Chapter 25 Health & Physical Assessment In Nursing 3rd Edition by Donita T D'Amico

Chapter 25 Health & Physical Assessment In Nursing 3rd Edition by Donita T D’Amico

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse is caring for a client with a right femur fracture. Which type of bone does the nurse identify the femur as when discussing the fracture with the client?

1. Short.
2. Long.
3. Flat.
4. Irregular.

Correct Answer: 2

Rationale 1: Bones are classified according to shape and composition. Short bones include the carpals and tarsals.

Rationale 2: Bones are classified according to shape and composition. Long bones include the femur and humerus.

Rationale 3: Bones are classified according to shape and composition. Flat bones include the parietal skull bone and sternum.

Rationale 4: Bones are classified according to shape and composition. Irregular bones include the vertebrae and hips.

Global Rationale: Bones are classified according to shape and composition. Long bones include the femur and humerus; short bones include the carpals and tarsals; flat bones include the parietal skull bone and sternum; and irregular bones include the vertebrae and hips.

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25.1: Describe the anatomy and physiology of the bones, muscles, and joints.

MNL Learning Outcome: 10.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 686

Question 2

Type: MCMA

The client is recovering from orthopedic surgery on a fractured arm. When discussing the effects of the fracture with the client, which skeletal bone functions will the nurse include in the teaching session?

Standard Text: Select all that apply.

1. Provide a body framework.
2. Provide movement.
3. Maintain posture.
4. Generate heat.
5. Calcium storage.

Correct Answer: 1, 5

Rationale 1: The skeletal bones provide a framework for the body.

Rationale 2: Skeletal muscles, not bones, provide movement, maintain posture, and generate heat.

Rationale 3: Skeletal muscles, not bones, provide movement, maintain posture, and generate heat.

Rationale 4: Skeletal muscles provide movement, maintain posture, and generate heat.

Rationale 5: The skeletal bones provide a framework for the body, and they store minerals such as calcium and phosphorus.

Global Rationale: Skeletal bones provide a framework for the body and they store minerals such as calcium and phosphorus. It is the skeletal muscles that provide movement, maintain posture, and generate heat.

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25.1: Describe the anatomy and physiology of the bones, muscles, and joints.

MNL Learning Outcome: 10.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 686

Question 3

Type: MCSA

The nurse is providing care to a client whose chief complaint is pain in the right foot. During the physical assessment, the nurse notes a deviation of the great toe from the midline and crowding of the remaining toes. There is also enlargement and inflammation noted in the area. Based on this data, which condition does the nurse suspect?

1. Flat foot.
2. Gouty arthritis.
3. Hammertoe.
4. Bunion.

Correct Answer: 4

Rationale 1: In pes planus, or flat foot, the arch of the foot is flattened, sometimes coming in contact with the floor.

Rationale 2: The toes are common sites for gouty arthritis. In this condition the metatarsophalangeal joint of the toe is swollen, hot, red, and extremely painful. There is no deviation of the toes.

Rationale 3: Hammertoe produces flexion of the proximal interphalangeal joint of a toe. The distal metatarsophalangeal joint hyperextends.

Rationale 4: A hallux valgus, or bunion, causes a deviation of the great toe from the midline, and crowding of the remaining toes. This crowding results in deviation. The metatarsophalangeal joint and bursa become enlarged and inflamed.

Global Rationale: A hallux valgus, or bunion, causes a deviation of the great toe from the midline, and crowding of the remaining toes. The metatarsophalangeal joint and bursa become enlarged and inflamed. In pes planus, or flat foot, the arch of the foot is flattened, sometimes coming in contact with the floor. In gouty arthritis the metatarsophalangeal joint of the great toe is swollen, hot, red, and extremely painful. Hammertoe produces flexion of the proximal interphalangeal joint of a toe, while the distal metatarsophalangeal joint hyperextends.

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice.

AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 25.2: Discuss the directional movements of the joints.

MNL Learning Outcome: 10.1.1. Correlate the anatomy and physiology to the landmarks that direct physical assessment.

Page Number: p. 729