Test Bank For Health & Physical Assessment in Nursing, Canadian Edition

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Edition:  Canadian Edition

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Resource Type: Test bank

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Test Bank For Health & Physical Assessment in Nursing, Canadian Edition By Donita T D’Amico

Chapter 1

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1) A 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. What is the most appropriate response by the nurse 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?”

1) 2
Explanation:
More information is needed before the nurse could describe the client’s viewpoint as denial.
A client will have his or her own definition of health, illness, and wellness that is influenced by many factors including age, gender, race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and self-expectations. It is important for the nurse to understand the client’s perspective on health.
More information is needed before the nurse can determine that the client has a lack of knowledge.
There is not enough information to determine that the client is withholding information from the nurse. Also this statement could come across as the nurse accusing the client.
Assessment
Analysis
Objective 1
Page 4
Difficulty – 1

2) What is the best description of the assessment component of SOAP charting?
1) Objective data obtained from the physical assessment
2) The client’s chief complaint
3) Subjective statements the client makes regarding feelings
4) Conclusions drawn from the data obtained

2) 4
Explanation:
Objective data obtained from the physical assessment is an example of the “O” component of SOAP charting
The client’s chief complaint is an example of subjective data, the “S” component of SOAP charting.
This is another example of subjective data, the “S” component of SOAP charting, because it is information reported by the client.
The “A” component of SOAP charting refers to conclusions drawn from the subjective and objective data obtained.
Assessment
Knowledge
Objective 7
Page 7
Difficulty -1

A nurse is reviewing a client’s medical record. Which is an example of a constant piece of data?
The client has B negative blood type.
The blood pressure at 0900 was 110/74 mmHg.
The sodium level is 145 mmol/L.
The client is 64 years of age.
3)1
Explanation:
Constant data are things that do not typically change over time such as race, gender, or blood type.
Variable data may change within minutes, hours, or days and includes things like blood pressure, pulse rate, blood counts, and age.
Variable data may change within minutes, hours, or days and includes things like blood pressure, pulse rate, blood counts, and age.
Variable data may change within minutes, hours, or days and includes things like blood pressure, pulse rate, blood counts, and age.
Assessment
Application
Objective 4
Page – 5
Difficulty – 2

 

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