TEST BANK HEALTH
m m
ASSESSMENT IN NURS m m
ING 7TH EDITION WEBE
m m m
R KELLEY|COMPLETE
m m
GUIDE SOLUTIONm
Pagem
1
,Chapterm1
1. A mnursemonmampostsurgicalmunit mismadmittingmamclient mfollowingmthemclient'smcholecyste
ctomym(gallmbladdermremoval).mWhat mismthemoverallmpurposemof massessment mformthismclie
nt?
A) Collectingmaccuratemdata
B) Assistingmthemprimarymcaremprovider
C) Validatingmpreviousmdata
D) Makingmclinicalmjudgments
2. A mclient mhasmpresented mtomthememergencymdepartment m(ED)mwithmcomplaintsmof mabdomin
almpain.mWhichmmembermof mthemcaremteammwould mmost mlikely mbemresponsiblemformcollecti
ngmthemsubjectivemdatamonmthemclient mduringmtheminitialmcomprehensivemassessment?
A) Gastroenterologist
B) EDmnurse
C) Admissionsmclerk
D) Diagnosticmtechnician
3. Themnursemhasmcompleted manminitialmassessment mof mamnewlymadmitted mclient mand mismapplyi
ngmthemnursingmprocessmtomplan mthemclient'smcare.mWhat mprinciplemshould mthemnursemapplym
whenmusingmthemnursingmprocess?
A) Eachmstepmismindependent mof mthemothers.
B) It mismongoingmand mcontinuous.
C) It mismused mprimarilyminmacutemcaremsettings.
D) It minvolvesmindependent mnursingmactions.
4. Themnursemwhomprovidesmcaremat manmambulatorymclinicmis mpreparingmtommeet mamclient man
d mperformmamcomprehensivemhealthmassessment.mWhichmof mthemfollowingmactionsmshould
mthemnursemperformmfirst?
A) Review mthemclient'smmedicalmrecord.
B) Obtainmbasicmbiographicmdata.
C) Consult mclinicalmresourcesmexplainingmthemclient'smdiagnosis.
D) Validateminformationmwithmthemclient.
5. Whichmof mthemfollowingmclient msituationsmwould mthemnurseminterpret masmrequiringm
anmemergencymassessment?
A) Ampediatricmclient mwithmseveremsunburn
B) Amclient mneedingmanmemployment mphysical
C) Amclient mwhomoverdosed monmacetaminophen
D) Amdistraught mclient mwhomwantsmampregnancymtest
,6. Inmresponsemtomamclient'smquery,mthemnursemismexplainingmthemdifferencesmbetweenmthemp
hysician'smmedicalmexammand mthemcomprehensivemhealthmassessment mperformed mbymthe
mnurse.mThemnursemshould mdescribemthemfact mthat mthemnursingmassessment mfocusesmonmwh
ichmaspect mof mthemclient'smsituation?
A) Current mphysiologicmstatus
B) Effect mof mhealthmonmfunctionalmstatus
C) Past mmedicalmhistory
D) Motivationmformadherencemtomtreatment
7. Aftermteachingmamgroupmof mstudentsmaboutmthemphasesmof mthemnursingmprocess,mtheminstruct
ormdeterminesmthat mthemteachingmwasmsuccessfulmwhenmthemstudentsmidentifymwhichmphas
emasmbeingmfoundationalmtomallmothermphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Themnursemhasmcompleted mthemcomprehensivemhealthmassessment mof mamclient mwhomhasmbe
enmadmitted mformthemtreatment mof mcommunity-
acquired mpneumonia.mFollowingmthemcompletionmof mthismassessment,mthemnursemperiodic
allymperformsmampartialmassessment mprimarily mformwhichmreason?
A) Reassessmpreviouslymdetected mproblems
B) Provideminformationmformthemclient'smrecord
C) Addressmareasmpreviouslymomitted
D) Determinemthemneed mformcrisismintervention
9. Themnursemismworkingminmanmambulatorymcaremclinicmthat mismlocated minmambusy,minner-
citymneighborhood.mWhichmclient mwould mthemnursemdeterminemtombeminmmost mneed mof m
anmemergencymassessment?
A) Am14-year-old mgirlmwhomismcryingmbecausemshemthinksmshemismpregnant
B) Am45-year-old mmanmwithmchest mpainmand mdiaphoresismform1mhour
C) Am3-year-old mchild mwithmfever,mrash,mand msoremthroat
D) Am20-year-old mmanmwithmam3-inchmshallow mlacerationmonmhismleg
, 10. A mnursemhasmcompleted mgatheringmsomembasicmdatamabout mamclient mwhomhasmmultiplemhea
lthmproblemsmthat mstemmfrommheavymalcoholmuse.mThemnursemhasmthenmreflected monmhermpe
rsonalmfeelingsmabout mthemclient mand mhismcircumstances.mThe mnursemdoesmthismprimarilymt
omaccomplishmwhichmof mthemfollowing?
A) Determinemif mpertinent mdatamhasmbeenmomitted
B) Identifymthemneed mformreferral
C) Avoid mbiasesmand mjudgments
D) Construct mamplanmof mcare
11. Themnursemismcollectingmdatamfrommamclient mwhomhasmrecentlymbeenmdiagnosed mwithmtypem
1mdiabetesmand mwhomwillmbeginmanmeducationalmprogram.mThemnursemismcollecting msubject
ivemand mobjectivemdata.mWhichmof mthemfollowingmwould mthemnursemcategorizemasmobjective
mdata?
A) Familymhistory
B) Occupation
C) Appearance
D) Historymof mpresent mhealthmconcern
12. Anmoldermadult mclient mhasmbeenmadmitted mtomthemhospitalmwithmfailuremtomthrivemresultin
gmfrommcomplicationsmof mdiabetes.mWhichmof mthemfollowingmwould mthemnursemimpleme
nt minmresponsemtomamcollaborativemproblem?
A) Encouragemthemclient mtomincreasemoralmfluid mintake.
B) Providemthemclient mwithmambedtimemproteinmsnack.
C) Assist mthemclient mwithmpersonalmhygiene.
D) Measuremthemclient'smblood mglucosemfourmtimesmdaily.
13. Themnursemat mambusymprimarymcaremclinicmismanalyzingmthemdatamobtained mfrommthemfol
lowingmclients.mFormwhichmclientsmwould mthemnursemmost mlikelymexpect mtomfacilitatemam
referral?
A) Anm80-year-old mclient mwhomlivesmwithmhermdaughter
B) Am50-year-old mclient mnewlymdiagnosed mwithmdiabetes
C) Anmadult mpresentingmformanminfluenzamvaccination
D) Amteenagermseekingminformationmabout mcontraception
14. Anminstructormismreviewingmthemevolutionmof mthemnurse'smroleminmhealthmassessment.mThe
minstructormdeterminesmthat mthemteachingmwasmsuccessfulmwhenmthemstudentsmidentifymwhi
chmof mthemfollowingmasmthemmajormmethod mused mbymnursesmearlyminmthemhistorymof mthempr
ofession?
A) Naturalmsenses
B) Biomedicalmknowledge
C) Simplemtechnology
D) Criticalmpathways
m m
ASSESSMENT IN NURS m m
ING 7TH EDITION WEBE
m m m
R KELLEY|COMPLETE
m m
GUIDE SOLUTIONm
Pagem
1
,Chapterm1
1. A mnursemonmampostsurgicalmunit mismadmittingmamclient mfollowingmthemclient'smcholecyste
ctomym(gallmbladdermremoval).mWhat mismthemoverallmpurposemof massessment mformthismclie
nt?
A) Collectingmaccuratemdata
B) Assistingmthemprimarymcaremprovider
C) Validatingmpreviousmdata
D) Makingmclinicalmjudgments
2. A mclient mhasmpresented mtomthememergencymdepartment m(ED)mwithmcomplaintsmof mabdomin
almpain.mWhichmmembermof mthemcaremteammwould mmost mlikely mbemresponsiblemformcollecti
ngmthemsubjectivemdatamonmthemclient mduringmtheminitialmcomprehensivemassessment?
A) Gastroenterologist
B) EDmnurse
C) Admissionsmclerk
D) Diagnosticmtechnician
3. Themnursemhasmcompleted manminitialmassessment mof mamnewlymadmitted mclient mand mismapplyi
ngmthemnursingmprocessmtomplan mthemclient'smcare.mWhat mprinciplemshould mthemnursemapplym
whenmusingmthemnursingmprocess?
A) Eachmstepmismindependent mof mthemothers.
B) It mismongoingmand mcontinuous.
C) It mismused mprimarilyminmacutemcaremsettings.
D) It minvolvesmindependent mnursingmactions.
4. Themnursemwhomprovidesmcaremat manmambulatorymclinicmis mpreparingmtommeet mamclient man
d mperformmamcomprehensivemhealthmassessment.mWhichmof mthemfollowingmactionsmshould
mthemnursemperformmfirst?
A) Review mthemclient'smmedicalmrecord.
B) Obtainmbasicmbiographicmdata.
C) Consult mclinicalmresourcesmexplainingmthemclient'smdiagnosis.
D) Validateminformationmwithmthemclient.
5. Whichmof mthemfollowingmclient msituationsmwould mthemnurseminterpret masmrequiringm
anmemergencymassessment?
A) Ampediatricmclient mwithmseveremsunburn
B) Amclient mneedingmanmemployment mphysical
C) Amclient mwhomoverdosed monmacetaminophen
D) Amdistraught mclient mwhomwantsmampregnancymtest
,6. Inmresponsemtomamclient'smquery,mthemnursemismexplainingmthemdifferencesmbetweenmthemp
hysician'smmedicalmexammand mthemcomprehensivemhealthmassessment mperformed mbymthe
mnurse.mThemnursemshould mdescribemthemfact mthat mthemnursingmassessment mfocusesmonmwh
ichmaspect mof mthemclient'smsituation?
A) Current mphysiologicmstatus
B) Effect mof mhealthmonmfunctionalmstatus
C) Past mmedicalmhistory
D) Motivationmformadherencemtomtreatment
7. Aftermteachingmamgroupmof mstudentsmaboutmthemphasesmof mthemnursingmprocess,mtheminstruct
ormdeterminesmthat mthemteachingmwasmsuccessfulmwhenmthemstudentsmidentifymwhichmphas
emasmbeingmfoundationalmtomallmothermphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Themnursemhasmcompleted mthemcomprehensivemhealthmassessment mof mamclient mwhomhasmbe
enmadmitted mformthemtreatment mof mcommunity-
acquired mpneumonia.mFollowingmthemcompletionmof mthismassessment,mthemnursemperiodic
allymperformsmampartialmassessment mprimarily mformwhichmreason?
A) Reassessmpreviouslymdetected mproblems
B) Provideminformationmformthemclient'smrecord
C) Addressmareasmpreviouslymomitted
D) Determinemthemneed mformcrisismintervention
9. Themnursemismworkingminmanmambulatorymcaremclinicmthat mismlocated minmambusy,minner-
citymneighborhood.mWhichmclient mwould mthemnursemdeterminemtombeminmmost mneed mof m
anmemergencymassessment?
A) Am14-year-old mgirlmwhomismcryingmbecausemshemthinksmshemismpregnant
B) Am45-year-old mmanmwithmchest mpainmand mdiaphoresismform1mhour
C) Am3-year-old mchild mwithmfever,mrash,mand msoremthroat
D) Am20-year-old mmanmwithmam3-inchmshallow mlacerationmonmhismleg
, 10. A mnursemhasmcompleted mgatheringmsomembasicmdatamabout mamclient mwhomhasmmultiplemhea
lthmproblemsmthat mstemmfrommheavymalcoholmuse.mThemnursemhasmthenmreflected monmhermpe
rsonalmfeelingsmabout mthemclient mand mhismcircumstances.mThe mnursemdoesmthismprimarilymt
omaccomplishmwhichmof mthemfollowing?
A) Determinemif mpertinent mdatamhasmbeenmomitted
B) Identifymthemneed mformreferral
C) Avoid mbiasesmand mjudgments
D) Construct mamplanmof mcare
11. Themnursemismcollectingmdatamfrommamclient mwhomhasmrecentlymbeenmdiagnosed mwithmtypem
1mdiabetesmand mwhomwillmbeginmanmeducationalmprogram.mThemnursemismcollecting msubject
ivemand mobjectivemdata.mWhichmof mthemfollowingmwould mthemnursemcategorizemasmobjective
mdata?
A) Familymhistory
B) Occupation
C) Appearance
D) Historymof mpresent mhealthmconcern
12. Anmoldermadult mclient mhasmbeenmadmitted mtomthemhospitalmwithmfailuremtomthrivemresultin
gmfrommcomplicationsmof mdiabetes.mWhichmof mthemfollowingmwould mthemnursemimpleme
nt minmresponsemtomamcollaborativemproblem?
A) Encouragemthemclient mtomincreasemoralmfluid mintake.
B) Providemthemclient mwithmambedtimemproteinmsnack.
C) Assist mthemclient mwithmpersonalmhygiene.
D) Measuremthemclient'smblood mglucosemfourmtimesmdaily.
13. Themnursemat mambusymprimarymcaremclinicmismanalyzingmthemdatamobtained mfrommthemfol
lowingmclients.mFormwhichmclientsmwould mthemnursemmost mlikelymexpect mtomfacilitatemam
referral?
A) Anm80-year-old mclient mwhomlivesmwithmhermdaughter
B) Am50-year-old mclient mnewlymdiagnosed mwithmdiabetes
C) Anmadult mpresentingmformanminfluenzamvaccination
D) Amteenagermseekingminformationmabout mcontraception
14. Anminstructormismreviewingmthemevolutionmof mthemnurse'smroleminmhealthmassessment.mThe
minstructormdeterminesmthat mthemteachingmwasmsuccessfulmwhenmthemstudentsmidentifymwhi
chmof mthemfollowingmasmthemmajormmethod mused mbymnursesmearlyminmthemhistorymof mthempr
ofession?
A) Naturalmsenses
B) Biomedicalmknowledge
C) Simplemtechnology
D) Criticalmpathways
