EssentialHealthAssessment2ndEditionThompsonTestBank
v v
Chapter1.UnderstandingHealthAssessment
Question1 m
H Type:MCSA
Thenurseisobtainingahealthhistoryfromaclientwhoreportsthatheishealthyandhasnohealth
v
H concerns.Aspartofthehealthhistory,thenursedocumentsthattheclientreportedthathehashigh
v v
H bloodpressureandsuffersfromalegulcerthatremainsunhealedafter6months.Whichofthe
v
H followingstatementswouldbethebestchoiceforthenursetouseatthispointintheinterview?
v v v
1. Ifeelthatyoumaybeindenialaboutyourhealthstatus.
v
2. Tellmeaboutyourdefinitionofbeinghealthy.
3. Doyouunderstandwhathypertensionis?
4. Isthereanythingelseyouarenottellingme?
CorrectAnswer:2
Rationale1:Moreinformationwouldbeneededbeforethenursecouldattributetheclientsviewpoint
v
H asdenialorlackofknowledge.
Rationale2:Aclientwill havehisorherowndefinitionofhealth,illness,andwellness.The
m
individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender,
H H H H
H race,family,culture,religion,socioeconomicconditions,environment,previousexperiences,and
v H
H self-expectations.
Rationale3:Theclientshistoryofhypertensionisavalidarearequiringfurtherinvestigationbutthe
H nursemustfirstascertaintheclientsdefinitionofhealthy.
v
,Rationale4:Thereisnote v Hmvm noughinformationtodeterminetheclientswithholdingofinformation
tothenurse.
H
GlobalRationale:Aclientwillhavehisorherowndefinitionofhealth,illness,andwellness.The
v v
H individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender,race,
v H H
H family,culture,religion,socioeconomicconditions,environment,previousexperiences,andself-
H expectations.Moreinformationwouldbeneededbeforethenursecouldattributetheclients
v
H viewpointasdenialorlackofknowledge.Theclientshistoryofhypertensionisavalidarearequiring
H furtherinvestigationbutthenursemustfirstascertaintheclientsdefinitionofhealthy.Thereisalso
v
H notenoughinformationtodeterminetheclientswithholdingofinformationtothenurse.
CognitiveLevel:Analyzing
Client N eed:HealthPromotionandMaintenance
v v
ClientNeedSub:
H
Nursing/IntegratedConcepts:NursingProcess:Assessment
H
LearningOutcome:1.4:Identifythefactorstoconsiderinhealthassessment v
H Question2
Type:MCSA
ThenurseisdocumentingintheclientsmedicalrecordandwishestouseSOAPcharting.Thenurse
v H
H includeswhichofthefollowingundertheassessmentcategory?
v
1. Theclientsbloodpressurewas177/93. v
2. Therecentlossofemploymentandinsurancehavepreventedtheclientfrombeing ableto v
H affordprescriptionmedications.
3. Theclient reports havinglostherjobandinsurance3monthsago.
v
,4. Referralshavebeenmadetosocialservicestodeterminefinancialassistanceprograms
H available.
CorrectAnswer:2
Rationale1:ThisistheOcomponent,objectivedata.
H
Rationale2:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthesubjective
andobjectivedataobtained.
H
Rationale3:Thisissubjectivedata.
Rationale4:ThisisthePcomponent,plan.
H
GlobalRationale:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthe
m
H subjectiveandobjectivedataobtained.Theclientsrecentlossofemploymentandthep
v v mv mv otentialthat
H thiswasacontributingfactorintheinabilitytoaffordmedicationsisanexampleofaconclusion.The
H clientsreportedbloodpressurewouldbeanexampleofobjectivedata.
v v
Objectivedataisinformationthatcanbemeasuredbytheexaminer.Bloodpressurei snotan
m m m H m
H exampleofsubjectiveinformationnorisitaconclusion.Theclientsreportedlossofemploymentand
v H
H insuranceisanexampleofsubjectivedata.Thestatementdoesnotincludeconclusionsastotheresults
oftheseevents.Makingreferralstosocialservicesisanexampleofanintervention.Itisnota
H v
H conclusion.
CognitiveLevel:Applying
ClientNeed:HealthPromotionandMaintenance
H
ClientNeedSub:
H
Nursing/IntegratedConcepts:NursingProcess:Assessment
H
LearningOutcome:1.4:Identifythefactorstoconsiderinhealthassessment. v
Question3
Type:MCSA
H
, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
H H H H H H H H H H H H H H
H Healthy People 2020 as a resource for this topic. After the session, which of the following
H H H H H H H H H H H H H H H
H statementsbyaparticipantindicatesanunderstandingconcerningtheinitiativesproposed?
v v
1. Itwillallowhealthcareproviderstolobbylegislatorsformorefunding. v
2. TheprimarygoalofHealthyPeople2020istoassisthealthcareprovidersindeterminingrisk
factorsforprematurebirth.
H
3. HealthyPeople2020seekstopromoteshealth,preventillness,disability,andprematuredeath. v
4. Theinitiatives willoutlinestandardsofcareforprovidersinmanagingdiseases.
v v
CorrectAnswer:3
Rationale1:Healthcareprovidersandotherpersonsinterestedinprogramstopromotehealthhave
H v
foundthedocumenttobeausefulsourceofinformationintheireffortstogainfunding.
Rationale2:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,
v
H preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealthindicators that
v H
H reflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartof those health H H
H indicators,butthescopeofthedocumentcoversbroadareasofconcern. v
Rationale3:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,prevent
H illness,disability,andprematuredeath. v
Rationale4:Standardsofcareindiseasemanagementisnotacomponentofthedocument.
GlobalRationale:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromote
H health,preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealth
v v v v
H indicatorsthatreflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartofthose
H healthindicators,butthescopeofthedocumentcoversbroadareasofconcern.Healthcareproviders
H andotherpersonsinterestedinprogramstopromotehealthhavefoundthedocumenttobeauseful v v
sourceofinformationintheireffortstogainfunding.Standardsofcareindiseasemanagementisnota
H m H
H componentofthedocument. v
v v
Chapter1.UnderstandingHealthAssessment
Question1 m
H Type:MCSA
Thenurseisobtainingahealthhistoryfromaclientwhoreportsthatheishealthyandhasnohealth
v
H concerns.Aspartofthehealthhistory,thenursedocumentsthattheclientreportedthathehashigh
v v
H bloodpressureandsuffersfromalegulcerthatremainsunhealedafter6months.Whichofthe
v
H followingstatementswouldbethebestchoiceforthenursetouseatthispointintheinterview?
v v v
1. Ifeelthatyoumaybeindenialaboutyourhealthstatus.
v
2. Tellmeaboutyourdefinitionofbeinghealthy.
3. Doyouunderstandwhathypertensionis?
4. Isthereanythingelseyouarenottellingme?
CorrectAnswer:2
Rationale1:Moreinformationwouldbeneededbeforethenursecouldattributetheclientsviewpoint
v
H asdenialorlackofknowledge.
Rationale2:Aclientwill havehisorherowndefinitionofhealth,illness,andwellness.The
m
individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender,
H H H H
H race,family,culture,religion,socioeconomicconditions,environment,previousexperiences,and
v H
H self-expectations.
Rationale3:Theclientshistoryofhypertensionisavalidarearequiringfurtherinvestigationbutthe
H nursemustfirstascertaintheclientsdefinitionofhealthy.
v
,Rationale4:Thereisnote v Hmvm noughinformationtodeterminetheclientswithholdingofinformation
tothenurse.
H
GlobalRationale:Aclientwillhavehisorherowndefinitionofhealth,illness,andwellness.The
v v
H individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender,race,
v H H
H family,culture,religion,socioeconomicconditions,environment,previousexperiences,andself-
H expectations.Moreinformationwouldbeneededbeforethenursecouldattributetheclients
v
H viewpointasdenialorlackofknowledge.Theclientshistoryofhypertensionisavalidarearequiring
H furtherinvestigationbutthenursemustfirstascertaintheclientsdefinitionofhealthy.Thereisalso
v
H notenoughinformationtodeterminetheclientswithholdingofinformationtothenurse.
CognitiveLevel:Analyzing
Client N eed:HealthPromotionandMaintenance
v v
ClientNeedSub:
H
Nursing/IntegratedConcepts:NursingProcess:Assessment
H
LearningOutcome:1.4:Identifythefactorstoconsiderinhealthassessment v
H Question2
Type:MCSA
ThenurseisdocumentingintheclientsmedicalrecordandwishestouseSOAPcharting.Thenurse
v H
H includeswhichofthefollowingundertheassessmentcategory?
v
1. Theclientsbloodpressurewas177/93. v
2. Therecentlossofemploymentandinsurancehavepreventedtheclientfrombeing ableto v
H affordprescriptionmedications.
3. Theclient reports havinglostherjobandinsurance3monthsago.
v
,4. Referralshavebeenmadetosocialservicestodeterminefinancialassistanceprograms
H available.
CorrectAnswer:2
Rationale1:ThisistheOcomponent,objectivedata.
H
Rationale2:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthesubjective
andobjectivedataobtained.
H
Rationale3:Thisissubjectivedata.
Rationale4:ThisisthePcomponent,plan.
H
GlobalRationale:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthe
m
H subjectiveandobjectivedataobtained.Theclientsrecentlossofemploymentandthep
v v mv mv otentialthat
H thiswasacontributingfactorintheinabilitytoaffordmedicationsisanexampleofaconclusion.The
H clientsreportedbloodpressurewouldbeanexampleofobjectivedata.
v v
Objectivedataisinformationthatcanbemeasuredbytheexaminer.Bloodpressurei snotan
m m m H m
H exampleofsubjectiveinformationnorisitaconclusion.Theclientsreportedlossofemploymentand
v H
H insuranceisanexampleofsubjectivedata.Thestatementdoesnotincludeconclusionsastotheresults
oftheseevents.Makingreferralstosocialservicesisanexampleofanintervention.Itisnota
H v
H conclusion.
CognitiveLevel:Applying
ClientNeed:HealthPromotionandMaintenance
H
ClientNeedSub:
H
Nursing/IntegratedConcepts:NursingProcess:Assessment
H
LearningOutcome:1.4:Identifythefactorstoconsiderinhealthassessment. v
Question3
Type:MCSA
H
, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
H H H H H H H H H H H H H H
H Healthy People 2020 as a resource for this topic. After the session, which of the following
H H H H H H H H H H H H H H H
H statementsbyaparticipantindicatesanunderstandingconcerningtheinitiativesproposed?
v v
1. Itwillallowhealthcareproviderstolobbylegislatorsformorefunding. v
2. TheprimarygoalofHealthyPeople2020istoassisthealthcareprovidersindeterminingrisk
factorsforprematurebirth.
H
3. HealthyPeople2020seekstopromoteshealth,preventillness,disability,andprematuredeath. v
4. Theinitiatives willoutlinestandardsofcareforprovidersinmanagingdiseases.
v v
CorrectAnswer:3
Rationale1:Healthcareprovidersandotherpersonsinterestedinprogramstopromotehealthhave
H v
foundthedocumenttobeausefulsourceofinformationintheireffortstogainfunding.
Rationale2:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,
v
H preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealthindicators that
v H
H reflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartof those health H H
H indicators,butthescopeofthedocumentcoversbroadareasofconcern. v
Rationale3:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,prevent
H illness,disability,andprematuredeath. v
Rationale4:Standardsofcareindiseasemanagementisnotacomponentofthedocument.
GlobalRationale:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromote
H health,preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealth
v v v v
H indicatorsthatreflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartofthose
H healthindicators,butthescopeofthedocumentcoversbroadareasofconcern.Healthcareproviders
H andotherpersonsinterestedinprogramstopromotehealthhavefoundthedocumenttobeauseful v v
sourceofinformationintheireffortstogainfunding.Standardsofcareindiseasemanagementisnota
H m H
H componentofthedocument. v
