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Essential Health Assessment 2nd Edition
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by Janice M Thompson, Chapter 1 - 24
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,Table of Contents
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Chapterv01vUnderstandingvHealthvAssessment 1
Chapterv02vInterviewingvthevPatientvforvthevHealthvHistory 11
Chapterv03vTakingvthevHealthvHistory 40
Chapterv04vAssessingvNutritionvandvAnthropometricvMeasurements 61
Chapterv05vAssessmentvTechniques 88
Chapterv06vGeneralvSurveyvandvAssessingvVitalvSigns 99
Chapterv07vAssessingvPain 128
Chapterv08vAssessingvthevSkin,vHair,vandvNails 149
Chapterv09vAssessingvthevHead,vFace,vMouth,vandvNeck 188
Chapterv10vAssessingvthevEars 229
Chapterv11vAssessingvthevEyes 250
Chapterv12vAssessingvthevRespiratoryvSystem 281
Chapterv13vAssessingvthevCardiovascularvSystem 308
Chapterv14vAssessingvthevAbdomen 335
Chapterv15vAssessingvthevPeripheralvVascularvSystemvandvRegionalvLymphaticvSystem 363
Chapterv16vAssessingvthevMusculoskeletalvSystem 391
Chapterv17vAssessingvthevNeurologicalvSystem 417
Chapterv18vAssessingvthevFemalevBreasts,vAxillae,vandvReproductivevSystem 451
Chapterv19vAssessingvthevMalevBreastsvandvReproductivevSystem 477
Chapterv20vAssessingvthevAnusvandvRectum 501
Chapterv21vAssessingvthevNewborn 517
Chapterv22vAssessingvthevChildvandvAdolescent 555
Chapterv23vAssessingvthevPregnantvWoman 583
Chapterv24vAssessingvthevOldervAdult 612
,v TestvBankv-
vEssentialvHealthvAssessment,v 2ndveditionv(Thompson,v 2023)v
Chapterv1:vUnderstandingvHealthvAssessment
1.vThevWorldvHealthvOrganizationv(WHO)vestablishedvavglobalvstrategyvcalledv“HealthvforvAll.”v Thevgo
alvforvthisvstrategyvis:
1. Allvindividualsvtovgetvthevsamevhealthvcarevthroughoutvtheirvlifevspans.
2. Thevgovernmentvtovsupplyvmoneyvtovcarevforvallvthevpeoplevinvthevworld.
3. Resourcesvforvhealthvcarevtovbevevenlyvdistributedvandvaccessible.
4. Health-carevprovidersvcanvnevervdenyvpatientsvhealthvcare.
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1. Thisvisvincorrect.v“HealthvforvAll”vdoesvnotvmeanvthatvallvindividualsvgetvthevsamev healt
hvcarevthroughoutvtheirvlifevspans.
2. Thisvisvincorrect.v“HealthvforvAll”vdoesvnotvmeanvthevgovernmentvwillvsupplyvmoneyv tovca
revforvallvthevpeoplevinvthevworld.
3. Thisvisvcorrect.v“HealthvforvAll”vmeansvthatvresourcesvforvhealthvcarevarevevenlyv distr
ibutedvandvaccessiblevtoveveryone.
4. Thisvisvincorrect.v“HealthvforvAll”vdoesvnotvmeanvthatvhealth-
carevprovidersvcanvdenyv patientsvhealthvcare.
2.vHealthvassessmentvisvavfoundationalvandvpriorityvnursingvskill.vThisvessentialvskillvrequiresv registeredvn
ursesv(RNs)vto:
1. Diagnosevandvtreatvpatients.
2. Identifyvnormalvandvabnormalvfindings.
3. Refervpatientsvwithvabnormalvfindings.
4. Counselvpatientsvwithvpsychosocialvneeds.
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1. Thisvisvincorrect.vThevrolevofvthevRNvisvnotvtovdiagnosevandvtreatvpatients.
2. Thisvisvcorrect.vAssessingvpatientsvandvbeingvablevtovidentifyvnormalvfromvabnormalv findi
ngsvisvanvessentialvrolevofvthevRN.
3. Thisvisvincorrect.vRNsvinvcollaborationvwithvthevhealth-
carevprovidersvdovreferv patients.vThisvisvnotvthevessentialvandvfoundationalvrolevinv
4. health
Thisvisvvassessment.
incorrect.vRNsvdovcounselvpatients,vbutvitvisvnotvthevessentialvandvfoundationalv rolev
invhealthvassessment.
3v|vPvavgve
, v TestvBankv-
vEssentialvHealthvAssessment,v 2ndveditionv(Thompson,v 2023)v
3.vYouvarevassessingvavpatientvwithvfivevgunshotvwoundsvonvavtraumavunit.vTherevisvavpolicev presencevout
sidevhisvdoorvbecausevthevpatientvisvavknownvdrugvdealervinvthevcommunity.vYouvknowv thatvnursesvmustvt
reatvallvpatientsvasvpersons.vThisvisvcalled:
1. Caring.
2. Holisticvprocess.
3. Person-centeredvcarev(PCC).
4. Standardsvofvcare.
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1. Thisvisvincorrect.vCaringvisvdisplayingvavconcernvforvpatients.
2. Thisvisvincorrect.vThevholisticvcaringvprocessvisvavrelationalvprocess;vthevnursev colla
boratesvwithvthevindividualvtovpursuevgoalsvforvhealthvandvwell-being.
3. Thisvisvcorrect.vThevnewvmovementvinvhealthvcarevisvperson-
centeredvcarev(PCC),v whichvemphasizesvthevintrinsicvvaluevofvtreatingvallvpatientsvasvp
4. ersons.
This visvincorrect.vStandardsvofvcarevidentifyvstandardsvofvprofessionalvnursingv prac
tice.
4.vThevscience-
basedvframeworkvupdatedveveryv10vyearsvbyvthevU.S.vDepartmentvofvHealthvandv HumanvServicesvthatvha
svsetvnationalvgoalsvandvobjectivesvforvhealthvpromotionvandvdiseasev preventionvis:
1. HealthyvPeople.
2. HealthyvPeoplev2020.
3. U.S.vPreventivevTaskvForce.
4. WorldvHealthvOrganization.
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1. Thisvisvincorrect.vHealthyvPeoplevisvthevgeneralvtitlevforvthevnation’svfederalvinitiative.
2. Thisvisvcorrect.vHealthyvPeoplev2020vspecificallyvidentifiesvscience-
based,vnationalv goalsvandvobjectivesvwithv10-
yearvtargetsvdesignedvtovguidevnationalvhealthvpromotionv andvdiseasevpreventionveffortsvtov
improvevthevhealthvofvallvpeoplevinvthevUnitedvv v States.
3. Thisvisvincorrect.vThevU.S.vPreventivevServicesvTaskvForce’svgoalvisvtovusevevidence-
v basedvmedicinevtovimprovevthevhealthvofvallvAmericansvbyvmakingvevidence-
basedv recommendationsvaboutvclinicalvpreventivevservicesvsuchvasvscreenings,vcounseling
v services,vandvpreventivevmedications.
4. Thisvisvincorrect.vThevWorldvHealthvOrganizationvisvavspecializedvagencyvofvthev Unit
edvNationsvworkingvtovimprovevthevhealthvofvthevworld’svpeople.
4v|vPvavgve