test bank for health assessment in nursing 6th edition by weber

test bank for health assessment in nursing 6th edition by weber test bank for health assessment in nursing 6th edition by weber TEST BANK Page 1 1. A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? A) Establishing a trusting relationship B) Determining the client's strengths C) Identifying potential health problems D) Making clinical inferences 2. A nurse is interpreting and validating information from an older adult client who has been experiencing a functional decline. The nurse is in which phase of the interview? A) Introductory B) Working C) Summary D) Closing 3. A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy, and the nurse is collecting subjective data prior to surgery. Which statement by the nurse could be construed as judgmental? A) “How often do your adult children typically visit you?” B) “Your husband's death must have been very difficult for you.” C) “You must quit smoking because it affects others, not only you.” D) “How would you describe your feelings about getting older?” 4. A nurse is interviewing a 22-year-old client of the campus medical clinic. Which nonverbal behavior should the nurse adopt to best facilitate communication during this phase of assessment? A) Standing while the client is seated B) Using a moderate amount of eye contact C) Sitting across the room from the client D) Minimizing facial expressions 5. A nurse is providing feedback to a colleague after observing the colleague's interview of a newly admitted client. Which of the following would the nurse identify as an example of a closed-ended question or statement? A) “Tell me about your relationship with your children?” B) “Tell me what you eat in a normal day?” C) “Are you allergic to any medications?” D) “What is your typical day like?” N U R S I N G T B . C O M Page 2 6. A client has presented to the emergency department and is having difficulty describing her vague sensation of physical discomfort and unease. How can the nurse best elicit meaningful assessment data about the nature of the client's complaint? A) Ignore the complaint for now and return to it later in the assessment. B) Provide a laundry list of descriptive words. C) Restate the question using simpler terms. D) Wait in silence until the client can determine the correct words. 7. A nurse is eliciting a client's health history and the client asks, “Can I take the herb ginkgo biloba with my other medications?” What action would be best if the nurse is unsure of the answer? A) Promise to find out the information for the client. B) Change the subject and return to this topic later. C) Teach the client to only take prescribed medications. D) Encourage the client to ask the pharmacist or primary care provider. 8. The nurse is preparing to assess the mental status of a 90-year-old client who is being admitted to the hospital from a long-term care facility. Which of the following should the nurse assess first? A) The client's sensory abilities B) The client's general intelligence C) The presence of any phobias D) The client's judgment and insight 9. A nurse provides care in a rural hospital that serves a community that has few minority residents. When interviewing a client from a minority culture, the nurse has enlisted the assistance of a “culture broker.” How can this individual best facilitate the client's care? A) By interpreting the client's language and culture B) By evaluating the client's culturally based health practices C) By teaching the client about health care D) By making the client feel comfortable and safe 10. Upon entering an exam room, the client states, “Well! I was getting ready to leave. My schedule is very busy and I don't have time to waste waiting until you have the time to see me!” Which response by the nurse would be most appropriate? A) “Our schedule is very busy also. We got to you as soon as we could.” B) “No one is forcing you to be here, and you are free to leave at any time.” C) “Would you like to report your complaints to someone with power?” D) “You're certainly justified in being upset, but I am ready to begin your exam now.” TEST BANK FOR HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER NURSINGTB.COM N U R S I N G T B . C O M Page 3 11. A nurse has admitted a client to the medical unit and is describing the purpose for obtaining a comprehensive health history. Which of the following purposes should the nurse describe? A) “This helps us to complete your health record accurately.” B) “This helps us to establish a trusting interpersonal relationship.” C) “This helps us to evaluate the seriousness of your risk factors for disease.” D) “This helps us have an appropriate focus for the physical examination.” 12. A clinic nurse has reviewed a new client's available health record and will now begin taking the client's health history. Which of the following questions should the nurse ask first when obtaining the health history? A) “Do you have adequate health insurance coverage?” B) “Are you generally fairly healthy?” C) “What is your major health concern at this time?” D) “Did you bring all your medications with you?” 13. A client has presented for care with complaints of persistent lower back pain. When using the mnemonic COLDSPA, which question should the nurse use to evaluate the “P”? A) “What makes it worse?” B) “When did it start?” C) “How does it feel?” D) “How would you rate your pain?” 14. A medical nurse has completed the review of systems component of the client's health history. Which assessment finding should the nurse document under the review of systems? A) “High school diploma plus 2 years of college” B) “Caregiver reliable source of information” C) “Menarche at age 13” D) “Lungs clear to auscultation bilaterally” 15. A client has been admitted following an unexplained weight loss of 15 pounds over the past 3 months. How should the nurse best assess the subjective component of the client's nutritional status? A) Ask the client to explain MyPlate. B) Obtain a 24-hour diet recall. C) Ask about the contents of one typical meal. D) Elicit the client's favorite foods.