TESTBANK
e
EssentialHealthAssessment
e e
Janice M Thompson
e e
1stEdition
e
,TableofContents
e e
Chapter01UnderstandingHealthAssessment ______________________________________________________ 1
e e e e
Chapter02InterviewingthePatientfortheHealthHistory _____________________________________________ 11
e e e e e e e e
Chapter03TakingtheHealthHistory ____________________________________________________________ 40
e e e e e
Chapter04AssessingNutritionandAnthropometricMeasurements _____________________________________ 61
e e e e e e
Chapter05AssessmentTechniques _____________________________________________________________ 88
e e e
Chapter06GeneralSurveyandAssessingVitalSigns ________________________________________________ 99
e e e e e e e
Chapter07AssessingPain ___________________________________________________________________ 128
e e e
Chapter08AssessingtheSkin,Hair,andNails ____________________________________________________ 149
e e e e e e e
Chapter09AssessingtheHead,Face,Mouth,andNeck ______________________________________________ 188
e e e e e e e e
Chapter10AssessingtheEars ________________________________________________________________ 229
e e e e
Chapter11AssessingtheEyes ________________________________________________________________ 250
e e e e
Chapter12AssessingtheRespiratorySystem _____________________________________________________ 281
e e e e e
Chapter13AssessingtheCardiovascularSystem __________________________________________________ 308
e e e e e
Chapter14AssessingtheAbdomen ____________________________________________________________ 335
e e e e
Chapter15AssessingthePeripheralVascularSystemandRegionalLymphaticSystem ______________________ 363
e e e e e e e e e e
Chapter16AssessingtheMusculoskeletalSystem _________________________________________________ 391
e e e e e
Chapter17AssessingtheNeurologicalSystem____________________________________________________ 417
e e e e e
Chapter18AssessingtheFemaleBreasts,Axillae,andReproductiveSystem ______________________________ 451
e e e e e e e e e
Chapter19AssessingtheMaleBreastsandReproductiveSystem ______________________________________ 477
e e e e e e e e
Chapter20AssessingtheAnusandRectum ______________________________________________________ 501
e e e e e e
Chapter21AssessingtheNewborn ____________________________________________________________ 517
e e e e
Chapter22AssessingtheChildandAdolescent ___________________________________________________ 555
e e e e e e
Chapter23AssessingthePregnantWoman ______________________________________________________ 583
e e e e e
Chapter24AssessingtheOlderAdult ___________________________________________________________ 612
e e e e e
, Test Bank - Essential Health Assessment,1st edition(Thompson, 2018)
e e e e e e e e e e
Chapter1:UnderstandingHealth Assessment e e e e
1. TheWorldHealthOrganization(WHO)establishedaglobalstrategycalled“HealthforAll.” The
e e e e e e e e e e e e e
goal for this strategy is:
e e e e e
1. Allindividualstogetthesamehealthcarethroughouttheirlifespans.
e e e e e e e e e e e
2. Thegovernmenttosupplymoneytocareforallthepeopleintheworld.
e e e e e e e e e e e e e
3. Resourcesforhealthcaretobeevenlydistributedandaccessible. e e e e e e e e e
4. Health-careproviderscanneverdenypatientshealthcare. e e e e e e e
2. Healthassessmentisafoundationalandprioritynursingskill.Thisessentialskillrequires
e e e e e e e e e e e e
registered nurses (RNs) to:
e e e e
1. Diagnoseandtreatpatients. e e e
2. Identifynormal and abnormalfindings. e e e e
3. Refer patientswith abnormal findings. e e e e
4. Counselpatients with psychosocial needs. e e e e
3. You are assessing apatient with five gunshot wounds on atrauma unit. There is a police presence
e e e e e e e e e e e e e e e e e
outsidehisdoorbecausethepatientisaknowndrugdealerinthecommunity.Youknow that nurses must
e e e e e e e e e e e e e e e e e e e
treat all patients as persons. This is called:
e e e e e e e e
1. Caring.
2. Holisticprocess. e
3. Person-centeredcare(PCC). e e
4. Standardsofcare. e e
4. Thescience-basedframeworkupdatedevery10yearsbytheU.S.DepartmentofHealthand
e e e e e e e e e e e e e
Human Services that has set national goals and objectives for health promotion and disease
e e e e e e e e e e e e e e
preventionis:
e e
1. HealthyPeople. e
2. HealthyPeople2020. e e
3. U.S.PreventiveTaskForce. e e e
4. WorldHealthOrganization. e e
5. A38-year-oldmalehasafamilyhistoryofcoloncancer.Hisfatherdiedofcoloncanceratage
e e e e e e e e e e e e e e e e e
48.Thedoctorrecommendedthatthispatienthaveacolonoscopythisyear.Thisisanexampleof:
e e e e e e e e e e e e e e e e
1. Primaryhealthprevention. e e
1 | P a ge
e e e e e
, Test Bank - Essential Health Assessment,1st edition(Thompson, 2018)
e e e e e e e e e e
2. Secondaryhealthprevention. e e
3. Tertiaryhealthprevention. e e
6. Apatient in thehospital puts onhis call light and tells theperson answering that he “thinks he is running a
e e e e e e e e e e e e e e e e e e e e e
fever and has stomach discomfort.” You are the registered nurse in charge. What should you do?
e e e e e e e e e e e e e e e e
1. Askthemedicalassistanttogotothepatient’sroomandassesshiscomplaints.
e e e e e e e e e e e e e
2. GochecktoseeifthepatienthasanorderforTylenolforafever.
e e e e e e e e e e e e e e
3. Pagetheresidentoncallimmediatelytoassessthepatient.
e e e e e e e e e
4. Gotothepatient’sroomandassessforfeverandtheepigastricdiscomfort.
e e e e e e e e e e e e
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
e e e e e e e e e e e e e e e
challenging patient who has behavioral problems. There are several areas that need to be problem solved
e e e e e e e e e e e e e e e e
andnewideas formulated to createanimproved planof care. What cognitive skills areyou using?
e e e e e e e e e e e e e e e e e
1. Criticalthinking e
2. Clinicaldecision making e e
3. Intuitivethinking e
4. Clinicalreasoning e
8. Bestpracticeassessmenttechniquesandinstrumentshavebeenvalidatedby:
e e e e e e e e e
1. AmericanNursesAssociation. e e
2. CodeofEthicsforNursesWithInterpretiveStatements.
e e e e e e e
3. Researchandevidence-based practice. e e e
4. PatientProtection andAffordableCare Act. e e e e e
9. Healthandillnessaredeterminedbymanyfactors.Whatarethedeterminantsofhealthidentified by the
e e e e e e e e e e e e e e e e
Centers for DiseaseControl andPrevention (CDC)? Select all that apply.
e e e e e e e e e e e
1. Geneticsandbiology e e
2. Genderandoccupation e e
3. Individualbehavior e
4. Socialenvironment e
5. Physicalenvironment e
6. Healthservices e
2 | P a ge
e e e e e
e
EssentialHealthAssessment
e e
Janice M Thompson
e e
1stEdition
e
,TableofContents
e e
Chapter01UnderstandingHealthAssessment ______________________________________________________ 1
e e e e
Chapter02InterviewingthePatientfortheHealthHistory _____________________________________________ 11
e e e e e e e e
Chapter03TakingtheHealthHistory ____________________________________________________________ 40
e e e e e
Chapter04AssessingNutritionandAnthropometricMeasurements _____________________________________ 61
e e e e e e
Chapter05AssessmentTechniques _____________________________________________________________ 88
e e e
Chapter06GeneralSurveyandAssessingVitalSigns ________________________________________________ 99
e e e e e e e
Chapter07AssessingPain ___________________________________________________________________ 128
e e e
Chapter08AssessingtheSkin,Hair,andNails ____________________________________________________ 149
e e e e e e e
Chapter09AssessingtheHead,Face,Mouth,andNeck ______________________________________________ 188
e e e e e e e e
Chapter10AssessingtheEars ________________________________________________________________ 229
e e e e
Chapter11AssessingtheEyes ________________________________________________________________ 250
e e e e
Chapter12AssessingtheRespiratorySystem _____________________________________________________ 281
e e e e e
Chapter13AssessingtheCardiovascularSystem __________________________________________________ 308
e e e e e
Chapter14AssessingtheAbdomen ____________________________________________________________ 335
e e e e
Chapter15AssessingthePeripheralVascularSystemandRegionalLymphaticSystem ______________________ 363
e e e e e e e e e e
Chapter16AssessingtheMusculoskeletalSystem _________________________________________________ 391
e e e e e
Chapter17AssessingtheNeurologicalSystem____________________________________________________ 417
e e e e e
Chapter18AssessingtheFemaleBreasts,Axillae,andReproductiveSystem ______________________________ 451
e e e e e e e e e
Chapter19AssessingtheMaleBreastsandReproductiveSystem ______________________________________ 477
e e e e e e e e
Chapter20AssessingtheAnusandRectum ______________________________________________________ 501
e e e e e e
Chapter21AssessingtheNewborn ____________________________________________________________ 517
e e e e
Chapter22AssessingtheChildandAdolescent ___________________________________________________ 555
e e e e e e
Chapter23AssessingthePregnantWoman ______________________________________________________ 583
e e e e e
Chapter24AssessingtheOlderAdult ___________________________________________________________ 612
e e e e e
, Test Bank - Essential Health Assessment,1st edition(Thompson, 2018)
e e e e e e e e e e
Chapter1:UnderstandingHealth Assessment e e e e
1. TheWorldHealthOrganization(WHO)establishedaglobalstrategycalled“HealthforAll.” The
e e e e e e e e e e e e e
goal for this strategy is:
e e e e e
1. Allindividualstogetthesamehealthcarethroughouttheirlifespans.
e e e e e e e e e e e
2. Thegovernmenttosupplymoneytocareforallthepeopleintheworld.
e e e e e e e e e e e e e
3. Resourcesforhealthcaretobeevenlydistributedandaccessible. e e e e e e e e e
4. Health-careproviderscanneverdenypatientshealthcare. e e e e e e e
2. Healthassessmentisafoundationalandprioritynursingskill.Thisessentialskillrequires
e e e e e e e e e e e e
registered nurses (RNs) to:
e e e e
1. Diagnoseandtreatpatients. e e e
2. Identifynormal and abnormalfindings. e e e e
3. Refer patientswith abnormal findings. e e e e
4. Counselpatients with psychosocial needs. e e e e
3. You are assessing apatient with five gunshot wounds on atrauma unit. There is a police presence
e e e e e e e e e e e e e e e e e
outsidehisdoorbecausethepatientisaknowndrugdealerinthecommunity.Youknow that nurses must
e e e e e e e e e e e e e e e e e e e
treat all patients as persons. This is called:
e e e e e e e e
1. Caring.
2. Holisticprocess. e
3. Person-centeredcare(PCC). e e
4. Standardsofcare. e e
4. Thescience-basedframeworkupdatedevery10yearsbytheU.S.DepartmentofHealthand
e e e e e e e e e e e e e
Human Services that has set national goals and objectives for health promotion and disease
e e e e e e e e e e e e e e
preventionis:
e e
1. HealthyPeople. e
2. HealthyPeople2020. e e
3. U.S.PreventiveTaskForce. e e e
4. WorldHealthOrganization. e e
5. A38-year-oldmalehasafamilyhistoryofcoloncancer.Hisfatherdiedofcoloncanceratage
e e e e e e e e e e e e e e e e e
48.Thedoctorrecommendedthatthispatienthaveacolonoscopythisyear.Thisisanexampleof:
e e e e e e e e e e e e e e e e
1. Primaryhealthprevention. e e
1 | P a ge
e e e e e
, Test Bank - Essential Health Assessment,1st edition(Thompson, 2018)
e e e e e e e e e e
2. Secondaryhealthprevention. e e
3. Tertiaryhealthprevention. e e
6. Apatient in thehospital puts onhis call light and tells theperson answering that he “thinks he is running a
e e e e e e e e e e e e e e e e e e e e e
fever and has stomach discomfort.” You are the registered nurse in charge. What should you do?
e e e e e e e e e e e e e e e e
1. Askthemedicalassistanttogotothepatient’sroomandassesshiscomplaints.
e e e e e e e e e e e e e
2. GochecktoseeifthepatienthasanorderforTylenolforafever.
e e e e e e e e e e e e e e
3. Pagetheresidentoncallimmediatelytoassessthepatient.
e e e e e e e e e
4. Gotothepatient’sroomandassessforfeverandtheepigastricdiscomfort.
e e e e e e e e e e e e
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
e e e e e e e e e e e e e e e
challenging patient who has behavioral problems. There are several areas that need to be problem solved
e e e e e e e e e e e e e e e e
andnewideas formulated to createanimproved planof care. What cognitive skills areyou using?
e e e e e e e e e e e e e e e e e
1. Criticalthinking e
2. Clinicaldecision making e e
3. Intuitivethinking e
4. Clinicalreasoning e
8. Bestpracticeassessmenttechniquesandinstrumentshavebeenvalidatedby:
e e e e e e e e e
1. AmericanNursesAssociation. e e
2. CodeofEthicsforNursesWithInterpretiveStatements.
e e e e e e e
3. Researchandevidence-based practice. e e e
4. PatientProtection andAffordableCare Act. e e e e e
9. Healthandillnessaredeterminedbymanyfactors.Whatarethedeterminantsofhealthidentified by the
e e e e e e e e e e e e e e e e
Centers for DiseaseControl andPrevention (CDC)? Select all that apply.
e e e e e e e e e e e
1. Geneticsandbiology e e
2. Genderandoccupation e e
3. Individualbehavior e
4. Socialenvironment e
5. Physicalenvironment e
6. Healthservices e
2 | P a ge
e e e e e