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ESSENTIAL HEALTH ASSESSMENT
m m m
2ND EDITION BY THOMPSON /COMPLETE GUIDE 202
m m m m m m
4(Answer
Key at the End of Each Chapter)
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Chapterm 1:m Understandingm Healthm Assessment
1.mThemWorldmHealthmOrganizationm(WHO)mestablishedmamglobalmstrategymcalledm“Healthmf
ormAll.”mThemgoalmformthismstrategymis:
1. Allmindividualsmtomgetmthemsamemhealthmcaremthroughoutmtheirmlifemspans.
2. Themgovernmentmtomsupplymmoneymtomcaremformallmthempeopleminmthemworld.
3. Resourcesmformhealthmcaremtombemevenlymdistributedmandmaccessible.
4. Health-caremprovidersmcanmnevermdenymhospitalmpatientsmhealthmcare.
2.mHealthmassessmentmismamfoundationalmandmprioritymnursingmskill.mThismessentialmskillmrequire
smregisteredm medicalmcaretakersm(RNs)mto:
1. Diagnosemandmtreatmhospitalmpatients.
2. Identifymnormalmandmabnormalmfindings.
3. Referm hospitalm patientsm withm abnormalm findings.
4. Counselmhospitalmpatientsmwithmpsychosocialmneeds.
3.mYoumaremassessingmam hospitalmpatientmwithmfivemgunshotmwoundsmonmamtraumamunit.
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mTheremism ampolicempresencemoutside mhismdoormbecausemthemhospitalmpatientmismamknow
nmdrugmdealerminmthemcommunity.mYouknowmthatmmedicalmcaretakersmmustmtreatmallmh
ospitalmpatientsmasmpersons.mThismismcalled:
1. Caring.
2. Holisticmprocess.
3. Person-centeredmcarem(PCC).
4. Standardsmofmcare.
4.m Them science-
basedm frameworkm updatedm everym 10m yearsm bym them U.S.m Departmentm ofm Healthm andmHumanm
Servicesmthatmhasmsetmnationalmgoalsmandmobjectivesmformhealthmpromotionmandmdiseasempre
ventionmis:
1. HealthymPeople.
2. HealthymPeoplem2020.
3. U.S.m Preventivem Taskm Force.
4. Worldm Healthm Organization.
5. Am38-year-
oldmmalemhasmamfamilymhistorymofmcolonmcancer.mHismfathermdiedmofmcolonmcancermatmage
48.mThemdoctormrecommendedmthatmthismhospitalmpatientmhavemamcolonoscopymthismyear.mThismisma
nmexampleof:
1. Primarymhealthmprevention.
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2. Secondarym healthm prevention.
3. Tertiarymhealthmprevention.
6.mAmhospitalmpatientminmthemclinicmputsmonmhismcallmlightmandmtellsmthempersonmansweringmt
hatmhem“thinksmheismrunningmamfevermandmhasmstomachmdiscomfort.”mYoumaremthemregistered
mmedicalm caretakerm inm charge.m Whatm shouldm youm do?
1. Askmthemmedicalmassistantmtomgomtomthemhospitalmpatient’smroommandmassessmhismcomplaints.
2. GomcheckmtomseemifmthemhospitalmpatientmhasmanmordermformTylenolmformamfever.
3. Pagemthemresidentmonmcallmimmediatelymtomassessmthemhospitalmpatient.
4. Gomtomthemhospitalmpatient’smroommandmassessmformfevermandmthemepigastricmdiscomfort.
7.mYoumaremleadingmanminterdisciplinarymteammconferencemtomdiscussmhowmtomprovidembetter
mcaremformamchallengingmhospitalmpatientm whomhasmbehavioralmproblems.mTheremaremseveralm
areasmthatmneedmtombemproblemmsolvedmandmnewmideasmformulatedmtomcreatemanmimprovedm
planmofmcare.mWhatmcognitivemskillsmaremyoumusing?
1. Criticalmthinking
2. Clinicalmdecisionmmaking
3. Intuitivemthinking
4. Clinicalmreasoning
8.mBestmpracticemassessmentmtechniquesmandminstrumentsmhavembeenmvalidatedmby:
1. AmericanmMedicalmcaretakersmAssociation.
2. CodemofmEthicsmformMedicalmcaretakersmWithmInterpretivemStatements.
3. Researchm andm evidence-basedm practice.
4. HospitalmpatientmProtectionmandmAffordablemCaremAct.
9.mHealthmandmillnessmaremdeterminedmbymmanymfactors.mWhatmaremthemdeterminants
mofm healthmidentified mbymthemCentersmformDiseasemControl mandmPrevention m(CDC)?mSel
ectmallmthatmapply.
1. Geneticsmandmbiology
2. Gendermandmoccupation
3. Individualm behavior
4. Socialm environment
5. Physicalmenvironment
6. Healthmservices
10.mThemU.S.mhealth-
caremsystemmismevolving,mandmcaremismbecomingmmoremfocusedmonmwhichmofmthemfollowing?mSel
ectmallmthatmapply.
1. Wellness
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2. Functionalmstatus
3. Diseasem prevention
4. Healthm promotion
5. Acutem illnessm management
11.mYoumaremperformingmamhealthmassessmentmonmam32-year-
oldmfemalemhospitalmpatientm whomreportsm“feelingfatiguedmallmthemtime.”mShemstates,m“Imhavem
notmhadmamphysicalminmoverm8myearsmbecausemImdidmnotmhavemmedicalminsurance.”mThemhospi
talmpatientmwillmbemhavingmamphysicalmtoday.mWhatmwillmbempartmofmthemhealthmassessment?
m Selectmallmthatmapply.
1. Collectingmdatamonmpastmhealth
2. Collectingmdatamonmpresentmhealth
3. Collectingmdatamonmsignificantmother’smhealth
4. Assessingmfactorsminfluencingmhealth
5. Performingmamphysicalmexamination
12.mYoumaremworkingmwithmamhospitalmpatientmasmamcopartnerminmcare.mThemhospitalmpatientmh
asmmultiplemmedicalmproblems.mPutmGRADESMORE.COM
themfollowingmstepsmofmthemnursingmprocessminmthemcorrect
morderm(1–
5).m(Entermthemnumbermofmeachmstepminmthempropermsequence;mdomnotmusempunctuationmormspac
es.mExample:m1234.)
1. Planning
2. Evaluation
3. Assessment
4. Implementation
5. Diagnosis
13. Youmaremworkingmonmammedicalmsurgicalmunitmandmaremcaringmformam24-year-
oldmhospitalmpatientmwhomism3mhoursmpost-
op.mThemhospitalmpatientmseemsmconfusedmandmrestlessmsincemyoumassessedmhermanmhourmago
.mYoum havemamgutmfeelingmthatmsomethingmismverymwrong.mThismismanmexamplemofmm
mthinking.
14. Them fourm techniquesm ofm healthm assessmentm includem inspection,m palpation,m percussion,m and
m .
Answers
1.mThemWorldmHealthmOrganizationm(WHO)mestablishedmamglobalmstrategymcalledm“Healthmf
ormAll.”mThemgoalmform thismstrategymis:
1. Allmindividualsmtomgetmthemsamemhealthmcaremthroughoutmtheirmlifemspans.
2. Themgovernmentmtomsupplymmoneymtomcaremformallmthempeopleminmthemworld.
3. Resourcesmformhealthmcaremtombemevenlymdistributedmandmaccessible.
4. Health-caremprovidersmcanmnevermdenymhospitalmpatientsmhealthmcare.
ACCURATEmANSWER:-3