D’Amico/Barbarito Health & Physical Assessment in Nursing, 2/e
Chapter 1
Question 1
Type: MCSA
The nurse is obtaining a health history from a client
... [Show More] 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 client’s 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 client’s definition of healthy.
Rationale 4: There is not enough information to determine the client’s withholding of information to the nurse.
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 client’s 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
client’s definition of healthy. There is also not enough information to determine the client’s 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 [Show Less]