Health Assessment NCLEX Questions with answers verified 2022/2023

Health Assessment NCLEX Questions with answers verified 2022/2023According to the holistic model, a narrow definition of holistic health includes: A. an optimal functioning of mind, body, and spirit within the environment. Incorrect B. the absence of disease. C. the response of the whole person to actual or potential problems. D. the internal and external environment. B From a biomedical perspective, health is defined as the absence of disease or elimination of symptoms and signs of disease, whereas a holistic model approach examines mind, body, and spirit working interdependently within the environment to maintain health and well-being. Nursing has an expanded concept of health; holistic health includes the mind, body, and spirit as interdependent and functioning as a whole within the environment. Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. In a holistic model approach to health, both the internal and the external environment affect a patient's health and well-being. What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures? A. Episodic B. Follow-up C. Emergency D. Complete C An emergency database includes rapid collection of data often obtained concurrently with lifesaving measures. An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system. A follow-up database is used to follow up short-term or chronic health problems; the statuses of identified problems are evaluated at regular and appropriate intervals. A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured. 00:27 00:58 A medical diagnosis is used to evaluate: A. a person's state of health. B. the response of the whole person to actual or potential health problems. C. a person's culture. D. the cause of disease. D. Medical diagnoses are used to evaluate the cause or etiology of disease. Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. Nursing diagnoses are used to evaluate the response of the whole person to actual or potential health problems. The holistic model of health care is used in nursing, and culture is an important factor to consider in a nursing assessment. An example of subjective data is: A. decreased range of motion. B. crepitation in the left knee joint. C. left knee has been swollen and hot for the past 3 days. D. arthritis. C Subjective data is what the patient says about himself or herself during history taking. Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Range of motion is assessed by inspection. Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Crepitation is assessed by palpating. Arthritis is a medical diagnosis. What type of database is most appropriate for an individual who is admitted to a long-term care facility? A. Episodic B. Follow-up C. Emergency D. Complete D A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured. An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system. A follow-up database is used to follow up short-term or chronic health problems; the statuses of identified problems are evaluated at regular and appropriate intervals. An emergency database includes rapid collection of data often obtained concurrently with lifesaving measures. Which of the following is an example of objective data? A. Alert and oriented B. Dizziness C. An earache D. A sore throat A Objective data is what the health professional observes; level of consciousness and orientation are observations. Subjective data is what the person says about himself or herself during history taking. Subjective data is what the person says about himself or herself during history taking. Subjective data is what the person says about himself or herself during history taking. An example of objective data is: A. a complaint of left knee pain. B. crepitation in the left knee joint. C. left knee has been swollen and hot for the past 3 days. D. a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion. B Objective data is what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Crepitation is assessed by palpation. Subjective data is what the person says about himself or herself during history taking. Subjective data is what the person says about himself or herself during history taking. Subjective data is what the person says about himself or herself during history taking. A nursing diagnosis is best described as: A. a determination of the etiology of disease. B. a pattern of coping. C. an individual's perception of health. D. a concise statement of actual or potential health concerns or level of wellness. D Nursing diagnoses are clinical judgments about a person's response to an actual or potential health state. Medical diagnoses determine the cause or etiology of disease. Coping patterns include methods to relieve stress. Health perception is how the person describes and defines personal health. A complete database is: A. used to collect data rapidly and is often compiled concurrently with lifesaving measures. B. used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. C. used to evaluate the cause or etiology of disease. D. used to perform a thorough or comprehensive health history and physical examination. D A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured. An emergency database is rapid collection of data often obtained concurrently with lifesaving measures. An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system. Medical diagnoses are used to evaluate the cause or etiology of disease. A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority? A. Ineffective self-health management B. Risk for infection C. Impaired gas exchange D. Readiness for enhanced spiritual well-being C First-level priority problems are problems that are emergent, life-threatening, and immediate. Impaired gas exchange is an emergent and immediate problem. Third-level priority problems are problems that are important to the patient's health but can be addressed after more urgent health problems are addressed. Ineffective self-health management is an example of a third-level priority. Second-level priority problems are problems that are next in urgency; these problems require prompt intervention to forestall further deterioration. Risk for infection is an example of a second-level priority. Third-level priority problems are problems that are important to the patient's health but can be addressed after more urgent health problems are addressed. Wellness diagnoses are third-level priority problems. Each culture has its own healers who usually: A. speak at least two languages. B. own and operate specialty community clinics. C. cost less than traditional or biomedical providers. D. recommend folk practices that are dangerous. C Most healers cost significantly less than healers practicing in the biomedical or scientific health care system. Most healers speak the person's native tongue. Most healers make house calls. Most health practices used by folk healers are not dangerous and are usually harmless. While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following would most likely describe this patient's view of wellness? A. Good is hot. B. Evil is hot. C. The humors must be balanced. D. The phlegm will be replaced with dryness. C The hot/cold theory of health is based on humoral theory; the treatment of disease is based on the balance of the humors. Beverages, foods, herbs, medicines, and diseases are classified as hot or cold according to their perceived effects on the body, not their physical characteristics. Beverages, foods, herbs, medicines, and diseases are classified as hot or cold according to their perceived effects on the body, not their physical characteristics. The four humors of the body include the blood, phlegm, black bile, and yellow bile; the humors regulate basic bodily functions and are described in terms of temperature, dryness, and moisture. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors. 00:02 00:58 On the basis of median age: A. the non-Hispanic white population tends to be younger. B. the Hispanic population tends to be older. C. the Asian population tends to be younger. D. minorities tend to be older than non-Hispanic white populations. C The Asian population is younger with a median age of 36 years. The non-Hispanic, single-race white population is older than the population as a whole; the respective median age is 40.2 years. The Hispanic population is much younger, with a median age of 27.7 years. Minorities tend to be younger than non-Hispanic white populations. Spirituality is defined as: A. participating in religious services on a regular basis. B. a personal effort to find meaning and purpose in life. C. the process of being raised within a culture. D. a social group that claims to possess variable traits. B Spirituality is a personal effort to find purpose and meaning in life. Religion refers to an organized system of beliefs concerning the cause, nature, and purpose of the universe. Socialization is the process of being raised within a culture and acquiring the characteristics of that group. Ethnicity pertains to a social group within the social system that claims to possess variable traits. Which of the following statements regarding language barriers and health care is true? A. There is a law that addresses language barriers and health care. B. Limited English proficiency is associated with a higher quality of care. C. English proficiency is associated with a lower quality of care. D. Patients with language barriers have a decreased risk of nonadherence to medication regimens. A Title VI of the Civil Rights Act of 1964 provides people with limited English proficiency access to health care; these individuals cannot be denied health care services. Limited English proficiency is associated with a lower quality of care. English proficiency is associated with a higher quality of care. Patients with language barriers have an increased risk of nonadherence to medication regimens. What is the yin/yang theory of health? A. Health exists when all aspects of the person are in perfect balance. B. Health exists when physical, psychological, spiritual, and social needs are met. C. Health exists in the absence of illness. D. Health exists when there is optimal functioning. A In the yin/yang theory, health is believed to exist when all aspects of the person are in perfect balance. In the hot/cold theory, health consists of a positive state of total well-being, including physical, psychological, spiritual, and social aspects of the person. The biomedical model of Western tradition views health as the absence of disease. In the biomedical or scientific theory, high-level wellness (or health) exists with optimal functioning of the human body. Which theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage? A. Behavior theory B. Heritage consistency C. Congruence mechanism D. Socialization experience B Heritage consistency theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage. Behavior theory or behaviorism is a learning theory. Carl Rogers described the concepts of congruence and incongruence as important ideas in his theory of personality and human development. Socialization is the process of being raised within a culture and acquiring the characteristics of that group. Which of the following symptoms is greatly influenced by a person's cultural heritage? A. Hearing loss B. Pain C. Breast lump D. Food intolerance B Pain is a very private, subjective experience that is greatly influenced by cultural heritage. Expectations, manifestations, and management of pain all are embedded in a cultural context. Hearing loss is more common in whites than in blacks. The incidence of breast cancer varies with different cultural groups. Food intolerance varies with different cultural groups. For example, lactose intolerance is common in African Americans, American Indians, and Asian Americans. When considering cultural competence, the nurse must develop knowledge of discrete areas to understand the health care needs of others. These discrete areas include understanding of: (Select all that apply.) A. his or her own heritage. B. cultural and ethnic values. C. the heritage of the nursing profession. D. the heritage of the patient. E. the heritage of the health care system. A, C, D, E Discrete areas of knowledge for cultural competence include understanding of one's own heritage, the heritage of the nursing profession, the heritage of the patient, and the heritage of the health care system. Understanding cultural and ethnic values is not an area of knowledge for cultural competence. When preparing the physical setting for an interview, the interviewer should: A. set the room temperature between 64° F and 66° F. B. reduce noise by turning the volume on the television or radio down. C. conduct the interview at eye level and at a distance of 4 to 5 feet. D. stand next to the patient to convey a professional demeanor. C