Health Assessment for Nursing Practice
7th Edition 2025
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Assessment of tribal medicine
Asking the patient about the medicines prescribed by the tribal healer.
Somatic pain
Severe, throbbing pain in the great toe experienced by a patient with gout.
Alcohol use assessment
Using the AUDIT screening tool to assess alcohol use in a suspected case.
Drug use assessment
Asking a 16-year-old girl about trying street drugs during a sports physical.
Obsessive-compulsive disorder
Anxiety disorder characterized by anxious behavior and compulsive cleaning.
Fat consumption
Keeping fat consumption at 10% increases the risk of deficiency in vitamins A, D, and K.
Nutritional deficiency
Dry, flaking skin with patches of eczema indicates a possible essential fatty acid deficiency.
Diet and exercise
Teaching a man with high LDL levels about how diet and exercise can lower lipids.
Nail inspection
Expecting smooth and rounded nail surfaces during inspection and palpation.
Lesion identification
Calling a 4 cm elevated, solid lesion behind the right ear a tumor.
Skin cancer prevention
Wearing protective clothing while in the sun as a primary prevention measure.
Vertigo description
Feeling that the room is spinning around indicates vertigo.
, A patient comes to the emergency department and tells the triage nurse that he is "having a heart
attack." What is the nurse's top priority at this time?
start a focused assessment.
Comprehensive assessment
Indicated for a person unaware of high serum glucose levels.
Therapeutic nursing action
Asking the husband to step out of the room to hear the patient's viewpoint.
Interpreter
A female interpreter who speaks Korean and English is used to get a history from the patient.
Insulin and diabetes
Documented in the present health status section of the history.
Health promotion question
Example: 'How often are you exercising?'
Abdominal percussion
Expecting tympany sound in a patient with abdominal cramping and gas.
Stethoscope
Checking if the valve is open to the diaphragm to hear breath sounds.
Near vision assessment
Using a newspaper held about 14 inches from the patient's face.
Monofilament
Used to gather more data about a patient's foot with an infected lesion.
Diastolic pressure
Represents the pressure in blood vessels when the ventricles are relaxed.
Therapeutic response
Encouraging the patient to describe what he means by his statement.
Nasal inspection
Expecting a perforated nasal septum in a patient with a history of snorting cocaine.
Jaw assessment
Asking the patient to move the lower jaw from side to side to assess jaw movement.
7th Edition 2025
__________________________________________________________________________________
Assessment of tribal medicine
Asking the patient about the medicines prescribed by the tribal healer.
Somatic pain
Severe, throbbing pain in the great toe experienced by a patient with gout.
Alcohol use assessment
Using the AUDIT screening tool to assess alcohol use in a suspected case.
Drug use assessment
Asking a 16-year-old girl about trying street drugs during a sports physical.
Obsessive-compulsive disorder
Anxiety disorder characterized by anxious behavior and compulsive cleaning.
Fat consumption
Keeping fat consumption at 10% increases the risk of deficiency in vitamins A, D, and K.
Nutritional deficiency
Dry, flaking skin with patches of eczema indicates a possible essential fatty acid deficiency.
Diet and exercise
Teaching a man with high LDL levels about how diet and exercise can lower lipids.
Nail inspection
Expecting smooth and rounded nail surfaces during inspection and palpation.
Lesion identification
Calling a 4 cm elevated, solid lesion behind the right ear a tumor.
Skin cancer prevention
Wearing protective clothing while in the sun as a primary prevention measure.
Vertigo description
Feeling that the room is spinning around indicates vertigo.
, A patient comes to the emergency department and tells the triage nurse that he is "having a heart
attack." What is the nurse's top priority at this time?
start a focused assessment.
Comprehensive assessment
Indicated for a person unaware of high serum glucose levels.
Therapeutic nursing action
Asking the husband to step out of the room to hear the patient's viewpoint.
Interpreter
A female interpreter who speaks Korean and English is used to get a history from the patient.
Insulin and diabetes
Documented in the present health status section of the history.
Health promotion question
Example: 'How often are you exercising?'
Abdominal percussion
Expecting tympany sound in a patient with abdominal cramping and gas.
Stethoscope
Checking if the valve is open to the diaphragm to hear breath sounds.
Near vision assessment
Using a newspaper held about 14 inches from the patient's face.
Monofilament
Used to gather more data about a patient's foot with an infected lesion.
Diastolic pressure
Represents the pressure in blood vessels when the ventricles are relaxed.
Therapeutic response
Encouraging the patient to describe what he means by his statement.
Nasal inspection
Expecting a perforated nasal septum in a patient with a history of snorting cocaine.
Jaw assessment
Asking the patient to move the lower jaw from side to side to assess jaw movement.
