Advanced Health Assessment and Differential
b b b b b
Diagnosis Essentials for Clinical Practice 1st E
b b b b b b
dition Myrick
b b
TEST BANK b b
, Advanced Health Assessment and Differential Diagnosis Essentials for
b b b b b b b b
Clinical Practice 1st Edition Myrick Test Bank
b b b b b b
Chapterb 1.b Healthb History,b Theb Patientb Interview,b Andb Motivationalb InterviewingbMULTIPLE
bCHOICE
1. Theb nurseb isb preparingb tob conductb ab healthb history.b Whichb ofb theseb statementsb bestb describes
theb purposeb ofb ab healthb history?
a Tob provideb anb opportunityb forb interactionb betweenb theb patientb andb theb nurse
.
b Tob provideb ab formb forb obtainingb theb patientsb biographicb information
.
c Tob documentb theb normalb andb abnormalb findingsb ofb ab physicalb assessment
.
d Tob provideb ab databaseb ofb subjectiveb informationb aboutb theb patientsb pastb andbc
. urrentbhealth
ANS:bD
Theb purposeb ofb theb healthb historyb isb tob collectb subjectiveb datawhatb theb personb saysb aboutb himb orbherse
lf.bThebotherboptionsbarebnotbcorrect.
DIF:b Cognitiveb Level:b Understandingb (Comprehension)b REF:b dm.b 49
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
2. Whenb theb nurseb isb evaluatingb theb reliabilityb ofb ab patientsb responses,b whichb ofb theseb statementsb
wouldbbebcorrect?bThebpatient:
a Hasb ab historyb ofb drugb abuseb andb thereforeb isb notb reliable.
.
b Providedb consistentb informationb andb thereforeb isb reliable.
.
c Smiledb throughoutb interviewb andb thereforeb isb assumedb reliable.
.
d Wouldb notb answerb questionsb concerningb stressb andb thereforeb isb notb reliable.
.
ANS:bB
Ab reliableb personb alwaysb givesb theb sameb answers,b evenb whenb questionsb areb rephrasedb orb arebr
epeatedblaterbinbthebinterview.bThebotherbstatementsbarebnotbcorrect.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 49
,MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
3. Ab 59-year-
oldb patientb tellsb theb nurseb thatb heb hasb ulcerativeb colitis.b Heb hasb beenb havingb blackbstoolsb forb theb l
astb 24b hours.b Howb wouldb theb nurseb bestb documentb hisb reasonb forb seekingb care?
a J.M.b isb ab 59-year-oldb manb seekingb treatmentb forb ulcerativeb colitis.
.
b J.M.b cameb intob theb clinicb complainingb ofb havingb blackb stoolsb forb theb pastb24bh
. ours.
c J.M.b isb ab 59-year-
. oldb manb whob statesb thatb heb hasb ulcerativeb colitisb andb wantsb itbchecked.
d J.M.b isb ab 59-year-
. oldb manb whob statesb thatb heb hasb beenb havingb blackb stoolsb forbthebpastb24bhours.
ANS:bD
Theb reasonb forb seekingb careb isb ab briefb spontaneousb statementb inb theb personsb ownb wordsb thatbdes
cribesb theb reasonb forb theb visit.b Itb statesb oneb (possiblyb two)b signsb orb symptomsb andb theirbduratio
n.bItbisbenclosedbinbquotationbmarksbtobindicatebthebpersonsbexactbwords.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 50
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
4. Ab patientb tellsb theb nurseb thatb sheb hasb hadb abdominalbpainb forb theb pastb week.b Whatb wouldb beb thebn
ursesbbestbresponse?
a Canb youbpointbtob whereb itb hurts?
.
b Wellb talkb moreb aboutb thatb laterb inb theb interview.
.
c Whatbhaveb youbhadbtobeatb inbtheblastb24bhours?
.
d Haveb youb everb hadb anyb surgeriesb onb yourb abdomen?
.
ANS:bA
Ab finalb summaryb ofb anyb symptomb theb personb hasb shouldb include,b alongb withb sevenb otherb criticalbchar
acteristics,bLocation:bspecific.bThebpersonbisbaskedbtobpointbtobtheblocation.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 50
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
5. Ab 29-year-
oldb womanb tellsb theb nurseb thatb sheb hasb excruciatingb painb inb herb back.b Whichb wouldbbebthebnursesba
ppropriatebresponsebtobthebwomansbstatement?
, a Howb doesb yourb familyb reactb tob yourb pain?
.
b Theb painb mustb beb terrible.b Youb probablyb pinchedb ab nerve.
.
c Iveb hadb backb painb myself,b andb itb canb beb excruciating.
.
d Howb wouldb youb sayb theb painb affectsb yourb abilityb tob dob yourb dailyb activities?
.
ANS:bD
Thebsymptombofbpainb isbdifficultbtob quantifybbecausebofb individualbinterpretation.b Withb pain,badjectiv
esb shouldb beb avoidedb andb theb patientb shouldb beb askedb howb theb painb affectsb hisb orb herb dailybactivities.b
Thebotherbresponsesbarebnotbappropriate.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 50
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
6. Inb recordingb theb childhoodb illnessesb ofb ab patientb whob deniesb havingb hadb any,b whichb noteb byb thebn
ursebwouldbbebmostbaccurate?
a Patientb deniesb usualb childhoodb illnesses.
.
b Patientbstatesbheb wasbab veryb healthybchild.
.
c Patientbstatesb hisb sisterbhadb measles,b butb hebdidnt.
.
d Patientb deniesb measles,b mumps,b rubella,b chickenpox,b pertussis,b andb strepb throat.
.
ANS:bD
Childhoodb illnessesb includeb measles,b mumps,b rubella,b chickenpox,b pertussis,b andb strepb throat.bA
voidb recordingb usualb childhoodb illnessesb becauseb anb illnessb commonb inb theb personsb childhoodbm
aybbebunusualbtodayb(e.g.,bmeasles).
DIF:b Cognitiveb Level:b Rememberingb (Knowledge)b REF:b dm.b 51
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
7. Ab femaleb patientb tellsb theb nurseb thatb sheb hasb hadb sixb pregnancies,b withb fourb liveb birthsb atb termba
ndb twob spontaneousb abortions.b Herb fourb childrenb areb stillb living.b Howb wouldb theb nurseb recordbthis
binformation?
a P-6,b B-4,b (S)Ab-2
.
b b b b b
Diagnosis Essentials for Clinical Practice 1st E
b b b b b b
dition Myrick
b b
TEST BANK b b
, Advanced Health Assessment and Differential Diagnosis Essentials for
b b b b b b b b
Clinical Practice 1st Edition Myrick Test Bank
b b b b b b
Chapterb 1.b Healthb History,b Theb Patientb Interview,b Andb Motivationalb InterviewingbMULTIPLE
bCHOICE
1. Theb nurseb isb preparingb tob conductb ab healthb history.b Whichb ofb theseb statementsb bestb describes
theb purposeb ofb ab healthb history?
a Tob provideb anb opportunityb forb interactionb betweenb theb patientb andb theb nurse
.
b Tob provideb ab formb forb obtainingb theb patientsb biographicb information
.
c Tob documentb theb normalb andb abnormalb findingsb ofb ab physicalb assessment
.
d Tob provideb ab databaseb ofb subjectiveb informationb aboutb theb patientsb pastb andbc
. urrentbhealth
ANS:bD
Theb purposeb ofb theb healthb historyb isb tob collectb subjectiveb datawhatb theb personb saysb aboutb himb orbherse
lf.bThebotherboptionsbarebnotbcorrect.
DIF:b Cognitiveb Level:b Understandingb (Comprehension)b REF:b dm.b 49
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
2. Whenb theb nurseb isb evaluatingb theb reliabilityb ofb ab patientsb responses,b whichb ofb theseb statementsb
wouldbbebcorrect?bThebpatient:
a Hasb ab historyb ofb drugb abuseb andb thereforeb isb notb reliable.
.
b Providedb consistentb informationb andb thereforeb isb reliable.
.
c Smiledb throughoutb interviewb andb thereforeb isb assumedb reliable.
.
d Wouldb notb answerb questionsb concerningb stressb andb thereforeb isb notb reliable.
.
ANS:bB
Ab reliableb personb alwaysb givesb theb sameb answers,b evenb whenb questionsb areb rephrasedb orb arebr
epeatedblaterbinbthebinterview.bThebotherbstatementsbarebnotbcorrect.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 49
,MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
3. Ab 59-year-
oldb patientb tellsb theb nurseb thatb heb hasb ulcerativeb colitis.b Heb hasb beenb havingb blackbstoolsb forb theb l
astb 24b hours.b Howb wouldb theb nurseb bestb documentb hisb reasonb forb seekingb care?
a J.M.b isb ab 59-year-oldb manb seekingb treatmentb forb ulcerativeb colitis.
.
b J.M.b cameb intob theb clinicb complainingb ofb havingb blackb stoolsb forb theb pastb24bh
. ours.
c J.M.b isb ab 59-year-
. oldb manb whob statesb thatb heb hasb ulcerativeb colitisb andb wantsb itbchecked.
d J.M.b isb ab 59-year-
. oldb manb whob statesb thatb heb hasb beenb havingb blackb stoolsb forbthebpastb24bhours.
ANS:bD
Theb reasonb forb seekingb careb isb ab briefb spontaneousb statementb inb theb personsb ownb wordsb thatbdes
cribesb theb reasonb forb theb visit.b Itb statesb oneb (possiblyb two)b signsb orb symptomsb andb theirbduratio
n.bItbisbenclosedbinbquotationbmarksbtobindicatebthebpersonsbexactbwords.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 50
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
4. Ab patientb tellsb theb nurseb thatb sheb hasb hadb abdominalbpainb forb theb pastb week.b Whatb wouldb beb thebn
ursesbbestbresponse?
a Canb youbpointbtob whereb itb hurts?
.
b Wellb talkb moreb aboutb thatb laterb inb theb interview.
.
c Whatbhaveb youbhadbtobeatb inbtheblastb24bhours?
.
d Haveb youb everb hadb anyb surgeriesb onb yourb abdomen?
.
ANS:bA
Ab finalb summaryb ofb anyb symptomb theb personb hasb shouldb include,b alongb withb sevenb otherb criticalbchar
acteristics,bLocation:bspecific.bThebpersonbisbaskedbtobpointbtobtheblocation.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 50
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
5. Ab 29-year-
oldb womanb tellsb theb nurseb thatb sheb hasb excruciatingb painb inb herb back.b Whichb wouldbbebthebnursesba
ppropriatebresponsebtobthebwomansbstatement?
, a Howb doesb yourb familyb reactb tob yourb pain?
.
b Theb painb mustb beb terrible.b Youb probablyb pinchedb ab nerve.
.
c Iveb hadb backb painb myself,b andb itb canb beb excruciating.
.
d Howb wouldb youb sayb theb painb affectsb yourb abilityb tob dob yourb dailyb activities?
.
ANS:bD
Thebsymptombofbpainb isbdifficultbtob quantifybbecausebofb individualbinterpretation.b Withb pain,badjectiv
esb shouldb beb avoidedb andb theb patientb shouldb beb askedb howb theb painb affectsb hisb orb herb dailybactivities.b
Thebotherbresponsesbarebnotbappropriate.
DIF:b Cognitiveb Level:b Applyingb (Application)b REF:b dm.b 50
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
6. Inb recordingb theb childhoodb illnessesb ofb ab patientb whob deniesb havingb hadb any,b whichb noteb byb thebn
ursebwouldbbebmostbaccurate?
a Patientb deniesb usualb childhoodb illnesses.
.
b Patientbstatesbheb wasbab veryb healthybchild.
.
c Patientbstatesb hisb sisterbhadb measles,b butb hebdidnt.
.
d Patientb deniesb measles,b mumps,b rubella,b chickenpox,b pertussis,b andb strepb throat.
.
ANS:bD
Childhoodb illnessesb includeb measles,b mumps,b rubella,b chickenpox,b pertussis,b andb strepb throat.bA
voidb recordingb usualb childhoodb illnessesb becauseb anb illnessb commonb inb theb personsb childhoodbm
aybbebunusualbtodayb(e.g.,bmeasles).
DIF:b Cognitiveb Level:b Rememberingb (Knowledge)b REF:b dm.b 51
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
7. Ab femaleb patientb tellsb theb nurseb thatb sheb hasb hadb sixb pregnancies,b withb fourb liveb birthsb atb termba
ndb twob spontaneousb abortions.b Herb fourb childrenb areb stillb living.b Howb wouldb theb nurseb recordbthis
binformation?
a P-6,b B-4,b (S)Ab-2
.
