Test Bank For Fundamentals of Nursing 4th Edition By Delaune – Ladner

Test Bank For Fundamentals of Nursing 4th Edition By Delaune – Ladner

MULTIPLE CHOICE

1. The nurse is working with a client within the assessment phase of the nursing process. Which activity will the nurse NOT do during this phase?

ANS:  D

The essential elements of the assessment process include data collection, data verification, data organization, data interpretation, and data documentation. Data evaluation is not conducted during this phase of the nursing process.

PTS:   1                    DIF:    Application    REF:   Purpose of Assessment

2. The nurse is preparing to conduct a comprehensive assessment with a client. This type of assessment is usually done:

ANS:  A

A comprehensive assessment is usually performed upon admission to a health care agency and includes a complete health history to determine current needs of the client. A focused assessment is done to focus in depth on a particular health care problem. An ongoing assessment is an assessment that includes systematic monitoring and observation related to specific problems. An assessment done on discharge from a health care facility is not an identified type of nursing assessment.

PTS:   1                    DIF:    Application    REF:   Types of Assessment

3. A client is admitted to the emergency room for treatment of a severe laceration. The type of assessment most likely to be performed by the nurse is a(n):

ANS:  B

A focused assessment is an assessment that is limited in scope in order to focus on a particular need or health care problem or potential health care risk. A comprehensive assessment is usually performed upon admission to a health care agency and includes a complete health history to determine current needs of the client. An ongoing assessment is an assessment that includes systematic monitoring and observation related to specific problems. There is no such category as expansive assessment.

PTS:   1                    DIF:    Application    REF:   Types of Assessment

4. The nurse is collecting data from a client. Which of the following would be considered as being  subjective data?

ANS:  A

Subjective data are data from the client’s point of view and include feelings, perceptions, and concerns. The data that would be subjective would be “the client reports having nausea.” The other data would be considered as being objective data.

PTS:   1                    DIF:    Analysis         REF:   Types of Data