Test Bank for Essential Health
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yt Assessment 2nd EditionbyThompson
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All ChaptersComplete
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, Essential Health Assessment 2nd Edition Thompson Test Bank yt yt yt yt yt yt yt
Chapter1. Understanding Health Assessment yt yt yt yt
Question 1 yt
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The nurse is obtaining a health history from a client who reports that he is healthy and
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yt has no health concerns. As part of the health history, the nurse documents that the client
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y t reported that hehas high blood pressure and suffers from a leg ulcer that remains
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yt unhealed y t after 6 months. Whichof the following statements would be the best choice for
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yt the nurse to yt yt y t 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 yt yt
Rationale 1: More information would be needed before the nurse could attribute the
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y t clientsviewpoint as denial or lack of knowledge. yt yt yt yt yt yt
Rationale 2: A client will have his or her own definition of health, illness, and wellness.
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y t The individuals concept of health and wellness is influenced by many factors, including
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y t age, gender,race,family, culture, religion, socioeconomicconditions,environment, previous
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y t experiences,andself-expectations. y
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Rationale 3: The clients history of hypertension is a valid area requiring further
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y t investigation butthe nurse must first ascertain the clients definition of healthy. yt yt yt yt yt yt yt yt yt yt
,Rationale 4: There is not enough information to determine the clients withholding of
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y t information to the nurse. yt yt yt
Global Rationale: A client will have his or her own definition of health, illness, and
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y t wellness. The individuals concept of health and wellness is influenced by many
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yt factors, including age, gender, race, family, culture, religion, socioeconomic conditions,
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y t environment, previous experiences, and self-expectations. More information would be yt yt yt yt yt yt yt yt
y t needed before the nurse could attribute the clients viewpoint as denial or lack of
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y t knowledge. The clients history of hypertensionis a valid area requiring further yt yt yt yt yt yt yt yt yt yt
y t investigation but the nurse must first ascertain the clients definition of healthy. There yt yt yt yt yt yt yt yt yt yt yt yt
yt is y t also not enough information to determine the clients withholding of information
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yt to the nurse. yt y t
CognitiveLevel:Analyzing yt yt
ClientNeed: Health Promotionand Maintenance
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Client Need Sub: yt yt
Nursing/IntegratedConcepts:NursingProcess:Assessment yt yt yt yt
Learning Outcome: 1.4: Identify the factors to consider in health assessment
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Question 2 yt
y t Type:MCSA yt
The nurse is documenting in the clients medical record and wishes to use SOAP
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y t charting. Thenurse includes which of the following under the assessment category?
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1. The clients blood pressure was 177/93. yt yt yt yt yt
2. The recent loss of employment and insurance have prevented the client from being
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y t 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. Referralshave been made to social services to determine financial assistance
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y t programsavailable.
CorrectAnswer: 2 yt yt
Rationale 1: This is the O component, objective data. yt yt yt yt yt yt yt yt
Rationale 2: The A component of the SOAP note refers to conclusions drawn
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y t from thesubjective and objective data obtained.
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Rationale 3:This is subjective data. yt yt yt yt yt
Rationale 4: This is the P component, plan. yt yt yt yt yt yt yt
Global Rationale: The A component of the SOAP note refers to conclusions drawn from
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y t thesubjective and objective data obtained. The clients recent loss of employment and the
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y t potentialthat this was a contributing factor in the inability to afford medications is an
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y t example of a conclusion. The clients reported blood pressure would be an example of
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y t objective data. yt
Objective data is information that can be measured by the examiner. Blood pressure is not
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y t an example of subjective information nor is it a conclusion. The clients reported loss of
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y t employmentand insurance is an example of subjective data. The statement does not yt yt yt yt yt yt yt yt yt yt yt yt
y t include conclusions as tothe results of these events. Making referrals to social services is
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yt an y t example of an intervention. Itis not a conclusion. yt yt yt yt yt yt yt
CognitiveLevel:Applying yt yt
ClientNeed: Health PromotionandMaintenance
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Client Need Sub: yt yt
Nursing/IntegratedConcepts: NursingProcess:Assessment yt yt yt yt
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
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Question 3 yt
y t Type:MCSA yt
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yt Assessment 2nd EditionbyThompson
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All ChaptersComplete
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, Essential Health Assessment 2nd Edition Thompson Test Bank yt yt yt yt yt yt yt
Chapter1. Understanding Health Assessment yt yt yt yt
Question 1 yt
y t Type:MCSA yt
The nurse is obtaining a health history from a client who reports that he is healthy and
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yt has no health concerns. As part of the health history, the nurse documents that the client
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y t reported that hehas high blood pressure and suffers from a leg ulcer that remains
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yt unhealed y t after 6 months. Whichof the following statements would be the best choice for
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yt the nurse to yt yt y t 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 yt yt
Rationale 1: More information would be needed before the nurse could attribute the
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y t clientsviewpoint as denial or lack of knowledge. yt yt yt yt yt yt
Rationale 2: A client will have his or her own definition of health, illness, and wellness.
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y t The individuals concept of health and wellness is influenced by many factors, including
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y t age, gender,race,family, culture, religion, socioeconomicconditions,environment, previous
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y t experiences,andself-expectations. y
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Rationale 3: The clients history of hypertension is a valid area requiring further
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y t investigation butthe nurse must first ascertain the clients definition of healthy. yt yt yt yt yt yt yt yt yt yt
,Rationale 4: There is not enough information to determine the clients withholding of
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y t information to the nurse. yt yt yt
Global Rationale: A client will have his or her own definition of health, illness, and
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y t wellness. The individuals concept of health and wellness is influenced by many
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yt factors, including age, gender, race, family, culture, religion, socioeconomic conditions,
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y t environment, previous experiences, and self-expectations. More information would be yt yt yt yt yt yt yt yt
y t needed before the nurse could attribute the clients viewpoint as denial or lack of
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y t knowledge. The clients history of hypertensionis a valid area requiring further yt yt yt yt yt yt yt yt yt yt
y t investigation but the nurse must first ascertain the clients definition of healthy. There yt yt yt yt yt yt yt yt yt yt yt yt
yt is y t also not enough information to determine the clients withholding of information
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yt to the nurse. yt y t
CognitiveLevel:Analyzing yt yt
ClientNeed: Health Promotionand Maintenance
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Client Need Sub: yt yt
Nursing/IntegratedConcepts:NursingProcess:Assessment yt yt yt yt
Learning Outcome: 1.4: Identify the factors to consider in health assessment
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Question 2 yt
y t Type:MCSA yt
The nurse is documenting in the clients medical record and wishes to use SOAP
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y t charting. Thenurse includes which of the following under the assessment category?
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1. The clients blood pressure was 177/93. yt yt yt yt yt
2. The recent loss of employment and insurance have prevented the client from being
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y t 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. Referralshave been made to social services to determine financial assistance
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y t programsavailable.
CorrectAnswer: 2 yt yt
Rationale 1: This is the O component, objective data. yt yt yt yt yt yt yt yt
Rationale 2: The A component of the SOAP note refers to conclusions drawn
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y t from thesubjective and objective data obtained.
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Rationale 3:This is subjective data. yt yt yt yt yt
Rationale 4: This is the P component, plan. yt yt yt yt yt yt yt
Global Rationale: The A component of the SOAP note refers to conclusions drawn from
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y t thesubjective and objective data obtained. The clients recent loss of employment and the
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y t potentialthat this was a contributing factor in the inability to afford medications is an
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y t example of a conclusion. The clients reported blood pressure would be an example of
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y t objective data. yt
Objective data is information that can be measured by the examiner. Blood pressure is not
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y t an example of subjective information nor is it a conclusion. The clients reported loss of
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y t employmentand insurance is an example of subjective data. The statement does not yt yt yt yt yt yt yt yt yt yt yt yt
y t include conclusions as tothe results of these events. Making referrals to social services is
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yt an y t example of an intervention. Itis not a conclusion. yt yt yt yt yt yt yt
CognitiveLevel:Applying yt yt
ClientNeed: Health PromotionandMaintenance
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Client Need Sub: yt yt
Nursing/IntegratedConcepts: NursingProcess:Assessment yt yt yt yt
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
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Question 3 yt
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