Essential Health Assessment 2nd Edition Thompson Test Bank
Chapter 1. Understanding Health Assessment
Question 1
Type: MCSA
The nurse is obtaining a health history from a client who reports that he is healthy and has no
health concerns. As part of the health history, the nurse documents that the client reported that he
has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which
of the following statements would be the best choice for the nurse to use at this point in the
interview?
1. I feel that you may be in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what hypertension is?
4. Is there anything else you are not telling me?
Correct Answer: 2
Rationale 1: More information would be needed before the nurse could attribute the clients
viewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The
individuals concept of health and wellness is influenced by many factors, including age, gender,
race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and
self-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further investigation but
the nurse must first ascertain the clients definition of healthy.
,Rationale 4: There is not enough information to determine the clients withholding of
information to the nurse.
Global Rationale: A client will have his or her own definition of health, illness, and wellness.
The individuals concept of health and wellness is influenced by many factors, including age,
gender, race, family, culture, religion, socioeconomic conditions, environment, previous
experiences, and self-expectations. More information would be needed before the nurse could
attribute the clients viewpoint as denial or lack of knowledge. The clients history of hypertension
is a valid area requiring further investigation but the nurse must first ascertain the clients
definition of healthy. There is also not enough information to determine the clients withholding
of information to the nurse.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment
Question 2
Type: MCSA
The nurse is documenting in the clients medical record and wishes to use SOAP charting. The
nurse includes which of the following under the assessment category?
1. The clients blood pressure was 177/93.
2. The recent loss of employment and insurance have prevented the client from being able to
afford prescription medications.
3. The client reports having lost her job and insurance 3 months ago.
,4. Referrals have been made to social services to determine financial assistance programs
available.
Correct Answer: 2
Rationale 1: This is the O component, objective data.
Rationale 2: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained.
Rationale 3: This is subjective data.
Rationale 4: This is the P component, plan.
Global Rationale: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained. The clients recent loss of employment and the potential
that this was a contributing factor in the inability to afford medications is an example of a
conclusion. The clients reported blood pressure would be an example of objective data.
Objective data is information that can be measured by the examiner. Blood pressure is not an
example of subjective information nor is it a conclusion. The clients reported loss of employment
and insurance is an example of subjective data. The statement does not include conclusions as to
the results of these events. Making referrals to social services is an example of an intervention. It
is not a conclusion.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
Question 3
Type: MCSA
, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
Healthy People 2020 as a resource for this topic. After the session, which of the following
statements by a participant indicates an understanding concerning the initiatives proposed?
1. It will allow health care providers to lobby legislators for more funding.
2. The primary goal of Healthy People 2020 is to assist health care providers in determining risk
factors for premature birth.
3. Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death.
4. The initiatives will outline standards of care for providers in managing diseases.
Correct Answer: 3
Rationale 1: Health care 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.
Rationale 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.
Rationale 3: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death.
Rationale 4: Standards of care in disease management is not a component of the document.
Global Rationale: 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. Health care
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. Standards of care in disease
management is not a component of the document.
Chapter 1. Understanding Health Assessment
Question 1
Type: MCSA
The nurse is obtaining a health history from a client who reports that he is healthy and has no
health concerns. As part of the health history, the nurse documents that the client reported that he
has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which
of the following statements would be the best choice for the nurse to use at this point in the
interview?
1. I feel that you may be in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what hypertension is?
4. Is there anything else you are not telling me?
Correct Answer: 2
Rationale 1: More information would be needed before the nurse could attribute the clients
viewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The
individuals concept of health and wellness is influenced by many factors, including age, gender,
race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and
self-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further investigation but
the nurse must first ascertain the clients definition of healthy.
,Rationale 4: There is not enough information to determine the clients withholding of
information to the nurse.
Global Rationale: A client will have his or her own definition of health, illness, and wellness.
The individuals concept of health and wellness is influenced by many factors, including age,
gender, race, family, culture, religion, socioeconomic conditions, environment, previous
experiences, and self-expectations. More information would be needed before the nurse could
attribute the clients viewpoint as denial or lack of knowledge. The clients history of hypertension
is a valid area requiring further investigation but the nurse must first ascertain the clients
definition of healthy. There is also not enough information to determine the clients withholding
of information to the nurse.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment
Question 2
Type: MCSA
The nurse is documenting in the clients medical record and wishes to use SOAP charting. The
nurse includes which of the following under the assessment category?
1. The clients blood pressure was 177/93.
2. The recent loss of employment and insurance have prevented the client from being able to
afford prescription medications.
3. The client reports having lost her job and insurance 3 months ago.
,4. Referrals have been made to social services to determine financial assistance programs
available.
Correct Answer: 2
Rationale 1: This is the O component, objective data.
Rationale 2: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained.
Rationale 3: This is subjective data.
Rationale 4: This is the P component, plan.
Global Rationale: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained. The clients recent loss of employment and the potential
that this was a contributing factor in the inability to afford medications is an example of a
conclusion. The clients reported blood pressure would be an example of objective data.
Objective data is information that can be measured by the examiner. Blood pressure is not an
example of subjective information nor is it a conclusion. The clients reported loss of employment
and insurance is an example of subjective data. The statement does not include conclusions as to
the results of these events. Making referrals to social services is an example of an intervention. It
is not a conclusion.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
Question 3
Type: MCSA
, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
Healthy People 2020 as a resource for this topic. After the session, which of the following
statements by a participant indicates an understanding concerning the initiatives proposed?
1. It will allow health care providers to lobby legislators for more funding.
2. The primary goal of Healthy People 2020 is to assist health care providers in determining risk
factors for premature birth.
3. Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death.
4. The initiatives will outline standards of care for providers in managing diseases.
Correct Answer: 3
Rationale 1: Health care 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.
Rationale 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.
Rationale 3: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death.
Rationale 4: Standards of care in disease management is not a component of the document.
Global Rationale: 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. Health care
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. Standards of care in disease
management is not a component of the document.
