TEST BANK
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Essential Health Assessment
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Janice M Thompson
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1st Edition
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,Table of Contents
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Chapter 01 Understanding Health Assessment ___________________________________________________ 1
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Chapter 02 Interviewing the Patient for the Health History _________________________________________11
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Chapter 03 Taking the Health History ________________________________________________________ 40
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Chapter 04 Assessing Nutrition and Anthropometric Measurements___________________________________61
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Chapter 05 Assessment Techniques ___________________________________________________________ 88
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Chapter 06 General Survey and Assessing Vital Signs ____________________________________________ 99
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Chapter 07 Assessing Pain ________________________________________________________________ 128
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Chapter 08 Assessing the Skin, Hair, and Nails ________________________________________________ 149
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Chapter 09 Assessing the Head, Face, Mouth, and Neck _________________________________________ 188
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Chapter 10 Assessing the Ears _____________________________________________________________ 229
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Chapter 11 Assessing the Eyes _____________________________________________________________ 250
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Chapter 12 Assessing the Respiratory System___________________________________________________281
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Chapter 13 Assessing the Cardiovascular System _______________________________________________ 308
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Chapter 14 Assessing the Abdomen _________________________________________________________ 335
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Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System __________________363
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Chapter 16 Assessing the Musculoskeletal System _______________________________________________391
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Chapter 17 Assessing the Neurological System_________________________________________________ 417
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Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System __________________________451
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Chapter 19 Assessing the Male Breasts and Reproductive System __________________________________ 477
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Chapter 20 Assessing the Anus and Rectum____________________________________________________501
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Chapter 21 Assessing the Newborn _________________________________________________________ 517
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Chapter 22 Assessing the Child and Adolescent________________________________________________ 555
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Chapter 23 Assessing the Pregnant Woman ____________________________________________________583
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Chapter 24 Assessing the Older Adult _______________________________________________________ 612
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, Test dfBank df- dfEssential df Health dfAssessment, df1st dfedition df(Thompson,
df2018) d f
Chapter 1: Understanding Health Assessment
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1. The World Health Organization (WHO) established a global strategy called “Health for All.”
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The goal for this strategy is:
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1. All individuals to get the same health care throughout their life spans.
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2. The government to supply money to care for all the people in the world.
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3. Resources for health care to be evenly distributed and accessible.
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4. Health-care providers can never deny patients health care. df df df df df df df
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
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registered nurses (RNs) to:
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1. Diagnose and treat patients. df df df
2. Identify normal and abnormal findings. df df df df
3. Refer patients with abnormal findings.
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4. Counsel patients with psychosocial needs. df df df df
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
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presence outside his door because the patient is a known drug dealer in the community. You
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know that nurses must treat all patients as persons. This is called:
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1. Caring.
2. Holistic process. df
3. Person-centered care (PCC). df df
4. Standards of care. df df
4. The science-based framework updated every 10 years by the U.S. Department of Health and
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Human Services that has set national goals and objectives for health promotion and
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disease prevention is:
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1. Healthy People. df
2. Healthy People 2020. df df
3. U.S. Preventive Task Force.
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4. World Health Organization. df df
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
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48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
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1. Primary health prevention. df df
1 | P a ge
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, Test dfBank df- dfEssential df Health dfAssessment, df1st dfedition df(Thompson,
df2018) d f
2. Secondary health prevention. df df
3. Tertiary health prevention. df df
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks
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he is running a fever and has stomach discomfort.” You are the registered nurse in charge.
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What should you do?
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1. Ask the medical assistant to go to the patient’s room and assess his complaints.
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2. Go check to see if the patient has an order for Tylenol for a fever.
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3. Page the resident on call immediately to assess the patient.
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4. Go to the patient’s room and assess for fever and the epigastric discomfort.
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7. You are leading an interdisciplinary team conference to discuss how to provide better care
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for a challenging patient who has behavioral problems. There are several areas that need to
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be problem solved and new ideas formulated to create an improved plan of care. What
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cognitive skills are you using?
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1. Critical thinking df
2. Clinical decision making df df
3. Intuitive thinking df
4. Clinical reasoning df
8. Best practice assessment techniques and instruments have been validated by:
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1. American Nurses Association. df df
2. Code of Ethics for Nurses With Interpretive Statements.
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3. Research and evidence-based practice. df df df
4. Patient Protection and Affordable Care Act.df df df df df
9. Health and illness are determined by many factors. What are the determinants of health identified
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by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
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1. Genetics and biology df df
2. Gender and occupation df df
3. Individual behavior df
4. Social environment df
5. Physical environment df
6. Health services df
2 | P a ge
df df df df df
df
Essential Health Assessment
df df
Janice M Thompson
df df
1st Edition
df
,Table of Contents
df df
Chapter 01 Understanding Health Assessment ___________________________________________________ 1
df df df df
Chapter 02 Interviewing the Patient for the Health History _________________________________________11
df df df df df df df df
Chapter 03 Taking the Health History ________________________________________________________ 40
df df df df df
Chapter 04 Assessing Nutrition and Anthropometric Measurements___________________________________61
df df df df df df
Chapter 05 Assessment Techniques ___________________________________________________________ 88
df df df
Chapter 06 General Survey and Assessing Vital Signs ____________________________________________ 99
df df df df df df df
Chapter 07 Assessing Pain ________________________________________________________________ 128
df df df
Chapter 08 Assessing the Skin, Hair, and Nails ________________________________________________ 149
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Chapter 09 Assessing the Head, Face, Mouth, and Neck _________________________________________ 188
df df df df df df df df
Chapter 10 Assessing the Ears _____________________________________________________________ 229
df df df df
Chapter 11 Assessing the Eyes _____________________________________________________________ 250
df df df df
Chapter 12 Assessing the Respiratory System___________________________________________________281
df df df df df
Chapter 13 Assessing the Cardiovascular System _______________________________________________ 308
df df df df df
Chapter 14 Assessing the Abdomen _________________________________________________________ 335
df df df df
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System __________________363
df df df df df df df df df df
Chapter 16 Assessing the Musculoskeletal System _______________________________________________391
df df df df df
Chapter 17 Assessing the Neurological System_________________________________________________ 417
df df df df df
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System __________________________451
df df df df df df df df df
Chapter 19 Assessing the Male Breasts and Reproductive System __________________________________ 477
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Chapter 20 Assessing the Anus and Rectum____________________________________________________501
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Chapter 21 Assessing the Newborn _________________________________________________________ 517
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Chapter 22 Assessing the Child and Adolescent________________________________________________ 555
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Chapter 23 Assessing the Pregnant Woman ____________________________________________________583
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Chapter 24 Assessing the Older Adult _______________________________________________________ 612
df df df df df
, Test dfBank df- dfEssential df Health dfAssessment, df1st dfedition df(Thompson,
df2018) d f
Chapter 1: Understanding Health Assessment
df df df df
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
df df df df df df df df df df df df
The goal for this strategy is:
df df df df df df
1. All individuals to get the same health care throughout their life spans.
df df df df df df df df df df df
2. The government to supply money to care for all the people in the world.
df df df df df df df df df df df df df
3. Resources for health care to be evenly distributed and accessible.
df df df df df df df df df
4. Health-care providers can never deny patients health care. df df df df df df df
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
df df df df df df df df df df df df
registered nurses (RNs) to:
df df df df
1. Diagnose and treat patients. df df df
2. Identify normal and abnormal findings. df df df df
3. Refer patients with abnormal findings.
df df df df
4. Counsel patients with psychosocial needs. df df df df
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
df df df df df df df df df df df df df df df df
presence outside his door because the patient is a known drug dealer in the community. You
df df df df df df df df df df df df df df df df
know that nurses must treat all patients as persons. This is called:
df df df df df df df df df df df df
1. Caring.
2. Holistic process. df
3. Person-centered care (PCC). df df
4. Standards of care. df df
4. The science-based framework updated every 10 years by the U.S. Department of Health and
df df df df df df df df df df df df df
Human Services that has set national goals and objectives for health promotion and
df df df df df df df df df df df df df
disease prevention is:
df df df
1. Healthy People. df
2. Healthy People 2020. df df
3. U.S. Preventive Task Force.
df df df
4. World Health Organization. df df
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
df df df df df df df df df df df df df df df df df
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
df df df df df df df df df df df df df df df df
1. Primary health prevention. df df
1 | P a ge
df df df df df
, Test dfBank df- dfEssential df Health dfAssessment, df1st dfedition df(Thompson,
df2018) d f
2. Secondary health prevention. df df
3. Tertiary health prevention. df df
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks
df df df df df df df df df df df df df df df df df
he is running a fever and has stomach discomfort.” You are the registered nurse in charge.
df df df df df df df df df df df df df df df df
What should you do?
df df df df
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
df df df df df df df df df df df df df
2. Go check to see if the patient has an order for Tylenol for a fever.
df df df df df df df df df df df df df df
3. Page the resident on call immediately to assess the patient.
df df df df df df df df df
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
df df df df df df df df df df df df
7. You are leading an interdisciplinary team conference to discuss how to provide better care
df df df df df df df df df df df df df
for a challenging patient who has behavioral problems. There are several areas that need to
df df df df df df df df df df df df df df df
be problem solved and new ideas formulated to create an improved plan of care. What
df df df df df df df df df df df df df df df
cognitive skills are you using?
df df df df df
1. Critical thinking df
2. Clinical decision making df df
3. Intuitive thinking df
4. Clinical reasoning df
8. Best practice assessment techniques and instruments have been validated by:
df df df df df df df df df
1. American Nurses Association. df df
2. Code of Ethics for Nurses With Interpretive Statements.
df df df df df df df
3. Research and evidence-based practice. df df df
4. Patient Protection and Affordable Care Act.df df df df df
9. Health and illness are determined by many factors. What are the determinants of health identified
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by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
df df df df df df df df df df df df df
1. Genetics and biology df df
2. Gender and occupation df df
3. Individual behavior df
4. Social environment df
5. Physical environment df
6. Health services df
2 | P a ge
df df df df df