Chapter 1A

Question 1

A medical examination differs from a comprehensive nursing examination
in that the medical examination focuses primarily on the client’s
A. physiologic status.
B. holistic wellness status.
C. developmental history.
D. level of functioning.

Answer 1

A. Physiological status

Question 2

The result of a nursing assessment is the
A. prescription of treatment.
B. documentation of the need for a referral.
C. client’s physiologic status.
D. formulation of nursing diagnoses.

Answer 2

D. formulation of nursing diagnoses.

Question 3

Although the assessment phase of the nursing process precedes the other
phases, the assessment phase is
A. continuous.
B. compieted on admission.
C. linear.
D. performed only by nurses.

Answer 3

A. continuous.

Question 4

When a client first entres the hospital for an elective surgical procedure,
the nurse should perform an assessment termed
A. entry.
B. exploratory.
C. focused.
D. comprehensive.

Answer 4

D. comprehensive.

Question 5

An assessment of a client who already has a complete recorded database in the system and return to the health care agency with a specific health concern is referred to as a(n)
A. ongoing or partial assessment
B. focused or problem-oriented assessment
C. emergency assessment
D. initial comprehensive assessment

Answer 5

B. focused or problem-oriented assessment

Question 6

To prepare for the assessment of a client visiting a neighborhood health care clinic, the nurse should first
a. discuss the client’s symptoms with other team members
b. plan for potential laboratory procedures
c. review the client’s health care record
d. determine potential health care resources

Answer 6

C. review the client’s health care record

Question 7

The nurse is preparing to meet a client in the clinic for the first time. After reviewing the client’s record, the nurse should
A. analyze the data that has already been collected
B. review any past collaborative problems
C. avoid premature judgments about the client
D. consult with the client’s family members

Answer 7

C. avoid premature judgments about the client

Question 8

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
A. arrive at conclusions about the client’s health
B. document any physical symptoms the client may have
C. contribute to the medical diagnosis
D. validate the data collected

Answer 8

A. arrive at conclusions about the client’s health

Question 9

To arrive at a nursing diagnosis or a collaborative problem, the nurse goes through the steps of analysis of data. After proposing possible nursing diagnoses, the nurse should next,
A. cluster the data collected.
B. draw inferences and identify problems.
C. document conclusions.
D. check for the presence of defining characteristics.

Answer 9

D. check for the presence of defining characteristics.

Question 10

The depth and scope of nursing assessment has expanded significantly over the past several decades primarily because of
A. the growing elderly population with chronic illness.
B. rapid advances in biomedical knowledge and technology.
C. an increase in the number of baccalaureate programs in nursing
D. an increase in the number of nurse practitioners

Answer 10

B. rapid advances in biomedical knowledge and technology.

Question 11

An ongoing or partial assessment of a client

Answer 11

includes a brief reassessment of the client’s normal body system

Question 12

Collection of subjective and objective data

Answer 12

Assessment

Question 13

Analysis of subjective and objective data to make a professional nursing judgment

Answer 13

Diagnoses

Question 14

Developing a plan of nursing care and outcome criteria

Answer 14

Planning

Question 15

Carrying out the plan of care

Answer 15

Implementation

Question 16

Assessing whether outcome criteria have been met and revising the plan of care if necessary

Answer 16

Evaluation

Question 17

Assessment is

A. Collection of subjective and objective data
B. Analysis of subjective and objective data to make a professional nursing judgment
C. Developing a plan of nursing care and outcome criteria
D. Carrying out the plan of care
E. Assessing whether outcome criteria have been met and revising the plan of care if necessary

Answer 17

A. Collection of subjective and objective data

Question 18

Diagnoses is

A. Collection of subjective and objective data
B. Analysis of subjective and objective data to make a professional nursing judgment
C. Developing a plan of nursing care and outcome criteria
D. Carrying out the plan of care
E. Assessing whether outcome criteria have been met and revising the plan of care if necessary

Answer 18

B. Analysis of subjective and objective data to make a professional nursing judgment

Question 19

Planning is

A. Collection of subjective and objective data
B. Analysis of subjective and objective data to make a professional nursing judgment
C. Developing a plan of nursing care and outcome criteria
D. Carrying out the plan of care
E. Assessing whether outcome criteria have been met and revising the plan of care if necessary

Answer 19

C. Developing a plan of nursing care and outcome criteria

Question 20

Implementation is

A. Collection of subjective and objective data
B. Analysis of subjective and objective data to make a professional nursing judgment
C. Developing a plan of nursing care and outcome criteria
D. Carrying out the plan of care
E. Assessing whether outcome criteria have been met and revising the plan of care if necessary

Answer 20

D. Carrying out the plan of care

Question 21

Evaluation is

A. Collection of subjective and objective data
B. Analysis of subjective and objective data to make a professional nursing judgment
C. Developing a plan of nursing care and outcome criteria
D. Carrying out the plan of care
E. Assessing whether outcome criteria have been met and revising the plan of care if necessary

Answer 21

E. Assessing whether outcome criteria have been met and revising the plan of care if necessary