Essential Health Assessment 2nd Edition Thompson Test Bank
c c c c c c c
Chapterc1.cUnderstandingcHealthcAssessment
Questionc1cT
ype:cMCSA
Thecnurseciscobtainingcachealthchistorycfromcacclientcwhocreportscthatchecischealthycandchascnochealt
hcconcerns.cAscpartcofcthechealthchistory,cthecnursecdocumentscthatcthecclientcreportedcthatchechaschig
hcbloodcpressurecandcsufferscfromcaclegculcercthatcremainscunhealedcafterc6cmonths.cWhichcofcthecfoll
owingcstatementscwouldcbecthecbestcchoicecforcthecnursectocusecatcthiscpointcincthecinterview?
1. Icfeelcthatcyoucmaycbecincdenialcaboutcyourchealthcstatus.
2. Tellcmecaboutcyourcdefinitioncofcbeingchealthy.
3. Docyoucunderstandcwhatchypertensioncis?
4. Isctherecanythingcelsecyoucarecnotctellingcme?
CorrectcAnswer:c2
Rationalec1:cMorecinformationcwouldcbecneededcbeforecthecnurseccouldcattributecthecclientscviewpoi
ntcascdenialcorclackcofcknowledge.
Rationalec2:cAcclientcwillchavechiscorchercowncdefinitioncofchealth,cillness,candcwellness.cThecindiv
idualscconceptcofchealthcandcwellnessciscinfluencedcbycmanycfactors,cincludingcage,cgender,crace,cfa
mily,cculture,creligion,csocioeconomiccconditions,cenvironment,cpreviouscexperiences,candcself-
expectations.
Rationalec3:cThecclientschistorycofchypertensionciscacvalidcareacrequiringcfurthercinvestigationcbutcth
ecnursecmustcfirstcascertaincthecclientscdefinitioncofchealthy.
,Rationalec4:cThereciscnotcenoughcinformationctocdeterminecthecclientscwithholdingcofcinformatio
nctocthecnurse.
GlobalcRationale:cAcclientcwillchavechiscorchercowncdefinitioncofchealth,cillness,candcwellness.cTh
ecindividualscconceptcofchealthcandcwellnessciscinfluencedcbycmanycfactors,cincludingcage,cgender,c
race,cfamily,cculture,creligion,csocioeconomiccconditions,cenvironment,cpreviouscexperiences,cand
self-
c
expectations.cMorecinformationcwouldcbecneededcbeforecthecnurseccouldcattributecthecclientscviewp
ointcascdenialcorclackcofcknowledge.cThecclientschistorycofchypertensionciscacvalidcareacrequiringcfurt
hercinvestigationcbutcthecnursecmustcfirstcascertaincthecclientscdefinitioncofchealthy.cThereciscalsocn
otcenoughcinformationctocdeterminecthecclientscwithholdingcofcinformationctocthecnurse.
CognitivecLevel:cAnalyzing
ClientcNeed:cHealthcPromotioncandcMaintenance
ClientcNeedcSub:
Nursing/IntegratedcConcepts:cNursingcProcess:cAssessment
LearningcOutcome:c1.4:cIdentifycthecfactorsctocconsidercinchealthcassessment
Questionc2cT
ype:cMCSA
ThecnurseciscdocumentingcincthecclientscmedicalcrecordcandcwishesctocusecSOAPccharting.cThecnu
rsecincludescwhichcofcthecfollowingcundercthecassessmentccategory?
1. Thecclientscbloodcpressurecwasc177/93.
2. Thecrecentclosscofcemploymentcandcinsurancechavecpreventedcthecclientcfromcbeingcablectocaf
fordcprescriptioncmedications.
3. Thecclientcreportschavingclostchercjobcandcinsurancec3cmonthscago.
,4. Referralschavecbeencmadectocsocialcservicesctocdeterminecfinancialcassistancecprogramsca
vailable.
CorrectcAnswer:c2
Rationalec1:cThisciscthecOccomponent,cobjectivecdata.
Rationalec2:cThecAccomponentcofcthecSOAPcnotecrefersctocconclusionscdrawncfromcthecsu
bjectivecandcobjectivecdatacobtained.
Rationalec3:cThisciscsubjectivecdata.
Rationalec4:cThisciscthecPccomponent,cplan.
GlobalcRationale:cThecAccomponentcofcthecSOAPcnotecrefersctocconclusionscdrawncfromcthecsu
bjectivecandcobjectivecdatacobtained.cThecclientscrecentclosscofcemploymentcandcthecpotentialcthatc
thiscwascaccontributingcfactorcincthecinabilityctocaffordcmedicationsciscancexamplecofcacconclusio
n.cThecclientscreportedcbloodcpressurecwouldcbecancexamplecofcobjectivecdata.
Objectivecdataciscinformationcthatccancbecmeasuredcbycthecexaminer.cBloodcpressureciscnotcancexam
plecofcsubjectivecinformationcnorciscitcacconclusion.cThecclientscreportedclosscofcemploymentcandcins
uranceciscancexamplecofcsubjectivecdata.cThecstatementcdoescnotcincludecconclusionscasctocthecresult
scofcthesecevents.cMakingcreferralsctocsocialcservicesciscancexamplecofcancintervention.cItciscnotcacconc
lusion.
CognitivecLevel:cApplying
ClientcNeed:cHealthcPromotioncandcMaintenance
ClientcNeedcSub:
Nursing/IntegratedcConcepts:cNursingcProcess:cAssessment
LearningcOutcome:c1.4:cIdentifycthecfactorsctocconsidercinchealthcassessment.
Questionc3cT
ype:cMCSA
, ThecnurseciscpresentingcacworkshopconcwellnesscandchealthcpromotioncandcthecinitiativescofcH
ealthycPeoplec2020cascacresourcecforcthisctopic.cAftercthecsession,cwhichcofcthecfollowingcstate
mentscbycacparticipantcindicatescancunderstandingcconcerningcthecinitiativescproposed?
1. Itcwillcallowchealthccarecprovidersctoclobbyclegislatorscforcmorecfunding.
2. ThecprimarycgoalcofcHealthycPeoplec2020cisctocassistchealthccarecproviderscincdeterminingcriskcfa
ctorscforcprematurecbirth.
3. HealthycPeoplec2020cseeksctocpromoteschealth,cpreventcillness,cdisability,candcprematurecdeath.
4. Thecinitiativescwillcoutlinecstandardscofccarecforcproviderscincmanagingcdiseases.
CorrectcAnswer:c3
Rationalec1:cHealthccarecproviderscandcothercpersonscinterestedcincprogramsctocpromotechealthch
avecfoundcthecdocumentctocbecacusefulcsourcecofcinformationcinctheirceffortsctocgaincfunding.
Rationalec2:cThecHealthycPeoplec2020cinitiativeciscac10-
yearcstrategycintendedctocpromotechealth,cpreventcillness,cdisability,candcprematurecdeath.cThecd
ocumentcidentifiescleadingchealthcindicatorscthatcreflectcpublicchealthcconcerns.cRiskcfactorscforc
prematurecbirthcmaycbecpartcofcthosechealthcindicators,cbutcthecscopecofcthecdocumentccoverscbro
adcareascofcconcern.
Rationalec3:cThecHealthycPeoplec2020cinitiativeciscac10-
yearcstrategycintendedctocpromotechealth,cpreventcillness,cdisability,candcprematurecdeath.
Rationalec4:cStandardscofccarecincdiseasecmanagementciscnotcaccomponentcofcthecdocument.
GlobalcRationale:cThecHealthycPeoplec2020cinitiativeciscac10-
yearcstrategycintendedctocpromotechealth,cpreventcillness,cdisability,candcprematurecdeath.cThecdocu
mentcidentifiescleadingchealthcindicatorscthatcreflectcpublicchealthcconcerns.cRiskcfactorscforcprema
turecbirthcmaycbecpartcofcthosechealthcindicators,cbutcthecscopecofcthecdocumentccoverscbroadcareasco
fcconcern.cHealthccarecproviderscandcothercpersonscinterestedcincprogramsctocpromotechealthchavecfo
undcthecdocumentctocbecacusefulcsourcecofcinformationcinctheirceffortsctocgaincfunding.cStandardscofc
carecincdiseasecmanagementciscnotcaccomponentcofcthecdocument.
c c c c c c c
Chapterc1.cUnderstandingcHealthcAssessment
Questionc1cT
ype:cMCSA
Thecnurseciscobtainingcachealthchistorycfromcacclientcwhocreportscthatchecischealthycandchascnochealt
hcconcerns.cAscpartcofcthechealthchistory,cthecnursecdocumentscthatcthecclientcreportedcthatchechaschig
hcbloodcpressurecandcsufferscfromcaclegculcercthatcremainscunhealedcafterc6cmonths.cWhichcofcthecfoll
owingcstatementscwouldcbecthecbestcchoicecforcthecnursectocusecatcthiscpointcincthecinterview?
1. Icfeelcthatcyoucmaycbecincdenialcaboutcyourchealthcstatus.
2. Tellcmecaboutcyourcdefinitioncofcbeingchealthy.
3. Docyoucunderstandcwhatchypertensioncis?
4. Isctherecanythingcelsecyoucarecnotctellingcme?
CorrectcAnswer:c2
Rationalec1:cMorecinformationcwouldcbecneededcbeforecthecnurseccouldcattributecthecclientscviewpoi
ntcascdenialcorclackcofcknowledge.
Rationalec2:cAcclientcwillchavechiscorchercowncdefinitioncofchealth,cillness,candcwellness.cThecindiv
idualscconceptcofchealthcandcwellnessciscinfluencedcbycmanycfactors,cincludingcage,cgender,crace,cfa
mily,cculture,creligion,csocioeconomiccconditions,cenvironment,cpreviouscexperiences,candcself-
expectations.
Rationalec3:cThecclientschistorycofchypertensionciscacvalidcareacrequiringcfurthercinvestigationcbutcth
ecnursecmustcfirstcascertaincthecclientscdefinitioncofchealthy.
,Rationalec4:cThereciscnotcenoughcinformationctocdeterminecthecclientscwithholdingcofcinformatio
nctocthecnurse.
GlobalcRationale:cAcclientcwillchavechiscorchercowncdefinitioncofchealth,cillness,candcwellness.cTh
ecindividualscconceptcofchealthcandcwellnessciscinfluencedcbycmanycfactors,cincludingcage,cgender,c
race,cfamily,cculture,creligion,csocioeconomiccconditions,cenvironment,cpreviouscexperiences,cand
self-
c
expectations.cMorecinformationcwouldcbecneededcbeforecthecnurseccouldcattributecthecclientscviewp
ointcascdenialcorclackcofcknowledge.cThecclientschistorycofchypertensionciscacvalidcareacrequiringcfurt
hercinvestigationcbutcthecnursecmustcfirstcascertaincthecclientscdefinitioncofchealthy.cThereciscalsocn
otcenoughcinformationctocdeterminecthecclientscwithholdingcofcinformationctocthecnurse.
CognitivecLevel:cAnalyzing
ClientcNeed:cHealthcPromotioncandcMaintenance
ClientcNeedcSub:
Nursing/IntegratedcConcepts:cNursingcProcess:cAssessment
LearningcOutcome:c1.4:cIdentifycthecfactorsctocconsidercinchealthcassessment
Questionc2cT
ype:cMCSA
ThecnurseciscdocumentingcincthecclientscmedicalcrecordcandcwishesctocusecSOAPccharting.cThecnu
rsecincludescwhichcofcthecfollowingcundercthecassessmentccategory?
1. Thecclientscbloodcpressurecwasc177/93.
2. Thecrecentclosscofcemploymentcandcinsurancechavecpreventedcthecclientcfromcbeingcablectocaf
fordcprescriptioncmedications.
3. Thecclientcreportschavingclostchercjobcandcinsurancec3cmonthscago.
,4. Referralschavecbeencmadectocsocialcservicesctocdeterminecfinancialcassistancecprogramsca
vailable.
CorrectcAnswer:c2
Rationalec1:cThisciscthecOccomponent,cobjectivecdata.
Rationalec2:cThecAccomponentcofcthecSOAPcnotecrefersctocconclusionscdrawncfromcthecsu
bjectivecandcobjectivecdatacobtained.
Rationalec3:cThisciscsubjectivecdata.
Rationalec4:cThisciscthecPccomponent,cplan.
GlobalcRationale:cThecAccomponentcofcthecSOAPcnotecrefersctocconclusionscdrawncfromcthecsu
bjectivecandcobjectivecdatacobtained.cThecclientscrecentclosscofcemploymentcandcthecpotentialcthatc
thiscwascaccontributingcfactorcincthecinabilityctocaffordcmedicationsciscancexamplecofcacconclusio
n.cThecclientscreportedcbloodcpressurecwouldcbecancexamplecofcobjectivecdata.
Objectivecdataciscinformationcthatccancbecmeasuredcbycthecexaminer.cBloodcpressureciscnotcancexam
plecofcsubjectivecinformationcnorciscitcacconclusion.cThecclientscreportedclosscofcemploymentcandcins
uranceciscancexamplecofcsubjectivecdata.cThecstatementcdoescnotcincludecconclusionscasctocthecresult
scofcthesecevents.cMakingcreferralsctocsocialcservicesciscancexamplecofcancintervention.cItciscnotcacconc
lusion.
CognitivecLevel:cApplying
ClientcNeed:cHealthcPromotioncandcMaintenance
ClientcNeedcSub:
Nursing/IntegratedcConcepts:cNursingcProcess:cAssessment
LearningcOutcome:c1.4:cIdentifycthecfactorsctocconsidercinchealthcassessment.
Questionc3cT
ype:cMCSA
, ThecnurseciscpresentingcacworkshopconcwellnesscandchealthcpromotioncandcthecinitiativescofcH
ealthycPeoplec2020cascacresourcecforcthisctopic.cAftercthecsession,cwhichcofcthecfollowingcstate
mentscbycacparticipantcindicatescancunderstandingcconcerningcthecinitiativescproposed?
1. Itcwillcallowchealthccarecprovidersctoclobbyclegislatorscforcmorecfunding.
2. ThecprimarycgoalcofcHealthycPeoplec2020cisctocassistchealthccarecproviderscincdeterminingcriskcfa
ctorscforcprematurecbirth.
3. HealthycPeoplec2020cseeksctocpromoteschealth,cpreventcillness,cdisability,candcprematurecdeath.
4. Thecinitiativescwillcoutlinecstandardscofccarecforcproviderscincmanagingcdiseases.
CorrectcAnswer:c3
Rationalec1:cHealthccarecproviderscandcothercpersonscinterestedcincprogramsctocpromotechealthch
avecfoundcthecdocumentctocbecacusefulcsourcecofcinformationcinctheirceffortsctocgaincfunding.
Rationalec2:cThecHealthycPeoplec2020cinitiativeciscac10-
yearcstrategycintendedctocpromotechealth,cpreventcillness,cdisability,candcprematurecdeath.cThecd
ocumentcidentifiescleadingchealthcindicatorscthatcreflectcpublicchealthcconcerns.cRiskcfactorscforc
prematurecbirthcmaycbecpartcofcthosechealthcindicators,cbutcthecscopecofcthecdocumentccoverscbro
adcareascofcconcern.
Rationalec3:cThecHealthycPeoplec2020cinitiativeciscac10-
yearcstrategycintendedctocpromotechealth,cpreventcillness,cdisability,candcprematurecdeath.
Rationalec4:cStandardscofccarecincdiseasecmanagementciscnotcaccomponentcofcthecdocument.
GlobalcRationale:cThecHealthycPeoplec2020cinitiativeciscac10-
yearcstrategycintendedctocpromotechealth,cpreventcillness,cdisability,candcprematurecdeath.cThecdocu
mentcidentifiescleadingchealthcindicatorscthatcreflectcpublicchealthcconcerns.cRiskcfactorscforcprema
turecbirthcmaycbecpartcofcthosechealthcindicators,cbutcthecscopecofcthecdocumentccoverscbroadcareasco
fcconcern.cHealthccarecproviderscandcothercpersonscinterestedcincprogramsctocpromotechealthchavecfo
undcthecdocumentctocbecacusefulcsourcecofcinformationcinctheirceffortsctocgaincfunding.cStandardscofc
carecincdiseasecmanagementciscnotcaccomponentcofcthecdocument.
