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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 hgdfBank hgdf- hgdfEssential hgdf Health hgdfAssessment, hgdf1st hgdfedition
hgdf(Thompson, hgdf 2018) h g d f
Chapter 1: Understanding Health Assessment
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1. The World Health Organization (WHO) established a global strategy called “Health for
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All.” 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. hgdf hgdf hgdf hgdf hgdf hgdf hgdf
2. Health assessment is a foundational and priority nursing skill. This essential skill
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requires registered nurses (RNs) to:
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1. Diagnose and treat patients. hgdf hgdf hgdf
2. Identify normal and abnormal findings. hgdf hgdf hgdf hgdf
3. Refer patients with abnormal findings.
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4. Counsel patients with psychosocial needs. hgdf hgdf h gdf hgdf
3. You are assessing a patient with five gunshot wounds on a trauma unit. There
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is a police presence outside his door because the patient is a known drug dealer in the
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community. You know that nurses must treat all patients as persons. This is
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called:
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1. Caring.
2. Holistic process. hgdf
3. Person-centered care (PCC). hgdf hgdf
4. Standards of care. hgdf hgdf
4. The science-based framework updated every 10 years by the U.S. Department of
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Health and Human Services that has set national goals and objectives for health
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promotion and disease prevention is:
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1. Healthy People. hgdf
2. Healthy People 2020. hgdf hgdf
3. U.S. Preventive Task Force.hgdf hgdf hgdf
4. World Health Organization. hgdf hgdf
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at
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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. hgdf hgdf
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, Test hgdfBank hgdf- hgdfEssential hgdf Health hgdfAssessment, hgdf1st hgdfedition
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2. Secondary health prevention. hgdf hgdf
3. Tertiary health prevention. hgdf hgdf
6. A patient in the hospital puts on his call light and tells the person answering that
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he “thinks he is running a fever and has stomach discomfort.” You are the
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registered nurse in charge. 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
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better care for a challenging patient who has behavioral problems. There are several
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areas that need to be problem solved and new ideas formulated to create an
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
improved plan of care. What cognitive skills are you using?
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1. Critical thinking hgdf
2. Clinical decision making hgdf hgdf
3. Intuitive thinking hgdf
4. Clinical reasoning hgdf
8. Best practice assessment techniques and instruments have been validated by:
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1. American Nurses Association. hgdf hgdf
2. Code of Ethics for Nurses With Interpretive Statements.
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3. Research and evidence-based practice. hgdf hgdf hgdf
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
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identified by the Centers for Disease Control and Prevention (CDC)? Select all that
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apply.
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1. Genetics and biology hgdf hgdf
2. Gender and occupation hgdf hgdf
3. Individual behavior hgdf
4. Social environment hgdf
5. Physical environment hgdf
6. Health services hgdf
2 | P a
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Essential Health Assessment
hgdf hgdf
Janice M Thompson
h g df hg df
1st Edition
hgdf
,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
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
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 hgdfBank hgdf- hgdfEssential hgdf Health hgdfAssessment, hgdf1st hgdfedition
hgdf(Thompson, hgdf 2018) h g d f
Chapter 1: Understanding Health Assessment
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1. The World Health Organization (WHO) established a global strategy called “Health for
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
All.” The goal for this strategy is:
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1. All individuals to get the same health care throughout their life spans.
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
2. The government to supply money to care for all the people in the world.
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
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. hgdf hgdf hgdf hgdf hgdf hgdf hgdf
2. Health assessment is a foundational and priority nursing skill. This essential skill
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
requires registered nurses (RNs) to:
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1. Diagnose and treat patients. hgdf hgdf hgdf
2. Identify normal and abnormal findings. hgdf hgdf hgdf hgdf
3. Refer patients with abnormal findings.
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4. Counsel patients with psychosocial needs. hgdf hgdf h gdf hgdf
3. You are assessing a patient with five gunshot wounds on a trauma unit. There
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
is a police presence outside his door because the patient is a known drug dealer in the
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
community. You know that nurses must treat all patients as persons. This is
hgdf hgdf hgdf hgdf h gdf h gdf hgdf hgdf hgdf h gdf hgdf hgdf hgdf
called:
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1. Caring.
2. Holistic process. hgdf
3. Person-centered care (PCC). hgdf hgdf
4. Standards of care. hgdf hgdf
4. The science-based framework updated every 10 years by the U.S. Department of
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
Health and Human Services that has set national goals and objectives for health
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf h gdf hgdf hgdf hgdf
promotion and disease prevention is:
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1. Healthy People. hgdf
2. Healthy People 2020. hgdf hgdf
3. U.S. Preventive Task Force.hgdf hgdf hgdf
4. World Health Organization. hgdf hgdf
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at
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agehgdf
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. hgdf hgdf
1 | P ahgdf hgdf hgdf
g e
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, Test hgdfBank hgdf- hgdfEssential hgdf Health hgdfAssessment, hgdf1st hgdfedition
hgdf(Thompson, hgdf 2018) h g d f
2. Secondary health prevention. hgdf hgdf
3. Tertiary health prevention. hgdf hgdf
6. A patient in the hospital puts on his call light and tells the person answering that
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
he “thinks he is running a fever and has stomach discomfort.” You are the
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
registered nurse in charge. What should you do?
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
2. Go check to see if the patient has an order for Tylenol for a fever.
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
3. Page the resident on call immediately to assess the patient.
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
7. You are leading an interdisciplinary team conference to discuss how to provide
hgdf hgdf h gdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf h gdf
better care for a challenging patient who has behavioral problems. There are several
hgdf hgdf hgdf h gdf hgdf hgdf h gdf h gdf hgdf hgdf hgdf hgdf h gdf
areas that need to be problem solved and new ideas formulated to create an
hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf hgdf
improved plan of care. What cognitive skills are you using?
hgdf hgdf hgdf hgdf hgdf h gdf hgdf hgdf hgdf hgdf
1. Critical thinking hgdf
2. Clinical decision making hgdf hgdf
3. Intuitive thinking hgdf
4. Clinical reasoning hgdf
8. Best practice assessment techniques and instruments have been validated by:
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1. American Nurses Association. hgdf hgdf
2. Code of Ethics for Nurses With Interpretive Statements.
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3. Research and evidence-based practice. hgdf hgdf hgdf
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
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identified by the Centers for Disease Control and Prevention (CDC)? Select all that
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apply.
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1. Genetics and biology hgdf hgdf
2. Gender and occupation hgdf hgdf
3. Individual behavior hgdf
4. Social environment hgdf
5. Physical environment hgdf
6. Health services hgdf
2 | P a
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g e
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