, HealthmAssessmentmformNursing mPractice m6thmEditionmWilsonmTestmBankm-mISBN:m9780323377768
Tablemof mContents
UnitmI.mFoundationsmformHealthmAssessment
1. IntroductionmtomHealthmAssessment
2. InterviewingmPatientsmtomObtainmamHealthmHistory
3. Techniquesmand mEquipment mformPhysicalmAssessment
4. GeneralmInspectionmand mMeasurement mof mVitalmSigns
5. Ethnic,mCultural,mand mSpiritualmConsiderations
6. PainmAssessment
7. MentalmHealthmand mAbusivemBehaviormAssessment
8. NutritionalmAssessment
UnitmII.mHealthmAssessmentmof mthemAdult
9. Skin,mHair,mand mNails
10. Head,mEyes,mEars,mNose,mand mThroat
11. Lungsmand mRespiratorymSystem
12. Heart mand mPeripheralmVascularmSystem
13. Abdomenmand mGastrointestinalmSystem
,14. MusculoskeletalmSystem
15. NeurologicmSystem
16. Breastsmand mAxillae
17. ReproductivemSystemmand mthemPerineum
UnitmIII.mHealthmAssessmentmAcrossmthemLifemSpan
18. DevelopmentalmAssessment mThroughout mthemLifemSpan
19. Assessment mof mthemInfant,mChild,mand mAdolescent
20. Assessment mof mthemPregnant mPatient
21. Assessment mof mthemOldermAdult
UnitmIV.mSynthesismandmApplicationmof mHealthmAssessment
22. ConductingmamHead-to-ToemExamination
23. DocumentingmthemHead-to-ToemHealthmAssessment
24. AdaptingmHealthmAssessment mtomanmIllmPatient
, Chapter m01:mIntroductionmtomHealthmAssessment
Wilson:mHealthmAssessmentmformNursing mPractice,m6thmEdition
MULTIPLEmCHOICE
1. A mpatient mcomesmtomthememergencymdepartment mand mtellsmthemtriagemnursemthat mhemism“havin
gmamheart mattack.”mWhat mismthemnurse’smtopmprioritymat mthismtime?
a. Determinemthempatient’smpersonalmdatamand minsurancemcoverage.
b. Askmthempatient mtomtakemamseat minmthemwaitingmroommuntilmhismnamemismcalled.
c. Request mthat mamnursemcollect mdatamformamcomprehensivemhistory.
d. Askmamnursemtomstart mamfocused massessment mof mthismpatient mnow.
ANS:m D
Themnursemneedsmtombeginmanmassessment masmsoonmasmpossiblemthat mismfocused monmthismpatient’s
mcardiovascularmsystem.mThemtypemof mhealthmassessment mperformed mbymthemnursemismalsomdriven
mbympatient mneed.mPersonalmdatamand minsuranceminformationmwillmbemobtained,mbut minmthismsituat
ion,mthesemdatamcanmwait muntilmaftermthempatient mismassessed.mBased malsomonmMaslow’smhierarch
ymof mneeds,mphysiologicmneedsmtakemprecedence.mRathermthanmaskingmthempatient mtomwait,mthemn
ursemneedsmtombeginmdatamcollection,msuchmasmvitalmsigns,mimmediatelymtomdeterminemthempatien
t’smhealthmstatus.mComplicationsmcanmbemprevented mif manmimmediatemassessment mismmademtoman
alyzemthempatient’smsymptoms.mA mcomprehensivemhistorymismnot mindicated minmthismsituationmat mt
hismtime.mSomemsubjectivemdatamwillmbemcollected,msuchmasmallergiesmand mmedicalmhistorymrelat
ed mtomcardiovascularmdisease.mEyes,mears,mormamcompletemmusculoskeletalmormmentalmhealthmass
essment mismnot mamprioritymat mthismtime.
DIF: CognitivemLevel:mApply REF:mBox m1-
3 m|mp.m3 mTOP:m NursingmProcess:mAssessment
MSC:m NCLEXmPatientmNeeds:mSafemand mEffectivemCaremEnvironment:mManagementmofmCare:mEstablis
hingmPriorities
2. Whichmsituationmillustratesmamscreeningmassessment?
a. Ampatient mvisitsmanmobstetricmclinicmformthemfirst mtimemand mthemnursemconduct
smamdetailed mhistorymand mphysicalmexamination.
b. Amhospitalmsponsorsmamhealthmfairmat mamlocalmmallmand mprovidesmcholesterolmand mblo
od mpressuremchecksmtommallmpatrons.
c. Themnurseminmanmurgent mcaremcentermchecksmthemvitalmsignsmof mampatient mwhomis
complainingmof mlegmpain.
d. Ampatient mnewlymdiagnosed mwithmdiabetesmmellitusmcomesmtomtest mhismfastingmblo
od mglucosemlevel.
ANS:m B
Tablemof mContents
UnitmI.mFoundationsmformHealthmAssessment
1. IntroductionmtomHealthmAssessment
2. InterviewingmPatientsmtomObtainmamHealthmHistory
3. Techniquesmand mEquipment mformPhysicalmAssessment
4. GeneralmInspectionmand mMeasurement mof mVitalmSigns
5. Ethnic,mCultural,mand mSpiritualmConsiderations
6. PainmAssessment
7. MentalmHealthmand mAbusivemBehaviormAssessment
8. NutritionalmAssessment
UnitmII.mHealthmAssessmentmof mthemAdult
9. Skin,mHair,mand mNails
10. Head,mEyes,mEars,mNose,mand mThroat
11. Lungsmand mRespiratorymSystem
12. Heart mand mPeripheralmVascularmSystem
13. Abdomenmand mGastrointestinalmSystem
,14. MusculoskeletalmSystem
15. NeurologicmSystem
16. Breastsmand mAxillae
17. ReproductivemSystemmand mthemPerineum
UnitmIII.mHealthmAssessmentmAcrossmthemLifemSpan
18. DevelopmentalmAssessment mThroughout mthemLifemSpan
19. Assessment mof mthemInfant,mChild,mand mAdolescent
20. Assessment mof mthemPregnant mPatient
21. Assessment mof mthemOldermAdult
UnitmIV.mSynthesismandmApplicationmof mHealthmAssessment
22. ConductingmamHead-to-ToemExamination
23. DocumentingmthemHead-to-ToemHealthmAssessment
24. AdaptingmHealthmAssessment mtomanmIllmPatient
, Chapter m01:mIntroductionmtomHealthmAssessment
Wilson:mHealthmAssessmentmformNursing mPractice,m6thmEdition
MULTIPLEmCHOICE
1. A mpatient mcomesmtomthememergencymdepartment mand mtellsmthemtriagemnursemthat mhemism“havin
gmamheart mattack.”mWhat mismthemnurse’smtopmprioritymat mthismtime?
a. Determinemthempatient’smpersonalmdatamand minsurancemcoverage.
b. Askmthempatient mtomtakemamseat minmthemwaitingmroommuntilmhismnamemismcalled.
c. Request mthat mamnursemcollect mdatamformamcomprehensivemhistory.
d. Askmamnursemtomstart mamfocused massessment mof mthismpatient mnow.
ANS:m D
Themnursemneedsmtombeginmanmassessment masmsoonmasmpossiblemthat mismfocused monmthismpatient’s
mcardiovascularmsystem.mThemtypemof mhealthmassessment mperformed mbymthemnursemismalsomdriven
mbympatient mneed.mPersonalmdatamand minsuranceminformationmwillmbemobtained,mbut minmthismsituat
ion,mthesemdatamcanmwait muntilmaftermthempatient mismassessed.mBased malsomonmMaslow’smhierarch
ymof mneeds,mphysiologicmneedsmtakemprecedence.mRathermthanmaskingmthempatient mtomwait,mthemn
ursemneedsmtombeginmdatamcollection,msuchmasmvitalmsigns,mimmediatelymtomdeterminemthempatien
t’smhealthmstatus.mComplicationsmcanmbemprevented mif manmimmediatemassessment mismmademtoman
alyzemthempatient’smsymptoms.mA mcomprehensivemhistorymismnot mindicated minmthismsituationmat mt
hismtime.mSomemsubjectivemdatamwillmbemcollected,msuchmasmallergiesmand mmedicalmhistorymrelat
ed mtomcardiovascularmdisease.mEyes,mears,mormamcompletemmusculoskeletalmormmentalmhealthmass
essment mismnot mamprioritymat mthismtime.
DIF: CognitivemLevel:mApply REF:mBox m1-
3 m|mp.m3 mTOP:m NursingmProcess:mAssessment
MSC:m NCLEXmPatientmNeeds:mSafemand mEffectivemCaremEnvironment:mManagementmofmCare:mEstablis
hingmPriorities
2. Whichmsituationmillustratesmamscreeningmassessment?
a. Ampatient mvisitsmanmobstetricmclinicmformthemfirst mtimemand mthemnursemconduct
smamdetailed mhistorymand mphysicalmexamination.
b. Amhospitalmsponsorsmamhealthmfairmat mamlocalmmallmand mprovidesmcholesterolmand mblo
od mpressuremchecksmtommallmpatrons.
c. Themnurseminmanmurgent mcaremcentermchecksmthemvitalmsignsmof mampatient mwhomis
complainingmof mlegmpain.
d. Ampatient mnewlymdiagnosed mwithmdiabetesmmellitusmcomesmtomtest mhismfastingmblo
od mglucosemlevel.
ANS:m B
