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