Question 1

Which situation is most appropriate for an episodic history?

Accepted Answer

A) A patient's admission to a long-term care facility 
B) A patient has sudden,severe shortness of breath 
C) A patient's admission to the hospital for surgery the following day 
D) A patient in an outpatient clinic has cold and flu-like symptoms 
A) A patient's admission to a long-term care facility 
B) A patient has sudden,severe shortness of breath 
C) A patient's admission to the hospital for surgery the following day 
D) A patient in an outpatient clinic has cold and flu-like symptoms D

Question 2

A patient is at the clinic to have her blood pressure checke d.She has been coming to the clinic weekly since she changed medications 2 months ago.The nurse should:

Accepted Answer

A) collect a follow-up database and then check her blood pressure. 
B) ask her to read her health record and indicate any changes since her last visit. 
C) check only her blood pressure because her complete health history was documented 2 months ago. 
D) obtain a complete health history before checking her blood pressure because much of her history information may have changed. 
A) collect a follow-up database and then check her blood pressure. 
B) ask her to read her health record and indicate any changes since her last visit. 
C) check only her blood pressure because her complete health history was documented 2 months ago. 
D) obtain a complete health history before checking her blood pressure because much of her history information may have changed. A

Question 3

Which of the following would be included in a holistic model of assessment?

Accepted Answer

A) Nursing goals for the patient 
B) Anticipated growth and development patterns 
C) A patient's perception of his or her health status 
D) The nurse's perception of disease related to the patient 
A) Nursing goals for the patient 
B) Anticipated growth and development patterns 
C) A patient's perception of his or her health status 
D) The nurse's perception of disease related to the patient C

Question 4

Which critical thinking skill helps the nurse to see relationships among the data?

Accepted Answer

A) Validation 
B) Clustering related cues 
C) Identifying gaps in data 
D) Distinguishing relevant from irrelevant 
A) Validation 
B) Clustering related cues 
C) Identifying gaps in data 
D) Distinguishing relevant from irrelevant

Question 5

Novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:

Accepted Answer

A) intuition. 
B) a set of rules. 
C) articles in journals. 
D) advice from supervisors. 
A) intuition. 
B) a set of rules. 
C) articles in journals. 
D) advice from supervisors.

Question 6

Which term best describes a proficient nurse?

Accepted Answer

A) A nurse who has little experience with a specified population and uses rules to guide performance 
B) A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution 
C) A nurse who sees actions in the context of daily plans for patients 
D) A nurse who understands a patient situation as a whole rather than a list of tasks and sees long-term goals for the patient 
A) A nurse who has little experience with a specified population and uses rules to guide performance 
B) A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution 
C) A nurse who sees actions in the context of daily plans for patients 
D) A nurse who understands a patient situation as a whole rather than a list of tasks and sees long-term goals for the patient

Question 7

Expert nurses learn to attend to a pattern of assessment data and to act without consciously labeling it.This is referred to as:

Accepted Answer

A) intuition. 
B) the nursing process. 
C) clinical knowledge. 
D) diagnostic reasoning. 
A) intuition. 
B) the nursing process. 
C) clinical knowledge. 
D) diagnostic reasoning.

Question 8

A nursing diagnosis made by a critical thinker using a dynamic nursing process would diagnose the actual problem and would also:

Accepted Answer

A) continue to reassess. 
B) predict potential problems. 
C) check the appropriateness of goals. 
D) modify the diagnosis if necessary. 
A) continue to reassess. 
B) predict potential problems. 
C) check the appropriateness of goals. 
D) modify the diagnosis if necessary.

Question 9

The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain.Which would be the next appropriate action?

Accepted Answer

A) Establish priorities. 
B) Identify expected outcomes. 
C) Evaluate the individual's condition and compare actual outcomes with expected outcomes. 
D) Interpret data and then identify clusters of cues and make inferences. 
A) Establish priorities. 
B) Identify expected outcomes. 
C) Evaluate the individual's condition and compare actual outcomes with expected outcomes. 
D) Interpret data and then identify clusters of cues and make inferences.

Question 10

Which of the following is an example of a first-level priority problem?

Accepted Answer

A) A patient with postoperative pain 
B) A newly diagnosed diabetic who needs diabetic teaching 
C) An individual with a small laceration on the sole of the foot 
D) An individual with shortness of breath and respiratory distress 
A) A patient with postoperative pain 
B) A newly diagnosed diabetic who needs diabetic teaching 
C) An individual with a small laceration on the sole of the foot 
D) An individual with shortness of breath and respiratory distress

Question 11

A visiting nurse is making an initial home visit for a patient who has many chronic medical problems.Which type of database is most appropriate to collect in this setting?

Accepted Answer

A) A follow-up database to evaluate changes at appropriate intervals 
B) An episodic database because of the continuing,complex medical problems of this patient 
C) A complete health database because of the nurse's primary responsibility for monitoring the patient's health 
D) An emergency database because of the need to rapidly collect information and make accurate diagnoses 
A) A follow-up database to evaluate changes at appropriate intervals 
B) An episodic database because of the continuing,complex medical problems of this patient 
C) A complete health database because of the nurse's primary responsibility for monitoring the patient's health 
D) An emergency database because of the need to rapidly collect information and make accurate diagnoses

Question 12

A patient tells the nurse that he is very nervous,that he is nauseated,and that he "feels hot." 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 13

Critical thinking in the expert nurse is greatly enhanced by opportunities to:

Accepted Answer

A) apply theory in real situations. 
B) work with physicians to provide patient care. 
C) follow physician orders in providing patient care. 
D) develop nursing diagnoses for commonly occurring illnesses. 
A) apply theory in real situations. 
B) work with physicians to provide patient care. 
C) follow physician orders in providing patient care. 
D) develop nursing diagnoses for commonly occurring illnesses.

Question 14

The public's concept of health has changed since the 1950s.Which of the following statements most accurately describes this change?

Accepted Answer

A) Lifestyle,personal habits,exercise,and nutrition are essential to health. 
B) Assessment of health is critical to identifying disease-causing pathogens. 
C) Accurate diagnosis and treatment by a physician are essential for all health care. 
D) An individual is considered healthy when signs and symptoms of disease have been eliminated. 
A) Lifestyle,personal habits,exercise,and nutrition are essential to health. 
B) Assessment of health is critical to identifying disease-causing pathogens. 
C) Accurate diagnosis and treatment by a physician are essential for all health care. 
D) An individual is considered healthy when signs and symptoms of disease have been eliminated.

Question 15

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:

Accepted Answer

A) nursing diagnosis. 
B) medical diagnosis. 
C) admission diagnosis. 
D) collaborative diagnosis. 
A) nursing diagnosis. 
B) medical diagnosis. 
C) admission diagnosis. 
D) collaborative diagnosis.

Question 16

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

-A = first-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 17

A 42-year-old Asian patient is being seen at the clinic for an initial examination.The nurse knows that it is important to include cultural information in his health assessment to:

Accepted Answer

A) identify the cause of his illness. 
B) make accurate disease diagnoses. 
C) provide cultural health rights for the individual. 
D) provide culturally sensitive and appropriate care. 
A) identify the cause of his illness. 
B) make accurate disease diagnoses. 
C) provide cultural health rights for the individual. 
D) provide culturally sensitive and appropriate care.

Question 18

Which statement correctly describes the age-specific charts for the periodic health examination?

Accepted Answer

A) They are used to help identify the diagnosis of an illness. 
B) They are helpful in identifying developmental delays in children. 
C) They recommend that every individual receive an annual physical exam. 
D) They list a frequency schedule for periodic health visits for a specific age group. 
A) They are used to help identify the diagnosis of an illness. 
B) They are helpful in identifying developmental delays in children. 
C) They recommend that every individual receive an annual physical exam. 
D) They list a frequency schedule for periodic health visits for a specific age group.

Question 19

A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident.He is alert and cooperative,but his injuries are quite severe.How would the nurse proceed with the data collection?

Accepted Answer

A) Collect history information first,then perform the physical examination and institute life-saving measures. 
B) Simultaneously ask history questions while performing the examination and initiating life-saving measures. 
C) Collect all information on the history form,including social support patterns,strengths,and coping patterns. 
D) Perform life-saving measures and not ask any history questions until he is transferred to the intensive care unit. 
A) Collect history information first,then perform the physical examination and institute life-saving measures. 
B) Simultaneously ask history questions while performing the examination and initiating life-saving measures. 
C) Collect all information on the history form,including social support patterns,strengths,and coping patterns. 
D) Perform life-saving measures and not ask any history questions until he is transferred to the intensive care unit.

Question 20

In the health promotion model,the focus of the health professional includes:

Accepted Answer

A) changing the patient's perceptions of disease. 
B) identification of biomedical model interventions. 
C) identifying negative health acts of the consumer. 
D) helping the consumer choose a healthier lifestyle. 
A) changing the patient's perceptions of disease. 
B) identification of biomedical model interventions. 
C) identifying negative health acts of the consumer. 
D) helping the consumer choose a healthier lifestyle.

Exam 1: Critical Thinking in Health Assessment

Which situation is most appropriate for an episodic history?

A patient is at the clinic to have her blood pressure checke d.She has been coming to the clinic weekly since she changed medications 2 months ago.The nurse should:

Which of the following would be included in a holistic model of assessment?

Which critical thinking skill helps the nurse to see relationships among the data?

Novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:

Which term best describes a proficient nurse?

Expert nurses learn to attend to a pattern of assessment data and to act without consciously labeling it.This is referred to as:

A nursing diagnosis made by a critical thinker using a dynamic nursing process would diagnose the actual problem and would also:

The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain.Which would be the next appropriate action?

Which of the following is an example of a first-level priority problem?

A visiting nurse is making an initial home visit for a patient who has many chronic medical problems.Which type of database is most appropriate to collect in this setting?

A patient tells the nurse that he is very nervous,that he is nauseated,and that he "feels hot." This type of data would be:

Critical thinking in the expert nurse is greatly enhanced by opportunities to:

The public's concept of health has changed since the 1950s.Which of the following statements most accurately describes this change?

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:

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

A 42-year-old Asian patient is being seen at the clinic for an initial examination.The nurse knows that it is important to include cultural information in his health assessment to:

Which statement correctly describes the age-specific charts for the periodic health examination?

A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident.He is alert and cooperative,but his injuries are quite severe.How would the nurse proceed with the data collection?

In the health promotion model,the focus of the health professional includes:

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

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