Health Assessment in Nursing, 7th Edition by Weber TEST BANK

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Test Bank for Health Assessment in Nursing, 7th Edition, 7e by Janet R. Weber, Jane H. Kelley TEST BANK ISBN-13: 9781975161156 Full chapter included Unit 1 Nursing Data Collection, Documentation,... and Analysis 1 The Nurse’s Role in Health Assessment Assessment: Step 1 of The Nursing Process Focus of Health Assessment in Nursing Framework for Health Assessment in Nursing Using Evidence to Promote Health and Prevent Disease Types of Health Assessment Initial Comprehensive Assessment Ongoing or Partial Assessment Focused or Problem-Oriented Assessment Emergency Assessment Steps of Health Assessment Preparing for the Assessment Collecting Subjective Data Collecting Objective Data Validating Assessment Data Documenting Data Analyzing Cues to Identify Client Concerns: Step 2 of the Nursing Process Process of Data Analysis Factors Affecting Health Assessment Summary 2 Collecting Subjective Data: The Interview and Health History Interviewing Phases of the Interview Preintroductory Phase Introductory Phase Working Phase Summary and Closing Phase Communication During the Interview Nonverbal Communication Verbal Communication Special Considerations During the Interview Gerontologic Variations in Communication Cultural Variations in Communication Emotional Variations in Communication Complete Health History Biographical Data Reason(s) for Seeking Health Care History of Present Health Concern Personal Health History Family Health History Review of Systems for Current Health Problems Lifestyle and Health Practices Profile Description of Typical Day Nutrition and Weight Management Activity Level and Exercise Sleep and Rest Substance Use Self-Concept and Self-Care Responsibilities Social Activities Relationships Values and Belief System Education and Work Stress Levels and Coping Styles Environment Summary 3 Collecting Objective Data: Physical Exam Techniques Equipment Preparing for the Examination Preparing the Physical Setting Preparing Oneself Approaching and Preparing the Client Physical Examination Techniques Inspection Palpation Percussion Auscultation Summary 4 Validating and Documenting Data Validating Data Purpose of Validation Data Requiring Validation Methods of Validation Identification of Areas for Which Data Are Missing Documenting Data Purpose of Documentation Information Requiring Documentation Subjective Data Objective Data Guidelines for Documentation Assessment Forms Used for Documentation Initial Assessment Form Frequent or Ongoing Assessment Form Focused or Specialty Area Assessment Form Verbal Communication of Data Summary 5 Thinking Critically to Analyze Data to Make Informed Clinical Judgments Making Clinical Judgments Throughout This Book Analyze Data to Make Clinical Judgments—The Second Step of the Nursing Process Making a Clinical Judgment From Assessment Data Step 1: Identify Abnormal Cues and Supportive Cues (Client Strengths) Step 2: Cluster Cues Step 3: Draw Inferences to Propose or Hypothesize Possible Clinical Judgments Step 4: Identify Possible Client Concerns Step 5: Validate the Client Concern With the Client, Family, Significant Others, or Health Team Members Step 6: Document Clinical Judgments Actual Client Concerns Opportunities to Improve Health Risk for Client Concerns Collaborative Problems and Referrals Developing Clinical Judgment Expertise and Avoiding Pitfalls Summary Unit 2 Integrative Holistic Nursing Assessment 6 Assessing Mental Status Including Risk for Substance Abuse Conceptual Foundations Mental Health and Mental Disorders Nurse’s Role in Mental Health Factors Affecting Mental Health Mental Disorders Substance Abuse Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems That Need to Be Monitored and Treated by Both Nursing and Primary Health Care Provider Referral to Primary Care Provider for Sudden Memory Loss and Extreme Confusion 7 Assessing Psychosocial, Cognitive, and Moral Development Growth and Development Erikson Theory of Psychosocial Development Erikson’s Major Concepts and Terms Erikson’s Stages of Psychosocial Development Piaget’s Theory of Cognitive Development Piaget’s Major Concepts and Terms Piaget’s Stages of Cognitive Development Kohlberg’s Theory of Moral Development Kohlberg’s Major Concepts and Terms Kohlberg’s Stages of Moral Development Health Assessment Collecting Subjective Data: The Nursing Health History Assessing Pscychosocial, Cognitive, and Moral Development Preparing the Client Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Possible Client Concerns Opportunity to Improve Risk for Client Concerns Actual Client Concerns 8 Assessing General Health Status and Vital Signs Structure and Function Overall Impression of the Client Vital Signs Temperature Pulse Respirations Blood Pressure Pain Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Risk for Client Concerns Actual Concerns Selected Collaborative Problems Medical Problems 9 Assessing Pain Conceptual Foundations Definition Opioid Crisis Pathophysiology Physiologic Responses to Pain Classification Aspects and Manifestations of Pain Psychosocial Factors Affecting Pain Perception and Assessment Developmental Level: Older Adults Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Preparing the Client Pain Assessment Tools Collecting Objective Data: Physical Examination Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Enhance Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 10 Assessing for Violence Conceptual Foundations Theories of Family Violence Types of Family Violence Physical Abuse Psychological Abuse Economic Abuse Sexual Abuse Categories of Family Violence Intimate Partner Violence Child Abuse Elder Mistreatment Effect of Immigration Status on Abuse Domestic Shelters and Crisis Hotlines Other Types of Violence School Violence (Bullying and Punking) Hate Crimes in the United States Human Trafficking War Crimes Nursing Assessment of Family Violence Preparing Yourself for the Examination Collecting Subjective Data Interview Techniques Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 11 Assessing Culture Conceptual Foundations Why Nurses Need to Know about Culture Concepts and Terms Related to Culture Cultural Competence Contexts for Assessment Race National Standards for Care Cultural Assessment Purposes and Scope of Assessment Assessing Cultural Beliefs and Values Factors Affecting Approach to Providers Observations to Be Made During the Client Interview and Physical Examination Factors Affecting Disease, Illness, Health State Biological (Genetic) and Cultural Behavior Variations Ethnic Practice Affecting Health Care in the United States: Female Genital Mutilation Heritage Assessment Versus Cultural Assessment The Nurse’s Challenges for Culturally Competent Assessment 12 Assessing Spirituality and Religious Practices Conceptual Foundations Terms Related to Spirituality and Religion Impact of Religion and Spirituality on Health Incorporating Religion and Spirituality into Care Self-Understanding of Spirituality Spiritual Assessment Approach Techniques Nonformal Formal Sample Format Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 13 Assessing Nutritional Status Foundations Nutrition Optimal Nutritional Status, Malnutrition, Overnutrition Hydration Optimal Hydration Dehydration Overhydration Food Safety Health Assessment Components of a Nutritional Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Laboratory Tests Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems Unit 3 Nursing Assessment of Physical Systems 14 Assessing Skin, Hair, and Nails Structure and Function Skin Epidermis Dermis Subcutaneous Tissue Hair Nails Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 15 Assessing Head and Neck Structure and Function The Head Cranium Face The Neck Muscles and Cervical Vertebrae Blood Vessels Thyroid Gland Lymph Nodes of the Head and Neck Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 16 Assessing Eyes Structure and Function External Structures of the Eye Internal Structures of the Eye Vision Visual Fields and Visual Pathways Visual Reflexes Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Possible Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 17 Assessing Ears Structure and Function Structures of the Ear External Ear Middle Ear Inner Ear Hearing Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Possible Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 18 Assessing Mouth, Throat, Nose, and Sinuses Structure and Function Mouth Throat Nose Sinuses Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 19 Assessing Thorax and Lungs Structure and Function Thoracic Cage Sternum and Clavicles Ribs and Thoracic Vertebrae Vertical Reference Lines Thoracic Cavity Trachea and Bronchi Lungs Pleural Membranes Mechanics of Breathing Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 20 Assessing Breasts and Lymphatic System Structure and Function External Breast Anatomy Internal Breast Anatomy Lymph Nodes Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 21 Assessing Heart and Neck Vessels Structure and Function Heart and Great Vessels Heart Chambers and Valves Heart Covering and Walls Pathways Electrical Activity Diastole Systole Normal Heart Sounds Extra Heart Sounds Murmurs Stroke Volume Carotid Artery Pulse Jugular Venous Pulse and Pressure Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selective Collaborative Problems Medical Problems 22 Assessing Peripheral Vascular System Structure and Function Arteries Major Arteries of the Arm Major Arteries of the Leg Veins Capillaries and Fluid Exchange Lymphatic System Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Client Concerns Selected Collaborative Problems Medical Problems 23 Assessing Abdomen Structure and Function Abdominal Quadrants Abdominal Wall Muscles Internal Anatomy Solid Viscera Hollow Viscera Vascular Structures Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Client Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 24 Assessing Musculoskeletal System Structure and Function Bones Skeletal Muscles Joints Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 25 Assessing Neurologic System Structure and Function Central Nervous System Brain Spinal Cord Neural Pathways Peripheral Nervous System Cranial Nerves Spinal Nerves Autonomic Nervous System Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 26 Assessing Male Genitalia, Anus, and Rectum Structure and Function External Genitalia Penis Scrotum Internal Genitalia Testes Spermatic Cord Inguinal Area Anus and Rectum Prostate Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 27 Assessing Female Genitalia, Anus, and Rectum Structure and Function External Genitalia Internal Genitalia Anus and Rectum Biological (Genetic) and Cultural Behavior Variations Health Assessment Collecting Subjective Data: The Nursing Health History Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 28 Pulling It All Together: Integrated Head-to-Toe Assessment Comprehensive Health Assessment Preparing Yourself and the Environment Equipment Preparing the Client Collecting Data Collecting Subjective Data: The Comprehensive Nursing Health History Collecting Objective Data: Physical Assessment Sample Documentation of a Comprehensive Adult Nursing Health History and Physical Assessment Physical Assessment General Survey Skin, Hair, Nails Head and Neck Eyes Ears Mouth, Throat, Nose, and Sinuses Thorax and Lung Breasts Heart and Neck Vessels Peripheral Vascular Abdomen Musculoskeletal Neurologic Genitalia Anus/Rectum Clinical Judgments Client’s Strengths Client Concerns Collaborative Problems Unit 4 Nursing Assessment of Special Groups 29 Assessing Childbearing Women Structure and Function Skin, Hair, and Nails Ears and Hearing Mouth, Throat, Nose, and Sinus Thorax and Lungs Breasts Heart Peripheral Vascular System Abdomen Genitalia Anus and Rectum Musculoskeletal System Neurologic System Health Assessment Collecting Subjective Data: The Nursing Health History Biographical Data Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 30 Assessing Newborns and Infants Growth and Development Physical Development Skin, Hair, and Nails Head and Neck Eyes Ears Mouth, Throat, Nose, and Sinus Thorax and Lungs Breasts Heart Peripheral Vascular System Abdomen Genitalia Anus, Rectum, and Prostate Musculoskeletal System Neurologic System Motor Development Gross Motor Fine Motor Sensory Perception Development Visual Auditory Olfactory Tactile Cognitive and Language Development (Piaget) Moral Development (Kohlberg) Psychosocial Development (Erikson) Health Assessment Collecting Subjective Data: The Nursing Health History for the Infant Interviewing Parents Collecting Objective Data: Physical Examination Preparing the Infant and Caregiver Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Possible Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 31 Assessing Children and Adolescents Growth and Development Physical Development Skin, Hair, and Nails Head and Neck Eyes Ears Mouth, Nose, Throat, and Sinuses Thorax and Lungs Breasts Heart Abdomen Genitalia Anus and Rectum Musculoskeletal System Neurologic System Growth Patterns Motor Development Toddlers Sensory Perception Toddlers Preschoolers School-Age Children Adolescents Cognitive and Language Development Toddlers Preschoolers School-Age Children Adolescents Moral Development (Kohlberg) Toddler Preschooler School-Age Child Adolescent Psychosocial Development (Erikson) Toddler Preschooler School-Age Child Adolescent Health Assessment Collecting Subjective Data: The Nursing Health History Interviewing Interviewing Parents Interviewing Children and Adolescents Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 32 Assessing Older Adults Challenges to Health Assessment of the Older Adult Loss of Physiologic Reserve Atypical Presentation of Illness Collecting Subjective Data: The Nursing Health History Adapting Interview Techniques Determining Functional Status Biographical Data Collecting Objective Data: Physical Examination Preparing the Client Equipment Physical Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Diagnoses Selected Collaborative Problems Medical Problems 33 Assessing Families Conceptual Background Terms Related to Family Assessment The Relationship Between Families and Illness Framework of Family Assessment Family Structure Family Development Family Function Theoretical Concepts of Family Function Systems Theory Bowen’s Family System Theory Communication Theory Family Assessment Technique Manners Manners with non-traditional Families Therapeutic Conversation Family Genograms and Ecomaps Commendations Assessment Procedure Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Client Concerns Opportunity to Improve Health Risk for Client Concerns Actual Client Concerns Selected Collaborative Problems Medical Problems 34 Assessing Communities Conceptual Foundations Definition of Community Models of Community Assessment Community Assessment Validating and Documenting Findings Analyzing Data to Make Informed Clinical Judgments Selected Community Concerns Opportunity to Improve Health Risk for Community Concerns Actual Community Concerns Selected Collaborative Problems [Show More]

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