Test Bank for Essential Health
Assessment 2nd Edition by Thompson
All Chapters Complete
, Essential Health Assessment 2nd Edition Thompson Test Bank
Chapter 1. Understanding Health Assessment
Question 1
Type: MCSA
The nurse is obtaining a health history from a client who reports that he is healthy and has
no health concerns. As part of the health history, the nurse documents that the client
reported that hehas high blood pressure and suffers from a leg ulcer that remains unhealed
after 6 months. Whichof the following statements would be the best choice for the nurse to
use at this point in the interview?
1. I feel that you may be in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what hypertension is?
4. Is there anything else you are not telling me?
Correct Answer: 2
Rationale 1: More information would be needed before the nurse could attribute the
clientsviewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness.
The individuals concept of health and wellness is influenced by many factors, including
age, gender,race, family, culture, religion, socioeconomic conditions, environment, previous
experiences, andself-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further
investigation butthe nurse must first ascertain the clients definition;of;healthy.
,Rationale;4:;There;is;not;enough;information;to;determine;the;clients;withholding;of; info
rmation;to;the;nurse.
Global;Rationale:;A;client;will;have;his;or;her;own;definition;of;health,;illness,;and; well
ness.;The;individuals;concept;of;health;and;wellness;is;influenced;by;many;factors,; inclu
ding;age,;gender,;race,;family,;culture,;religion,;socioeconomic;conditions,; environment,;
previous;experiences,;and;self-
expectations.;More;information;would;be; needed;before;the;nurse;could;attribute;the;cli
ents;viewpoint;as;denial;or;lack;of; knowledge.;The;clients;history;of;hypertensionis;a;vali
d;area;requiring;further; investigation;but;the;nurse;must;first;ascertain;the;clients;defini
tion;of;healthy.;There;is; also;not;enough;information;to;determine;the;clients;withholdin
g;of;information;to;the; nurse.
Cognitive;Level:;Analyzing
Client;Need:;Health;Promotion;and;Maintenance
Client;Need;Sub:
Nursing/Integrated;Concepts:;Nursing;Process:;Assessment
Learning;Outcome:;1.4:;Identify;the;factors;to;consider;in;health;assessment
Question;2; Typ
e:;MCSA
The;nurse;is;documenting;in;the;clients;medical;record;and;wishes;to;use;SOAP; charti
ng.;Thenurse;includes;which;of;the;following;under;the;assessment;category?
1. The;clients;blood;pressure;was;177/93.
2. The;recent;loss;of;employment;and;insurance;have;prevented;the;client;from;being;
able;toafford;prescription;medications.
3. The;client;reports;having;lost;her;job;and;insurance;3;months;ago.
, 4. Referrals;have;been;made;to;social;services;to;determine;financial;assistance;
programsavailable.
Correct;Answer:;2
Rationale;1:;This;is;the;O;component,;objective;data.
Rationale;2:;The;A;component;of;the;SOAP;note;refers;to;conclusions;drawn; fro
m;thesubjective;and;objective;data;obtained.
Rationale;3:;This;is;subjective;data.
Rationale;4:;This;is;the;P;component,;plan.
Global;Rationale:;The;A;component;of;the;SOAP;note;refers;to;conclusions;drawn;from; the
subjective;and;objective;data;obtained.;The;clients;recent;loss;of;employment;and;the; potent
ialthat;this;was;a;contributing;factor;in;the;inability;to;afford;medications;is;an; example;of;a
;conclusion.;The;clients;reported;blood;pressure;would;be;an;example;of; objective;data.
Objective;data;is;information;that;can;be;measured;by;the;examiner.;Blood;pressure;is;not; a
n;example;of;subjective;information;nor;is;it;a;conclusion.;The;clients;reported;loss;of; emplo
ymentand;insurance;is;an;example;of;subjective;data.;The;statement;does;not;; include;concl
usions;as;tothe;results;of;these;events.;Making;referrals;to;social;services;is;an; example;of;an
;intervention.;Itis;not;a;conclusion.
Cognitive;Level:;Applying
Client;Need:;Health;Promotion;and;Maintenance
Client;Need;Sub:
Nursing/Integrated;Concepts:;Nursing;Process:;Assessment
Learning;Outcome:;1.4:;Identify;the;factors;to;consider;in;health;assessment.
Question;3; Typ
e:;MCSA
Assessment 2nd Edition by Thompson
All Chapters Complete
, Essential Health Assessment 2nd Edition Thompson Test Bank
Chapter 1. Understanding Health Assessment
Question 1
Type: MCSA
The nurse is obtaining a health history from a client who reports that he is healthy and has
no health concerns. As part of the health history, the nurse documents that the client
reported that hehas high blood pressure and suffers from a leg ulcer that remains unhealed
after 6 months. Whichof the following statements would be the best choice for the nurse to
use at this point in the interview?
1. I feel that you may be in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what hypertension is?
4. Is there anything else you are not telling me?
Correct Answer: 2
Rationale 1: More information would be needed before the nurse could attribute the
clientsviewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness.
The individuals concept of health and wellness is influenced by many factors, including
age, gender,race, family, culture, religion, socioeconomic conditions, environment, previous
experiences, andself-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further
investigation butthe nurse must first ascertain the clients definition;of;healthy.
,Rationale;4:;There;is;not;enough;information;to;determine;the;clients;withholding;of; info
rmation;to;the;nurse.
Global;Rationale:;A;client;will;have;his;or;her;own;definition;of;health,;illness,;and; well
ness.;The;individuals;concept;of;health;and;wellness;is;influenced;by;many;factors,; inclu
ding;age,;gender,;race,;family,;culture,;religion,;socioeconomic;conditions,; environment,;
previous;experiences,;and;self-
expectations.;More;information;would;be; needed;before;the;nurse;could;attribute;the;cli
ents;viewpoint;as;denial;or;lack;of; knowledge.;The;clients;history;of;hypertensionis;a;vali
d;area;requiring;further; investigation;but;the;nurse;must;first;ascertain;the;clients;defini
tion;of;healthy.;There;is; also;not;enough;information;to;determine;the;clients;withholdin
g;of;information;to;the; nurse.
Cognitive;Level:;Analyzing
Client;Need:;Health;Promotion;and;Maintenance
Client;Need;Sub:
Nursing/Integrated;Concepts:;Nursing;Process:;Assessment
Learning;Outcome:;1.4:;Identify;the;factors;to;consider;in;health;assessment
Question;2; Typ
e:;MCSA
The;nurse;is;documenting;in;the;clients;medical;record;and;wishes;to;use;SOAP; charti
ng.;Thenurse;includes;which;of;the;following;under;the;assessment;category?
1. The;clients;blood;pressure;was;177/93.
2. The;recent;loss;of;employment;and;insurance;have;prevented;the;client;from;being;
able;toafford;prescription;medications.
3. The;client;reports;having;lost;her;job;and;insurance;3;months;ago.
, 4. Referrals;have;been;made;to;social;services;to;determine;financial;assistance;
programsavailable.
Correct;Answer:;2
Rationale;1:;This;is;the;O;component,;objective;data.
Rationale;2:;The;A;component;of;the;SOAP;note;refers;to;conclusions;drawn; fro
m;thesubjective;and;objective;data;obtained.
Rationale;3:;This;is;subjective;data.
Rationale;4:;This;is;the;P;component,;plan.
Global;Rationale:;The;A;component;of;the;SOAP;note;refers;to;conclusions;drawn;from; the
subjective;and;objective;data;obtained.;The;clients;recent;loss;of;employment;and;the; potent
ialthat;this;was;a;contributing;factor;in;the;inability;to;afford;medications;is;an; example;of;a
;conclusion.;The;clients;reported;blood;pressure;would;be;an;example;of; objective;data.
Objective;data;is;information;that;can;be;measured;by;the;examiner.;Blood;pressure;is;not; a
n;example;of;subjective;information;nor;is;it;a;conclusion.;The;clients;reported;loss;of; emplo
ymentand;insurance;is;an;example;of;subjective;data.;The;statement;does;not;; include;concl
usions;as;tothe;results;of;these;events.;Making;referrals;to;social;services;is;an; example;of;an
;intervention.;Itis;not;a;conclusion.
Cognitive;Level:;Applying
Client;Need:;Health;Promotion;and;Maintenance
Client;Need;Sub:
Nursing/Integrated;Concepts:;Nursing;Process:;Assessment
Learning;Outcome:;1.4:;Identify;the;factors;to;consider;in;health;assessment.
Question;3; Typ
e:;MCSA
