Chapter 8--Health Assessment

Chapter 8–Health Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is brought to the emergency department with injuries sustained from a motor vehicle accident. The nurse will conduct which of the following types of health assessments?

1.	Focused
2.	Comprehensive
3.	Emergency
4.	Follow-up

 

 

ANS:  3

An emergency assessment is a rapid assessment of a client who is experiencing a life-threatening problem or crisis. A focused assessment is limited in scope to focus on a particular need or health care problem or potential health care risk. A comprehensive assessment is usually completed on admission to a health care agency or first visit to a health care provider. A follow-up assessment is also considered an ongoing assessment that includes systematic monitoring and observation related to specific health problems or risk factors.

 

PTS:   1                    DIF:    Apply            REF:   Types of Assessment

 

2. The nurse is collecting data for a comprehensive assessment. Data that can be seen, heard, or felt by someone other than the person experiencing them are called:

1.	primary.
2.	objective.
3.	subjective.
4.	secondary.

 

 

ANS:  2

Objective data (signs) can be seen, heard, and/or felt by someone else. Subjective data (symptoms) rely on the feelings or opinions of the person experiencing them. Primary and secondary refer to the sources of data.

 

PTS:   1                    DIF:    Understand    REF:   Types of Data

 

3. A recently admitted client answers all health assessment questions clearly and provides the necessary information. The nurse realizes that this assessment data is considered:

1.	primary.
2.	objective.
3.	subjective.
4.	secondary.

 

 

ANS:  1

The primary source of data is the patient. Secondary sources are those sources that are not from the patient (i.e., family and significant others).Objective and subjective refer to the types of data.

 

PTS:   1                    DIF:    Analyze         REF:   Sources of Data

 

4. A client is complaining of a headache and an upset stomach. The nurse realizes that this type of data is:

1.	primary.
2.	objective.
3.	subjective.
4.	secondary.

 

 

ANS:  3

Subjective data referred to as “symptoms” cannot be readily observed by another. Objective data are measurable and observable. Primary and secondary refer to the sources of data.

 

PTS:   1                    DIF:    Analyze         REF:   Types of Data

 

5. The nurse is beginning the introductory portion of the health interview process. This part of the assessment is considered the:

1.	orientation phase.
2.	initiation phase.
3.	working phase.
4.	closure phase.

 

 

ANS:  1

The orientation phase is the beginning of a nurse-patient interview. The orientation phase sets the relationship and establishes the goals for the interaction. The working phase of the interview focuses on the details of data collection. The closure phase is a time for review and evaluation of the progress of the interventions toward the intended goals. Initiation is not a phase in the interview process.

 

PTS:   1                    DIF:    Understand    REF:   Phases of the Interview Process