Question 1

The patient's record,laboratory studies,objective data,and subjective data combine to form the:

Accepted Answer

A) database. 
B) admitting data. 
C) financial statement. 
D) discharge summary. 
A) database. 
B) admitting data. 
C) financial statement. 
D) discharge summary.

Question 2

What is the step of the nursing process that includes data collection by health history,physical examination,and interview?

Accepted Answer

A) Planning 
B) Diagnosis 
C) Evaluation 
D) Assessment 
A) Planning 
B) Diagnosis 
C) Evaluation 
D) Assessment

Question 3

A newly admitted patient is in acute pain,has not been sleeping well lately,and is having difficulty breathing.How should the nurse prioritize these problems?

Accepted Answer

A) Breathing,pain,sleep 
B) Breathing,sleep,pain 
C) Sleep,breathing,pain 
D) Sleep,pain,breathing 
A) Breathing,pain,sleep 
B) Breathing,sleep,pain 
C) Sleep,breathing,pain 
D) Sleep,pain,breathing

Question 4

Second-level priority problems include which of the following?

Accepted Answer

A) Low self-esteem 
B) Lack of knowledge 
C) Abnormal laboratory values 
D) Severely abnormal vital signs 
A) Low self-esteem 
B) Lack of knowledge 
C) Abnormal laboratory values 
D) Severely abnormal vital signs

Question 5

When nursing diagnoses are being classified,which of the following would be considered a risk diagnosis?

Accepted Answer

A) Identifying existing levels of wellness 
B) Evaluating previous problems and goals 
C) Identifying potential problems the individual may develop 
D) Focusing on strengths and reflecting an individual's transition to higher levels of wellness 
A) Identifying existing levels of wellness 
B) Evaluating previous problems and goals 
C) Identifying potential problems the individual may develop 
D) Focusing on strengths and reflecting an individual's transition to higher levels of wellness

Question 6

Which statement about nursing diagnoses is true? They:

Accepted Answer

A) evaluate the etiology of disease. 
B) are a process based on the medical diagnosis. 
C) evaluate the response of the whole person to actual or potential health problems. 
D) focus on the function and malfunction of a specific organ system in response to disease. 
A) evaluate the etiology of disease. 
B) are a process based on the medical diagnosis. 
C) evaluate the response of the whole person to actual or potential health problems. 
D) focus on the function and malfunction of a specific organ system in response to disease.

Question 7

Why is the concept of prevention essential in describing health?

Accepted Answer

A) Disease can be prevented by treating the external environment. 
B) The majority of deaths among Americans under age 65 years are not preventable. 
C) Prevention places emphasis on the link between health and personal behavior. 
D) The means to prevention is through treatment provided by primary health care practitioners. 
A) Disease can be prevented by treating the external environment. 
B) The majority of deaths among Americans under age 65 years are not preventable. 
C) Prevention places emphasis on the link between health and personal behavior. 
D) The means to prevention is through treatment provided by primary health care practitioners.

Question 8

Which statement illustrates the biomedical model of Western traditional views?

Accepted Answer

A) Health is viewed as the absence of disease. 
B) Optimal health is viewed as high-level wellness. 
C) Health and disease are considered a cyclical process. 
D) The treatment of disease is nursing's primary focus. 
A) Health is viewed as the absence of disease. 
B) Optimal health is viewed as high-level wellness. 
C) Health and disease are considered a cyclical process. 
D) The treatment of disease is nursing's primary focus.

Question 9

An example of objective information obtained during the physical assessment includes the:

Accepted Answer

A) patient's history of allergies. 
B) patient's use of medications at home. 
C) last menstrual period 1 month ago. 
D) 2 $\times$ 5 cm scar present on the right lower forearm. 
A) patient's history of allergies. 
B) patient's use of medications at home. 
C) last menstrual period 1 month ago. 
D) 2 $\times$ 5 cm scar present on the right lower forearm.

Question 10

Which of the following would be formulated by a nurse using diagnostic reasoning?

Accepted Answer

A) Nursing diagnosis 
B) Medical diagnosis 
C) Diagnostic hypothesis 
D) Diagnostic assessment 
A) Nursing diagnosis 
B) Medical diagnosis 
C) Diagnostic hypothesis 
D) Diagnostic assessment

Question 11

MATCHING
Put the following patient situations in order according to level of priority:

-C = third-level priority problem

Accepted Answer

A) A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. 
B) A teenager who was stung by a bee during a soccer match is having trouble breathing. 
C) An older adult with a urinary tract infection is also showing signs of confusion and agitation. 
A) A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. 
B) A teenager who was stung by a bee during a soccer match is having trouble breathing. 
C) An older adult with a urinary tract infection is also showing signs of confusion and agitation.

Question 12

The nursing process is a sequential method of problem solving that includes which five steps?

Accepted Answer

A) Assessment,treatment,evaluation,discharge,follow-up 
B) Admission,assessment,diagnosis,treatment,discharge planning 
C) Admission,diagnosis,treatment,evaluation,discharge planning 
D) Assessment,diagnosis,planning,implementation,evaluation 
A) Assessment,treatment,evaluation,discharge,follow-up 
B) Admission,assessment,diagnosis,treatment,discharge planning 
C) Admission,diagnosis,treatment,evaluation,discharge planning 
D) Assessment,diagnosis,planning,implementation,evaluation

Question 13

After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:

Accepted Answer

A) objective. 
B) reflective. 
C) subjective. 
D) introspective. 
A) objective. 
B) reflective. 
C) subjective. 
D) introspective.

Question 14

MATCHING
Put the following patient situations in order according to level of priority:

-B = second-level priority problem

Accepted Answer

A) A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. 
B) A teenager who was stung by a bee during a soccer match is having trouble breathing. 
C) An older adult with a urinary tract infection is also showing signs of confusion and agitation. 
A) A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. 
B) A teenager who was stung by a bee during a soccer match is having trouble breathing. 
C) An older adult with a urinary tract infection is also showing signs of confusion and agitation.

Exam 1: Critical Thinking in Health Assessment

The patient's record,laboratory studies,objective data,and subjective data combine to form the:

What is the step of the nursing process that includes data collection by health history,physical examination,and interview?

A newly admitted patient is in acute pain,has not been sleeping well lately,and is having difficulty breathing.How should the nurse prioritize these problems?

Second-level priority problems include which of the following?

When nursing diagnoses are being classified,which of the following would be considered a risk diagnosis?

Which statement about nursing diagnoses is true? They:

Why is the concept of prevention essential in describing health?

Which statement illustrates the biomedical model of Western traditional views?

An example of objective information obtained during the physical assessment includes the:

Which of the following would be formulated by a nurse using diagnostic reasoning?

MATCHING Put the following patient situations in order according to level of priority: -C = third-level priority problem

The nursing process is a sequential method of problem solving that includes which five steps?

After completing an initial assessment on a patient,the nurse has charted that his respirations are eupneic and his pulse is 58.This type of data would be:

MATCHING Put the following patient situations in order according to level of priority: -B = second-level priority problem

Developmental Tasks and Health Promotion Across the Life Cycle

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Status Assessment

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Pain Assessment: the Fifth Vital Sign

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

Functional Assessment of the Older Adult

Filters