Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data

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(n) A. Focused or problem-oriented assessment B. Ongoing or partial assessment. C. Emergency assessment. D. Initial comprehensive assessment.

A. Focused or problem-oriented assessment

Revising the plan as needed occurs in what part of the nursing process? A. Assessment B. Diagnosis C. Planning D. Evaluation

D. Evaluation

The nurse is exhibiting critical thinking in which client care situation? A. Transcribing medication orders onto the nurse's medication administration record. B. Notifying the healthcare provider of a critical lab result. C. Answering the client's call bell alarm while the nursing assistant is at lunch. D. Performing a focused assessment on a client who is complaining of shortness of breath.

D. Performing a focused assessment on a client who is complaining of shortness of breath.

The nurse reviews data collected while completing a comprehensive assessment with a client. Which information should the nurse identify as being subjective data? A. Follows a Kosher diet B. Heart rate 72 and regular C. Hemoglobin level 9.9 mg/dL D. Skin warm and dry

A. Follows a Kosher diet

An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's room and encourages the client to use the incentive spirometer ten times every hour. What is this action an example of? A. Nursing intervention B. Nursing goal C. Nursing evaluation D. Nursing assessment

A. Nursing Intervention

A nursing instructor is trying to convince the class of the importance of assessment skills in nursing. In discussing the future of the nursing profession, which factors should stressed that will promote opportunities for nurses with advanced assessment skills? Select all that apply. A.Declining health care needs of single parents B. Increasing complexity of acute care C. Declining numbers of medical students due to rising costs and focus on primary care D. Growing aging population with complex comorbidities E. Increasing impact of children and the homeless on communities

B, C, D, E

During a health assessment the nurse learns that a client lives in an urban area with a high crime rate. Which category of health is affecting this client? A. Physical B. Environmental C. Social well-being D. Developmental level

B. Environmental

The result of a nursing assessment is the A. Prescription of treatment B. Client's physiologic status C. Formulation of nursing diagnoses D. Documentation of the need for a referral.

C. Formulation of nursing diagnoses

As a nurse becomes more proficient and comfortable in his or her role, what increases? A. Confidence and knowledge base B. Time management and confidence C. Knowledge base and expertise D. Expertise and time management

C. Knowledge base and expertise

A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial assessment? A. To perform a rapid assessment for prompt treatment B. To collect subjective data related to the client's overall health C. To determine any changes from the baseline data D. To evaluate whether outcomes of treatment are met

C. To determine any changes from the baseline data