Test Bank for Essential Health
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bg Assessment 2nd Edition by Thompson
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All ChaptersComplete
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b
, Essential Health Assessment 2nd Edition Thompson Test bg bg bg bg bg bg
Bank bg
Chapter 1. Understanding Health Assessment
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Question 1 bg
bg Type: MCSA bg
The nurse is obtaining a health history from a client who reports that he is healthy
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bg and has bg b g no health concerns. As part of the health history, the nurse documents that
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the client
bg bg b g reported that hehas high blood pressure and suffers from a leg ulcer that
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remains unhealed
bg bg b g after 6 months. Whichof the following statements would be the
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best choice for the nurse to
bg bg bg bg bg bg b g 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 bg bg
Rationale 1: More information would be needed before the nurse could attribute the
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b g clientsviewpoint as denial or lack of knowledge. bg bg bg bg bg bg
Rationale 2: A client will have his or her own definition of health, illness, and
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bg wellness. b g The individuals concept of health and wellness is influenced by many
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factors, including
bg bg bg b g age, gender,race, family, culture, religion, socioeconomic conditions,
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environment, previous
bg bg b g experiences, andself-expectations. bg
Rationale 3: The clients history of hypertension is a valid area requiring further
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b g 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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b g information to the nurse. bg bg bg
Global Rationale: A client will have his or her own definition of health, illness,
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bg and b g wellness. The individuals concept of health and wellness is influenced by
bg bg bg bg bg bg bg bg bg bg
many factors,
bg bg b g including age, gender, race, family, culture, religion, socioeconomic
bg bg bg bg bg bg bg
conditions,
bg b g environment, previous experiences, and self-expectations. More bg bg bg bg bg
information would be
bg bg bg b g needed before the nurse could attribute the clients
bg bg bg bg bg bg bg
viewpoint as denial or lack of
bg bg bg bg bg bg b g knowledge. The clients history of hypertensionis a bg bg bg bg bg bg
valid area requiring further
bg bg bg bg b g investigation but the nurse must first ascertain the bg bg bg bg bg bg bg
clients definition of healthy. There is
bg bg bg bg bg bg b g also not enough information to determine
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the clients withholding of information to the nurse.
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Cognitive Level: Analyzing bg bg
Client Need: Health Promotion and Maintenance
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Client Need Sub: bg bg
Nursing/Integrated Concepts: Nursing Process: Assessment bg bg bg bg
Learning Outcome: 1.4: Identify the factors to consider in health assessment
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Question 2 bg
bg Type: MCSA bg
The nurse is documenting in the clients medical record and wishes to use SOAP
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b g charting. Thenurse includes which of the following under the assessment
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bg 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
bg b g 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
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assistance
bg b g programsavailable.
Correct Answer: 2 bg bg
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
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drawn
bg b g from thesubjective and objective data obtained.
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Rationale 3: This is subjective data. bg bg bg bg bg
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
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bg from thesubjective and objective data obtained. The clients recent loss of employment
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and the
bg bg b g potentialthat this was a contributing factor in the inability to afford bg bg bg bg bg bg bg bg bg bg
bg medications is an bg bg b g example of a conclusion. The clients reported blood pressure
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bg would be an example of
bg bg bg bg b g objective data. bg
Objective data is information that can be measured by the examiner. Blood pressure is
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not
bg b g an example of subjective information nor is it a conclusion. The clients reported
bg bg bg bg bg bg bg bg bg bg bg bg
loss of
bg bg b g employmentand insurance is an example of subjective data. The statement bg bg bg bg bg bg bg bg bg
bg does notbg bg b g include conclusions as tothe results of these events. Making referrals to
bg bg bg bg bg bg bg bg bg bg
social services is an
bg bg bg bg b g example of an intervention. Itis not a conclusion.
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Cognitive Level: Applying bg bg
Client Need: Health Promotion and Maintenance
bg bg bg bg bg
Client Need Sub: bg bg
Nursing/Integrated Concepts: Nursing Process: Assessment bg bg bg bg
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
bg bg bg bg bg bg bg bg bg bg
Question 3 bg
bg Type: MCSA bg
bg bg bg bg bg
bg Assessment 2nd Edition by Thompson
bg bg bg bg bg bg
All ChaptersComplete
bg b g b g g
b
, Essential Health Assessment 2nd Edition Thompson Test bg bg bg bg bg bg
Bank bg
Chapter 1. Understanding Health Assessment
bg bg bg bg
Question 1 bg
bg Type: MCSA bg
The nurse is obtaining a health history from a client who reports that he is healthy
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
bg and has bg b g no health concerns. As part of the health history, the nurse documents that
bg bg bg bg bg bg bg bg bg bg bg bg
the client
bg bg b g reported that hehas high blood pressure and suffers from a leg ulcer that
bg bg bg bg bg bg bg bg bg bg bg bg
remains unhealed
bg bg b g after 6 months. Whichof the following statements would be the
bg bg bg bg bg bg bg bg bg
best choice for the nurse to
bg bg bg bg bg bg b g use at this point in the interview?
bg bg bg bg bg bg
1. I feel that you may be in denial about your health status.
bg bg bg bg bg bg bg bg bg bg bg
2. Tell me about your definition of being healthy.
bg bg bg bg bg bg bg
3. Do you understand what hypertension is?
bg bg bg bg bg
4. Is there anything else you are not telling me?
bg bg bg bg bg bg bg bg
Correct Answer: 2 bg bg
Rationale 1: More information would be needed before the nurse could attribute the
bg bg bg bg bg bg bg bg bg bg bg bg
b g clientsviewpoint as denial or lack of knowledge. bg bg bg bg bg bg
Rationale 2: A client will have his or her own definition of health, illness, and
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
bg wellness. b g The individuals concept of health and wellness is influenced by many
bg bg bg bg bg bg bg bg bg bg
factors, including
bg bg bg b g age, gender,race, family, culture, religion, socioeconomic conditions,
bg bg bg bg bg bg
environment, previous
bg bg b g experiences, andself-expectations. bg
Rationale 3: The clients history of hypertension is a valid area requiring further
bg bg bg bg bg bg bg bg bg bg bg bg
b g investigation butthe nurse must first ascertain the clients definition of healthy.
bg bg bg bg bg bg bg bg bg bg
,Rationale 4: There is not enough information to determine the clients withholding of
bg bg bg bg bg bg bg bg bg bg bg bg
b g information to the nurse. bg bg bg
Global Rationale: A client will have his or her own definition of health, illness,
bg bg bg bg bg bg bg bg bg bg bg bg bg
bg and b g wellness. The individuals concept of health and wellness is influenced by
bg bg bg bg bg bg bg bg bg bg
many factors,
bg bg b g including age, gender, race, family, culture, religion, socioeconomic
bg bg bg bg bg bg bg
conditions,
bg b g environment, previous experiences, and self-expectations. More bg bg bg bg bg
information would be
bg bg bg b g needed before the nurse could attribute the clients
bg bg bg bg bg bg bg
viewpoint as denial or lack of
bg bg bg bg bg bg b g knowledge. The clients history of hypertensionis a bg bg bg bg bg bg
valid area requiring further
bg bg bg bg b g investigation but the nurse must first ascertain the bg bg bg bg bg bg bg
clients definition of healthy. There is
bg bg bg bg bg bg b g also not enough information to determine
bg bg bg bg bg
the clients withholding of information to the nurse.
bg bg bg bg bg bg bg b g
Cognitive Level: Analyzing bg bg
Client Need: Health Promotion and Maintenance
bg bg bg bg bg
Client Need Sub: bg bg
Nursing/Integrated Concepts: Nursing Process: Assessment bg bg bg bg
Learning Outcome: 1.4: Identify the factors to consider in health assessment
bg bg bg bg bg bg bg bg bg bg
Question 2 bg
bg Type: MCSA bg
The nurse is documenting in the clients medical record and wishes to use SOAP
bg bg bg bg bg bg bg bg bg bg bg bg bg
b g charting. Thenurse includes which of the following under the assessment
bg bg bg bg bg bg bg bg bg
bg category?
1. The clients blood pressure was 177/93.
bg bg bg bg bg
2. The recent loss of employment and insurance have prevented the client from
bg bg bg bg bg bg bg bg bg bg bg
being
bg b g able toafford prescription medications.
bg bg bg
3. The client reports having lost her job and insurance 3 months ago.
bg bg bg bg bg bg bg bg bg bg bg
, 4. Referrals have been made to social services to determine financial
bg bg bg bg bg bg bg bg bg
assistance
bg b g programsavailable.
Correct Answer: 2 bg bg
Rationale 1: This is the O component, objective data.
bg bg bg bg bg bg bg bg
Rationale 2: The A component of the SOAP note refers to conclusions
bg bg bg bg bg bg bg bg bg bg bg
drawn
bg b g from thesubjective and objective data obtained.
bg bg bg bg bg
Rationale 3: This is subjective data. bg bg bg bg bg
Rationale 4: This is the P component, plan.
bg bg bg bg bg bg bg
Global Rationale: The A component of the SOAP note refers to conclusions drawn
bg bg bg bg bg bg bg bg bg bg bg bg
bg from thesubjective and objective data obtained. The clients recent loss of employment
b g bg bg bg bg bg bg bg bg bg bg
and the
bg bg b g potentialthat this was a contributing factor in the inability to afford bg bg bg bg bg bg bg bg bg bg
bg medications is an bg bg b g example of a conclusion. The clients reported blood pressure
bg bg bg bg bg bg bg bg
bg would be an example of
bg bg bg bg b g objective data. bg
Objective data is information that can be measured by the examiner. Blood pressure is
bg bg bg bg bg bg bg bg bg bg bg bg bg
not
bg b g an example of subjective information nor is it a conclusion. The clients reported
bg bg bg bg bg bg bg bg bg bg bg bg
loss of
bg bg b g employmentand insurance is an example of subjective data. The statement bg bg bg bg bg bg bg bg bg
bg does notbg bg b g include conclusions as tothe results of these events. Making referrals to
bg bg bg bg bg bg bg bg bg bg
social services is an
bg bg bg bg b g example of an intervention. Itis not a conclusion.
bg bg bg bg bg bg bg
Cognitive Level: Applying bg bg
Client Need: Health Promotion and Maintenance
bg bg bg bg bg
Client Need Sub: bg bg
Nursing/Integrated Concepts: Nursing Process: Assessment bg bg bg bg
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
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Question 3 bg
bg Type: MCSA bg
