TestBankforEssentialHealth
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df Assessment 2ndEditionbyThompson
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All ChaptersComplete
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, EssentialHealth Assessment 2nd EditionThompsonTest Bank df df df df df df df
Chapter1.UnderstandingHealthAssessment df df df df
Question 1 df
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The nurse is obtaining a health history from a client who reports that he is healthy and has
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d f no health concerns. As part of the health history, the nurse documents that the client
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d f reported that hehas high blood pressure and suffers from a leg ulcerthat remains unhealed
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d f after 6 months. Whichof the following statements would be the best choice for the nurse to
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d f use at this point in the interview?
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1. I feel that you may be in denial about your health status.
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2. Tell me about your definition of being healthy.
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3. Do you understand what hypertension is?
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4. Is there anything else you are not telling me?
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CorrectAnswer:2 df df
Rationale 1:More information would beneeded beforethenurse could attributethe df df df df df df df df df df df df
d f clientsviewpoint as denial or lack of knowledge. df df df df df df
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The
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df individuals concept of health and wellness is influenced by many factors, including df df df df df df df df df df df df d f age,
gender,race,family,culture, religion,socioeconomicconditions,environment,previous
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d f experiences,andself-expectations. d
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Rationale 3: The clientshistory of hypertension is a valid area requiringfurther df df df df df df df df df df df df
d f investigation butthe nurse must first ascertain the clients definition of healthy. df df df df df df df df df df
,Rationale 4:There isnot enoughinformation todeterminetheclientswithholding of
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d f information to the nurse. df df df
Global Rationale: A client will have his or her own definition of health, illness, and
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d f wellness. The individuals concept of health and wellness is influenced by many factors,
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d f including age, gender, race, family, culture, religion, socioeconomic conditions,
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d f environment, previous experiences, and self-expectations. More information would be df df df df df df df df
d f needed before the nurse could attribute the clientsviewpoint as denial or lack of
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d f knowledge. The clientshistory ofhypertensionis a valid area requiring further
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d f investigation but the nurse must first ascertain the clients definition of healthy. There is
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d f also not enough information to determine the clients withholding of information to the
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d f nurse.
CognitiveLevel:Analyzing df d
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ClientNeed:HealthPromotionandMaintenance
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Client NeedSub: df df
Nursing/IntegratedConcepts:NursingProcess:Assessment d
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Learning Outcome: 1.4:Identify thefactors to considerin healthassessment
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Question 2 df
d f Type:MCSA d
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The nurse is documenting in the clientsmedical record and wishes to use SOAP
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d f charting. Thenurse includes which of the following under the assessment category?
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1. Theclients blood pressure was 177/93.
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2. The recent loss of employment and insurancehave prevented theclient from being
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d f abletoafford prescription medications.
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3. The client reports having lost her job and insurance 3 months ago.
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, 4. Referralshavebeenmadeto social servicesto determinefinancial assistance
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d f programsavailable.
CorrectAnswer:2 df df
Rationale 1: This is theO component, objectivedata. df df df df df df df df
Rationale 2: The Acomponent of the SOAP note refers to conclusions drawn
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d f from thesubjective and objective data obtained.
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Rationale3:Thisissubjectivedata. df df df d
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Rationale 4:This isthe P component, plan. df df df df df df df
Global Rationale: The A component of the SOAP note refers to conclusions drawn from
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d f thesubjective and objective data obtained. The clientsrecent lossofemployment and the
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d f potentialthat this was a contributing factor in the inability to afford medications is an
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d f example of a conclusion. The clients reported blood pressure would be an example of
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d f objective data. df
Objective data is information that can be measured by the examiner. Blood pressure is not
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d f an exampleof subjective information nor is it a conclusion. The clientsreported loss of
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d f employmentand insurance is an example of subjective data. The statement does not df df df df df df df df df df df df
d f include conclusions as tothe results of these events. Making referrals to social services is an
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d f example of an intervention. Itis not a conclusion.
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CognitiveLevel:Applying fd d
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ClientNeed:HealthPromotionandMaintenance
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Client NeedSub: df df
Nursing/IntegratedConcepts:NursingProcess:Assessment d
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Learning Outcome: 1.4:Identifythe factors to considerin healthassessment.
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Question 3 df
d f Type:MCSA d
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df Assessment 2ndEditionbyThompson
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f d
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All ChaptersComplete
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, EssentialHealth Assessment 2nd EditionThompsonTest Bank df df df df df df df
Chapter1.UnderstandingHealthAssessment df df df df
Question 1 df
d f Type:MCSA d
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The nurse is obtaining a health history from a client who reports that he is healthy and has
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d f no health concerns. As part of the health history, the nurse documents that the client
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d f reported that hehas high blood pressure and suffers from a leg ulcerthat remains unhealed
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d f after 6 months. Whichof the following statements would be the best choice for the nurse to
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d f use at this point in the interview?
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1. I feel that you may be in denial about your health status.
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2. Tell me about your definition of being healthy.
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3. Do you understand what hypertension is?
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4. Is there anything else you are not telling me?
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CorrectAnswer:2 df df
Rationale 1:More information would beneeded beforethenurse could attributethe df df df df df df df df df df df df
d f clientsviewpoint as denial or lack of knowledge. df df df df df df
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The
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df individuals concept of health and wellness is influenced by many factors, including df df df df df df df df df df df df d f age,
gender,race,family,culture, religion,socioeconomicconditions,environment,previous
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d f experiences,andself-expectations. d
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Rationale 3: The clientshistory of hypertension is a valid area requiringfurther df df df df df df df df df df df df
d f investigation butthe nurse must first ascertain the clients definition of healthy. df df df df df df df df df df
,Rationale 4:There isnot enoughinformation todeterminetheclientswithholding of
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d f information to the nurse. df df df
Global Rationale: A client will have his or her own definition of health, illness, and
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d f wellness. The individuals concept of health and wellness is influenced by many factors,
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d f including age, gender, race, family, culture, religion, socioeconomic conditions,
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d f environment, previous experiences, and self-expectations. More information would be df df df df df df df df
d f needed before the nurse could attribute the clientsviewpoint as denial or lack of
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d f knowledge. The clientshistory ofhypertensionis a valid area requiring further
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d f investigation but the nurse must first ascertain the clients definition of healthy. There is
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d f also not enough information to determine the clients withholding of information to the
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d f nurse.
CognitiveLevel:Analyzing df d
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ClientNeed:HealthPromotionandMaintenance
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Client NeedSub: df df
Nursing/IntegratedConcepts:NursingProcess:Assessment d
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Learning Outcome: 1.4:Identify thefactors to considerin healthassessment
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Question 2 df
d f Type:MCSA d
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The nurse is documenting in the clientsmedical record and wishes to use SOAP
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d f charting. Thenurse includes which of the following under the assessment category?
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1. Theclients blood pressure was 177/93.
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2. The recent loss of employment and insurancehave prevented theclient from being
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d f abletoafford prescription medications.
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3. The client reports having lost her job and insurance 3 months ago.
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, 4. Referralshavebeenmadeto social servicesto determinefinancial assistance
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d f programsavailable.
CorrectAnswer:2 df df
Rationale 1: This is theO component, objectivedata. df df df df df df df df
Rationale 2: The Acomponent of the SOAP note refers to conclusions drawn
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d f from thesubjective and objective data obtained.
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Rationale3:Thisissubjectivedata. df df df d
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Rationale 4:This isthe P component, plan. df df df df df df df
Global Rationale: The A component of the SOAP note refers to conclusions drawn from
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d f thesubjective and objective data obtained. The clientsrecent lossofemployment and the
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d f potentialthat this was a contributing factor in the inability to afford medications is an
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d f example of a conclusion. The clients reported blood pressure would be an example of
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d f objective data. df
Objective data is information that can be measured by the examiner. Blood pressure is not
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d f an exampleof subjective information nor is it a conclusion. The clientsreported loss of
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d f employmentand insurance is an example of subjective data. The statement does not df df df df df df df df df df df df
d f include conclusions as tothe results of these events. Making referrals to social services is an
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d f example of an intervention. Itis not a conclusion.
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CognitiveLevel:Applying fd d
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ClientNeed:HealthPromotionandMaintenance
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Client NeedSub: df df
Nursing/IntegratedConcepts:NursingProcess:Assessment d
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Learning Outcome: 1.4:Identifythe factors to considerin healthassessment.
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Question 3 df
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