HA EXAM 1 - Chapter 1 Practice Questions

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Set Priorities
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Terms in this set (52)
Set Priorities
Sorts diagnoses by importance
Critical Thinking
Used to move from novice to expert practitioner
Identify Patterns
Discover missing information and fill in the whole picture
Cluster Clues
Group related data
A database is best described as:
A) subjective and objective data.
B) information obtained by physical exam.
C) information obtained by history taking and physical exam.
D) subjective and objective data plus the results of laboratory studies and the patient record.
D) subjective and objective data plus the results of laboratory studies and the patient record.
A nursing diagnosis is best described as:
A) identification and explanation of the etiology of the disease.
B) an individual's pattern of coping.
C) an individual's perception of health.
D) clinical judgments about a person's response to an actual or potential health state.
D) clinical judgments about a person's response to an actual or potential health state.
What type of database is most appropriate when nurses are mainly concerned with one problem?
A) Focused
B) Follow-up
C) Emergency
D) Complete
A) Focused
Mr. Fitzgerald is a 62-year-old patient who presents for a routine health assessment. What type of database is most appropriate when a nurse is concerned with an individual's total health?
A) Focused
B) Follow-up
C) Emergency
D) Complete
D) Complete
What type of database is most appropriate when a nurse evaluates identified problems at regular intervals?
A) Focused
B) Follow-up
C) Emergency
D) Complete
B) Follow-up
What type of database is most appropriate when a rapid collection of data is required and often compiled concurrently with life-saving measures?
A) Focused
B) Follow-up
C) Emergency
D) Complete
C) Emergency
Nursing diagnoses are: A) clinical judgments about a person's response to actual or potential health concerns. B) clinical judgments about the cause of disease. C) clinical judgments about an individual's culture. D) the collection of data about an individual's health status.A) clinical judgments about a person's response to actual or potential health concerns.Medical diagnoses are: A) clinical judgments about a person's response to actual or potential health concerns. B) clinical judgments about the cause of disease. C) clinical judgments about an individual's culture. D) the collection of data about an individual's health status.B) clinical judgments about the cause of disease.Ms. Benson is a 24-year-old patient who presents to the clinic for a health assessment. In gathering the information for the health assessment, which of the following is considered an example of objective data? A) Alert and oriented B) Dizziness C) An earache D) A sore throatA) Alert and orientedWhat type of database is appropriate for a barbiturate overdose? A) Focused B) Follow-up C) Emergency D) CompleteC) EmergencyWhich type of database is most appropriate for an overall healthy person seeking care for a rash at an ambulatory care center? A) Focused B) Follow-up C) Emergency D) CompleteA) FocusedWhat type of database is most appropriate for an individual who is admitted to a long-term care facility? A) Focused B) Follow-up C) Emergency D) CompleteD) CompleteMr. Morris is a 38-year-old patient who presents to the clinic and states, "My stomach hurts." This is an example of what type of data? A) Cultural B) Objective C) Subjective D) None of the aboveC) Subjective"That's tender right there," is an example of what type of data? A) Cultural B) Objective C) Subjective D) None of the aboveC) SubjectiveA complete database is: A) used to collect data rapidly and is often compiled concurrently with life-saving measures. B) used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. C) used to evaluate cause and etiology of disease. D) used to perform a thorough or comprehensive health history and physical examination.D) used to perform a thorough or comprehensive health history and physical examination.An emergency database is: A) used to collect data rapidly and is often compiled concurrently with life-saving measures. B) used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. C) used to evaluate the cause of disease. D) used to monitor progress of short-term or chronic health concerns.A) used to collect data rapidly and is often compiled concurrently with life-saving measures.A focused database is used: A) to monitor progress of short-term or chronic health concerns. B) for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. C) to evaluate the etiology (cause) of disease. D) to perform a thorough or comprehensive health history and physical examination.B) for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. A focused database is used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system.A follow-up database is used: A) to monitor progress of short-term or chronic health concerns. B) for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. C) to evaluate the cause of disease. D) to perform a thorough or comprehensive health history and physical examination.A) to monitor progress of short-term or chronic health concerns.A medical diagnosis is used to evaluate: A) a person's state of health. B) the response of the whole person to actual or potential health problems. C) a person's culture. D) the cause of the disease.D) the cause of the disease.A nursing diagnosis is used to evaluate: A) a person's state of health. B) the response of the whole person to actual or potential health problems. C) a person's culture. D) the cause of disease.B) the response of the whole person to actual or potential health problems.Which of the following is an example of objective data? A) The left tympanic membrane is pearly gray with visible light reflex. B) "My ear has been bothering me." C) "Complaints about pain in left ear." D) "The baby wakes up crying in the middle of the night."A) The left tympanic membrane is pearly gray with visible light reflex.An example of objective data is: A) complaints of left knee pain. B) crepitation in the left knee joint. C) Left knee has been swollen and hot for the past 3 days. D) Report of impaired mobility due to left knee pain, as evidenced by an inability to walk, swelling, and pain on passive range of motion.B) crepitation in the left knee joint.Subjective data collection consists of primarily gathering information: A) about a person's insurance. B) during the physical exam, including the results of diagnostic procedures. C) from the individual or family members. D) from the medical record.C) from the individual or family members.An example of subjective data is: A) left tympanic membrane is pearly gray with visible light reflex. B) left ear canal without erythema. C) left ear canal impacted with dry, dark wax. D) "The baby wakes up crying in the middle of the night."D) "The baby wakes up crying in the middle of the night."An example of subjective data is: A) decreased range of motion. B) crepitation in the left knee joint. C) left knee has been swollen and hot for the past 3 days. D) arthritis.C) left knee has been swollen and hot for the past 3 days.What the individual says during history taking is best described as: A) cultural data. B) family history. C) subjective data. D) objective data.C) subjective data.What the clinician discovers by inspecting, palpating, percussing, and auscultating during the physical exam is best described as: A) a medical diagnosis. B) a nursing diagnosis. C) subjective data. D) objective data.D) objective data.Rheumatoid arthritis is considered a: A) physical examination. B) nursing diagnosis. C) medical diagnosis. D) health history.C) medical diagnosis.The view that the mind, body, and spirit are interdependent and function as a whole within the environment is considered: A) evidence-based practice. B) a nursing model. C) holistic health. D) wellness.C) holistic health.A patient saying, "My ear aches," is an example of: A) objective data. B) complete data. C) subjective data. D) diagnostic testing data.C) subjective data.Mrs. Klapper brings her 8-year-old daughter into the health center. On examination, you note a Tympanic membrane bulging without light reflex. This is an example of: A) objective data. B) complete data. C) subjective data. D) diagnostic testing data.A) objective data.Hypothesistetatively explains a set of cuesValidationchecking data to ensure accuracyDiagnosisEvaluate the hypothesis to arrive at a _______________Diagnostic ReasoningProcess of gathering cues and data to make a hypotheses and diagnoses.Cue SetPieces of information such as signs or symptomsClinical judgements about a person's response to a health state: a. wellness diagnosis b. medical diagnosis c. nursing diagnosis d. risk diagnosisc. nursing diagnosisPotential health problems that a person is prone to developing: a. illness diagnosis b. risk diagnosis c. protable diagnosis d. wellness diagnosisb. risk diagnosisMedical & nursing diagnoses are: a. independent and related to each other b. dependent but unrelated to one another c. independent & unrelated to each other d. dependent & related to each othera. independent and related to each otherDiminished bowel sounds are: a. a nursing problem b. a medical problem c. neither a medical or nursing problem d. both a medical and a nursing problemd. both a medical and a nursing problemA health check-up for a well individual: a. is more frequent for males than females b. is influenced by age and individual needs c. should occur annually d. is set by the primary physicianb. is influenced by age and individual needsA life cycle approach to health assessment requires: a. collaboration of nurses and physicians b. knowledge of developmental tasks for various age groups c. use of detailed age-specific health chartsb. knowledge of developmental tasks for various age groupsThe use of age-specific exam techniques: a. increases the relevance of physical exam data b. enhances health promotion c. is necessarya. increases the relevance of physical exam dataVision and hearing screens area a top priority for which age group? a. over 65 yrs b. birth to 10 yrs c. 25 to 64 yrs d. 11 to 24 yrsa. over 65 yrsThe focus of Gordon's structural framework is: a. self-care b. cultural diversity c. functional health patterns d. adaptationc. functional health patternsCollection of data about environmental stimuli is key in which nursing model? a. Gordon b. Roy c. Leininger d. Oremb. RoyThe focus is on factors that influence health care patterns: a. Gordon b. Leininger c. Orem d. Royb. LeiningerA nursing model is useful in health assessment because it: a. leads to the formulation of nursing diagnoses b. provides for evaluation of patient outcomes c. prioritizes and supports medical diagnoses d. defines a taxonomy of nursing diagnosesa. leads to the formulation of nursing diagnoses