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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
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Chapter 02 Interviewing the Patient for the Health History
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Chapter 03 Taking the Health History
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Chapter 04 Assessing Nutrition and Anthropometric Measurements
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Chapter 05 Assessment Techniques
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Chapter 06 General Survey and Assessing Vital Signs
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Chapter 07 Assessing Pain
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Chapter 08 Assessing the Skin, Hair, and Nails
Gt Gt Gt Gt Gt Gt Gt 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
Gt Gt Gt Gt Gt Gt Gt Gt 188
Chapter 10 Assessing the Ears
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Chapter 11 Assessing the Eyes
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Chapter 12 Assessing the Respiratory System
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Chapter 13 Assessing the Cardiovascular System
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Chapter 14 Assessing the Abdomen
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Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt 363
Chapter 16 Assessing the Musculoskeletal System
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Chapter 17 Assessing the Neurological System
Gt Gt Gt Gt Gt 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
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Chapter 19 Assessing the Male Breasts and Reproductive System
Gt Gt Gt Gt Gt Gt Gt Gt 477
Chapter 20 Assessing the Anus and Rectum
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Chapter 21 Assessing the Newborn
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Chapter 22 Assessing the Child and Adolescent
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Chapter 23 Assessing the Pregnant Woman
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Chapter 24 Assessing the Older Adult
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, TestGtBankGt-
GtEssential GtHealthGtAssessment,Gt1stGteditionGt(Thompson,Gt2018)
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.
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2. Health assessment is a foundational and priority nursing skill. This essential skill requir
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es registered nurses (RNs) to:
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1. Diagnose and treat patients. Gt Gt Gt
2. Identify normal and abnormal findings.
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3. Refer patients with abnormal findings.
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4. Counsel patients with psychosocial needs.
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3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police pr
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esence outside his door because the patient is a known drug dealer in the community. You know
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that nurses must treat all patients as persons. This is called:
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1. Caring.
2. Holistic process. Gt
3. Person-centered care (PCC). Gt Gt
4. Standards of care. Gt Gt
4. The science- Gt
based framework updated every 10 years by the U.S. Department of Health and Human Serv
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ices that has set national goals and objectives for health promotion and disease prevention
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is:
1. Healthy People. Gt
2. Healthy People 2020. Gt Gt
3. U.S. Preventive Task Force.
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4. World Health Organization. Gt Gt
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. Gt Gt
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GtEssential GtHealthGtAssessment,Gt1stGteditionGt(Thompson,Gt2018)
2. Secondary health prevention. Gt Gt
3. Tertiary health prevention. Gt Gt
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks h
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e is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
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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 fo
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r a challenging patient who has behavioral problems. There are several areas that need to be pr
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oblem solved and new ideas formulated to create an improved plan of care. What cognitive skil
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ls are you using?
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1. Critical thinking Gt
2. Clinical decision making Gt Gt
3. Intuitive thinking Gt
4. Clinical reasoning Gt
8. Best practice assessment techniques and instruments have been validated by:
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1. American Nurses Association. Gt Gt
2. Code of Ethics for Nurses With Interpretive Statements.
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3. Research and evidence-based practice. Gt Gt Gt
4. Patient Protection and Affordable Care Act.
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9. Health and illness are determined by many factors. What are the determinants of health identifi
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ed by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
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1. Genetics and biology Gt Gt
2. Gender and occupation Gt Gt
3. Individual behavior Gt
4. Social environment Gt
5. Physical environment Gt
6. Health services Gt
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Gt
Essential Health Assessment
Gt Gt
Janice M Thompson
Gt Gt
1st Edition
Gt
,Table of Contents
Gt Gt
Chapter 01 Understanding Health Assessment
Gt Gt Gt Gt 1
Chapter 02 Interviewing the Patient for the Health History
Gt Gt Gt Gt Gt Gt Gt Gt 11
Chapter 03 Taking the Health History
Gt Gt Gt Gt Gt 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
Gt Gt Gt Gt Gt Gt 61
Chapter 05 Assessment Techniques
Gt Gt Gt 88
Chapter 06 General Survey and Assessing Vital Signs
Gt Gt Gt Gt Gt Gt Gt 99
Chapter 07 Assessing Pain
Gt Gt Gt 128
Chapter 08 Assessing the Skin, Hair, and Nails
Gt Gt Gt Gt Gt Gt Gt 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
Gt Gt Gt Gt Gt Gt Gt Gt 188
Chapter 10 Assessing the Ears
Gt Gt Gt Gt 229
Chapter 11 Assessing the Eyes
Gt Gt Gt Gt 250
Chapter 12 Assessing the Respiratory System
Gt Gt Gt Gt Gt 281
Chapter 13 Assessing the Cardiovascular System
Gt Gt Gt Gt Gt 308
Chapter 14 Assessing the Abdomen
Gt Gt Gt Gt 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt 363
Chapter 16 Assessing the Musculoskeletal System
Gt Gt Gt Gt Gt 391
Chapter 17 Assessing the Neurological System
Gt Gt Gt Gt Gt 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
Gt Gt Gt Gt Gt Gt Gt Gt Gt 451
Chapter 19 Assessing the Male Breasts and Reproductive System
Gt Gt Gt Gt Gt Gt Gt Gt 477
Chapter 20 Assessing the Anus and Rectum
Gt Gt Gt Gt Gt Gt 501
Chapter 21 Assessing the Newborn
Gt Gt Gt Gt 517
Chapter 22 Assessing the Child and Adolescent
Gt Gt Gt Gt Gt Gt 555
Chapter 23 Assessing the Pregnant Woman
Gt Gt Gt Gt Gt 583
Chapter 24 Assessing the Older Adult
Gt Gt Gt Gt Gt 612
, TestGtBankGt-
GtEssential GtHealthGtAssessment,Gt1stGteditionGt(Thompson,Gt2018)
Chapter 1: Understanding Health Assessment
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1. The World Health Organization (WHO) established a global strategy called “Health for All.”
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
The goal for this strategy is:
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1. All individuals to get the same health care throughout their life spans.
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
2. The government to supply money to care for all the people in the world.
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
3. Resources for health care to be evenly distributed and accessible.
Gt Gt Gt Gt Gt Gt Gt Gt Gt
4. Health-care providers can never deny patients health care.
Gt Gt Gt Gt Gt Gt Gt
2. Health assessment is a foundational and priority nursing skill. This essential skill requir
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
es registered nurses (RNs) to:
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1. Diagnose and treat patients. Gt Gt Gt
2. Identify normal and abnormal findings.
Gt Gt Gt Gt
3. Refer patients with abnormal findings.
Gt Gt Gt Gt
4. Counsel patients with psychosocial needs.
Gt Gt Gt Gt
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police pr
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
esence outside his door because the patient is a known drug dealer in the community. You know
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that nurses must treat all patients as persons. This is called:
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1. Caring.
2. Holistic process. Gt
3. Person-centered care (PCC). Gt Gt
4. Standards of care. Gt Gt
4. The science- Gt
based framework updated every 10 years by the U.S. Department of Health and Human Serv
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
ices that has set national goals and objectives for health promotion and disease prevention
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
is:
1. Healthy People. Gt
2. Healthy People 2020. Gt Gt
3. U.S. Preventive Task Force.
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4. World Health Organization. Gt Gt
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
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. Gt Gt
1 |P ag e
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, TestGtBankGt-
GtEssential GtHealthGtAssessment,Gt1stGteditionGt(Thompson,Gt2018)
2. Secondary health prevention. Gt Gt
3. Tertiary health prevention. Gt Gt
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks h
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
e is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt G
should you do?
t Gt Gt
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.
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
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.
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
7. You are leading an interdisciplinary team conference to discuss how to provide better care fo
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
r a challenging patient who has behavioral problems. There are several areas that need to be pr
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
oblem solved and new ideas formulated to create an improved plan of care. What cognitive skil
Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt Gt
ls are you using?
Gt Gt Gt
1. Critical thinking Gt
2. Clinical decision making Gt Gt
3. Intuitive thinking Gt
4. Clinical reasoning Gt
8. Best practice assessment techniques and instruments have been validated by:
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1. American Nurses Association. Gt Gt
2. Code of Ethics for Nurses With Interpretive Statements.
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3. Research and evidence-based practice. Gt Gt Gt
4. Patient Protection and Affordable Care Act.
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9. Health and illness are determined by many factors. What are the determinants of health identifi
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ed by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
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1. Genetics and biology Gt Gt
2. Gender and occupation Gt Gt
3. Individual behavior Gt
4. Social environment Gt
5. Physical environment Gt
6. Health services Gt
2 |P ag e
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