Physical Assessment Chapter 1:
Introduction to Health Assessment 2022
The nurse is completing an assessment on a new client at the community health
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clinic and would like to screen the client's cognitive ability. There are many resources
that provide screening tools for nurses. Which agency would be most helpful in
directing the nurse to a screening tool to assess the client's cognitive ability? -
Correct Answer- the American Heart Association (AHA)
The nurse is analyzing the data obtained from the following clients. Which client
would the nurse expect to facilitate a referral? - Correct Answer- A 50-year-old client
newly diagnosed with diabetes
The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which client would the nurse determine to be in most need of an
emergency assessment? - Correct Answer- A 45-year-old man with chest pain and
diaphoresis for 1 hour
During a health class, the nurse is emphasizing exercise and healthy eating. The
level of prevention being utilized by the nurse is - Correct Answer- primary
prevention
After receiving morning report the nurse prepares to assess a client who was
admitted the day before. Which type of assessment will the nurse complete at this
time? - Correct Answer- Ongoing
An assessment of a client who already has a complete recorded database in the
system and returns to the health care agency with a specific health concern is
referred to as a(n) - Correct Answer- focused or problem-oriented assessment.
During a health assessment the nurse learns that a client lives in an urban area with
a high crime rate. Which category of health is affecting this client? - Correct Answerenvironmental
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - Correct Answer- Reassess previously detected
problems
A nurse is conducting a health assessment. How will the information collected from
the client be used? - Correct Answer- as a basis for the nursing process
Staff are talking to the hospital educator and ask about "a government project that is
meant to improve the health of people in the United States." The educator bases her
response on the knowledge of - Correct Answer- Healthy People 2020
The nurse notes that an intervention provided to a client for a specific health problem
was not effective. The nurse continues to monitor and care for the client. Which type
of assessment is the nurse performing? - Correct Answer- ongoing or partial
assessment
A nurse will complete an initial comprehensive assessment of a 60-year-old client
who is new to the clinic. What goal should the nurse identify for this type of
assessment? - Correct Answer- Establish a baseline for the comparison of future
health changes.
A client comes to the health care provider's office for a visit. The client has been
seen in this office on occasion for the past 5 years and arrives today complaining of
a fever and sore throat. Which type of assessment would the nurse most likely
perform? - Correct Answer- Focused assessment
An older adult client had hip replacement surgery 2 days ago. The nurse enters the
client's room and encourages the client to use the incentive spirometer ten times
every hour. What is this action an example of? - Correct Answer- Nursing
intervention
The nurse is reviewing the medical record of a newly admitted client to the
rehabilitation center. Which subjective question should the nurse confirm with the
client? - Correct Answer- "Are you aware of any allergies that you may have?"
The preceptor of the student nurse is explaining the assessment that is considered
the most organized for gathering comprehensive physical data. What assessment is
the preceptor talking about? - Correct Answer- Head-to-toe
How does a nurse decide what health-promotion activities are necessary for a
particular client? - Correct Answer- Nurses collaborate with clients to identify areas in
which clients are willing to make changes
Before beginning a comprehensive health assessment of an adult client, the nurse
should explain to the client that the purpose of the assessment is to - Correct
Answer- arrive at conclusions about the client's health....... [Show Less]