Essential Health Assessment 2ndEditio
d d d d
n Thompson Test Bank
d d d
, Table of Contents
d d
Chapterd1:dUnderstandingdHealthdAssessment
Chapterd2:dInterviewingdthedPatientdfordthedHealthdHistorydCh
apterd3:dTakingdthedHealthdHistory
Chapterd4:dAssessingdNutritiondanddAnthropometricdMeasurementsdChapt
erd5:dAssessmentdTechniques
Chapterd6:dGeneraldSurveydanddAssessingdVitaldSignsdChapte
rd7:dAssessingdPain
Chapterd8:dAssessingdthedSkin,dHair,danddNails
Chapterd9:dAssessingdthedHead,dFace,dMouth,danddNeckdChap
terd10:dAssessingdthedEars
Chapterd11:dAssessingdthedEyes
Chapterd12:dAssessingdthedRespiratorydSystemdCha
pterd13:dAssessingdthedCardiovasculardSystemdChapt
erd14:dAssessingdthedAbdomen
Chapterd15:dAssessingdthedPeripheraldVasculardSystemdanddRegionaldLymphaticdSystemdChapter
16:dAssessingdthedMusculoskeletaldSystem
d
Chapterd17:dAssessingdthedNeurologicaldSystem
Chapterd18:dAssessingdthedFemaledBreasts,dAxillae,danddReproductivedSystemdChapter
19:dAssessingdthedMaledBreastsdanddReproductivedSystem
d
Chapterd20:dAssessingdthedAnusdanddRectumdChapte
rd21:dAssessingdthedNewborn
Chapterd22:dAssessingdthedChilddanddAdolescentdCh
apterd23dAssessingdthedPregnantdWomandChapterd2
4:dAssessingdthedOlderdAdult
,Chapter 1: Understanding Health Assessment
d d d d
1.dThedWorlddHealthdOrganizationd(WHO)destablisheddadglobaldstrategydcalledd“HealthdfordAll.”dTh
edgoaldfordthisdstrategydis:
1. Alldindividualsdtodgetdthedsamedhealthdcaredthroughoutdtheirdlifedspans.
2. Thedgovernmentdtodsupplydmoneydtodcaredfordalldthedpeopledindthedworld.
3. Resourcesdfordhealthdcaredtodbedevenlyddistributeddanddaccessible.
4. Health-caredprovidersdcandneverddenydpatientsdhealthdcare.
2.dHealthdassessmentdisdadfoundationaldanddprioritydnursingdskill.dThisdessentialdskilldrequiresdregist
ereddnursesd(RNs)dto:
1. Diagnosedanddtreatdpatients.
2. Identifydnormaldanddabnormaldfindings.
3. Referdpatientsdwithdabnormaldfindings.
4. Counseldpatientsdwithdpsychosocialdneeds.
3.dYoudaredassessingdadpatientdwithdfivedgunshotdwoundsdondadtraumadunit.dTheredisdadpolicedp
GRADESMORE.COM
resencedoutsidedhisddoordbecausedthedpatient disdadknownddrugddealerdindthedcommunity.dYoudkn
owdthatdnursesdmustdtreatdalldpatientsdasdpersons.dThisdisdcalled:
1. Caring.
2. Holisticdprocess.
3. Person-centereddcared(PCC).
4. Standardsdofdcare.
4.dThedscience-
baseddframeworkdupdateddeveryd10dyearsdbydthedU.S.dDepartmentdofdHealthdanddHumandServicesdth
atdhasdsetdnationaldgoalsdanddobjectivesdfordhealthdpromotiondandddiseasedpreventiondis:
1. HealthydPeople.
2. HealthydPeopled2020.
3. U.S.dPreventivedTaskdForce.
4. WorlddHealthdOrganization.
5. Ad38-year-olddmaledhasdadfamilydhistorydofdcolondcancer.dHisdfatherddieddofdcolondcancerdatdage
48.dTheddoctordrecommendeddthatdthisdpatientdhavedadcolonoscopydthisdyear.dThisdisdandexampledof:
1. Primarydhealthdprevention.
, 2. Secondarydhealthdprevention.
3. Tertiarydhealthdprevention.
6.dAdpatientdindthedhospitaldputsdondhisdcalldlightdanddtellsdthedpersondansweringdthatdhed“thinksdhedisd
runningdadfeverdanddhasdstomachddiscomfort.”dYoudaredthedregistereddnursedindcharge.dWhatdshoul
ddyouddo?
1. Askdthedmedicaldassistantdtodgodtodthedpatient’sdroomdanddassessdhisdcomplaints.
2. GodcheckdtodseedifdthedpatientdhasdandorderdfordTylenoldfordadfever.
3. Pagedthedresidentdondcalldimmediatelydtodassessdthedpatient.
4. Godtodthedpatient’sdroomdanddassessdfordfeverdanddthedepigastricddiscomfort.
7.dYoudaredleadingdandinterdisciplinarydteamdconferencedtoddiscussdhowdtodprovidedbetterdcaredfordad
challengingdpatientdwhodhasdbehavioraldproblems.dTheredaredseveraldareasdthatdneeddtodbedproblemd
solveddanddnewdideasdformulateddtodcreatedandimproveddplandofdcare.dWhatdcognitivedskillsdaredyou
dusing?
1. Criticaldthinking
2. Clinicalddecisiondmaking
3. Intuitivedthinking
4. Clinicaldreasoning
8.dBestdpracticedassessmentdtechniquesdanddinstrumentsdhavedbeendvalidateddby:
1. AmericandNursesdAssociation.
2. CodedofdEthicsdfordNursesdWithdInterpretivedStatements.
3. Researchdanddevidence-baseddpractice.
4. PatientdProtectiondanddAffordabledCaredAct.
9.dHealthdanddillnessdareddetermineddbydmanydfactors.dWhatdaredtheddeterminantsdofdhealth
identifieddbydthedCentersdfordDiseasedControldanddPreventiond(CDC)?dSelectdalldthatdapply.
1. Geneticsdanddbiology
2. Genderdanddoccupation
3. Individualdbehavior
4. Socialdenvironment
5. Physicaldenvironment
6. Healthdservices
d d d d
n Thompson Test Bank
d d d
, Table of Contents
d d
Chapterd1:dUnderstandingdHealthdAssessment
Chapterd2:dInterviewingdthedPatientdfordthedHealthdHistorydCh
apterd3:dTakingdthedHealthdHistory
Chapterd4:dAssessingdNutritiondanddAnthropometricdMeasurementsdChapt
erd5:dAssessmentdTechniques
Chapterd6:dGeneraldSurveydanddAssessingdVitaldSignsdChapte
rd7:dAssessingdPain
Chapterd8:dAssessingdthedSkin,dHair,danddNails
Chapterd9:dAssessingdthedHead,dFace,dMouth,danddNeckdChap
terd10:dAssessingdthedEars
Chapterd11:dAssessingdthedEyes
Chapterd12:dAssessingdthedRespiratorydSystemdCha
pterd13:dAssessingdthedCardiovasculardSystemdChapt
erd14:dAssessingdthedAbdomen
Chapterd15:dAssessingdthedPeripheraldVasculardSystemdanddRegionaldLymphaticdSystemdChapter
16:dAssessingdthedMusculoskeletaldSystem
d
Chapterd17:dAssessingdthedNeurologicaldSystem
Chapterd18:dAssessingdthedFemaledBreasts,dAxillae,danddReproductivedSystemdChapter
19:dAssessingdthedMaledBreastsdanddReproductivedSystem
d
Chapterd20:dAssessingdthedAnusdanddRectumdChapte
rd21:dAssessingdthedNewborn
Chapterd22:dAssessingdthedChilddanddAdolescentdCh
apterd23dAssessingdthedPregnantdWomandChapterd2
4:dAssessingdthedOlderdAdult
,Chapter 1: Understanding Health Assessment
d d d d
1.dThedWorlddHealthdOrganizationd(WHO)destablisheddadglobaldstrategydcalledd“HealthdfordAll.”dTh
edgoaldfordthisdstrategydis:
1. Alldindividualsdtodgetdthedsamedhealthdcaredthroughoutdtheirdlifedspans.
2. Thedgovernmentdtodsupplydmoneydtodcaredfordalldthedpeopledindthedworld.
3. Resourcesdfordhealthdcaredtodbedevenlyddistributeddanddaccessible.
4. Health-caredprovidersdcandneverddenydpatientsdhealthdcare.
2.dHealthdassessmentdisdadfoundationaldanddprioritydnursingdskill.dThisdessentialdskilldrequiresdregist
ereddnursesd(RNs)dto:
1. Diagnosedanddtreatdpatients.
2. Identifydnormaldanddabnormaldfindings.
3. Referdpatientsdwithdabnormaldfindings.
4. Counseldpatientsdwithdpsychosocialdneeds.
3.dYoudaredassessingdadpatientdwithdfivedgunshotdwoundsdondadtraumadunit.dTheredisdadpolicedp
GRADESMORE.COM
resencedoutsidedhisddoordbecausedthedpatient disdadknownddrugddealerdindthedcommunity.dYoudkn
owdthatdnursesdmustdtreatdalldpatientsdasdpersons.dThisdisdcalled:
1. Caring.
2. Holisticdprocess.
3. Person-centereddcared(PCC).
4. Standardsdofdcare.
4.dThedscience-
baseddframeworkdupdateddeveryd10dyearsdbydthedU.S.dDepartmentdofdHealthdanddHumandServicesdth
atdhasdsetdnationaldgoalsdanddobjectivesdfordhealthdpromotiondandddiseasedpreventiondis:
1. HealthydPeople.
2. HealthydPeopled2020.
3. U.S.dPreventivedTaskdForce.
4. WorlddHealthdOrganization.
5. Ad38-year-olddmaledhasdadfamilydhistorydofdcolondcancer.dHisdfatherddieddofdcolondcancerdatdage
48.dTheddoctordrecommendeddthatdthisdpatientdhavedadcolonoscopydthisdyear.dThisdisdandexampledof:
1. Primarydhealthdprevention.
, 2. Secondarydhealthdprevention.
3. Tertiarydhealthdprevention.
6.dAdpatientdindthedhospitaldputsdondhisdcalldlightdanddtellsdthedpersondansweringdthatdhed“thinksdhedisd
runningdadfeverdanddhasdstomachddiscomfort.”dYoudaredthedregistereddnursedindcharge.dWhatdshoul
ddyouddo?
1. Askdthedmedicaldassistantdtodgodtodthedpatient’sdroomdanddassessdhisdcomplaints.
2. GodcheckdtodseedifdthedpatientdhasdandorderdfordTylenoldfordadfever.
3. Pagedthedresidentdondcalldimmediatelydtodassessdthedpatient.
4. Godtodthedpatient’sdroomdanddassessdfordfeverdanddthedepigastricddiscomfort.
7.dYoudaredleadingdandinterdisciplinarydteamdconferencedtoddiscussdhowdtodprovidedbetterdcaredfordad
challengingdpatientdwhodhasdbehavioraldproblems.dTheredaredseveraldareasdthatdneeddtodbedproblemd
solveddanddnewdideasdformulateddtodcreatedandimproveddplandofdcare.dWhatdcognitivedskillsdaredyou
dusing?
1. Criticaldthinking
2. Clinicalddecisiondmaking
3. Intuitivedthinking
4. Clinicaldreasoning
8.dBestdpracticedassessmentdtechniquesdanddinstrumentsdhavedbeendvalidateddby:
1. AmericandNursesdAssociation.
2. CodedofdEthicsdfordNursesdWithdInterpretivedStatements.
3. Researchdanddevidence-baseddpractice.
4. PatientdProtectiondanddAffordabledCaredAct.
9.dHealthdanddillnessdareddetermineddbydmanydfactors.dWhatdaredtheddeterminantsdofdhealth
identifieddbydthedCentersdfordDiseasedControldanddPreventiond(CDC)?dSelectdalldthatdapply.
1. Geneticsdanddbiology
2. Genderdanddoccupation
3. Individualdbehavior
4. Socialdenvironment
5. Physicaldenvironment
6. Healthdservices
