NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 01: The Complete Health Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
____ 1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
| 1) | Divergent thinking |
| 2) | Reasoning |
| 3) | Creativity |
| 4) | Reflection |
____ 2. The primary level of preventive health care focuses on which topic?
| 1) | Health promotion |
| 2) | Early detection |
| 3) | Promotion intervention |
| 4) | End-of-life care |
____ 3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
| 1) | Pain rating of 4 on a 1 to 10 numeric scale |
| 2) | New diagnosis of type 2 diabetes mellitus (DM) |
| 3) | Blood pressure of 130/90 mmHg |
| 4) | Pulse oximetry reading of 73% |
____ 4. Which type of skill is most important when performing a physical assessment?
| 1) | Psychomotor |
| 2) | Interpersonal |
| 3) | Ethical |
| 4) | Affective |
____ 5. Which activity is an example of secondary prevention?
| 1) | Wound débridement |
| 2) | Immunization |
| 3) | Preoperative teaching |
| 4) | Long-term nasogastric feedings |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 1, The Complete Health Assessment
Chapter learning objective: N/A
Chapter page reference: 1
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Knowledge [Remembering]
Concept: Assessment, Critical Thinking
Difficulty: Easy
| Feedback | |
| 1 | Divergent thinking allows the nurse to analyze different points of view. |
| 2 | Reasoning allows the nurse to differentiate fact from assumptions. |
| 3 | Critical thinking is a thinking process that is used during the assessment process. Creativity is a critical thinking skill that allows the nurse to think outside of the box. |
| 4 | Reflection allows the nurse to step back and consider “if…then” possibilities. |
PTS: 1 CON: Assessment | Critical Thinking
Chapter number and title: 1, The Complete Health Assessment
Chapter learning objective: N/A
Chapter page reference: 2
Integrated Processes: Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
| Feedback | |
| 1 | There are three levels of preventive health care. Primary prevention focuses health promotion. |
| 2 | Secondary prevention focuses on early detection, prompt intervention, and health maintenance. |
| 3 | Secondary prevention focuses on prompt intervention and health maintenance. |
| 4 | Tertiary prevention focuses on rehabilitation, extended care, and end-of-life care. |
PTS: 1 CON: Promoting Health
Chapter number and title: 1, The Complete Health Assessment
Chapter learning objective: N/A
Chapter page reference: 3
Integrated Processes: Nursing Process: Planning
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Analysis [Analyzing]
Concept: Assessment
Difficulty: Moderate
| Feedback | |
| 1 | A pain rating of 4 on a 1 to 10 scale is secondary data. This finding requires prompt attention to prevent further progression or deterioration. |
| 2 | A new diagnosis of type 2 DM is tertiary data that is important but does not require immediate intervention. Tertiary data often requires patient teaching. |
| 3 | A slightly elevated blood pressure is secondary data. This finding requires prompt attention to prevent further progression or deterioration. |
| 4 | Primary data is anything that is a life threatening problem. A pulse oximetry reading of 73% indicates the blood is not being oxygenated appropriately and requires an immediate intervention to correct the problem. |
PTS: 1 CON: Assessment
Chapter number and title: 1, The Complete Health Assessment
Chapter learning objective: N/A
Chapter page reference: 2
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Assessment
Difficulty: Easy
| Feedback | |
| 1 | The psychomotor skills are inspection, palpation, percussion, and auscultation. These are considered the most important assessment skills. |
| 2 | Interpersonal skills are assessment skills, but they are not considered to be the most important assessment skills. |
| 3 | Ethical skills are assessment skills, but they are not considered to be the most important assessment skills. |
| 4 | Affective skills are assessment skills, but they are not considered to be the most important assessment skills. |
PTS: 1 CON: Assessment
Chapter number and title: 1, The Complete Health Assessment
Chapter learning objective: N/A
Chapter page reference: 2
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive level: Application [Applying]
Concept: Promoting Health
Difficulty: Moderate
| Feedback | |
| 1 | Wound care, including wound débridement, is an example of secondary prevention. |
| 2 | Immunization is an example of primary prevention. |
| 3 | Preoperative teaching is an example of tertiary prevention. |
| 4 | Long-term nasogastric feedings are an example of tertiary prevention. |
PTS: 1 CON: Promoting Health
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