TableMofMContents
UnitMI.MFoundationsMforMHealthMAssessment
1. IntroductionMtoMHealthMAssessment
2. InterviewingMPatientsMtoMObtainMaMHealthMHistory
3. TechniquesMandMEquipmentMforMPhysicalMAssessment
4. GeneralMInspectionMandMMeasurementMofMVitalMSigns
5. Ethnic,MCultural,MandMSpiritualMConsiderations
6. PainMAssessment
7. MentalMHealthMandMAbusiveMBehaviorMAssessment
8. NutritionalMAssessment
UnitMII.MHealthMAssessmentMofMtheMAdult
9. Skin,MHair,MandMNails
10. Head,MEyes,MEars,MNose,MandMThroat
11. LungsMandMRespiratoryMSystem
12. HeartMandMPeripheralMVascularMSystem
13. AbdomenMandMGastrointestinalMSystem
,14. MusculoskeletalMSystem
15. NeurologicMSystem
16. BreastsMandMAxillae
17. ReproductiveMSystemMandMtheMPerineum
UnitMIII.MHealthMAssessmentMAcrossMtheMLifeMSpan
18. DevelopmentalMAssessmentMThroughoutMtheMLifeMSpan
19. AssessmentMofMtheMInfant,MChild,MandMAdolescent
20. AssessmentMofMtheMPregnantMPatient
21. AssessmentMofMtheMOlderMAdult
UnitMIV.MSynthesisMandMApplicationMofMHealthMAssessment
22. ConductingMaMHead-to-ToeMExamination
23. DocumentingMtheMHead-to-ToeMHealthMAssessment
24. AdaptingMHealthMAssessmentMtoManMIllMPatient
, Chapter 01: Introduction to Health Assessment
M M M M M
Wilson: Health Assessment for Nursing Practice, 6th Edition
M M M M M M M
MULTIPLEMCHOICE
1. AMpatientMcomesMtoMtheMemergencyMdepartmentMandMtellsMtheMtriageMnurseMthatMheMisM“hav
ingMaMheartMattack.”MWhatMisMtheMnurse’sMtopMpriorityMatMthisMtime?
a. DetermineMtheMpatient’sMpersonalMdataMandMinsuranceMcoverage.
b. AskMtheMpatientMtoMtakeMaMseatMinMtheMwaitingMroomMuntilMhisMnameMisMcalled.
c. RequestMthatMaMnurseMcollectMdataMforMaMcomprehensiveMhistory.
d. AskMaMnurseMtoMstartMaMfocusedMassessmentMofMthisMpatientMnow.
ANS:M D
TheMnurseMneedsMtoMbeginManMassessmentMasMsoonMasMpossibleMthatMisMfocusedMonMthisMpatient
’sMcardiovascularMsystem.MTheMtypeMofMhealthMassessmentMperformedMbyMtheMnurseMisMalsoMdri
venMbyMpatientMneed.MPersonalMdataMandMinsuranceMinformationMwillMbeMobtained,MbutMinMthisM
situation,MtheseMdataMcanMwaitMuntilMafterMtheMpatientMisMassessed.MBasedMalsoMonMMaslow’sMh
ierarchyMofMneeds,MphysiologicMneedsMtakeMprecedence.MRatherMthanMaskingMtheMpatientMtoMw
ait,MtheMnurseMneedsMtoMbeginMdataMcollection,MsuchMasMvitalMsigns,MimmediatelyMtoMdetermine
MtheMpatient’sMhealthMstatus.MComplicationsMcanMbeMpreventedMifManMimmediateMassessmentMis
MmadeMtoManalyzeMtheMpatient’sMsymptoms.MAMcomprehensiveMhistoryMisMnotMindicatedMinMthis
MsituationMatMthisMtime.M
SomeMsubjectiveMdataMwillMbeMcollected,MsuchMasMallergiesMandMmedic
alMhistoryMrelatedMtoMcardiovascularMdisease.MEyes,Mears,MorMaMcompleteMmusculoskeletalMorM
mentalMhealthMassessmentMisMnotMaMpriorityMatMthisMtime.
DIF: CognitiveMLevel:MApply REF:MBoxM1-
3M|Mp.M3MTOP:M NursingMProcess:MAssessment
MSC:M NCLEXMPatientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare:MEstabl
ishingMPriorities
2. WhichMsituationMillustratesMaMscreeningMassessment?
a. AMpatientMvisitsManMobstetricMclinicMforMtheMfirstMtimeMandMtheMnurseMcondu
ctsMaMdetailedMhistoryMandMphysicalMexamination.
b. AMhospitalMsponsorsMaMhealthMfairMatMaMlocalMmallMandMprovidesMcholesterolMandMb
loodMpressureMchecksMtoMmallMpatrons.
c. TheMnurseMinManMurgentMcareMcenterMchecksMtheMvitalMsignsMofMaMpatientMwhoMis
complainingMofMlegMpain.
d. AMpatientMnewlyMdiagnosedMwithMdiabetesMmellitusMcomesMtoMtestMhisMfastingMbl
oodMglucoseMlevel.
ANS:M B