Question 1

While conducting an assessment of a patient,the nurse recognizes that the initial step is:

Accepted Answer

The nursing health history is the initial step in the assessment process.

Question 2

The nurse is meeting a patient for the first time.The initial step when initiating a nurse-patient relationship is for the nurse to:

Accepted Answer

The first step in a nurse-patient relationship is for the nurse to introduce her/himself.

Question 3

The nurse uses a systematic method for collecting data on all body systems,including normal functioning and any noted changes.This method is a:

Accepted Answer

A review of systems is a systematic method.

Question 4

When discussing diabetes with a patient,the nurse describes this disease as falling into which group in terms of duration?

Accepted Answer

Diabetes mellitus is an example of a chronic disease.

Question 5

The nurse is developing a nursing care plan for a newly admitted patient.The first step in developing this care plan is a:

Accepted Answer

The nursing assessment is the critical step in forming the nursing care plan.

Question 6

Although the signs and symptoms of both infection and inflammation include erythema,edema,and pain,the major difference is that inflammation:

Accepted Answer

Inflammation is a protective response.

Question 7

A patient was admitted with a complaint of abdominal pain.Later,the nurse observed the patient demonstrating dyspnea.This change in condition requires an assessment called:

Accepted Answer

When the nurse observes a change in the patient's condition,the assessment is focused.

Question 8

Any disturbance of a structure or function of the body is a pathological condition.This condition is termed a(n):

Accepted Answer

A disease is any disturbance of a structure or function of the body.

Question 9

There are four categories of factors that increase an individual's vulnerability to developing a disease: genetic,physiological,age,and lifestyle.These are called:

Accepted Answer

Risk factors are placed into four categories.

Question 10

During the nursing interview,several histories are taken.The history that involves data concerning habits and lifestyle patterns is called:

Accepted Answer

The nurse identifies habits and lifestyle patterns under past health history.

Question 11

The nurse is discussing the origin of diabetes with a diabetic patient.The most appropriate explanation is that this disease is caused by a dysfunction of the:

Accepted Answer

Diabetes mellitus results from dysfunction of the pancreas.

Question 12

The patient should be assessed as soon as possible after admission.This initial assessment is done by the:

Accepted Answer

The initial assessment is done by the registered nurse.

Question 13

The nurse is collecting data during an initial assessment.The data that can be seen,heard,measured,or felt and is objective is called a(n):

Accepted Answer

A sign can be seen,heard,measured,or felt.

Question 14

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

Accepted Answer

Remission means there has been partial or complete disappearance of the clinical and subjective characteristics.

Question 15

The nurse is assessing a patient to collect subjective and objective data.These data will provide the basis for making a:

Accepted Answer

Nurses rely on assessment of signs and symptoms to formulate a nursing diagnosis.

Question 16

A patient interview being conducted by the nurse should convey to the patient that the nurse has:

Accepted Answer

The nurse must convey feelings of concern.

Question 17

When a disease results in a structural change in an organ that interferes with its functioning,this is a(n):

Accepted Answer

An organic disease results in a structural change in an organ.

Question 18

As part of an assessment,the nurse asks the patient for subjective information related to the present illness.Subjective findings that are perceived by the patient are known as:

Accepted Answer

Symptoms are subjective indications of illness that are perceived by the patient.

Question 19

A nursing assessment is a process of collecting data to establish a database.The information contained in the database is the basis for:

Accepted Answer

The information contained in the database is the basis for an individualized plan of care.

Question 20

When collecting data related to the present illness,the nurse must obtain detailed and comprehensive data to assist in establishing:

Accepted Answer

The data collected related to the present illness must be detailed and comprehensive to allow planning of appropriate interventions.

Quiz 5: Physical Assessment