Chapter 06 Health & Physical Assessment In Nursing 3rd Edition by Donita T D'Amico

Chapter 06 Health & Physical Assessment In Nursing 3rd Edition by Donita T D’Amico

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The community health nurse wants to promote services that are available at a local free clinic for vulnerable populations within the community. Which client is considered vulnerable?

1. A married mother of two children.
2. A single male with a full time job.
3. A divorced female.
4. A married male veteran.

Correct Answer: 4

Rationale 1: A married mother of two children is not considered a vulnerable client.

Rationale 2: A single male with a full time job is not considered to be a vulnerable client.

Rationale 3: A divorced female is not considered to a vulnerable client.

Rationale 4: Vulnerable populations are groups that are not well integrated into the U.S. healthcare system because of racial, ethnic, cultural, economic, geographic, or health characteristics. Veterans have been identified as a vulnerable population.

Global Rationale: Vulnerable populations are groups that are not well integrated into the U.S. healthcare system because of racial, ethnic, cultural, economic, geographic, or health characteristics. Veterans have been identified as vulnerable population. The other clients listed are not classified as vulnerable.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient, family, and community preferences, values; Coordination and integration of care; Information, communication, and education; Physical comfort and emotional support; Involvement of family and friends; Transition and continuity.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 6.1: Identify vulnerable patient groups.

MNL Learning Outcome: 1.1.1. Identify factors that affect safety across the life span.

Page Number: p. 101

 

Question 2

Type: MCSA

Which is a goal of Healthy People 2020 for vulnerable populations?

1. To provide insurance for all citizens.
2. To improve quality of care.
3. To ensure all clients have a primary care provider.
4. To eliminate co-payments for services.

Correct Answer: 2

Rationale 1: While having insurance will help to eliminate health disparities this is not a goal of Healthy People 2020.

Rationale 2: The goal of Healthy People 2020 is to eliminate health disparities by improving access, quality, and care among identified vulnerable populations.

Rationale 3: While having a primary care provider will help to eliminate health disparities this is not a goal of Healthy People 2020.

Rationale 4: Eliminating co-payments for services is not a goal of Healthy People 2020.

Global Rationale: The goal of Healthy People 2020 is to eliminate health disparities by improving access, quality, and care among identified vulnerable populations. While having insurance and a primary care provider may decrease health disparities, these are not specific goals for Healthy People 2020; neither is the elimination of co-payments for services.

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient, family, and community preferences, values; Coordination and integration of care; Information, communication, and education; Physical comfort and emotional support; Involvement of family and friends; Transition and continuity.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 6.1: Identify vulnerable patient groups.

MNL Learning Outcome: 1.1.1. Identify factors that affect safety across the life span.

Page Number:  101

 

Question 3

Type: MCSA

Which vulnerable population has high death rates from heart disease?

1. African Americans.
2. Asian Americans.
3. Hispanics.
4. Pacific Islanders.

Correct Answer: 1

Rationale 1: The African American population has a high death rate from heart disease.

Rationale 2: Asian Americans do not have a high death rate from heart disease.

Rationale 3: Hispanics do not have a high death rate from heart disease.

Rationale 4: Pacific Islanders do not have a high death rate from heart disease.

Global Rationale: The African American population has a high death rate from heart disease. The other populations listed do not have a high death rate from heart disease.

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient, family, and community preferences, values; Coordination and integration of care; Information, communication, and education; Physical comfort and emotional support; Involvement of family and friends; Transition and continuity.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 6.1: Identify vulnerable patient groups.

MNL Learning Outcome: 1.1.1. Identify factors that affect safety across the life span.

Page Number: p. 102

 

Question 4

Type: MCSA

While reviewing the client’s demographic information, the nurse notes the client is from Cuba. When planning care for this client, which racial group will the nurse use to determine this client’s risk for health disparities?

1. Asian American.
2. African American.
3. Hispanic.
4. Multiracial.

Correct Answer: 3

Rationale 1: Clients from Cuba are not considered to be Asian American.

Rationale 2: Clients from Cuba are not considered to be African American.

Rationale 3: When planning care for this client, the nurse will review the health disparities that are association with the Hispanic race. Clients from Cuba are considered Hispanic.

Rationale 4: Clients from Cuba are not considered to be multiracial. Multiracial clients belong to two or more racial groups.

Global Rationale: When planning care for this client, the nurse will review the health disparities that are association with the Hispanic race. Clients from Cuba are considered Hispanic. They are not considered to be Asian American, African American, or multiracial.

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient, family, and community preferences, values; Coordination and integration of care; Information, communication, and education; Physical comfort and emotional support; Involvement of family and friends; Transition and continuity.

AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 6.1: Identify vulnerable patient groups.

MNL Learning Outcome: 1.1.1. Identify factors that affect safety across the life span.

Page Number: p. 102