TEST BANK - HEALTH AND PHYSICAL
ASSESSMENT IN NURSING, 4TH EDITION
(FENSKE/WATKINS/SAUNDERS/D'AMICO/B
ARBARITO)
# Test Bank - Health and Physical Assessment in Nursing, 4th Edition
---
## Question 1
A client with a self-reported history of type 2 diabetes mellitus and an ulcer wound on the left foot
states to the nurse, "I am healthy, I don't know why I have to be here to get a check-up." Which
statement by the nurse is the most appropriate?
1. "I feel that you are in denial about your health status."
2. "Tell me about your definition of being healthy."
3. "Do you understand what diabetes is?"
4. "Is there anything else you are not telling me?"
**Answer: 2**
**Explanation:**
1. More information would be needed before the nurse could attribute the client's viewpoint as denial
or lack of knowledge.
2. During the process of gathering the subjective data from the client, the nurse must be attuned to
what the patient says, along with the signs, symptoms, behaviors, and cues offered by the patient. This
,situational awareness and focused data collection will enable the nurse to create a comprehensive
database about the patient.
3. The client's history of type 2 diabetes requires further investigation but the nurse must first ascertain
the client's definition of what healthy means.
4. There is not enough information to determine the client's withholding of information to the nurse.
---
## Question 2
The nurse is preparing to provide teaching to a client at risk for diabetes. During which time should the
nurse recognize is the most effective moment for teaching?
1. During health promotion.
2. When the client is ready to learn.
3. During the discussion of disease prevention.
4. When a knowledge deficit has been identified.
**Answer: 2**
**Explanation:**
1. Health promotion is important; however, if the client is not ready to learn new information, the
teaching may be ineffective.
2. A client must be ready to learn new information or the teaching may be ineffective.
3. Disease prevention is important; however, if the client is not ready to learn new information, the
teaching may be ineffective.
4. Once the knowledge deficit is identified, it is important that client is ready to learn or the teaching
may be ineffective.
---
, ## Question 3
The nurse is conducting a workshop on wellness and health promotion using the initiatives of Healthy
People 2020. After the session, which statement by a participant indicates an understanding of the
initiatives?
1. "It will allow healthcare providers to lobby legislators for more funding."
2. "The primary goal of Healthy People 2020 is to assist healthcare providers in determining risk factors
for premature birth."
3. "Healthy People 2020 seeks to promote health, prevent illness, disability, and premature death."
4. "The initiatives will outline standards of care for providers in managing diseases."
**Answer: 3**
**Explanation:**
1. Healthcare providers and other persons interested in programs to promote health have found the
document to be a useful source of information in their efforts to gain funding.
2. The Healthy People 2020 initiative is a 10-year strategy intended to promote health, prevent illness,
disability, and premature death. The document identifies leading health indicators that reflect public
health concerns. Risk factors for premature birth may be part of those health indicators, but the scope
of the document covers broad areas of concern.
3. The Healthy People 2020 initiative is a 10-year strategy intended to promote health, prevent illness,
disability, and premature death.
4. Standards of care in disease management is not a component of the document.
---
## Question 4
The nurse is reviewing the advanced practice roles in nursing. Which role should the nurse recognize is
most likely to provide indirect patient care?
ASSESSMENT IN NURSING, 4TH EDITION
(FENSKE/WATKINS/SAUNDERS/D'AMICO/B
ARBARITO)
# Test Bank - Health and Physical Assessment in Nursing, 4th Edition
---
## Question 1
A client with a self-reported history of type 2 diabetes mellitus and an ulcer wound on the left foot
states to the nurse, "I am healthy, I don't know why I have to be here to get a check-up." Which
statement by the nurse is the most appropriate?
1. "I feel that you are in denial about your health status."
2. "Tell me about your definition of being healthy."
3. "Do you understand what diabetes is?"
4. "Is there anything else you are not telling me?"
**Answer: 2**
**Explanation:**
1. More information would be needed before the nurse could attribute the client's viewpoint as denial
or lack of knowledge.
2. During the process of gathering the subjective data from the client, the nurse must be attuned to
what the patient says, along with the signs, symptoms, behaviors, and cues offered by the patient. This
,situational awareness and focused data collection will enable the nurse to create a comprehensive
database about the patient.
3. The client's history of type 2 diabetes requires further investigation but the nurse must first ascertain
the client's definition of what healthy means.
4. There is not enough information to determine the client's withholding of information to the nurse.
---
## Question 2
The nurse is preparing to provide teaching to a client at risk for diabetes. During which time should the
nurse recognize is the most effective moment for teaching?
1. During health promotion.
2. When the client is ready to learn.
3. During the discussion of disease prevention.
4. When a knowledge deficit has been identified.
**Answer: 2**
**Explanation:**
1. Health promotion is important; however, if the client is not ready to learn new information, the
teaching may be ineffective.
2. A client must be ready to learn new information or the teaching may be ineffective.
3. Disease prevention is important; however, if the client is not ready to learn new information, the
teaching may be ineffective.
4. Once the knowledge deficit is identified, it is important that client is ready to learn or the teaching
may be ineffective.
---
, ## Question 3
The nurse is conducting a workshop on wellness and health promotion using the initiatives of Healthy
People 2020. After the session, which statement by a participant indicates an understanding of the
initiatives?
1. "It will allow healthcare providers to lobby legislators for more funding."
2. "The primary goal of Healthy People 2020 is to assist healthcare providers in determining risk factors
for premature birth."
3. "Healthy People 2020 seeks to promote health, prevent illness, disability, and premature death."
4. "The initiatives will outline standards of care for providers in managing diseases."
**Answer: 3**
**Explanation:**
1. Healthcare providers and other persons interested in programs to promote health have found the
document to be a useful source of information in their efforts to gain funding.
2. The Healthy People 2020 initiative is a 10-year strategy intended to promote health, prevent illness,
disability, and premature death. The document identifies leading health indicators that reflect public
health concerns. Risk factors for premature birth may be part of those health indicators, but the scope
of the document covers broad areas of concern.
3. The Healthy People 2020 initiative is a 10-year strategy intended to promote health, prevent illness,
disability, and premature death.
4. Standards of care in disease management is not a component of the document.
---
## Question 4
The nurse is reviewing the advanced practice roles in nursing. Which role should the nurse recognize is
most likely to provide indirect patient care?
