Chapter 1
A patient presents at the ambulatory care clinic for complaints of an upper respiratory infection. While assessing this patient, the nurse needs to identify:
A. Physical assessment findings only
B. Normal from abnormal assessment findings
C. Basic anatomy and physiology
D. Diagnostic values
Correct answer: B
Health assessment is a skill to identify normal from abnormal findings. Nurses need to identify normal and abnormal variants that may indicate the patient has an upper respiratory infection.
A 34-year-old patient is about to deliver her first baby. Her husband appears to be supportive but appears worried and nervous. The patient has come to the hospital since her contractions are 8 minutes apart. She has been in labor for 8 hours and has a past medical history of high blood pressure. She states, “I never took prenatal classes and don’t know what to do.” What cognitive skill should you begin to implement?
A. Nursing Process
B. Nursing Assessment
C. Critical Thinking
D. Intuitive Thinking
Correct answer: C
Critical thinking is a problem-solving, reflective process that uses a process of purposeful and creative thinking about resolving problems.
A patient was recently diagnosed with type 1 diabetes and needs teaching about the importance of skin and foot care. This is an example of what level of health prevention?
A. Primary
B. Secondary
C. Tertiary
D. None of the above
Correct answer: C
Tertiary prevention encompasses the restoration of health after illness or disease has occurred. Skin care and foot care help prevent complications of diabetes.
Health assessment requires the nurse to identify:
A. Physical assessment findings only
B. Normal from abnormal assessment findings
C. Basic anatomy and physiology
D. Diagnostic values
Correct answer: B
Health assessment is a skill to identify normal from abnormal findings. Nurses need to identify normal and normal variants.