Test Bank for
Essential Health Assessment 3rd Edition
by Janice M. 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. Assessing the Pregnant Patient
Chapter 24. Assessing the Older Adult
, Essential Health Assessment 3rd 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 hehas high
blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Whichof 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 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.
Essential Health Assessment 3rd Edition
by Janice M. 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. Assessing the Pregnant Patient
Chapter 24. Assessing the Older Adult
, Essential Health Assessment 3rd 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 hehas high
blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Whichof 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 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.
