Chapter 1 - Health Assessment

The nurse discusses ear plugs for a patient with low tone deafness when working in a noisy environment. The nurse is utilizing A. Primary prevention B. Tertiary Prevention C. Secondary Prevention

B. Tertiary Prevention Tertiary prevention decreases the effects of a disease and prevents additional loss. Ear plugs will help decrease further hearing loss.

When answering questions about health during a presentation at a women's club luncheon, the nurse emphasizes that prevention of disease is multifaceted but is connected directly to A. Stress reduction B. Changes in the environment C. A healthy lifestyle D. The absence of disease

C. a healthy lifestyle Education is key to assisting people in making the connection between a healthy lifestyle and the prevention of disease. The absence of disease does not define health. Stress reduction and changes in the environment influence a person's ability to live up to his or her potential as it relates to health.

During a health class, the nurse is emphasizing exercise and healthy eating. The level of prevention being utilized by the nurse is A. secondary prevention B. tertiary prevention C. primary prevention

C. primary prevention Exercise and healthy eating improve wellness and help protect from disease and disability, which is primary prevention.

The nurse tells a newly admitted patient that she is going to do a health assessment to help in planning care and educational needs during the patient's hospital stay. Before the physical examination, the nurse should first A. formulate a plan of care B. make a list of appropriate nursing diagnosis C. take a complete health history D. collect all home medications brought to the hospital

C. take a complete health history The health assessment consists of a physical examination and a health history. Information gathered during the health history may help direct the nurse in doing a more complete physical examination on a specific system.

Mrs. Williams is an 89-year-old independent woman who lives alone and has severe arthritis in her hands. Over the last few months the arthritis has gotten worse and she is concerned because she can no longer clean her apartment. What question by the nurse would gain the most usable information to assist with this concern? A. "Are you friendly with your neighbors?" B. "Have you tried to schedule a cleaning service?" C. "What amount of cleaning have you been doing in the past?" D. "Do you have family who visit you regularly?"

D. "Do you have family who visit you regularly?" Asking if family visit regularly may provide a link to getting them to assist in cleaning the apartment

When the nurse is performing a physical examination on admission of a patient to the medical unit, the patient says the doctor already did an exam. The best response by the nurse would be A. "the doctor's and nurse's assessments are totally unrelated and are necessary so all forms are completed appropriately." B. "each assessment is important and the nurse and doctor will get together to determine what orders need to be written." C. I know it seems repetitive but the doctor is trying to treat the reason you were admitted and I will focus more on getting everything ready for you to go home." D. "the doctor focuses on the treatment of the disease process and the nursing assessment focuses more on the body's response to the disease."

D. "the doctor focuses on the treatment of the disease process and the nursing assessment focuses more on the body's response to the disease." The medical examination focus is on diagnosis and treatment of disease and the nursing examination focuses on the human response.

While assessing a patient, the nurse notes that the patient is more quiet and subdued after a visit from her sister. The nurse would note this under what facet of the assessment process? A. Spiritual B. Social C. Mental D. Emotional

D. Emotional

Staff are talking to the hospital educator and ask about "a government project that is meant to improve the health of people in the United States." The educator bases her response on the knowledge of A. the three levels of preventative care B. the nursing process C. the Department of Health and Human Services D. Healthy People 2020

D. Healthy People 2020 Healthy People 2020 is a government project intended to increase the quality of life for people in the United States.

When planning a community program related to Healthy People 2020, the critical first step involves A. define the community B. planning an introductory program for the community C. formulate questions to ask community leaders D. assess the community

D. assess the community To determine what is needed in a program, the community must first be defined to narrow the focus and plan specific interventions.