Nursing Health Assessment The Foundation of Clinical Practice. 3rd Edition. Patricia M. Dillon Test Bank

, HealthgAssessmentgforgNursinggPracticeg6thgEditiongWilsongTestgBankg-gISBN:g9780323377768



TablegofgContents

UnitgI.gFoundationsgforgHealthgAssessment

1. IntroductiongtogHealthgAssessment

2. InterviewinggPatientsgtogObtaingagHealthgHistory

3. TechniquesgandgEquipmentgforgPhysicalgAssessment

4. GeneralgInspectiongandgMeasurementgofgVitalgSigns

5. Ethnic,gCultural,gandgSpiritualgConsiderations

6. PaingAssessment

7. MentalgHealthgandgAbusivegBehaviorgAssessment

8. NutritionalgAssessment




UnitgII.gHealthgAssessmentgofgthegAdult

9. Skin,gHair,gandgNails

10. Head,gEyes,gEars,gNose,gandgThroat

11. LungsgandgRespiratorygSystem

12. HeartgandgPeripheralgVasculargSystem

13. AbdomengandgGastrointestinalgSystem

,14. MusculoskeletalgSystem

15. NeurologicgSystem

16. BreastsgandgAxillae

17. ReproductivegSystemgandgthegPerineum




UnitgIII.gHealthgAssessmentgAcrossgthegLifegSpan

18. DevelopmentalgAssessmentgThroughoutgthegLifegSpan

19. AssessmentgofgthegInfant,gChild,gandgAdolescent

20. AssessmentgofgthegPregnantgPatient

21. AssessmentgofgthegOldergAdult




UnitgIV.gSynthesisgandgApplicationgofgHealthgAssessment

22. ConductinggagHead-to-ToegExamination

23. DocumentinggthegHead-to-ToegHealthgAssessment

24. AdaptinggHealthgAssessmentgtogangIllgPatient

, Chapterg01:gIntroductiongtogHealthgAssessment
Wilson:gHealthgAssessmentgforgNursinggPractice,g6thgEdition


MULTIPLEgCHOICE

1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriagegnursegthatghegisg“having
a heartgattack.”gWhatgisgthegnurse’sgtopgprioritygatgthisgtime?
g g
a. Determinegthegpatient’sgpersonalgdatagandginsurancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitinggroomguntilghisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforgagcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessmentgofgthisgpatientgnow.
ANS:g D
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatient’sg
cardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsogdrivengb
ygpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthisgsituation
,gthesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow’sghierarchygofg
needs,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgtogwait,gthegnursegn
eedsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdeterminegthegpatient’sgheal
thgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmentgisgmadegtoganalyzegthe
gpatient’sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingthisgsituationgatgthisgtime.gS

omegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgmedicalghistorygrelatedgtogcardio
vasculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalgorgmentalghealthgassessmentgisgno
tgagprioritygatgthisgtime.

DIF: CognitivegLevel:gApply REF:gBoxg1-
3g|gp.g3gTOP:g NursinggProcess:gAssessment
MSC:g NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities

2. Whichgsituationgillustratesgagscreeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgthegfirstgtimegandgthegnursegconductsg
agdetailedghistorygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgaglocalgmallgandgprovidesgcholesterolgandgbloo
dgpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergchecksgthegvitalgsignsgofgagpatientgwhogis
complaininggofgleggpain.
d. Agpatientgnewlygdiagnosedgwithgdiabetesgmellitusgcomesgtogtestghisgfastinggbloo
dgglucoseglevel.
ANS:g B