Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018), Chapter 1-24 | All Chapters

EssentialHealthAssessment2ndEditionThompsonTestBank v v




Chapter1.UnderstandingHealth Assessment v




Question1 g




Type:MCSA
g




Thenurseisobtainingahealthhistoryfromaclientwhoreportsthatheishealthyandhasnohealth
g g g g g g g g g g g g g g g




g concerns.Aspartofthehealthhistory,thenursedocumentsthattheclientreportedthathehas high v v v v g v




g bloodpressureandsuffers from alegulcerthatremainsunhealedafter6months.Whichofthe
v v v v g g




g followingstatementswouldbethebestchoiceforthenursetouseatthispointintheinterview?
g g g g g g g g g g g g g g g g




1. Ifeelthatyoumaybeindenialaboutyourhealthstatus.
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2. Tellmeaboutyourdefinitionofbeinghealthy. g




3. Doyouunderstandwhathypertension is? g




4. Isthereanythingelseyouarenottellingme? g




CorrectAnswer:2

Rationale1:Moreinformationwouldbeneeded beforethenursecould attributetheclientsviewpoint
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asdenialorlackofknowledge.
g g g g g g




Rationale2:Aclient willhavehisorherowndefinitionofhealth,illness,andwellness.The
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individualsconceptofhealth and wellnessisinfluenced bymanyfactors,includingage,gender,
g v g g




g race,family,culture,religion,socioeconomicconditions,environment,previousexperiences,and
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g self-expectations.

Rationale3:The clientshistoryof hypertensionisavalidarea requiring furtherinvestigationbutthe
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nursemustfirst ascertaintheclients definitionofhealthy.
g g g g g g g g

,Rationale4:Thereisnotenoughinformationtodeterminetheclientswithholdingofinformationtothe v v v g




g nurse.

GlobalRationale:Aclientwillhavehisorherowndefinitionofhealth,illness,andwellness.The
g g g g g g g g g g g g g g




g individualsconceptofhealthandwellnessisinfluencedbymanyfactors,includingage,gender, race,
g g g g g g g g g g g g g




family,culture,religion,socioeconomicconditions,environment,previousexperiences,and self-
g g g g g g g g g g




expectations. Moreinformation wouldbeneeded beforethenursecould attributetheclients
g g g g g g g g v




g viewpointasdenialorlack ofknowledge.Theclientshistoryofhypertensionisavalidarearequiring v g g g g




g furtherinvestigationbutthenursemustfirstascertaintheclientsdefinitionofhealthy.Thereisalso
g g g g g g g g g g




g notenoughinformationtodeterminetheclientswithholdingofinformationtothenurse. g g g g




CognitiveLevel:Analyzing g g




g ClientNeed:HealthPromotion andMaintenance
v v v




g Client NeedSub:
v




Nursing/IntegratedConcepts:NursingProcess:Assessment g g




g LearningOutcome:1.4:Identifythefactors toconsiderinhealthassessment v v v




Question2
g g




Type:MCSA

Thenurseisdocumentingintheclients medicalrecordand wishes touseSOAPcharting.Thenurse v v v v v v g




g includeswhichofthefollowingundertheassessmentcategory?
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1. Theclientsblood pressurewas177/93. v g




2. Therecent loss ofemployment andinsurancehave preventedtheclientfrom being ableto
v v v v v v v




affordprescriptionmedications.
g g g




3. Theclient reports havinglostherjobandinsurance3monthsago.
v g g g

,4. Referralshavebeen madetosocialservicestodeterminefinancialassistanceprograms
v v v v




g available.

CorrectAnswer:2

g Rationale1:ThisistheOcomponent,objectivedata. v




Rationale2:TheAcomponentoftheSOAPnote refers toconclusionsdrawnfrom thesubjective v v v g




g andobjectivedataobtained.
g g g




Rationale3:Thisissubjectivedata.

g Rationale4:ThisisthePcomponent,plan. v




GlobalRationale:TheAcomponentoftheSOAPnotereferstoconclusionsdrawnfromthe
g g g g




g subjectiveandobjectivedataobtained.Theclientsrecentlossofemploymentandthepotentialthat v v v v g




g thiswasacontributingfactorintheinabilitytoaffordmedicationsisanexampleofaconclusion. The
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clientsreportedbloodpressurewouldbeanexampleofobjectivedata.
g g g g g g g g g g g




Objectivedataisinformationthatcanbemeasuredbytheexaminer.Bloodpressureisnotan
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gexampleofsubjective information norisitaconclusion.Theclientsreported lossofemploymentand
v v v v v g




ginsuranceisanexampleofsubjectivedata.The statement doesnotincludeconclusionsas totheresults v v v g




g oftheseevents.Makingreferralsto socialservicesisanexampleofan intervention.Itisnota
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gconclusion.

CognitiveLevel:Applying g g




g ClientNeed:HealthPromotion andMaintenance
v v v




g Client NeedSub:
v




Nursing/IntegratedConcepts:Nursing Process:Assessment g v




g LearningOutcome:1.4:Identifythefactors toconsiderinhealthassessment. v v v




Question3
g g




Type:MCSA

, The nurse is presenting a workshop on wellness and health promotion and the initiatives of
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g Healthy People 2020 as a resource for this topic. After the session, which of the following
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g statementsbya participant indicates an understandingconcerningtheinitiativesproposed?
v v v v v




1. Itwillallowhealth careproviderstolobbylegislatorsformorefunding. v v v




2. TheprimarygoalofHealthyPeople2020istoassisthealthcareprovidersindeterminingrisk v




g factorsforprematurebirth.
g g




3. HealthyPeople2020seekstopromoteshealth,prevent illness,disability,andprematuredeath. v v v v




4. Theinitiatives willoutlinestandardsofcareforprovidersin managingdiseases.
v v




CorrectAnswer:3

Rationale1:Healthcareproviders and otherpersonsinterested in programstopromotehealthhave v v v v g




gfoundthedocumenttobeausefulsourceofinformationintheireffortstogainfunding.

Rationale2:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,
g g g g g g g g g g g g g g




g preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealthindicatorsthat
v v v g




g reflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartof those health g g g




g indicators,butthescopeofthedocumentcoversbroadareasofconcern.
g g g g g g g g g g




Rationale3:TheHealthyPeople2020initiativeisa10-yearstrategyintendedtopromotehealth,prevent v g




g illness,disability,andprematuredeath.
g g g g




Rationale4:Standardsofcareindiseasemanagementisnotacomponentofthedocument. v v




Global Rationale:TheHealthyPeople2020initiativeisa10-yearstrategyintended topromote
v g v




g health,preventillness,disability,andprematuredeath.Thedocumentidentifiesleadinghealth
g g g g g g g g g g g




g indicatorsthatreflectpublichealthconcerns.Riskfactorsforprematurebirthmaybepartofthose
g g g g g g g g g g g g g




g healthindicators,butthescopeofthedocumentcoversbroadareasofconcern.Healthcare providers
v v v v v v g




g andotherpersonsinterestedinprogramstopromotehealthhavefoundthedocument tobeauseful
v v v v v g g g




g sourceofinformationintheireffortstogainfunding.Standardsofcareindiseasemanagementis nota
g g g g g g g g g g g g g g g g




componentofthedocument.
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