EssentialHealthAssessment2ndEditionThompsonTestBank v v
Chapter1.UnderstandingHealth Assessment v
Question1 g
Type:MCSA
g
Thenurseisobtainingahealthhistoryfromaclientwhoreportsthatheishealthyandhasnohealth
g g g g g g g g g g g g g g g
g concerns.Aspartofthehealthhistory,thenursedocumentsthattheclientreportedthathehas high v v v v g v
g bloodpressureandsuffers from alegulcerthatremainsunhealedafter6months.Whichofthe
v v v v g g
g followingstatementswouldbethebestchoiceforthenursetouseatthispointintheinterview?
g g g g g g g g g g g g g g g g
1. Ifeelthatyoumaybeindenialaboutyourhealthstatus.
g g g g g g
2. Tellmeaboutyourdefinitionofbeinghealthy. g
3. Doyouunderstandwhathypertension is? g
4. Isthereanythingelseyouarenottellingme? g
CorrectAnswer:2
Rationale1:Moreinformationwouldbeneeded beforethenursecould attributetheclientsviewpoint
v v v v v v v g
asdenialorlackofknowledge.
g g g g g g
Rationale2:Aclient willhavehisorherowndefinitionofhealth,illness,andwellness.The
g g g v g g g g g g g g g g
individualsconceptofhealth and wellnessisinfluenced bymanyfactors,includingage,gender,
g v g g
g race,family,culture,religion,socioeconomicconditions,environment,previousexperiences,and
v
g self-expectations.
Rationale3:The clientshistoryof hypertensionisavalidarea requiring furtherinvestigationbutthe
v v v v g
nursemustfirst ascertaintheclients definitionofhealthy.
g g g g g g g g
,Rationale4:Thereisnotenoughinformationtodeterminetheclientswithholdingofinformationtothe v v v g
g nurse.
GlobalRationale:Aclientwillhavehisorherowndefinitionofhealth,illness,andwellness.The
g g g g g g g g g g g g g g
g individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender, race,
g g g g g g g g g g g g g
family,culture,religion,socioeconomicconditions,environment,previousexperiences,and self-
g g g g g g g g g g
expectations. Moreinformation wouldbeneeded beforethenursecould attributetheclients
g g g g g g g g v
g viewpointasdenialorlack ofknowledge.Theclientshistoryofhypertensionisavalidarearequiring v g g g g
g furtherinvestigationbutthenursemustfirstascertaintheclientsdefinitionofhealthy.Thereisalso
g g g g g g g g g g
g notenoughinformationtodeterminetheclientswithholdingofinformationtothenurse. g g g g
CognitiveLevel:Analyzing g g
g ClientNeed:HealthPromotion andMaintenance
v v v
g Client NeedSub:
v
Nursing/IntegratedConcepts:NursingProcess:Assessment g g
g LearningOutcome:1.4:Identifythefactors toconsiderinhealthassessment v v v
Question2
g g
Type:MCSA
Thenurseisdocumentingintheclients medicalrecordand wishes touseSOAPcharting.Thenurse v v v v v v g
g includeswhichofthefollowingundertheassessmentcategory?
g g g g g g g g
1. Theclientsblood pressurewas177/93. v g
2. Therecent loss ofemployment andinsurancehave preventedtheclientfrom being ableto
v v v v v v v
affordprescriptionmedications.
g g g
3. Theclient reports havinglostherjobandinsurance3monthsago.
v g g g
,4. Referralshavebeen madetosocialservicestodeterminefinancialassistanceprograms
v v v v
g available.
CorrectAnswer:2
g Rationale1:ThisistheOcomponent,objectivedata. v
Rationale2:TheAcomponentoftheSOAPnote refers toconclusionsdrawnfrom thesubjective v v v g
g andobjectivedataobtained.
g g g
Rationale3:Thisissubjectivedata.
g Rationale4:ThisisthePcomponent,plan. v
GlobalRationale:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthe
g g g g
g subjectiveandobjectivedataobtained.Theclientsrecentlossofemploymentandthepotentialthat v v v v g
g thiswasacontributingfactorintheinabilitytoaffordmedicationsisanexampleofaconclusion. The
g g g g g g g g g g g g g g g g
clientsreportedbloodpressurewouldbeanexampleofobjectivedata.
g g g g g g g g g g g
Objectivedataisinformationthatcanbemeasuredbytheexaminer.Bloodpressureisnotan
g g g g g g g g g g g g g g g
gexampleofsubjective information norisitaconclusion.Theclientsreported lossofemploymentand
v v v v v g
ginsuranceisanexampleofsubjectivedata.The statement doesnotincludeconclusionsas totheresults v v v g
g oftheseevents.Makingreferralsto socialservicesisanexampleofan intervention.Itisnota
v v v g g g
gconclusion.
CognitiveLevel:Applying g g
g ClientNeed:HealthPromotion andMaintenance
v v v
g Client NeedSub:
v
Nursing/IntegratedConcepts:Nursing Process:Assessment g v
g LearningOutcome:1.4:Identifythefactors toconsiderinhealthassessment. v v v
Question3
g g
Type:MCSA
, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
g g g g g g g g g g g g g g
g Healthy People 2020 as a resource for this topic. After the session, which of the following
g g g g g g g g g g g g g g g
g statementsbya participant indicates an understandingconcerningtheinitiativesproposed?
v v v v v
1. Itwillallowhealth careproviderstolobbylegislatorsformorefunding. v v v
2. TheprimarygoalofHealthyPeople2020istoassisthealthcareprovidersindeterminingrisk v
g factorsforprematurebirth.
g g
3. HealthyPeople2020seekstopromoteshealth,prevent illness,disability,andprematuredeath. v v v v
4. Theinitiatives willoutlinestandardsofcareforprovidersin managingdiseases.
v v
CorrectAnswer:3
Rationale1:Healthcareproviders and otherpersonsinterested in programstopromotehealthhave v v v v g
gfoundthedocumenttobeausefulsourceofinformationintheireffortstogainfunding.
Rationale2:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,
g g g g g g g g g g g g g g
g preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealthindicatorsthat
v v v g
g reflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartof those health g g g
g indicators,butthescopeofthedocumentcoversbroadareasofconcern.
g g g g g g g g g g
Rationale3:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,prevent v g
g illness,disability,andprematuredeath.
g g g g
Rationale4:Standardsofcareindiseasemanagementisnotacomponentofthedocument. v v
Global Rationale:TheHealthyPeople2020initiativeisa10-yearstrategyintended topromote
v g v
g health,preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealth
g g g g g g g g g g g
g indicatorsthatreflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartofthose
g g g g g g g g g g g g g
g healthindicators,butthescopeofthedocumentcoversbroadareasofconcern.Healthcare providers
v v v v v v g
g andotherpersonsinterestedinprogramstopromotehealthhavefoundthedocument tobeauseful
v v v v v g g g
g sourceofinformationintheireffortstogainfunding.Standardsofcareindiseasemanagementis nota
g g g g g g g g g g g g g g g g
componentofthedocument.
g g g
Chapter1.UnderstandingHealth Assessment v
Question1 g
Type:MCSA
g
Thenurseisobtainingahealthhistoryfromaclientwhoreportsthatheishealthyandhasnohealth
g g g g g g g g g g g g g g g
g concerns.Aspartofthehealthhistory,thenursedocumentsthattheclientreportedthathehas high v v v v g v
g bloodpressureandsuffers from alegulcerthatremainsunhealedafter6months.Whichofthe
v v v v g g
g followingstatementswouldbethebestchoiceforthenursetouseatthispointintheinterview?
g g g g g g g g g g g g g g g g
1. Ifeelthatyoumaybeindenialaboutyourhealthstatus.
g g g g g g
2. Tellmeaboutyourdefinitionofbeinghealthy. g
3. Doyouunderstandwhathypertension is? g
4. Isthereanythingelseyouarenottellingme? g
CorrectAnswer:2
Rationale1:Moreinformationwouldbeneeded beforethenursecould attributetheclientsviewpoint
v v v v v v v g
asdenialorlackofknowledge.
g g g g g g
Rationale2:Aclient willhavehisorherowndefinitionofhealth,illness,andwellness.The
g g g v g g g g g g g g g g
individualsconceptofhealth and wellnessisinfluenced bymanyfactors,includingage,gender,
g v g g
g race,family,culture,religion,socioeconomicconditions,environment,previousexperiences,and
v
g self-expectations.
Rationale3:The clientshistoryof hypertensionisavalidarea requiring furtherinvestigationbutthe
v v v v g
nursemustfirst ascertaintheclients definitionofhealthy.
g g g g g g g g
,Rationale4:Thereisnotenoughinformationtodeterminetheclientswithholdingofinformationtothe v v v g
g nurse.
GlobalRationale:Aclientwillhavehisorherowndefinitionofhealth,illness,andwellness.The
g g g g g g g g g g g g g g
g individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender, race,
g g g g g g g g g g g g g
family,culture,religion,socioeconomicconditions,environment,previousexperiences,and self-
g g g g g g g g g g
expectations. Moreinformation wouldbeneeded beforethenursecould attributetheclients
g g g g g g g g v
g viewpointasdenialorlack ofknowledge.Theclientshistoryofhypertensionisavalidarearequiring v g g g g
g furtherinvestigationbutthenursemustfirstascertaintheclientsdefinitionofhealthy.Thereisalso
g g g g g g g g g g
g notenoughinformationtodeterminetheclientswithholdingofinformationtothenurse. g g g g
CognitiveLevel:Analyzing g g
g ClientNeed:HealthPromotion andMaintenance
v v v
g Client NeedSub:
v
Nursing/IntegratedConcepts:NursingProcess:Assessment g g
g LearningOutcome:1.4:Identifythefactors toconsiderinhealthassessment v v v
Question2
g g
Type:MCSA
Thenurseisdocumentingintheclients medicalrecordand wishes touseSOAPcharting.Thenurse v v v v v v g
g includeswhichofthefollowingundertheassessmentcategory?
g g g g g g g g
1. Theclientsblood pressurewas177/93. v g
2. Therecent loss ofemployment andinsurancehave preventedtheclientfrom being ableto
v v v v v v v
affordprescriptionmedications.
g g g
3. Theclient reports havinglostherjobandinsurance3monthsago.
v g g g
,4. Referralshavebeen madetosocialservicestodeterminefinancialassistanceprograms
v v v v
g available.
CorrectAnswer:2
g Rationale1:ThisistheOcomponent,objectivedata. v
Rationale2:TheAcomponentoftheSOAPnote refers toconclusionsdrawnfrom thesubjective v v v g
g andobjectivedataobtained.
g g g
Rationale3:Thisissubjectivedata.
g Rationale4:ThisisthePcomponent,plan. v
GlobalRationale:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthe
g g g g
g subjectiveandobjectivedataobtained.Theclientsrecentlossofemploymentandthepotentialthat v v v v g
g thiswasacontributingfactorintheinabilitytoaffordmedicationsisanexampleofaconclusion. The
g g g g g g g g g g g g g g g g
clientsreportedbloodpressurewouldbeanexampleofobjectivedata.
g g g g g g g g g g g
Objectivedataisinformationthatcanbemeasuredbytheexaminer.Bloodpressureisnotan
g g g g g g g g g g g g g g g
gexampleofsubjective information norisitaconclusion.Theclientsreported lossofemploymentand
v v v v v g
ginsuranceisanexampleofsubjectivedata.The statement doesnotincludeconclusionsas totheresults v v v g
g oftheseevents.Makingreferralsto socialservicesisanexampleofan intervention.Itisnota
v v v g g g
gconclusion.
CognitiveLevel:Applying g g
g ClientNeed:HealthPromotion andMaintenance
v v v
g Client NeedSub:
v
Nursing/IntegratedConcepts:Nursing Process:Assessment g v
g LearningOutcome:1.4:Identifythefactors toconsiderinhealthassessment. v v v
Question3
g g
Type:MCSA
, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
g g g g g g g g g g g g g g
g Healthy People 2020 as a resource for this topic. After the session, which of the following
g g g g g g g g g g g g g g g
g statementsbya participant indicates an understandingconcerningtheinitiativesproposed?
v v v v v
1. Itwillallowhealth careproviderstolobbylegislatorsformorefunding. v v v
2. TheprimarygoalofHealthyPeople2020istoassisthealthcareprovidersindeterminingrisk v
g factorsforprematurebirth.
g g
3. HealthyPeople2020seekstopromoteshealth,prevent illness,disability,andprematuredeath. v v v v
4. Theinitiatives willoutlinestandardsofcareforprovidersin managingdiseases.
v v
CorrectAnswer:3
Rationale1:Healthcareproviders and otherpersonsinterested in programstopromotehealthhave v v v v g
gfoundthedocumenttobeausefulsourceofinformationintheireffortstogainfunding.
Rationale2:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,
g g g g g g g g g g g g g g
g preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealthindicatorsthat
v v v g
g reflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartof those health g g g
g indicators,butthescopeofthedocumentcoversbroadareasofconcern.
g g g g g g g g g g
Rationale3:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,prevent v g
g illness,disability,andprematuredeath.
g g g g
Rationale4:Standardsofcareindiseasemanagementisnotacomponentofthedocument. v v
Global Rationale:TheHealthyPeople2020initiativeisa10-yearstrategyintended topromote
v g v
g health,preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealth
g g g g g g g g g g g
g indicatorsthatreflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartofthose
g g g g g g g g g g g g g
g healthindicators,butthescopeofthedocumentcoversbroadareasofconcern.Healthcare providers
v v v v v v g
g andotherpersonsinterestedinprogramstopromotehealthhavefoundthedocument tobeauseful
v v v v v g g g
g sourceofinformationintheireffortstogainfunding.Standardsofcareindiseasemanagementis nota
g g g g g g g g g g g g g g g g
componentofthedocument.
g g g
