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TEST BANK For Essential Health Assessment 2nd Edition
By Thompson - Latest Complete Guide 2024

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 individual's 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 client's 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.




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Global Rationale: A client will have his or her own definition of health, illness, and
wellness. The individual's 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 client's 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 the client's medical record and wishes to use SOAP charting.
The nurse includes which of the following under the assessment category?

1. The client's 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.



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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 client's 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 promote health, prevent illness, disability, and
premature death.
4. The initiatives will outline standards of care for providers in managing diseases.

Correct Answer: 3




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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.

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.2: Discuss the importance of Healthy People 2020 and its
relevance to health assessment.

Question 4

Type: MCSA




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