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Week 1 Ch.1 & 2 Quiz
Health Assessment Ch.1 & 2 Study Material
| Question | Answer |
|---|---|
| A patient is admitted to the medical-surgical unit with a diagnosis of hypertension. The nurse is using the nursing process to develop the plan of care. In which order does the nurse implement the steps of the nursing process? Assess, identify outcomes, plan, implement, evaluate, follow-up Admit, diagnose, identify outcomes, implement, discharge follow-up Admit, assess, diagnose, evaluate, discharge, follow-up Assess, diagnose, identify outcomes, plan, implement, evaluate | Assess, diagnose, identify outcomes, plan, implement, evaluate |
| The nurse is documenting the findings from a health assessment. Which example of data documentation reflects the opinion of the nurse? The patient states, “I do not want to get out of bed.” The patient is uncooperative and unfriendly. The patient states, “I am very angry.” The patient avoids eye contact. | The patient is uncooperative and unfriendly. |
| The nurse is assessing a patient for the first time in the outpatient diabetic clinic. A ____________ type of health assessment would be most appropriate for this visit. shift assessment comprehensive health assessment episodic follow-up assessment focused assessment | comprehensive health assessment |
| A patient complains of a cough for 4 days unrelieved with position changes. The nurse interprets this as a symptom and documents the finding under ____________ on the patient’s chart. history the nursing care plan vital signs assessment | history |
| The nurse is administering an influenza (flu) immunization to a patient. This immunization provides what level of prevention for this patient? Primary Tertiary Post-secondary Secondary | Primary |
| A patient tells the nurse that he has had a headache and nausea for 3 days. Which type of assessment should the nurse perform? Episodic follow-up assessment Comprehensive health assessment Focused assessment Shift assessment | Focused assessment |
| The _______ refers to the circumstances or situations related to the health care delivery. This may be related to the setting or environment; it might relate to physical, psychological, or socioeconomic circumstances involving patients, or the expertise of the nurse. body systems assessment health promotion interventions nursing process context of care | context of care |
| The nurse is analyzing objective information obtained during the health history. Which data should be included? Surgical history Vital signs Social history Pain assessment Review of systems | Vital signs |
| The nurse is incorporating the principles of the quality and safety competencies from the Institute of Medicine (IOM) recommendations into the health assessment of a patient in the long-term care setting. Place the patient at the center of care. Use technologies and informatics in delivering care. Evaluate the plan of care. Include other disciplines in the plan of care. Use a step-by-step approach to problem solving. Use evidence to support interventions. | Place the patient at the center of care Use technologies and informatics in delivering care Use a step-by-step approach to problem solving. |
| The student nurse is preparing to assess a patient in the hospital setting. Which components best describe the concept of health assessment? Collecting objective data Identifying nursing diagnoses Plan care Collecting subjective data Analyzing data Documenting data | Collecting objective data Collecting subjective data Analyzing data Documenting data |
| When conducting an initial interview with a patient, how does the nurse organize the data collection? Collect objective and subjective data, ask patient to clarify data collected, and plan for next steps. Establish the interview’s purpose, collect patient data, and summarize data obtained. Greet the patient, maintain patient-centered discussion, and use various techniques to collect data. Describe the purpose of the interview, summarize data with the patient, and allow patient to clarify data. | Establish the interview’s purpose, collect patient data, and summarize data obtained. |
| The nurse is assessing a patient’s health promotion practices related to activity. Which question best facilitates discussion about the patient’s exercise practices? “Tell me what form of exercise you do on a daily basis?” “Do you keep in shape?” “Do you exercise during the week?” “What do you do to get exercise?” | What do you do to get exercise |
| What type of data do nurses collect when interviewing patients for health histories? Objective data Subjective data Recent data Secondary data | Subjective data |
| The nurse is conducting an interview with a patient who is mentally challenged. The nurse knows that ____________ assessment is the preferred method for this interview. comprehensive focused health risk family | focused |
| The nurse needs to assess a patient’s risk for sexually transmitted diseases. What technique shows the most sensitivity? “Statistics show an increase in sexually transmitted diseases. Would you more like information?” “Has anyone talked to you recently about your risk for a sexually transmitted diseases?” “Many people have questions regarding sexually transmitted diseases. What questions do you have?” “How would you rate your risk of sexually transmitted disease?” | “Many people have questions regarding sexually transmitted diseases. What questions do you have?” |
| In the introduction phase of the interview, the nurse asks why the patient came into the clinic. This phase is known as the __________________________. present health status biographic data history of present illness review of systems | history of present illness |
| As a patient is describing his current symptoms, the nurse uses a symptom analysis to collect additional data. What is the best description of symptom analysis? A way to document a comprehensive interview Interview data collected through the use of an interpreter A method of collecting data about a patient’s past medical history Specific data collected related to the patient’s chief complaint | Specific data collected related to the patient’s chief complaint |
| A patient is very talkative and shares much information that is not relevant to his history or the reason for his admission. Which action by the nurse improves data collection in this situation? Terminate the interview. Ask the patient to stay on the subject. Ask another nurse to complete the interview. Use close-ended questions. | Use close-ended questions. |
| Which factors will most likely affect a positive interview process and therapeutic communication? (Select all that apply.) Select all that apply. Conducting a fast, efficient interview Asking how the patient is feeling today Obtaining the patient’s history Maintaining privacy Obtaining answer to questions in advance Asking open-ended questions | Asking how the patient is feeling today Maintaining privacy Asking open-ended questions |
| Health Assessment Ch.1 & 2 Study Material Jamie Garrison |
Created by:
PRO Teacher
garrisonjr84