Chapter 26 Assessment

Chapter 26  Assessment

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When performing a client’s nursing health history, the nurse should place the primary focus on which areas?
a.
functional health patterns, alterations in lifestyle, and responses to changes in health status
b.
health teaching needs
c.
objective data, which will aid in the diagnosis of the illness
d.
symptoms and progression of disease or injury

ANS: A
The focus of the nursing health history is the client’s functional health patterns, responses to changes in health status, and alterations in lifestyle, while the physician’s focus is on the client’s symptoms and disease processes.

PTS: 1 DIF: Comprehension REF: White (2010)

2. The MOST appropriate time for a nurse to complete the initial nursing assessment of a client admitted to a health care facility is:
a.
prior to admission by the office or clinic nurse
b.
within 8 hours of admission
c.
after the first 24 hours or the acute phase of health care has passed
d.
just before the client’s discharge to home or to a rehabilitation center

ANS: B
The initial nursing assessment generally occurs within the first 8 hours of the client’s admission and continues throughout the stay.

PTS: 1 DIF: Comprehension REF: White (2010)

3. The client is admitted in an emergency situation. The nurse is aware that the client’s health history should be obtained:
a.
after the emergency has passed
b.
while the client is undergoing medical treatment for the emergency
c.
before the physical assessment, as is usually done
d.
within the physical examination

ANS: D
Usually the health history is obtained before the physical examination, but in emergency situations or when performing care in a health care facility after the initial admitting assessment, it will be necessary to incorporate history-taking into the physical examination.

PTS: 1 DIF: Comprehension REF: White (2010)

4. In addition to demographic information and client and family medical history, a client’s health history should contain which of these data?
a.
type of health insurance coverage
b.
reason for seeking health care and perception of health status
c.
recent diagnostic tests performed
d.
completion of advance directives

ANS: B
A client’s health history should contain demographic information and client and family medical history, the reason for seeking health care and perception of health status.

PTS: 1 DIF: Comprehension REF: White (2010)

5. What is the rationale for using the head-to-toe format when performing a physical examination?
a.
It is systematic and thorough.
b.
Nurses do not use the medical model of physical assessment.
c.
The body systems format is difficult to remember.
d.
Most clients prefer it.

ANS: A
The head-to-toe format is used when performing a physical examination, as it provides a systematic and thorough assessment of the client’s information.

PTS: 1 DIF: Comprehension REF: White (2010)