Advanced Health Assessment & Clinical Diagnosis

TEST BANK- Advanced Health Assessment & Clinical Diagnosis in
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Primary Care (7th Edition,2024|2025) Joyce E. Dains|
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1.
A nurse on a postsurgical unit is admitting a client following the client's
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cholecystectomy(gall bladder removal). What is the overall purpose of assessment
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forthis client?
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A) Collecting accurate data .l .l

, B) Assisting the primary care provider .l .l .l .l



C) Validating previous .l



dataDMaking
.l ) clinical judgments
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2.
A client has presented to the emergency department (ED) with complaints of
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abdominalpain. Which member of the care team would most likely be responsible
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forcollecting the subjective data on the client during the initial comprehensive
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assessment?
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A) Gastroenterologist .l



B) ED nurse .lju



C) Admissions clerk .l



D) Diagnostic technician .l




3.
The nurse has completed an initial assessment of a newly admitted client and is
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applyingthe nursing process to plan the client's care. What principle should the nurse
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apply whenusing the nursing process?
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A) Each step is independent of the others. .l .l .l .l .l .l



.l B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
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4.
The nurse who provides care at an ambulatory clinic is preparing to meet a client and
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perform a comprehensive health assessment. Which of the following actions should
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thenurse perform first?
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A) Review the client's medical record. ju .lju .lju .lju



B) Obtain basic biographic data. .l .l .l



C) Consult clinical resources explaining the client's diagnosis. .l .l .l .l .l .l



D) Validate information with the client. .l .l .l .l




5.
Which of the following client situations would the nurse interpret as
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requiringanemergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment
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.l physical C) who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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,6.
In response to a client's query, the nurse is explaining the differences between the
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physician's medical exam and the comprehensive health assessment performed by
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the nurse. The nurse should describe the fact that the nursing assessment focuses
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onwhichaspect of the client's situation?
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A) Current physiologic .l



.l statusEffect
B) of health on functional status
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C) Past medical history .l .l



D) Motivation for adherence to treatment .l .l .l .l




7.
After teaching a group of students about the phases of the nursing process,
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the instructordetermines that the teaching was successful when the students
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identifywhich phase as being foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation

8.
The nurse has completed the comprehensive health assessment of a client who
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has beenadmitted for the treatment of community-acquired pneumonia.
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Following the completion of this assessment, the nurse periodically performs a
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partial assessmentprimarily for which reason?
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A) Reassess previously detected problems .lju .lju .lju



B) Provide information for the client's record .l .l .l .l .l



C) Address areas previously omitted .l .l .l



D) Determine the need for crisis intervention .l .l .l .l .l




9.
The nurse is working in an ambulatory care clinic that is located in a busy,
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inner-cityneighborhood. Which client would the nurse determine to be in most
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need of an emergency assessment?
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A) A 14-year-old girl who is crying because she thinks she is
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.l pregnant B)
A 45-year-old man with chest pain and diaphoresis for 1 hour
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C) A 3-year-old child with fever, rash, and sore throat
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D) A 20-year-old man with a 3-inch shallow laceration on his leg
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, 10.
A nurse has completed gathering some basic data about a client who has multiple
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healthproblems that stem from heavy alcohol use. The nurse has then reflected on
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her personalfeelings about the client and his circumstances. The nurse does this
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primarilyto accomplish which of the following?
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A) Determine if pertinent data has been omitted .l .l .l .l .l .l



B) Identify the need for .l .l .l



.l referral C) biases and judgments
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D) Construct a plan of care .l .l .l .l




11.
The nurse is collecting data from a client who has recently been diagnosed with
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type1 diabetes and who will begin an educational program. The nurse is
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collecting subjective and objective data. Which of the following would the nurse
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categorize as objective data?
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A) Family history .l



B) Occupation
C) Appearance
D) History of present health concern .l .l .l .l




12.
An older adult client has been admitted to the hospital with failure to thrive
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resulting from complications of diabetes. Which of the following would the
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nurseimplement inresponse to a collaborative problem?
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A) Encourage the client to increase oral fluid intake. .l .l .l .l .l .l .l



B) Provide the client with a bedtime protein snack. .l .l .l .l .l .l .l



C) Assist the client with personal .l .l .l .l



.l hygiene. D) the client's blood glucose four times daily.
Measure .l .lju .lju .lju .lju .lju .lju .lju




13.
The nurse at a busy primary care clinic is analyzing the data obtained from
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thefollowing clients. For which clients would the nurse most likely expect
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to facilitate areferral?
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A) An 80-year-old client who lives with her .l .l .l .l .l .l



.l daughter B)
A 50-year-old client newly diagnosed with diabetes
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C) An adult presenting for an influenza vaccination
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D) A teenager seeking information about contraception
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14.
An instructor is reviewing the evolution of the nurse's role in health assessment.
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The instructor determines that the teaching was successful when the students
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identify whichof the following as the major method used by nurses early in the
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history of the profession?
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A) Natural senses ju



B) Biomedical knowledge .l



C) Simple technology .l



D) Critical pathways .l




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