Chapter 29 Health & Physical Assessment In Nursing 3rd Edition by Donita T D'Amico

Chapter 29 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: MCMA

The nurse is preparing to perform an interview to obtain information about the client. Which are classified as secondary sources of information?

Standard Text: Select all that apply.

1. The client’s wife.
2. The client’s medical record from his last hospital admission.
3. The client.
4. The client’s daughter.
5. The client’s physical therapist.

Correct Answer: 1, 2, 4, 5

Rationale 1: The client’s wife is an example of a secondary source of information.

Rationale 2: The client’s medical record is an example of a secondary source of information.

Rationale 3: The client is the primary source of information.

Rationale 4: The client’s daughter is an example of a secondary source of information.

Rationale 5: The client’s physical therapist is another member of the client’s health team and is a secondary source of information.

Global Rationale: The client’s wife, daughter, physical therapist, and medical record are all examples of secondary source of information. The client is the primary source of information.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.9. Discuss principles of effective communication.

AACN Essentials Competencies: VII.2. Use inter- and intraprofessional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship Centered Care: Communicate information effectively; Listen openly and cooperatively.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 29.1: Use professional communication skills to gather subjective data in a health history.

MNL Learning Outcome:

Page Number: p. 862

Question 2

Type: MCMA

The nurse is interviewing the client. Which interaction could lead to a communication breakdown between the nurse and client?

Standard Text: Select all that apply.

1. The client is a Native American and the nurse is of Northern European descent.
2. During the interview, the nurse is trying to remember what the healthcare provider asked her to do earlier in the day.
3. The young nurse creates an informal atmosphere to discuss safe sexual practices with a teenaged client.
4. The young nurse uses a serious and respectful tone to discuss erectile dysfunction with an older client.
5. The nurse states, “So, you experience pain with micturition.”

Correct Answer: 1, 2, 5

Rationale 1: Communication has an increased chance of breaking down when the nurse and the client are from different cultures. Some Native Americans believe that direct eye contact is an invasion of privacy and a firm handshake can be an aggressive action. A person of Northern European descent may feel that a person who avoids direct eye contact is untrustworthy and a weak handshake indicates the client has a weak demeanor.

Rationale 2: Communication can break down when the nurse fails to decode the messages by not actively listening to the client.

Rationale 3: It is appropriate for the nurse to create an informal atmosphere when discussing a sensitive topic with a younger client.

Rationale 4: It is appropriate for the young nurse to use a serious and respectful when discussing a sensitive topic with an older client.

Rationale 5: Communication can break down easily when nurses use words that clients do not understand. The nurse should avoid medical jargon.

Global Rationale: Communication has an increased chance of breaking down when the nurse and the client are from different cultures. Some Native Americans believe that direct eye contact is an invasion of privacy and a firm handshake can be an aggressive action. A person of Northern European descent may feel that a person who avoids direct eye contact is untrustworthy and a weak handshake indicates the client has a weak demeanor. Communication can break down when the nurse fails to decode the messages by not actively listening to the client, or by using words that clients do not understand. The nurse should avoid medical jargon. It is appropriate for the nurse to create an informal atmosphere when discussing a sensitive topic with a younger client. It is appropriate for the young nurse to use a serious and respectful when discussing a sensitive topic with an older client.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.9. Discuss principles of effective communication.

AACN Essentials Competencies: VII.2. Use inter- and intraprofessional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship Centered Care: Communicate information effectively; Listen openly and cooperatively.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 29.1: Use professional communication skills to gather subjective data in a health history.

MNL Learning Outcome:

Page Number: p. 862

Question 3

Type: FIB

The client weighs 224 pounds. How many kilograms does the client weigh?

_____ kilograms.

Standard Text: Round to the nearest tenth.

Correct Answer: 101.8 kilograms

Rationale: There are 2.2 pounds in 1 kilogram. The client weighs 224 pounds. The nurse can divide the client’s weight in pounds by 2.2 and determine that the client weighs 101.8181 kilograms. When rounded to the nearest tenth, the client weighs 101.8 kilograms.

Global Rationale: There are 2.2 pounds in 1 kilogram. The client weighs 224 pounds. The nurse can divide the client’s weight in pounds by 2.2 and determine that the client weighs 101.8181 kilograms. When rounded to the nearest tenth, the client weighs 101.8 kilograms.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.B.1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care.

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: Assessment

Learning Outcome: 29.2: Apply knowledge and skill in gathering objective data in a general survey and physical assessment of a patient.

MNL Learning Outcome:

Page Number: p. 862