, HealthqAssessmentqforqNursingqPracticeq6thqEditionqWilsonqTestqBankq-qISBN:q9780323377768
TableqofqContents
UnitqI.qFoundationsqforqHealthqAssessment
1. IntroductionqtoqHealthqAssessment
2. InterviewingqPatientsqtoqObtainqaqHealthqHistory
3. TechniquesqandqEquipmentqforqPhysicalqAssessment
4. GeneralqInspectionqandqMeasurementqofqVitalqSigns
5. Ethnic,qCultural,qandqSpiritualqConsiderations
6. PainqAssessment
7. MentalqHealthqandqAbusiveqBehaviorqAssessment
8. NutritionalqAssessment
UnitqII.qHealthqAssessmentqofqtheqAdult
9. Skin,qHair,qandqNails
10. Head,qEyes,qEars,qNose,qandqThroat
11. LungsqandqRespiratoryqSystem
12. HeartqandqPeripheralqVascularqSystem
13. AbdomenqandqGastrointestinalqSystem
,14. MusculoskeletalqSystem
15. NeurologicqSystem
16. BreastsqandqAxillae
17. ReproductiveqSystemqandqtheqPerineum
UnitqIII.qHealthqAssessmentqAcrossqtheqLifeqSpan
18. DevelopmentalqAssessmentqThroughoutqtheqLifeqSpan
19. AssessmentqofqtheqInfant,qChild,qandqAdolescent
20. AssessmentqofqtheqPregnantqPatient
21. AssessmentqofqtheqOlderqAdult
UnitqIV.qSynthesisqandqApplicationqofqHealthqAssessment
22. ConductingqaqHead-to-ToeqExamination
23. DocumentingqtheqHead-to-ToeqHealthqAssessment
24. AdaptingqHealthqAssessmentqtoqanqIllqPatient
, Chapter 01: Introduction to Health Assessment
q q q q q
Wilson: Health Assessment for Nursing Practice, 6th Edition
q q q q q q q
MULTIPLEqCHOICE
1. Aqpatientqcomesqtoqtheqemergencyqdepartmentqandqtellsqtheqtriageqnurseqthatqheqisq“havingqaqh
eartqattack.”qWhatqisqtheqnurse’sqtopqpriorityqatqthisqtime?
a. Determineqtheqpatient’sqpersonalqdataqandqinsuranceqcoverage.
b. Askqtheqpatientqtoqtakeqaqseatqinqtheqwaitingqroomquntilqhisqnameqisqcalled.
c. Requestqthatqaqnurseqcollectqdataqforqaqcomprehensiveqhistory.
d. Askqaqnurseqtoqstartqaqfocusedqassessmentqofqthisqpatientqnow.
ANS:q D
Theqnurseqneedsqtoqbeginqanqassessmentqasqsoonqasqpossibleqthatqisqfocusedqonqthisqpatient’sqcard
iovascularqsystem.qTheqtypeqofqhealthqassessmentqperformedqbyqtheqnurseqisqalsoqdrivenqbyqpatie
ntqneed.qPersonalqdataqandqinsuranceqinformationqwillqbeqobtained,qbutqinqthisqsituation,qtheseqda
taqcanqwaitquntilqafterqtheqpatientqisqassessed.qBasedqalsoqonqMaslow’sqhierarchyqofqneeds,qphysi
ologicqneedsqtakeqprecedence.qRatherqthanqaskingqtheqpatientqtoqwait,qtheqnurseqneedsqtoqbeginqd
ataqcollection,qsuchqasqvitalqsigns,qimmediatelyqtoqdetermineqtheqpatient’sqhealthqstatus.qComplic
ationsqcanqbeqpreventedqifqanqimmediateqassessmentqisqmadeqtoqanalyzeqtheqpatient’sqsymptoms.q
Aqcomprehensiveqhistoryqisqnotqindicatedqinqthisqsituationqatqthisqtime.qSomeqsubjectiveqdataqwill
qbeqcollected,qsuchqasqallergiesqandqmedicalqhistoryqrelatedqtoqcardiovascularqdisease.qEyes,qears,
qorqaqcompleteqmusculoskeletalqorqmentalqhealthqassessmentqisqnotqaqpriorityqatqthisqtime.
DIF: CognitiveqLevel:qApply REF:qBoxq1-
3q|qp.q3qTOP:q NursingqProcess:qAssessment
MSC:q NCLEXqPatientqNeeds:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare:qEstablishin
gqPriorities
2. Whichqsituationqillustratesqaqscreeningqassessment?
a. Aqpatientqvisitsqanqobstetricqclinicqforqtheqfirstqtimeqandqtheqnurseqconductsqaqd
etailedqhistoryqandqphysicalqexamination.
b. Aqhospitalqsponsorsqaqhealthqfairqatqaqlocalqmallqandqprovidesqcholesterolqandqbloodqp
ressureqchecksqtoqmallqpatrons.
c. Theqnurseqinqanqurgentqcareqcenterqchecksqtheqvitalqsignsqofqaqpatientqwhoqis
complainingqofqlegqpain.
d. Aqpatientqnewlyqdiagnosedqwithqdiabetesqmellitusqcomesqtoqtestqhisqfastingqbloodq
glucoseqlevel.
ANS:q B
TableqofqContents
UnitqI.qFoundationsqforqHealthqAssessment
1. IntroductionqtoqHealthqAssessment
2. InterviewingqPatientsqtoqObtainqaqHealthqHistory
3. TechniquesqandqEquipmentqforqPhysicalqAssessment
4. GeneralqInspectionqandqMeasurementqofqVitalqSigns
5. Ethnic,qCultural,qandqSpiritualqConsiderations
6. PainqAssessment
7. MentalqHealthqandqAbusiveqBehaviorqAssessment
8. NutritionalqAssessment
UnitqII.qHealthqAssessmentqofqtheqAdult
9. Skin,qHair,qandqNails
10. Head,qEyes,qEars,qNose,qandqThroat
11. LungsqandqRespiratoryqSystem
12. HeartqandqPeripheralqVascularqSystem
13. AbdomenqandqGastrointestinalqSystem
,14. MusculoskeletalqSystem
15. NeurologicqSystem
16. BreastsqandqAxillae
17. ReproductiveqSystemqandqtheqPerineum
UnitqIII.qHealthqAssessmentqAcrossqtheqLifeqSpan
18. DevelopmentalqAssessmentqThroughoutqtheqLifeqSpan
19. AssessmentqofqtheqInfant,qChild,qandqAdolescent
20. AssessmentqofqtheqPregnantqPatient
21. AssessmentqofqtheqOlderqAdult
UnitqIV.qSynthesisqandqApplicationqofqHealthqAssessment
22. ConductingqaqHead-to-ToeqExamination
23. DocumentingqtheqHead-to-ToeqHealthqAssessment
24. AdaptingqHealthqAssessmentqtoqanqIllqPatient
, Chapter 01: Introduction to Health Assessment
q q q q q
Wilson: Health Assessment for Nursing Practice, 6th Edition
q q q q q q q
MULTIPLEqCHOICE
1. Aqpatientqcomesqtoqtheqemergencyqdepartmentqandqtellsqtheqtriageqnurseqthatqheqisq“havingqaqh
eartqattack.”qWhatqisqtheqnurse’sqtopqpriorityqatqthisqtime?
a. Determineqtheqpatient’sqpersonalqdataqandqinsuranceqcoverage.
b. Askqtheqpatientqtoqtakeqaqseatqinqtheqwaitingqroomquntilqhisqnameqisqcalled.
c. Requestqthatqaqnurseqcollectqdataqforqaqcomprehensiveqhistory.
d. Askqaqnurseqtoqstartqaqfocusedqassessmentqofqthisqpatientqnow.
ANS:q D
Theqnurseqneedsqtoqbeginqanqassessmentqasqsoonqasqpossibleqthatqisqfocusedqonqthisqpatient’sqcard
iovascularqsystem.qTheqtypeqofqhealthqassessmentqperformedqbyqtheqnurseqisqalsoqdrivenqbyqpatie
ntqneed.qPersonalqdataqandqinsuranceqinformationqwillqbeqobtained,qbutqinqthisqsituation,qtheseqda
taqcanqwaitquntilqafterqtheqpatientqisqassessed.qBasedqalsoqonqMaslow’sqhierarchyqofqneeds,qphysi
ologicqneedsqtakeqprecedence.qRatherqthanqaskingqtheqpatientqtoqwait,qtheqnurseqneedsqtoqbeginqd
ataqcollection,qsuchqasqvitalqsigns,qimmediatelyqtoqdetermineqtheqpatient’sqhealthqstatus.qComplic
ationsqcanqbeqpreventedqifqanqimmediateqassessmentqisqmadeqtoqanalyzeqtheqpatient’sqsymptoms.q
Aqcomprehensiveqhistoryqisqnotqindicatedqinqthisqsituationqatqthisqtime.qSomeqsubjectiveqdataqwill
qbeqcollected,qsuchqasqallergiesqandqmedicalqhistoryqrelatedqtoqcardiovascularqdisease.qEyes,qears,
qorqaqcompleteqmusculoskeletalqorqmentalqhealthqassessmentqisqnotqaqpriorityqatqthisqtime.
DIF: CognitiveqLevel:qApply REF:qBoxq1-
3q|qp.q3qTOP:q NursingqProcess:qAssessment
MSC:q NCLEXqPatientqNeeds:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare:qEstablishin
gqPriorities
2. Whichqsituationqillustratesqaqscreeningqassessment?
a. Aqpatientqvisitsqanqobstetricqclinicqforqtheqfirstqtimeqandqtheqnurseqconductsqaqd
etailedqhistoryqandqphysicalqexamination.
b. Aqhospitalqsponsorsqaqhealthqfairqatqaqlocalqmallqandqprovidesqcholesterolqandqbloodqp
ressureqchecksqtoqmallqpatrons.
c. Theqnurseqinqanqurgentqcareqcenterqchecksqtheqvitalqsignsqofqaqpatientqwhoqis
complainingqofqlegqpain.
d. Aqpatientqnewlyqdiagnosedqwithqdiabetesqmellitusqcomesqtoqtestqhisqfastingqbloodq
glucoseqlevel.
ANS:q B