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Chapterj01:jIntroductionjtojHealthjAssessment
MULTIPLEjCHOICE
1. Ajpatientjcomesjtojthejemergencyjdepartmentjandjtellsjthejtriagejnursejthatjhejisj“h
avingjajheartjattack.”jWhatjisjthejnurse’sjtopjpriorityjatjthisjtime?
a. Determinejthejpatient’sjpersonaljdatajandji
nsurancejcoverage.
b. Askjthejpatientjtojtakejajseatjinjthejwaitingjro
omjuntiljhisjnamejisjcalled.
c. Requestjthatjajnursejcollectjdatajforjajco
mprehensivejhistory.
d. Askjajnursejtojstartjajfocusedjassessmentjofj
thisjpatientjnow.
ANS:jD
Thejnursejneedsjtojbeginjanjassessmentjasjsoonjasjpossiblejthatjisjfocusedjonjthisjpatient’sjcardi
ovascularjsystem.jThejtypejofjhealthjassessmentjperformedjbyjthejnursejisjalsojdrivenjbyjpatien
tjneed.jPersonaljdatajandjinsurancejinformationjwilljbejobtained,jbutjinjthisjsituation,jthesejdataj
canjwaitjuntiljafterjthejpatientjisjassessed.jBasedjalsojonjMaslow’sjhierarchyjofjneeds,jphysiolo
gicjneedsjtakejprecedence.jRatherjthanjaskingjthejpatientjtojwait,jthejnursejneedsjtojbeginjdatajc
ollection,jsuchjasjvitaljsigns,jimmediatelyjtojdeterminejthejpatient’sjhealthjstatus.jComplicatio
nsjcanjbejpreventedjifjanjimmediatejassessmentjisjmadejtojanalyzejthejpatient’sjsymptoms.jAjc
omprehensivejhistoryjisjnotjindicatedjinjthisjsituationjatjthisjtime.jSomejsubjectivejdatajwilljbej
collected,jsuchjasjallergiesjandjmedicaljhistoryjrelatedjtojcardiovascularjdisease.jEyes,jears,jorj
ajcompletejmusculoskeletaljorjmentaljhealthjassessmentjisjnotjajpriorityjatjthisjtime.
DIF:jjj CognitivejLevel:jApply REF:j Boxj1-
3j|jp.j3jTOP:jNursingjProcess:jAssessment
, Test Bank for Health Assessment forN
j j j j j j
ursing Practice 7th Edition by Wilson.
j j j j j
100%Correct Answers Latest j j j j
Updated Examination Study j j j
Guide 2023/2024 j
.
MSC:jNCLEXjPatientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare:jEst
ablishingjPriorities
2. Whichjsituationjillustratesjajscreeningjassessment?
a. Ajpatientjvisitsjanjobstetricjclinicjforjthejfirs
tjtimejandjthejnursejconductsjajdetailedjhistor
yjandjphysicaljexamination.
b. Ajhospitaljsponsorsjajhealthjfairjatjajlocaljm
alljandjprovidesjcholesteroljandjbloodjpres
surejchecksjtojmalljpatrons.
c. Thejnursejinjanjurgentjcarejcenterjchecksjth
ejvitaljsignsjofjajpatientjwhojisjcomplainin
gjofjlegjpain.
Thisjstudyjsourcejwasjdownloadedjbyj100000838401522jfromjCourseHero.comjonj03-03-2022j08:46:13jGMTj-06:00
https://www.coursehero.com/file/34584368/chapter-1pdf/
j j j j j j
ursing Practice 7th Edition by Wilson.
j j j j j
100%Correct Answers Latest
j j j j
Updated Examination Study
j j j
Guide 2023/2024 j
,Test Bank for Health Assessment for Nursing Practice7th E
j j j j j j j j j
dition by Wilson.j j
Downloadedjby:jcmedrano14j|
, Test Bank for Health Assessment for
j j j j j j
j Nursing Practice 7th Edition by Wilson.
j j j j j
100%Correct Answers Latest j j j j
Updated Examination Study
j j j
Guide 2023/2024 j
.
Chapterj01:jIntroductionjtojHealthjAssessment
MULTIPLEjCHOICE
1. Ajpatientjcomesjtojthejemergencyjdepartmentjandjtellsjthejtriagejnursejthatjhejisj“h
avingjajheartjattack.”jWhatjisjthejnurse’sjtopjpriorityjatjthisjtime?
a. Determinejthejpatient’sjpersonaljdatajandji
nsurancejcoverage.
b. Askjthejpatientjtojtakejajseatjinjthejwaitingjro
omjuntiljhisjnamejisjcalled.
c. Requestjthatjajnursejcollectjdatajforjajco
mprehensivejhistory.
d. Askjajnursejtojstartjajfocusedjassessmentjofj
thisjpatientjnow.
ANS:jD
Thejnursejneedsjtojbeginjanjassessmentjasjsoonjasjpossiblejthatjisjfocusedjonjthisjpatient’sjcardi
ovascularjsystem.jThejtypejofjhealthjassessmentjperformedjbyjthejnursejisjalsojdrivenjbyjpatien
tjneed.jPersonaljdatajandjinsurancejinformationjwilljbejobtained,jbutjinjthisjsituation,jthesejdataj
canjwaitjuntiljafterjthejpatientjisjassessed.jBasedjalsojonjMaslow’sjhierarchyjofjneeds,jphysiolo
gicjneedsjtakejprecedence.jRatherjthanjaskingjthejpatientjtojwait,jthejnursejneedsjtojbeginjdatajc
ollection,jsuchjasjvitaljsigns,jimmediatelyjtojdeterminejthejpatient’sjhealthjstatus.jComplicatio
nsjcanjbejpreventedjifjanjimmediatejassessmentjisjmadejtojanalyzejthejpatient’sjsymptoms.jAjc
omprehensivejhistoryjisjnotjindicatedjinjthisjsituationjatjthisjtime.jSomejsubjectivejdatajwilljbej
collected,jsuchjasjallergiesjandjmedicaljhistoryjrelatedjtojcardiovascularjdisease.jEyes,jears,jorj
ajcompletejmusculoskeletaljorjmentaljhealthjassessmentjisjnotjajpriorityjatjthisjtime.
DIF:jjj CognitivejLevel:jApply REF:j Boxj1-
3j|jp.j3jTOP:jNursingjProcess:jAssessment
, Test Bank for Health Assessment forN
j j j j j j
ursing Practice 7th Edition by Wilson.
j j j j j
100%Correct Answers Latest j j j j
Updated Examination Study j j j
Guide 2023/2024 j
.
MSC:jNCLEXjPatientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare:jEst
ablishingjPriorities
2. Whichjsituationjillustratesjajscreeningjassessment?
a. Ajpatientjvisitsjanjobstetricjclinicjforjthejfirs
tjtimejandjthejnursejconductsjajdetailedjhistor
yjandjphysicaljexamination.
b. Ajhospitaljsponsorsjajhealthjfairjatjajlocaljm
alljandjprovidesjcholesteroljandjbloodjpres
surejchecksjtojmalljpatrons.
c. Thejnursejinjanjurgentjcarejcenterjchecksjth
ejvitaljsignsjofjajpatientjwhojisjcomplainin
gjofjlegjpain.
Thisjstudyjsourcejwasjdownloadedjbyj100000838401522jfromjCourseHero.comjonj03-03-2022j08:46:13jGMTj-06:00
https://www.coursehero.com/file/34584368/chapter-1pdf/
