(Test Bank) Physical Examination And Health Assessment Canadian Edition

Jarvis, 3

Nursing

Test Bank

3rd Edition

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Test Bank for Physical Examination And Health Assessment Canadian Edition, The downloadable file consists of 387 pages, and the total size of the file is 3.5 MB. Purchase now only for highly discounted price.

Author(s): Jarvis

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Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank Chapter 01: Evidence -Based Assessment Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition MULTIPLE CHOICE 1. After completing an initial assessment of a patient, the nurse has charted that his respirations are 18 breaths per minute and his pulse is 58 beats per minute. These types of data would be: a. Objective b. Reflective c. Subjective d. Introspective ANS: A Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data are what the person says about himself or herself during history taking. The terms reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of data would be: a. Objective b. Reflective c. Subjective d. Introspective ANS: C Subjective data are what the person says about himself or herself during history taking. Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The terms reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. The patient’s record, laboratory studies, objective data, and subjective data combine to form the: a. Database b. Admitting data c. Financial statement d. Discharge summary ANS: A Together with the patient’s record and laboratory studies, the objective and subjective data form the database. The other items are not part of the patient’s record, laboratory studies, or data. Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Safe and Effective Care Environment: Management of Care Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank U S N T O 4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The nurse’s next action should be to: a. Immediately notify the patient’s physician. b. Document the sound exactly as it was heard. c. Validate the data by asking a coworker to listen to the breath sounds. d. Assess again in 20 minutes to note whether the sound is still present. ANS: C When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Manage ment of Care 5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, with less experience, are more likely to base their decisions on: a. Intuition b. Clear -cut rules c. Articles in journals d. Advice from supervisors ANS: B Novice nurses operate from a set of defined, structured rules. Expert practitioners use critical thinking and their substantial background of experiences. N R I G B.C M DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 6. Expert nurses assess and make decisions through the use of: a. Critical thinking b. The nursing process c. Clinical knowledge d. Diagnostic reasoning ANS: A Critical thinking is a multidimensional, dynamic, and interactive thinking process by which expert nurses assess and make decisions in the clinical area. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 7. The nurse is reviewing information about evidence -informed practice (EIP). Which statement best reflects EIP? a. EIP relies on tradition for support of best practices. b. EIP is simply the use of best practice techniques for the treatment of patients. c. EIP emphasizes the use of best and most appropriate evidence with clinician expertise and patient preference. d. The patient’s own preferences are not important in EIP. ANS: C Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank EIP is a problem -solving approach to decision making that emphasizes the use of best available evidence in combination with the clinician’s experience, patient preferences and values, and comprehensive assessment to determine the best outcomes in care and treatment. EIP is more than simply using the best practice techniques to treat patients, and questioning tradition is important when no comp elling and supportive research evidence exists. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem? a. Patient with postoperative pain b. Patient newly diagnosed with diabetes needing diabetic teaching c. Individual with a small laceration on the sole of the foot d. Individual with shortness of breath and respiratory distress ANS: D First-level priority problems are those that are emergent, life -threatening, and immediate (e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs) (see Table 1 -1). DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 9. Which critical thinking skill helps the nurse see relationships among the data? a. Validation b. Clustering related cues c. Identifying gaps in data NURSINGTB.COM d. Distinguishing relevant data from irrelevant data ANS: B Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 10. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis. a. Nursing b. Medical c. Admission d. Collaborative ANS: A An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for which the nurse is accountable. The other items do not contribute to the development of appropriate nursing interventions. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank 11. The nursing process is a sequential method of problem solving that nurses use and includes which steps? a. Assessment, treatment, planning, evaluation, discharge, and follow -up b. Admission, assessment, diagnosis, treatment, and discharge planning c. Admission, diagnosis, treatment, evaluation, and discharge planning d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation ANS: D The nursing process is a method of problem solving that includes assessment, diagnosis, outcome identification, planning, implementation, and evaluation. DIF: Cognitive Level: Underst anding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 12. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems? a. Breathing, pain, and sleep b. Breathing, sleep, and pain c. Sleep, breathing, and pain d. Sleep, pain, and breathing ANS: A First-level priority problems are immediate priorities focused on airway and breathing, followed by second -level problems, and then third -level problems. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and ENffUecRtiSveICNarGe TEnBv.iroCnOmMent: Management of Care 13. What step of the nursing process includes data collection through health history, physical examination, and interview? a. Planning b. Diagnosis c. Evaluation d. Assessment ANS: D Data collection, including performing the health history, physical examination, and interview, is the assessment step of the nursing process (see Figure 1-2). DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General 14. What is an important concept when undertaking a life -cycle approach to health assessment? a. Consideration of the patient’s cultural view of health b. Being responsive to the patient’s gestures to build a relationship c. Acknowledgement of the effect of poverty on health d. Awareness of age-specific developmental factors ANS: D A life-cycle approach requires familiarity with the usual and expected developmental tasks for various age groups. Being aware of age-specific data can be helpful in determining normal and abnormal findings. Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank MSC: Client Needs: Safe and Effective Care Environme nt: Management of Care NURSINGTB.COM U S N T O DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 15. The nurse identifies priorities and assesses risk factors with a generally healthy individual to: a. Identify patterns to discover missing information. b. Determine areas for health promotion and disease prevention. c. Distinguish normal from abnormal findings. d. Determine treatment for a medical diagnosis. ANS: B Identifying and working with patients to manage known risk factors for their age group and social context supports disease prevention and health promotion. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 16. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: a. Patient’s history of allergies. b. Patient’s use of medications at home. c. Last menstrual period 1 month ago. d. 2  5 cm scar on the right lower forearm. ANS: D Objective data are the patient’s record, laboratory studies, and condition that the health professional observes by inspecting, percussing, palpating, and auscultating during th e physical examination. The other responses reflect subjective data. N R I G B.C M DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 17. A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of database is most appropriate to collect in this setting? a. A follow -up database to evaluate changes at appropriate intervals b. An episodic database because of the continuing, complex medical problems of this patient c. A complete health database because of the nurse’s primary responsibility for monitoring the patient’s health d. An emergency database because of the need to collect information and make accurate diagnoses rapidly ANS: C The complete database is collected in a primary care setting, such as a pediatric or family practice clinic, independent or group private practice, college health service, women’s health care agency, visiting nurse agency, or community health agency. In these settings, the nurse is the first health care professional to see the patient and has the primary responsibility for monitoring the person’s health care. DIF: Cognitive Level: Applying (Application) Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank MSC: Client Needs: Safe and Effective Care Environme nt: Management of Care NURSINGTB.COM U S N T O 18. Which situation is most appropriate during which the nurse collects episodic or problem -centred data? a. Patient is admitted to a long-term care facility. b. Patient has a sudden and severe shortness of breath. c. Patient is admitted to the hospital for surgery the next day. d. Patient in an outpatient clinic has cold and influenza -like symptoms. ANS: D In compiling the episodic or problem -centered database, the nurse collects a “mini -database,” which is smaller in scope compared with the complete database. This mini database primarily concerns one problem, one cue complex, or one body system. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 19. A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 mont hs ago. The nurse should: a. Collect a follow -up database and then check her blood pressure. b. Ask her to read her health record and indicate any changes since her last visit. c. Check only her blood pressure because her complete health history was documented 2 months ago. d. Obtain a complete health history before checking her blood pressure because much of her history information may have changed. ANS: A A follow -up database is used in all settings to monitor short -term or chronic health problems. The other responses are not appropriate for the situation. N R I G B.C M DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 20. A patient is brought by ambulance to the emergency department with multiple injuries received in an automobile accident. The patient is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? a. Collect history information first and then perform the physical examination and institute life-saving measures. b. Simultaneously ask history questions while performing the examination and initiating life-saving measures. c. Collect all information on the histor y form, including social support patterns, strengths, and coping patterns. d. Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care unit. ANS: B The emergency database calls for a rapid collection of the database, and often data are compiled concurrently with administration of life -saving measures. The other responses are not appropriate for the situation. DIF: Cognitive Level: Analyzing (Analysis) Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM U S N T O 21. A 38-year-old patient who is a recent refugee from Syria is attending the clinic for an initial examination. A potential intervention the nurse will implement is: a. Cognitive assessment. b. Fall risk screening. c. Fasting glucose test. d. Tuberculin skin test. ANS: D A tuberculin (TB) skin test is a potential intervention for an individual from a high -risk area, such as Syria, which is known to be endemic for TB. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Reduction of Risk Potential 22. During a clinical examination of a 68-year-old patient, the nurse will: a. Remind the patient use medication wisely. b. Perform a tuberculin skin test. c. Discuss body image and dieting. d. Helping the consumer choose a healthier lifestyle. ANS: A For individuals age 65 years and greater, reminding them to use medication wisely is important in preventing injury (i.e., polypharmacy) DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Safe and Effective Care Environment: Reduction of Risk Potential 23. The nurse has implem ented sNeveRral pIlanGnedBin.teCrveMntions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? a. Establish priorities. b. Identify expected outcomes. c. Evaluate the individual’s condition, and compare actual outcomes with expected outcomes. d. Interpret data, and then identify clusters of cues and make inferences. ANS: C Evaluation is the next step after the implementation phase of the nursing process. During this step, the nurse evaluates the individual’s condition and compares the actual outcomes with expected outcomes. See Figure 1-2. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 24. Which statement best describes an experienced nurse? An experienced nurse is one who: a. Has little experience with a specified population and uses rules to guide performance. b. Takes a linear approach to the nursing process. c. Is focused only on a patient’s disease. d. Understands a patient’s situation as a whole, rather than a list of tasks, and recognizes the long -term goals for the patient. ANS: D Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM The experienced nurse, who has more experience compared with the novice nurse, is able to understand a patient situation as a whole, rather than as a list of tasks. The experienced nurse is able to see how today’s nursing actio ns can apply to the point the nurse wants the patient to reach at a future time. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: General MULTIPLE RESPONSE 1. The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? (Select all that apply .) a. Inspiratory wheezes noted in left lower lobes b. Hypoactive bowel sounds c. Nonproductive cough d. Edema, +2, noted on left hand e. Patient reports dyspnea upon exertion f. Rate of respirations 16 breaths per minute ANS: A, C, E, F Clustering related cues help the nurse recognize relationships among the data. The cues related to the patient’s respiratory status (e.g., wheezes, cough, report of dy spnea, respiration rate and rhythm) are all related. Cues related to bowels and peripheral edema are not related to the respiratory cues. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and ENffUecRtiSveICNarGe TEnBv.iroCnOmMent: Management of Care 2. When considering priority setting of problems, the nurse keeps in mind that second -level priority problems include which of these aspects? ( Select all that apply. ) a. Low self-esteem b. Lack of knowledge c. Abnormal laboratory values d. Severely abnormal vital signs e. New confusion and forgetfulness ANS: C, D, E Second -level priority problems are those that require prompt intervention to prevent further deterioration (e.g., mental status change, acute pain, acute urinary elimination problems, untreated medical problems, abnormal laboratory values, risks of infection, or risk to safety or security) (see Table 1 -1). Low self -esteem and knowledge deficit are third -level priority, which will require longer time for treatment and improvement. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. What is the purpose of a nursing diagnosis? ( Select all that apply. ) a. To evaluate the cause of disease b. To evaluate a patient’s response to treatment c. To determine the need to initiate supportive measures d. To order specific diagnostic tests Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM U S N T O e. To determine the need for health education ANS: B, C, E The nursing diagnosis is used to evaluate the response of the whole person to actual or potential health problems; to monitor a patient’s response to treatment; and to initiate supportive measures and health education, as needed. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 4. Which of the following are social determinants of health with potential to influence a patient’s health? (Select all that apply. ) a. Poverty b. Poor research studies c. Unaffordable housing d. Lack of education e. Poor nursing skills ANS: A, C, D Social determinants of health are the social, economic, and political factors that shape the health of individuals, families, and communities. They are founded on the Ottawa Charter for Health Promotion, Canada and include peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice, and equity to support health. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 5. The nurse wants to take a relational approach in her nursing practice. The nurse needs to: (Select all that apply. ) a. Identify u nit poli cies andNproRcedIuresG. B.C M b. Identify and manage personal assumptions. c. Promote the use of best practice guidelines. d. Determine what is important to patients in the context of their situations. e. Form decisions based on prevalent stereotyping. ANS: B, D A relational approach in nursing focuses attention on what is significant to people in the context of their everyday lives and how capacities and socioenvironmental limitations shape people’s choices. An important skill of relational practice is examination of how one views and responds to patients based on personal assumptions. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Manage ment of Care Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM U S N T O Chapter 02: Health Promotion in the Context of Health Assessment Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition MULTIPLE CHOICE 1. A new family is attending the clinic for their first appointment. To practise primary prevention, the nurse will: a. Discuss the need for smoking cessation. b. Share information on nutrition and approaches to maintaining present health. c. Provide patient education on diabetes management. d. Encourage weight loss strategies for obesity. ANS: B Primary prevention aims to provide health information to individuals, families, and communities to sustain present health and prevent known health problems. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 2. To implement primary prevention during the influenza season, the nurse will promote: a. Hospitalization for the individual with influenza. b. Medication to prevent complications with influenza. c. Monitoring the individual with influenza -like symptoms. d. Consistent hand washing and influenza vaccination. ANS: D Hand washing (hygiene) andNimmRunIizatGion B(w.itCh inMfluen za vaccination) are examples of primary prevention in protecting individuals and populations from acquiring certain diseases (influenza) in the first place. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Health Promotion and Maintenance 3. Why is the concept of health being more than the absence of disease important in nursing practice? a. It is a reminder that being healthy is not being sick. b. It supports the perspective that having access to health care services is sufficient for good health. c. It reinforces the need to consider physical and social environmental influences on health. d. It promotes consideration of the presence of disease as an indicator of health. ANS: C It is important to include understanding of the importance of the physical and social environments in defining health. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Health Promotion and Maintenance 4. When discussing primary prevention, the nurse recognizes that it is best exemplified as: a. Recommending lipid screening for the 55-year-old individual. Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM U S N T O b. Providing counselling to overcome alcohol addiction. c. Preventing further deterioration for the individual with congestive heart failure. d. Promoting healthy eating and regular exercise. ANS: D The definition of primary prevention refers to the promotion of health and the prevention of illness by assisting individuals, families, and communities to prevent known health problems, protect existing states of health, and promote psychosocial wellness. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 5. When reviewing the inequities in health of certain populations in Canada, the nurse recognizes that social and health inequities can increase morbidity as a result of infectious diseases among: a. The Indigenous population b. The African Canadian population c. The South -East Asian Canadian population d. The Middle -Eastern Canadian population ANS: A First Nations and Inuit peoples have shorter life expectancies and higher rates of morbidity from infectious diseases, such as tuberculosis, compared with the rest of Canadians because of growing social and health inequities. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General 6. The nurse is working with a fNiveR-meImbeGr faBm.ilCy ofMrecent refug ees from Afghanistan. During assessment, what information shared by the family might cause the nurse to be concerned about their health? a. The family is currently living in a two-bedroom apartment with another refugee family of five. b. The father states that he gets good income from his job. c. The family recently moved into their new three -bedroom house with a yard. d. The mother describes recipes of the nutritious meals she cooks for the family. ANS: A Health inequities for refugees resulting from poor social and economic conditions, such as overcrowding and inadequate housing, have been connected to poor health. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 7. A committee of health care professionals is discussing the need for an upstream approach to decrease homelessness in the city. Which statement best describes the concept of an upstream approach? a. Negotiating lower, more affordable rent for homeless individuals b. Building more homeless shelters so that the homeless have a place to sleep in c. Providing homes to homeless individuals who are unable to afford them d. Focusing on the social and economic factors that put groups at risk for homelessness Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM ANS: D An upstream approach is aligned with primary prevention and strives to act to prevent a problem before it occurs. Focusing upstream is to determine and take action on the root causes of health conditions that impact individuals. An upstream approach would be to target groups at risk for becoming homeless because of such factors as abuse, addiction, and unemployment. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Psychosocial Integrity 8. The nurse teaches a 65-year-old patient about using medication safely to prevent polypharmacy. The nurse is promoting health through: a. Screening. b. Health education. c. Sanitation. d. Cultural sensitivity. ANS: B The use of health education is one intervention strategy that is used by nurses to promote patients’ health. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 9. During the first meeting with a new patient, the nurse asks the patient about family history to gather information on which social determinant of health? a. Income b. Gender c. Biology and genetics NURSINGTB.COM d. Culture and social considerations ANS: C Information about the social determinants of health can be acquired when taking a patient’s health history. Inquiring about a patient’s family history can provide information about the social determinant biology and genetics. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 10. To gain information about a patient’s use of health services, the nurse can inquire about the patient’s: a. Work environment hazards. b. Perception of health. c. Schedule of medical and dental appointments. d. Health promotion approaches. ANS: C Inquiring about a patient’s most recent medical and dental examinations can yield information about the patient’s access and use of health services. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM U S N T O 11. When working with young families in a community with limited health services, the nurse uses the Population Health Promotion Model and considers the need to: a. Reorient health services. b. Acculturate the families. c. Build new schools. d. Develop family counselling groups. ANS: A The Population Health Promotion Model can help the nurse integrate the social determinants of health during patient interactions and guide health promotion strategies when working with individuals, families, and communities. For young families in a community with limited access to health services, reorienting health services to provide easier access in that community would be a strategy to promot e the health of these young families. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Health Promotion and Maintenance 12. During a health encounter with a patient, which statement by the patient demonstrates readiness for a health education intervention? a. “I visit the dentist annually for a checkup.” b. “I would really like to quit smoking.” c. “My immunizations are up to date.” d. “I really enjoy having a smoke with my beer.” ANS: B One of the factors health education interventions need to consider is the individual’s readiness to eng age in discussions relatNed tRo thIe heGalthBi.nfCormMation. Other factors include the developmental level and the cultural, social, and economic contexts of the individual; the availability of resources; and prevalent health conditions the individual may be at risk for. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 13. What are some conditions for which the nurse would normally screen a 75-year-old patient? a. Literacy and communication skills b. Falls and loss of hearing and visual acuity c. Using a helmet when riding a motorcycle d. Injuries from rock climbing activities ANS: B The nurse would screen the older adult patient for risks, such as falls, loss of hearing, and visual acuity loss. Screening is based on the higher prevalence of these risks in the older adult population. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 14. The nurse is reviewing health history information with the 48 -year-old Indigenous patient. What is a condition for which the nurse might want to screen the patient? a. Malaria b. Tuberculosis Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM c. Sickle cell anemia d. Breast cancer ANS: B Screening is based on the prevalence of a disease in a population. Tuberculosis is highly prevalent among Indigenous populations which supports screening for it. DIF: Cognitive Level: Appl ying (Application) MSC: Client Needs: Psychosocial Integrity 15. The nurse is working with families with newborns. What should the nurse include when assessing the babies? a. Fall risk screening b. Developmental screening c. Cancer screening d. Alcohol use ANS: B Considering the effects of environment on early childhood development, the Canadian Paediatric Society has endorsed the systematic use of a developmental screening tool (e.g., NDDS, ASQ, PEDS) at each 18 -month well -baby visit. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance MULTIPLE RESPONSE 1. To implem ent prim ary pr eveNntUioRn SinIpNraGctTicBe..TCheOnMurse will: (Select all that apply .) a. Promote routine childhood immunizations. b. Provide teaching on heart failure management. c. Encouraging the use of helmets when bicycling. d. Recommend a mammography for the 55-year-old patient. e. Discuss weight loss strategies for children diagnosed with obesity. ANS: A, C Immunization is an example of primary prevention in protecting individuals and populations from acquiring certain diseases in the first place. Encouraging the use of bicycle helmets is primary prevention in helping patients prevent injury to stay healthy. Mammography is an example of screening to detect disease early in secondary prevention. Teaching on heart failure management would be tertiary prevention to decrease the potential for complications when a disease is already present. Weight loss strategies for individuals with obesity would be tertiary prevention to help avoid or reduce complications associated with obesity. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Health Promotion and Maintenance 2. The nurse is working with a population of refugees from Syria. What concerns might the nurse have regarding their health? (Select all that apply .) a. The negative influence of low income on their health b. The challenges of improved nutrition leading to obesity c. Health disparities resulting in longer life expectancy