TEST BANK FOR Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice 1st Edition by Suzanne Smeltze ISBN: 978-0826162496 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

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Advanced Health Assessment and Differential Diagnosis: Essential
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s for Clinical Practice
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Karen Myrick, and Laima Karosas
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1st Edition
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,Table of Contents
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
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Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
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Chapter 4. Advanced Health Assessment of the Eyes and Ears
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Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
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Chapter 6. Advanced Health Assessment of the Cardiovascular System
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Chapter 7. Advanced Health Assessment of the Respiratory System
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Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
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Chapter 9. Advanced Health Assessment of the Male Genitourinary System
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Chapter 10. Advanced Assessment of the Female Reproductive System
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Chapter 11. Advanced Health Assessment of the Neurological System
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Chapter 12. Advanced Health Assessment of the Musculoskeletal System
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Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE ma




1. The nurse is preparing to conduct a health history. Which of these statements best describes t
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he purpose of a health history?
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a. To provide an opportunity for interaction between the patient and the nurse
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b. To provide a form for obtaining the patients biographic information
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c. To document the normal and abnormal findings of a physical assessment
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d. To provide a database of subjective information about the patients past and current health
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ANS: D m a



The purpose of the health history is to collect subjective data what the person says about him or he
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rself. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) ma ma ma



REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
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correct? The patient: ma ma



a. Has a history of drug abuse and therefore is not reliable.
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b. Provided consistent information and therefore is reliable. ma ma ma ma ma ma



c. Smiled throughout interview and therefore is assumed reliable.
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d. Would not answer questions concerning stress and therefore is not reliable.
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ANS: B m a



A reliable person always gives the same answers, even when questions are rephrased or are repeate
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d later in the interview. The other s t a t W
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DIF: Cognitive Level: Applying (Application) ma ma ma



REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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3. A 59-year-
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old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last
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24 hours. How would the nurse best document his reason for seeking care?
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a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
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b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
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c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
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d. J.M. is a 59-year- ma ma ma



old man who states that he has been having black stools for the past 24 hours.
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ANS: D m a



The reason for seeking care is a brief spontaneous statement in the persons own words that describe
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s the reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is encl
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osed in quotation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) ma ma ma



REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nur
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ses best response?
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a. Can you point to where it hurts? ma ma ma ma ma ma



b. Well talk more about that later in the interview.
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c. What have you had to eat in the last 24 hours?
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1 | P a g e
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Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
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d. Have you ever had any surgeries on your abdomen
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? ANS: A
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A final summary of any symptom the person has should include, along with seven other critical charac
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teristics, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) ma ma ma



REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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5. A 29-year-
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old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses
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appropriate response to the womans statement? ma ma ma ma ma



a. How does your family react to your pain?
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b. The pain must be terrible. You probably pinched a nerve.
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c. Ive had back pain myself, and it can be excruciating.
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d. How would you say the pain affects your ability to do your daily activities?
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ANS: D m a



The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives
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should be avoided and the patient should be asked how the pain affects his or her daily activities. Th
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e other responses are not appropriate.
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DIF: Cognitive Level: Applying (Application) ma ma ma



REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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6. In recording the childhood illnesses of a patient who denies having had any, which note by the nu
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rse would be most accurate?
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a. Patient denies usual childhood illnesses. ma ma ma ma



b. Patient states he was a very healthy child. ma ma ma ma ma ma ma


c. Patient states his sister had measles, but he didnt.
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d. Patient denies measles, mumps,Wr uWbeWll .
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ickSenMp.
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, pSertussis, and strep throat.
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ANS: D m a



Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid
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recording usual childhood illnesses because an illness common in the persons childhood may be
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unusual today (e.g., measles). ma ma ma




DIF: Cognitive Level: Remembering (Knowledge) ma ma ma



REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and t
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wo spontaneous abortions. Her four children are still living. How would the nurse record this inform
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ation?
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b. Grav 6, Term 4, (S)Ab-2, Living 4 ma ma ma ma ma ma



c. Patient has had four living babies. ma ma ma ma ma



d. Patient has been pregnant six times. ma ma ma ma ma




ANS: B m a



Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which t
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he fetus reached term (term), number of preterm pregnancies (preterm), number of incomplete pr
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egnancies (abortions), and number of children living (living). This is recorded: Grav
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Term Preterm Ab Living ma ma ma ma ma



. For any incomplete pregnancies, the duration is recorded and whether the ma ma ma ma ma ma ma ma ma ma ma ma



pregnancy resulted in a spontaneous (S) or an induced (I) abortion.
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