Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data (Review Questions)

After collecting the data, the nurse begins data analysis with which action? a. Clustering data b. Documenting subjective data c. Reporting information to other health team members d. Documenting objective information

a. Clustering data

A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's a. Physiologic status b. Holistic wellness status c. Developmental history d. Level of functioning

a. Physiologic status

Which activity illustrates the concept of primary prevention? a. Monthly breast self-examination b. Annual cervical (Papanicolaou test) examination c. Education about living with asthma d. Exercising three times a week

d. Exercising three times a week

To arrive at a nursing diagnosis or a collaborative problem, the nurse goes through the steps of analysis of data. After proposing possible nursing diagnoses, the nurse should next, a. cluster the data collected. b. draw inferences and identify problems. c. document conclusions. d. check for the presence of defining characteristics.

d. check for the presence of defining characteristics

When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed a. entry b. exploratory c. focused d. comprehensive

d. comprehensive

The result of a nursing assessment is a. prescription of treatment. b. documentation of the need for a referral. c. client's physiologic status. d. formulation of nursing diagnoses.

d. formulation of nursing diagnosis

For which person is a comprehensive assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement

c. The person who is being admitted to a long-term care facility

Which activity illustrates the concept of secondary prevention? a. Annual mammogram b. Nutrition classes on low-fat cooking c. Education on living with diabetes mellitus d. Cardiac rehabilitation after coronary artery bypass surgery

a. Annual mammogram

Before beginning a comprehensive health assessment of an adult client, the nurse should explain to the client that the purpose of the assessment is to a. arrive at conclusions about the client's health b. document any physical symptoms the client may have c. contribute to the medical diagnosis d. validate the data collected

a. arrive at conclusions about the client's health

Although the assessment phase of the nursing process precedes the other phases, the assessment phase is a. continuous b. completed on admission c. linear d. performed only by nurses

a. continuous

Which patient information does the nurse document in the patient's physical assessment? a. Slurred speech b. Immunizations c. Smoking habit d. Allergies

a. Slurred speech

For which person is a shift assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels. c. The person who is being admitted to a long-term care facility. d. The person who is beginning rehabilitation after a knee replacement.

a. The person who had abdominal surgery yesterday

Which is an example of data a nurse collects during a physical examination? a. The patient's lack of hair and shiny skin over both shins b. The patient's stated concern about lack of money for prescriptions c. The patient's complaints of tingling sensations in the feet d. The patient's mother's statements that the patient is very nervous lately

a. The patient's lack of hair and shiny skin over both skins

Which situation illustrates a screening assessment? a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and physical examination. b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons. c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg pain. d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.

b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons.

A community organization sponsors a health fair to increase awareness of colon cancer. At the health fair, colorectal cancer screening kits are distributed, and health care professionals answer questions, take blood pressure, and distribute literature. These activities are examples of _____ prevention. a. Primary b. Secondary c. Tertiary d. Risk factor

b. Secondary

For which person is a screening assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement

b. The person who is unaware of his high serum glucose levels

An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a a. ongoing or partial assessment b. focused or problem-oriented assessment c. emergency assessment d. initial comprehensive assessment

b. focused or problem-oriented assessment

The depth and scope of nursing assessment has expanded significantly over the past several decades primarily because of a. the growing elderly population with chronic illness. b. rapid advances in biomedical knowledge and technology. c. an increase in the number of baccalaureate programs in nursing. d. an increases in the number of nurse practitioners.

b. rapid advances in biomedical knowledge and technology

A nurse is teaching a patient how to manage chronic obstructive pulmonary disease (COPD). This intervention is an example of which level of health promotion? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Risk factor prevention

c. Tertiary prevention

The nurse is preparing to meet a client in the clinic for the first time. After reviewing the client's record, the nurse should a. analyze data that have already been collected b. review any past collaborative problems c. avoid premature judgments about the client d. consult with the client's family members

c. avoid premature judgments about the client

To prepare for the assessment of a client visiting a neighborhood health care clinic, the nurse should first a. discuss the client's symptoms with other team members. b. plan for potential laboratory procedures. c. review the client's health care record. d. determine potential health care resources.

c. review the clients health care record

A patient comes to the emergency department and tells the triage nurse that he is "having a heart attack." What is the nurse's top priority at this time? a. Determine the patient's personal data and insurance coverage. b. Ask the patient to take a seat in the waiting room until his name is called. c. Request that a nurse collect data for a comprehensive history. d. Ask a nurse to start a focused assessment of this patient now.

d. Ask a nurse to start a focused assessment of this patient now.

The nurse documents which information in the patient's history? a. The patient's skin feels warm to the touch. b. The patient is scratching his arm. c. The patient's temperature is 100° F. d. The patient complains of itching.

d. The patient complains of itching

For which person is an episodic or follow-up assessment indicated? a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement

d. The person who is beginning rehabilitation after a knee replacement