Test Bank Essential Health Assessment 2Nd Edition Thompson

Test Bank for Essential Health
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Chapter 1. Understanding Health Assessment as as as as



Question 1 Ty as a s




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The nurse is obtaining a health history from a client who reports that he is healthy and has
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a s no health concerns. As part of the health history, the nurse documents that the client rep
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orted that hehas high blood pressure and suffers from a leg ulcer that remains unhealed af
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ter 6 months. Whichof the following statements would be the best choice for the nurse to
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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 as as




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




Rationale 2: A client will have his or her own definition of health, illness, and wellness. T
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he individuals concept of health and wellness is influenced by many factors, including ag
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e, gender,race, family, culture, religion, socioeconomic conditions, environment, previous e
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xperiences,andself-expectations. as




Rationale 3: The clients history of hypertension is a valid area requiring further investigat
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ion 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 inf
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ormation to the nurse. as as as




Global Rationale: A client will have his or her own definition of health, illness, and we
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llness. The individuals concept of health and wellness is influenced by many factors, inc
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luding age, gender, race, family, culture, religion, socioeconomic conditions, environme
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nt, previous experiences, and self-
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expectations. More information would be needed before the nurse could attribute the c
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lients viewpoint as denial or lack of knowledge. The clients history of hypertensionis a v
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alid area requiring further investigation but the nurse must first ascertain the clients d
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efinition of healthy. There is as as as as a s also not enough information to determine the clients with
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holding of information to the nurse. as as as as a s




Cognitive Level: Analyzing as as




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




Nursing/Integrated Concepts: Nursing Process: Assessment as as as as




Learning Outcome: 1.4: Identify the factors to consider in health assessment
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Question 2 Typ as a s




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