3 Health History and Physical Examination

EXAM ELABORATIONS Aug 27, 2025
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CONTENTS

SECTION 1 Concepts in Nursing Practice

  • Professional Nursing
  • Social Determinants of Health
  • Health History and Physical Examination
  • Patient and Caregiver Teaching
  • Chronic Illness and Older Adults
  • Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients
  • SECTION 2 Problems Related to Comfort and Coping

  • Stress Management
  • Sleep and Sleep Disorders
  • Pain
  • 10 Palliative and End-of-Life Care 11 Substance Use Disorders in Acute Care SECTION 3 Problems Related to Homeostasis and Protection 12 Inflammation and Healing 13 Genetics 14 Immune Responses and Transplantation 15 Infection 16 Cancer 17 Fluid, Electrolyte, and Acid-Base Imbalances SECTION 4 Perioperative and Emergency Care 18 Preoperative Care 19 Intraoperative Care 20 Postoperative Care 21 Emergency and Disaster Nursing SECTION 5 Problems Related to Altered Sensory Input

22 Assessment and Management: Visual Problems

23 Assessment and Management: Auditory Problems

24 Assessment: Integumentary System

25 Integumentary Problems 26 Burns

SECTION 6 Problems of Oxygenation: Ventilation

27 Assessment: Respiratory System

28 Supporting Ventilation 29 Upper Respiratory Problems 30 Lower Respiratory Problems 31 Obstructive Pulmonary Diseases 32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome

SECTION 7 Problems of Oxygenation: Transport

33 Assessment: Hematologic System

34 Hematologic Problems

SECTION 8 Problems of Oxygenation: Perfusion

35 Assessment: Cardiovascular System

36 Hypertension 37 Coronary Artery Disease and Acute Coronary Syndrome 38 Heart Failure 2 / 4

39 Dysrhythmias 40 Inflammatory and Structural Heart Disorders 41 Vascular Disorders 42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome SECTION 9 Problems of Ingestion, Digestion, Absorption, and Elimination

43 Assessment: Gastrointestinal System

44 Nutrition Problems 45 Obesity 46 Upper Gastrointestinal Problems 47 Lower Gastrointestinal Problems 48 Liver, Biliary Tract, and Pancreas Problems SECTION 10 Problems of Urinary Function

49 Assessment: Urinary System

50 Renal and Urologic Problems 51 Acute Kidney Injury and Chronic Kidney Disease SECTION 11 Problems Related to Regulatory and Reproductive Mechanisms

52 Assessment: Endocrine System

53 Diabetes 54 Endocrine Problems

55 Assessment: Reproductive System

56 Breast Problems 57 Sexually Transmitted Infections 58 Female Reproductive Problems 59 Male Reproductive Problems SECTION 12 Problems Related to Movement and Coordination

60 Assessment: Nervous System

61 Acute Intracranial Problems 62 Stroke 63 Chronic Neurologic Problems 64 Dementia and Delirium 65 Spinal Cord and Peripheral Nerve Problems

66 Assessment: Musculoskeletal System

67 Musculoskeletal Trauma and Orthopedic Surgery 68 Musculoskeletal Problems 69 Arthritis and Connective Tissue Diseases 3 / 4

Chapter 01: Professional Nursing

Harding: Lewis’s Medical-Surgical Nursing, 12th Edition

MULTIPLE CHOICE

  • The nurse completes an admission database and explains that the plan of care and discharge
  • goals will be developed with the patient‘s input. The patient asks, “How is this different from what the physician does?” Which response would the nurse provide?

  • “The role of the nurse is to administer medications and other treatments prescribed
  • by your physician.”

  • “In addition to caring for you while you are sick, the nurses will help you plan to
  • maintain your health.”

  • “The nurse‘s job is to collect information and communicate any problems that
  • occur to the physician.”

  • “Nurses perform many of the same procedures as the physician, but nurses are
  • with the patients for a longer time than the physician.”

ANS: B

The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting health. The other responses describe dependent and collaborative functions of the nursing role but do not accurately describe the nurse‘s unique role in the health care system.

DIF: Cognitive Level: Analyze (Analysis) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment

  • Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
  • “Patient care is based on clinical judgment, experience, and traditions.”
  • “Data are analyzed later to show that the patient outcomes are consistently met.”
  • “Research from all published articles are used as a guide for planning patient care.”
  • “Recommendations are based on research, clinical expertise, and patient
  • preferences.”

ANS: D

Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician expertise and consideration of patient preferences. Clinical judgment based on the nurse‘s clinical experience is part of EBP, but clinical decision making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes is important, but data analysis is not required to use EBP. All published articles do not provide research evidence; interventions should be based on credible research, preferably randomized controlled studies with a large number of subjects.

DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment

  • Which statement by the nurse provides a clear explanation of the nursing process?
  • “The nursing process is a research method of diagnosing the patient‘s health care
  • problems.”

  • “The nursing process is used primarily to explain nursing interventions to other
  • health care professionals.”

  • “The nursing process is a problem-solving tool used to identify and manage the
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Category: EXAM ELABORATIONS
Added: Aug 27, 2025
Description:

CONTENTS SECTION 1 Concepts in Nursing Practice 1 Professional Nursing 2 Social Determinants of Health 3 Health History and Physical Examination 4 Patient and Caregiver Teaching 5 Chronic Illness a...

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