Chapter 04 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Chapter 04 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. A nurse is completing the intake assessment of an older adult who has just relocated to a
long-term care facility. Which of the following nursing actions would be most important
to ensure accurate data when gathering the resident’s information?
A) Documenting the data
B) Validating the data
C) Identifying client support systems
D) Determining client needs
2. A nurse is assessing a female client whose worsening sciatica has prompted her to seek
care. Which of the client’s following statements would the nurse most likely need to
validate?
A) ìI don’t generally have problems with pain.î
B) ìI feel very weak and tired right now.î
C) ìI’ve had two cesarean deliveries.î
D) ìMy mother died of breast cancer in her sixties.î
3. A client who had a mastectomy is being discharged home on postoperative day 1.
Knowing that the client lives alone, which data would be most important for the nurse to
validate for this client?
A) If the client has transportation for follow-up appointments
B) If the client usually functions independently
C) What support systems are in place to assist the client
D) If the client has a religious belief regarding illness
4. When describing the importance of documenting initial assessment data to a group of
new nurses, which of the following would the nurse emphasize as the primary reason?
A) Health care institutions have established policies regarding documentation.
B) Incorrect conclusions may be made without documentation of the nurse’s opinions.
C) It satisfies legal standards established by health care organizations and institutions.
D) It becomes the foundation for the entire nursing process.
5. A nurse has documented the nursing history and physical examination of a client. This
health information is best described as which of the following?
A) Subjective data and objective data
B) Interpretation and inference
C) Observation and inspection
D) Data and results

Answer Key
1. B
2. A
3. C
4. D
5. A