Essential Health Assessment 2nd Edition Test Bank
Test Bank for Essential Health Assessment 2nd Edition By Janice Thompson
Table of Contents
Chapter 1. Understanding Health Assessment
Chapter 2. Interviewing the Patient for a Health History
Chapter 3. Taking the Health History
Chapter 4. Assessing Nutrition and Anthropometric Measurements
Chapter 5. Assessment Techniques
Chapter 6. General Survey and Assessing Vital Signs
Chapter 7. Assessing Pain
Chapter 8. Assessing the Skin, Hair, and Nails
Chapter 9. Assessing the Head, Face, Mouth, and Neck
Chapter 10. Assessing the Ears
Chapter 11. Assessing the Eyes
Chapter 12. Assessing the Respiratory System
Chapter 13. Assessing the Cardiovascular System
Chapter 14. Assessing the Abdomen
Chapter 15. Assessing the Peripheral Vascular System and Regional Lymphatic System
Chapter 16. Assessing the Musculoskeletal System
Chapter 17. Assessing the Neurological System
Chapter 18. Assessing the Female Breasts, Axillae, and Reproductive System
Chapter 19. Assessing the Male Breasts and Reproductive System
Chapter 20. Assessing the Anus and Rectum
Chapter 21. Assessing the Newborn
Chapter 22. Assessing the Child and Adolescent
Chapter 23. Assessment of the Pregnant Woman
Chapter 24. Assessing the Older Adult
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
, 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 he
has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which
of 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 clients
viewpoint 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, and
self-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further investigation but
the nurse must first ascertain the clients definition of healthy.
Rationale 4: There is not enough information to determine the clients withholding of
information to the nurse.
Global Rationale: 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, and self-expectations. More information would be needed before the nurse could
attribute the clients viewpoint as denial or lack of knowledge. The clients history of hypertension
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
, Essential Health Assessment 2nd Edition Thompson Test Bank
is a valid area requiring further investigation but the nurse must first ascertain the clients
definition of healthy. There is also not enough information to determine the clients withholding 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
Type: MCSA
The nurse is documenting in the clients medical record and wishes to use SOAP charting. The
nurse 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 to
afford 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 programs
available.
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 from the
subjective and objective data obtained.
Rationale 3: This is subjective data.
Rationale 4: This is the P component, plan.
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
, Essential Health Assessment 2nd Edition Thompson Test Bank
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 potential that
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 an example of subjective
information nor is it a conclusion. The clients reported loss of employment and insurance is an
example of subjective data. The statement does not include conclusions as to the results of these
events. Making referrals to social services is an example of an intervention. It is 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
Type: MCSA
The nurse is presenting a workshop on wellness and health promotion and the initiatives of
Healthy People 2020 as a resource for this topic. After the session, which of the following
statements by a participant indicates an understanding concerning the initiatives proposed?
1. It will allow health care providers to lobby legislators for more funding.
2. The primary goal of Healthy People 2020 is to assist health care providers in determining risk
factors for premature birth.
3. Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death.
4. The initiatives will outline standards of care for providers in managing diseases.
Correct Answer: 3
Rationale 1: Health care providers and other persons interested in programs to promote health
have found the document to be a useful source of information in their efforts to gain funding.
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
Test Bank for Essential Health Assessment 2nd Edition By Janice Thompson
Table of Contents
Chapter 1. Understanding Health Assessment
Chapter 2. Interviewing the Patient for a Health History
Chapter 3. Taking the Health History
Chapter 4. Assessing Nutrition and Anthropometric Measurements
Chapter 5. Assessment Techniques
Chapter 6. General Survey and Assessing Vital Signs
Chapter 7. Assessing Pain
Chapter 8. Assessing the Skin, Hair, and Nails
Chapter 9. Assessing the Head, Face, Mouth, and Neck
Chapter 10. Assessing the Ears
Chapter 11. Assessing the Eyes
Chapter 12. Assessing the Respiratory System
Chapter 13. Assessing the Cardiovascular System
Chapter 14. Assessing the Abdomen
Chapter 15. Assessing the Peripheral Vascular System and Regional Lymphatic System
Chapter 16. Assessing the Musculoskeletal System
Chapter 17. Assessing the Neurological System
Chapter 18. Assessing the Female Breasts, Axillae, and Reproductive System
Chapter 19. Assessing the Male Breasts and Reproductive System
Chapter 20. Assessing the Anus and Rectum
Chapter 21. Assessing the Newborn
Chapter 22. Assessing the Child and Adolescent
Chapter 23. Assessment of the Pregnant Woman
Chapter 24. Assessing the Older Adult
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
, 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 he
has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which
of 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 clients
viewpoint 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, and
self-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further investigation but
the nurse must first ascertain the clients definition of healthy.
Rationale 4: There is not enough information to determine the clients withholding of
information to the nurse.
Global Rationale: 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, and self-expectations. More information would be needed before the nurse could
attribute the clients viewpoint as denial or lack of knowledge. The clients history of hypertension
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
, Essential Health Assessment 2nd Edition Thompson Test Bank
is a valid area requiring further investigation but the nurse must first ascertain the clients
definition of healthy. There is also not enough information to determine the clients withholding 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
Type: MCSA
The nurse is documenting in the clients medical record and wishes to use SOAP charting. The
nurse 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 to
afford 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 programs
available.
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 from the
subjective and objective data obtained.
Rationale 3: This is subjective data.
Rationale 4: This is the P component, plan.
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
, Essential Health Assessment 2nd Edition Thompson Test Bank
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 potential that
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 an example of subjective
information nor is it a conclusion. The clients reported loss of employment and insurance is an
example of subjective data. The statement does not include conclusions as to the results of these
events. Making referrals to social services is an example of an intervention. It is 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
Type: MCSA
The nurse is presenting a workshop on wellness and health promotion and the initiatives of
Healthy People 2020 as a resource for this topic. After the session, which of the following
statements by a participant indicates an understanding concerning the initiatives proposed?
1. It will allow health care providers to lobby legislators for more funding.
2. The primary goal of Healthy People 2020 is to assist health care providers in determining risk
factors for premature birth.
3. Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death.
4. The initiatives will outline standards of care for providers in managing diseases.
Correct Answer: 3
Rationale 1: Health care providers and other persons interested in programs to promote health
have found the document to be a useful source of information in their efforts to gain funding.
Test Bank for Essential Health Assessment 2nd Edition by Janice Thompson
