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Evolve Questions for Exam #1.

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Evolve Questions for Exam #1.

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HEALTH ASSESSMENT EVOLVE QUESTIONS
EXAM #1 REVIEW

CHAPTER 1:
1) According to the holistic model, a narrow definition of holistic health includes:
A) an optimal functioning of mind, body, and spirit within the
environment. B) the absence of disease
C) the response of the whole person to actual or potential problems
D) the internal and external environment.
Rationale: From a biomedical perspective, health is defined as the absence
of disease or elimination of symptoms and signs of disease, whereas a
holistic model approach examines mind, body, and spirit working
interdependently within the environment to maintain health
and well- being. Nursing has an expanded concept of health; holistic
health includes the mind, body, and spirit as interdependent and
functioning as a whole within the environment. Nursing diagnoses
are clinical judgments about a person’s response to an actual or
potential health state. In a holistic model approach to health, both the
internal and the external environment affect a patient’s health and
well-being.


2) What type of database is most appropriate when rapid collection of data is required
and often compiled concurrently with lifesaving measures?
A) Episodic
B) Follow-Up
C) Emergency
D) Complete
Rationale: An emergency database includes rapid collection of data often
obtained concurrently with lifesaving measures. An episodic
database is for a limited or short-term problem; this database concerns
mainly one problem, one cue complex, or one body system. A follow-
up database is used to follow up short-term or chronic health
problems; the statuses of identified problems are evaluated at regular
and appropriate intervals.
A complete database includes a complete health history and a full physical
examination; it describes the current and past health state and forms a
baseline against which all future changes can be measured.

3) A medical diagnosis is used to evaluate:
A) person’s state of health.
B) the response of the whole person to actual or potential health problems
C) a person’s culture
D) the cause of disease

, Rationale: Medical diagnoses are used to evaluate the cause or etiology of
disease. Nursing diagnoses are clinical judgments about a person’s
response to an actual or potential health state. Nursing
diagnoses are used to evaluate the response of the whole person to actual or
potential health problems.

4) An example of subjective data is:
A) decreased ROM
B) crepitation in the left knee joint
C) left knee has been swollen and hot for 3 days
D) arthritis
Rationale: Subjective data is what the patient says about himself or herself
during history taking. Objective data is what the health professional
observes by inspecting, percussing, palpating, and auscultating
during the physical examination. Range of motion is assessed by
inspection

5) What type of database is most appropriate for an individual who is admitted to a long-
term care facility?
A) Episodic
B) Follow-Up
C) Emergency
D) Complete
Rationale: Same as question #2

6) Which of the following is an example of objective
data? A) Alert and orientated
B) Dizziness
C) An earache
D) A sore throat

7) An example of objective data is:
A) a complaint of left knee pain
B) crepitation in the left knee joint
C) left knee has been swollen and hot for the past 3 days.
D) a report of impaired mobility from left knee pain as evidenced by an inability
to walk, swelling, and pain on passive range of motion
Rationale: Crepitation is assessed by palpation

8) A patient admitted to the hospital with asthma has the following problems identified
based on an admission health history and physical assessment. Which problem is a
first- level priority?
A) Ineffective self-health management
B) Risk for infection
C) Impaired gas exchange
D) Readiness for enhanced spiritual well-being

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