Nursing Health Assessment A Clinical Judgment Approach 4th Edition – Test Bank

Chapter 01: The Nurse’s Role in Health Assessment

1. What is one of the broad goals wit

A. To provide cost effective care

To form beood surving dagnoses

C. To promote self-cme

D. Tota

ANS: D

Feedback: Four broad goals are with nursing (1) no promote health state of grimall functioning or well being with physical, social, and mental components), (2) to preve (7) to treat human responses to health, and (4) to advocate for individuals, families, communities, and populations. The other options listed anot broad goals. Nursing, focuses on promoting health while cost-effective care is strive for, is not a part of the broad goal, therefore, this is not a broad goal within nursing. Nurung looks to develop specific dignosno broad Promoting self-care is important, but do not соlу the question

PTS 1

REF: p.4

OU: 1

NAT: Chest Needs Safe Effective Care Environment Management of Care

TOP. Chapter 1: The Nurse’s Role in Health Assessment

Process Caring

BLM Cognitive Level Remember

NOT: Multiple Choice

2. What do nursing activities that promote health and prevent disease accomplishSelect

all that apply)

A Reduce the f

B. Maintain optimal functioning

C. Reindoece good habits

D. Optimize self-carebis

Create home care safety

ANS: A.B.C

Feedback: Nursing activities that promote health and prevent illness reduce the risk of disease, reinforce good habits, and maintain optimalfunctioning. They do not optimiz self-care abilities of come home саrе sабету.

PTS 1

REF: 4

NAT: Cent Needs Health Promotion and Maintenance

TOP Chapter 1: The Nurse’s Role in Health Assessment

KEY: Integrated Process: Teaching Learning

NOT: Multiple Select

BLM Cognitive Level Analyze

3. The purpose of a health assessment includes what? Select all apply

A. Iounifying the client’s majorisгам зооги

Collecting information about the health status of the

C. Clanfying the client’s ability to gay for healthcare

Synthesizing collected data

Test Banking

(2007)

ANS: B, D, E

Frock Health assessment is “gathering information about the health status of the clint, analyzing and synthesizing those making judgment about using interventions based on the findings and evaluating client care outcomes” (AACN, 2008) Whether may elicifinancial information and information about косен during health essment, the purposes of the activity are not to identify the client’s major багаsе process or ability to pay

PTS 1

REF:

NAT: Client Need Safe, Elflective Care Environment: Management of Carr

TOP Chapter 1: The Nurse’s Role in th

KEY: Integrated Procuring

NOT: Multiple Select

BLM: Cognitive Level Analyze

4. The nurse is conducting a physical assessment. The data the nursewood collectvary

depending on what? A. How much time the nurse las

8. Те ночофциенц

C. The client’s cooperation

D. Out of custom

ANS: B

Feedback: Data that collect during a physical asмените загуберending on a client’s acuity (condition), health history, and current symptoms. The data collected during a ghysical assessment do not depend on how much time the nurse has, how cooperative the client is, or the onset of the current symptoms

PTS 1

OBJ 2

NAT: Chinese Effective Care Environment Management of Care

TOP Chapter 1: The Nurse’s Role in Health Assessment

KEY: Processing

BLM: Cognitive Level: Apply

NOT: Multiple Choior

5. A nursing instructor is discussing the purposes of health assessment. What is one purpose of health assessme

A. To establish which subsequent assessments can be d

To establish rapport with the candy

C. To gather information for specialists to whom the client might be ref

D. To quantify the degree of pain client may be experiencing

ANS: A

Feedbacksperted to gain further insight into the cumest condition and toe that subsequentements can be d against

PTS

REF: p.7

NAT: Client Nefective Care Environment Management of Care

TOP Chapter 1: The Nurse’s RoleAssessment

KEY: Integrated Processing Poo

BLM: Cognitive Level Apply

21Page

How do nueves facilitate the achievement of high level wellness with a client?

A. Encouraging the client to keep appointments

8. Providing the client information on alternative treat

C. Promoting health in the chent

D. Providing good client carr

ANS: C

Feedback High-level wellness is a process by which people maintain balance and darction in the most faileen Thereof resisto fact achievement through health promotion and teaching Nurses do not facilitate the achievement of high-level by encouraging clito kappoints providing information on alternative treatments, or providing “good” client care.

PTS 1

REF: p.6

OBJ: 3

NAT: ChNeeds Health Promotion and Mac

TOP Chapter 1: The Nurse’s Role

KEY:egrated Process Caring

BLM Cognitive Level Undentand

NOT: Multiple Choice

7. The nurse in caring for a client who the uum between wellness and leis moving towardless and premature death. How would the nurse know this to be true?

A. The client stop doing well-promoting activiti

The client develops signs and symptoms

C. The client begin exercising

D. The client verbalizes anxiety over the cost of medications

ANS: B

Froack The person who moves soward illness and premature death develop s symptoms, and disability, which, unfortunately, whereas in the current health care system. The client may shop doing wellness promoting and not sell the nurse of this fact, which makes “The client stoga doing well-promoting activities income “The chest begins exercising incomect because a client who begins exercising in moving toward wellness, nolls “The client verbalis anxiety over the cost of medications” is incorrect because the verbalization of tyver Sancial mattersonic

975 1

REF: p.6

OU: 3

NAT: Chet Neda Effective Care Environment: Management of Carr

TOP Chapter 1: The Nurse’s Role in Health Ass

KEY: Integrated Caring

BLM Cognitive Level: Understand

8. A sue is writing a care plan for a newly admited client Whethe diagnostics in the care an, what would the

A Rationale

B. Amican Nurses Association ocation

С. Physical asennia

D. Diagnostic masoning