RSG 1115: NURSES ROLE IN HEALTH
ASSESSMENT TEST EXAM WITH
EXPLANATIONS TO ANSWERS
A nursing instructor is discussing the purposes of
health assessment. What is one purpose of health
assessment?
Correct response:
To establish a database against which subsequent assessments can be measured
Explanation:
A health assessment is performed to gain further insight into the current condition and to
establish a database that subsequent assessments can be measured against.
A nurse performs a comprehensive
assessment on a client. Which is included only
in a comprehensive assessment?
Correct response:
Complete health history
Explanation:
The comprehensive assessment includes a complete health history and physical
assessment. It is done annually on an
• outpatient basis,
• following admission to a hospital
• long-term care facility
, • or as defined in a facility's standards of care in the acute care setting.
emergency assessment – includes Circulatory assessment, assessment of the airway, and
disability
assessment
Question 1
A nurse is caring for three clients whose care involves complex situations and multiple
responsibilities. What is the key to resolving problems for this nurse?
Correct response:
Critical thinking
Explanation:
Nurses are frequently involved in complex situations with multiple responsibilities.
They are required to think through the analysis, develop alternatives, and implement the best
interventions.
Critical thinking is the key to resolving problems.
Diagnostic reasoning is important in developing diagnostic statements,
Physical assessment is important in the building the foundation of the nursing
care plan; it directs the care that will be provided for the individual client,
,Question 2
A client admitted to the health care facility has a family history of diabetes mellitus.
A nursing health assessment for this client should focus on collection of data in which of these
areas?
Correct response:
Physiologic, psychological, sociocultural, developmental, and spiritual data
Explanation:
A nursing health assessment includes physiologic, psychological, sociocultural, developmental,
and spiritual data.
Medical health assessment focuses primarily on the client's physiologic development status.
assessment by a physical therapist focuses mainly on the client's musculoskeletal system and
activities of daily living.
Question 4
What is the primary function of the health care team?
Correct response:
To decide the best overall care
Explanation:
The health care team meets to collaborate on patients and decide the best
overall care. This occurs throughout the lifespan, from the inception of life until
death.
The health care team is a partnership.
The group includes the nurse, physician, nutritionist, social worker, physical therapist,
occupational therapist, speech therapist, and/or dentist.
, They all work together on the same team for the benefit of the patient.
Question 5
A medical examination differs from a comprehensive nursing examination in that the medical
examination focuses primarily on the client’s
Correct response:
physiologic status.
Explanation:
The physician performing a medical assessment focuses primarily on the client’s
physiologic status. Less focus may be placed on psychological, sociocultural, or spiritual
well-being. 4
Question 6
When a client first enters the hospital for an elective surgical procedure, the nurse should
perform an assessment termed
Correct response:
comprehensive.
Explanation:
initial comprehensive assessment involves collection of subjective data about the client’s
perception of his or her health of all body parts or systems, past health history, family history,
and lifestyle and health practices (which includes information related to the client’s overall
function) as well as objective data gathered during a step-by-step physical examination.
Regardless of who collects the data, a total health assessment (subjective and objective data
regarding functional health and body systems) is needed when the client first enters a health
ASSESSMENT TEST EXAM WITH
EXPLANATIONS TO ANSWERS
A nursing instructor is discussing the purposes of
health assessment. What is one purpose of health
assessment?
Correct response:
To establish a database against which subsequent assessments can be measured
Explanation:
A health assessment is performed to gain further insight into the current condition and to
establish a database that subsequent assessments can be measured against.
A nurse performs a comprehensive
assessment on a client. Which is included only
in a comprehensive assessment?
Correct response:
Complete health history
Explanation:
The comprehensive assessment includes a complete health history and physical
assessment. It is done annually on an
• outpatient basis,
• following admission to a hospital
• long-term care facility
, • or as defined in a facility's standards of care in the acute care setting.
emergency assessment – includes Circulatory assessment, assessment of the airway, and
disability
assessment
Question 1
A nurse is caring for three clients whose care involves complex situations and multiple
responsibilities. What is the key to resolving problems for this nurse?
Correct response:
Critical thinking
Explanation:
Nurses are frequently involved in complex situations with multiple responsibilities.
They are required to think through the analysis, develop alternatives, and implement the best
interventions.
Critical thinking is the key to resolving problems.
Diagnostic reasoning is important in developing diagnostic statements,
Physical assessment is important in the building the foundation of the nursing
care plan; it directs the care that will be provided for the individual client,
,Question 2
A client admitted to the health care facility has a family history of diabetes mellitus.
A nursing health assessment for this client should focus on collection of data in which of these
areas?
Correct response:
Physiologic, psychological, sociocultural, developmental, and spiritual data
Explanation:
A nursing health assessment includes physiologic, psychological, sociocultural, developmental,
and spiritual data.
Medical health assessment focuses primarily on the client's physiologic development status.
assessment by a physical therapist focuses mainly on the client's musculoskeletal system and
activities of daily living.
Question 4
What is the primary function of the health care team?
Correct response:
To decide the best overall care
Explanation:
The health care team meets to collaborate on patients and decide the best
overall care. This occurs throughout the lifespan, from the inception of life until
death.
The health care team is a partnership.
The group includes the nurse, physician, nutritionist, social worker, physical therapist,
occupational therapist, speech therapist, and/or dentist.
, They all work together on the same team for the benefit of the patient.
Question 5
A medical examination differs from a comprehensive nursing examination in that the medical
examination focuses primarily on the client’s
Correct response:
physiologic status.
Explanation:
The physician performing a medical assessment focuses primarily on the client’s
physiologic status. Less focus may be placed on psychological, sociocultural, or spiritual
well-being. 4
Question 6
When a client first enters the hospital for an elective surgical procedure, the nurse should
perform an assessment termed
Correct response:
comprehensive.
Explanation:
initial comprehensive assessment involves collection of subjective data about the client’s
perception of his or her health of all body parts or systems, past health history, family history,
and lifestyle and health practices (which includes information related to the client’s overall
function) as well as objective data gathered during a step-by-step physical examination.
Regardless of who collects the data, a total health assessment (subjective and objective data
regarding functional health and body systems) is needed when the client first enters a health
