Chapter 06 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Chapter 06 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. The nurse is preparing to assess the remote memory of a client who has a diagnosis of
early stage Alzheimer’s disease. Which question would be most appropriate for the
nurse to use?
A) ìCan you tell me what you have eaten in the last 24 hours?î
B) ìWhen did you get your first job?î
C) ìWhat did you do last evening?î
D) ìHow are an apple and orange the same?î
2. When assessing the mental status of a 67-year-old woman, the nurse detects some
difficulty with free-flow of thought and the woman’s ability to follow directions. Which
of the following would the nurse do first?
A) Use a Geriatric Depression Scale.
B) Refer for further medical evaluation.
C) Assess the client’s vision and hearing.
D) Refer the client to social services for home assistance.
3. The nurse utilizes the Depression Questionnaire on a client who has recently moved to a
long-term care facility. The total score is 22. Which of the following would be most
appropriate for the nurse to do next?
A) Refer for further evaluation.
B) Evaluate benefits versus risks of a mental health label.
C) Assess further for dementia.
D) Document this as a normal score.
4. The nurse notes that an older adult client is wearing multiple layers of clothing on a
warm fall day. Which of the following would be the nurse’s priority assessment at this
time?
A) Asking whether the client often feels cold
B) Assessing the client’s developmental level
C) Reviewing the client’s culture for possible influence
D) Observing the client’s overall hygiene
5. A nurse is working in a clinic in a low-income neighborhood and assesses a female
adult client who states that she has a urinary tract infection. The nurse notes that the
client is unkempt, wearing stained clothing, and has a strong body odor. The client
mentions that she was evicted from her apartment two weeks ago. Which nursing
diagnosis would the nurse most likely identify for this client?
A) Caregiver role strain related to fatigue
B) Impaired skin integrity related to neurologic deficits
C) Deficient fluid volume related to possible urinary tract infection
D) Self-care deficit related to possible homelessness

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