patient’scardi
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ovascular system. The type of health assessment performed by the nurse is also drivenby patien
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t need. Personal data and insurance information will be obtained, but in this situation, these data
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can wait until after the patient is assessed. Based also on Maslow’s hierarchy of needs, physiolo
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gic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin data c
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ollection, such as vital signs, immediately to determinethe patient’s health status. Complicatio
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ns can be prevented if an immediate assessment is made to analyze the patient’s symptoms. A c
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omprehensive history is not indicated in this situation at this time. Some subjective data will be DR DR DR DR DR DR DR DR DR DR DR DR DR DR DR DR




collected, such as allergies and medical history related to cardiovascular disease. Eyes, ears, or
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a complete musculoskeletal or mental healthassessment is not a priorityat this time.
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DIF: Cognitive Level: Apply REF: Box 1-
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3 | p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
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Priorities

2. Which situationillustratesa screeningassessment? DR D
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a. A patient visits an obstetric clinic for the first ti DR DR DR DR DR DR DR DR DR




meand the nurseconducts a detailedhistoryand D
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physical examination. R DR




b. Ahospital sponsors a health fair at a localma DR DR D
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ll and provides cholesterol and blood press DR DR DR DR DR DR




ure checks to mall patrons. DR DR DR DR




c. The nurse inan urgent care center checksth DR DR DR DR DR DR DR D
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e vital signs of a patient who is complainin DR DR DR DR DR DR DR DR




gof legpain. D
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, d. Apatient newlydiagnosed withdiabetesm
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ellitus comes to test his fasting blood gluc DR DR DR DR DR DR DR




ose level. DR




ANSWER: B DR




A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
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a screening assessment focused on disease detection. A detailed history and physical examinati
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onconducted during a first-
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time visit to an obstetric clinic is anexampleof a comprehensive assessment. Assessing a patient
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complaining of leg pain in the triage area of an urgent care center is an example of a problem- DR DR DR DR DR DR DR DR DR DR DR DR DR DR DR DR DR DR




based/focused assessment. A patient’s return appointment 1 month after today’s office visit to r DR DR DR DR DR DR DR DR DR DR DR DR DR




eport fasting blood glucose levels is an example ofan episodic or follow-up assessment.
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DIF: Cognitive Level: UnderstandDRDRD R REF: Box 1- DR DR DR DR




3 | p. 3TOP: Nursing Process: Assessment
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MSC: NCLEXPatient Needs: HealthPromotion and Maintenance: Health Screening
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3. For whichpersonis a screeningassessment indicated?
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a. The personwho had abdominal surgeryy DR D
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esterday
b. The person who is unaware of his highser DR DR DR DR DR DR D
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um glucose levels DR DR




c. The person who is being admitted to alo DR DR DR DR DR DR DR D
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ng-termcare facility D
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d. The person who is beginning rehabilitationaft
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er a knee replacement
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ANSWER: B DR




A screening assessment is performed for the purpose of disease detection. In this case thispers
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on may have diabetes mellitus. A shift assessment is most appropriate for the person who is rec
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overing in the hospital from surgery. A comprehensive assessment is performedduring admiss
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ion to a facility to obtain a detailed history and complete physical examination. An episodic or
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follow-
up assessment is performed after knee replacement toevaluate the outcome of the procedure.
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DIF: Cognitive Level: UnderstandDRDRD R REF: Box 1- DR DR DR DR




3 | p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
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Priorities

4. For whichperson is a shift assessment indicated?
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a. The personwho had abdominal surgeryy DR D
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esterday
b. The person who is unaware of his highser DR DR DR DR DR DR DR D
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um glucose levels DR DR




c. The personwho is being admitted to a DR DR DR DR DR DR DR




long-termcare facility D
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d. The person who is beginningrehabilitationaf DR DR DR DR D
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ter a knee replacement DR DR DR




ANSWER: A D R




A shift assessment is most appropriate for the person who is recovering in the hospital fromsurg
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ery. A screening assessment is performed for the purpose of disease detection, in this case diabet
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es mellitus. A comprehensive assessment is performed duringadmission to a
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, facility to obtain a detailed history and complete physical examination. An episodic or follo
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w-
up assessment isperformed after knee replacement to evaluate the outcome of theprocedure.
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DIF: Cognitive Level: Understand REF: Box 1-
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3 | p. 4TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
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R DR




Priorities

5. For whichpersonis a comprehensive assessment indicated?
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a. The personwho had abdominal surgeryy DR D
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esterday
b. The person who is unaware of his highser DR DR DR DR DR DR D
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um glucose levels DR DR




c. The person who is being admitted to alo DR DR DR DR DR DR DR D
R




ng-termcare facility D
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d. The person who is beginning rehabilitationaft DR DR DR DR DR D
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er a knee replacement DR DR DR




ANSWER: C DR




Acomprehensive assessment isperformed duringadmission to a facilityto obtain a
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detailed history and complete physical examination. A shift assessment is most appropriatefor
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the person who is recovering in the hospital from surgery. A screening assessment is performe
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d for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-
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up assessment is performed after knee replacement to evaluate the outcome of the procedure.
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DIF: Cognitive Level: Understand REF: Box 1-
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3 | p. 3TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
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Priorities

6. For whichperson is anepisodic or follow-up assessment indicated?
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a. The personwho had abdominal surgeryy DR D
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esterday
b. The personwho isunaware of his highser DR DR DR D
R DR DR DR D
R




um glucose levels DR DR




c. The personwho is beingadmitted to a DR DR DR DR D
R DR DR




long-termcare facility D
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d. The person who is beginning rehabilitationaft DR DR DR DR DR D
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er a knee replacement DR DR DR




ANSWER: D D R




An episodic or follow-
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up assessment is performed after the knee replacement to evaluate the outcome of the procedur
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e. A shift assessment is most appropriate for the person who isrecovering in the hospital from s
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urgery. A screening assessment is performed for the purpose ofdisease detection, inthiscase dia
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betes mellitus. A comprehensive assessment is performed during admission to a facility to obta
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in a detailed history and complete physicalexamination.
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DIF: Cognitive Level: Understand DRDRD R DR DR REF: Box 1- DR DR




3 | p. 3TOP: Nursing Process: Assessment
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