Essential Health Assessment, 2nd Edition by Thompson – Complete Test Bank (All Chapters)

Test Bank for Essential Health
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Q Assessment 2nd Edition by Thompson
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All ChaptersComplete
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, Essential Health Assessment 2nd Edition Thompson Test Bank

Chapter 1. Understanding Health Assessment
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Question 1 Q




Q Type: MCSA Q




The nurse is obtaining a health history from a client who reports that he is healthy and
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Qhas no health concerns. As part of the health history, the nurse documents that the
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Qclient reported that hehas high blood pressure and suffers from a leg ulcer that remains
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Qunhealed after 6 months. Whichof the following statements would be the best choice
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Qfor the nurse to 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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Correct Answer: 2 Q Q




Rationale 1: More information would be needed before the nurse could attribute the
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Q clientsviewpoint as denial or lack of knowledge. Q Q Q Q Q Q




Rationale 2: A client will have his or her own definition of health, illness, and wellness.
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Q The individuals concept of health and wellness is influenced by many factors, including
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Q age, gender,race, family, culture, religion, socioeconomic conditions, environment,
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Qprevious Q experiences, andself-expectations. Q




Rationale 3: The clients history of hypertension is a valid area requiring further
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Q investigation butthe nurse must first ascertain the clients definition of healthy.
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,Rationale 4: There is not enough information to determine the clients withholding of
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Q information to the nurse. Q Q Q




Global Rationale: A client will have his or her own definition of health, illness, and
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Q wellness. The individuals concept of health and wellness is influenced by many
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factors, including age, gender, race, family, culture, religion, socioeconomic
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conditions, environment, previous experiences, and self-expectations. More
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information would be needed before the nurse could attribute the clients viewpoint
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as denial or lack of knowledge. The clients history of hypertensionis a valid area
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requiring further investigation but the nurse must first ascertain the clients
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Q definition of healthy. There is
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withholding of information to the nurse.
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Cognitive Level: Analyzing Q Q




Client Need: Health Promotion and Maintenance
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Client Need Sub:
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Nursing/Integrated Concepts: Nursing Process: Assessment Q Q Q Q




Learning Outcome: 1.4: Identify the factors to consider in health assessment
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Question 2 Q




Q Type: MCSAQ




The nurse is documenting in the clients medical record and wishes to use SOAP
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Q charting. Thenurse includes which of the following under the assessment
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Q category?

1. The clients blood pressure was 177/93.
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2. The recent loss of employment and insurance have prevented the client from
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being able toafford prescription medications.
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3. The client reports having lost her job and insurance 3 months ago.
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, 4. Referrals have been made to social services to determine financial assistance
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Q programsavailable.

Correct Answer: 2 Q Q




Rationale 1: This is the O component, objective data.
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Rationale 2: The A component of the SOAP note refers to conclusions drawn
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Q from thesubjective and objective data obtained.
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Rationale 3: This is subjective data. Q Q Q Q Q




Rationale 4: This is the P component, plan.
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Global Rationale: The A component of the SOAP note refers to conclusions drawn from
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Q thesubjective and objective data obtained. The clients recent loss of employment and the
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Q potentialthat this was a contributing factor in the inability to afford medications is an
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Q example of a conclusion. The clients reported blood pressure would be an example of
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Q objective data. Q



Objective data is information that can be measured by the examiner. Blood pressure is
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not an example of subjective information nor is it a conclusion. The clients reported loss
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of employmentand insurance is an example of subjective data. The statement does not
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Q include conclusions as tothe results of these events. Making referrals to social services is
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an example of an intervention. Itis not a conclusion.
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Cognitive Level: Applying Q Q




Client Need: Health Promotion and Maintenance
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Client Need Sub: Q Q




Nursing/Integrated Concepts: Nursing Process: Assessment Q Q Q Q




Learning Outcome: 1.4: Identify the factors to consider in health assessment.
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Question 3 Q




Q Type: MCSA Q