TEST BANK
Essential Health Assessment 2nd Edition
by Janice M Thompson, Chapter 1 - 24
,Table of Contents
e e
Chaptere01eUnderstandingeHealtheAssessment 1
Chaptere02eInterviewingetheePatienteforetheeHealtheHistory 11
Chaptere03eTakingetheeHealtheHistory 40
Chaptere04eAssessingeNutritioneandeAnthropometriceMeasurements 61
Chaptere05eAssessmenteTechniques 88
Chaptere06eGeneraleSurveyeandeAssessingeVitaleSigns 99
Chaptere07eAssessingePain 128
Chaptere08eAssessingetheeSkin,eHair,eandeNails 149
Chaptere09eAssessingetheeHead,eFace,eMouth,eandeNeck 188
Chaptere10eAssessingetheeEars 229
Chaptere11eAssessingetheeEyes 250
Chaptere12eAssessingetheeRespiratoryeSystem 281
Chaptere13eAssessingetheeCardiovasculareSystem 308
Chaptere14eAssessingetheeAbdomen 335
Chaptere15eAssessingetheePeripheraleVasculareSystemeandeRegionaleLymphaticeSystem 363
Chaptere16eAssessingetheeMusculoskeletaleSystem 391
Chaptere17eAssessingetheeNeurologicaleSystem 417
Chaptere18eAssessingetheeFemaleeBreasts,eAxillae,eandeReproductiveeSystem 451
Chaptere19eAssessingetheeMaleeBreastseandeReproductiveeSystem 477
Chaptere20eAssessingetheeAnuseandeRectum 501
Chaptere21eAssessingetheeNewborn 517
Chaptere22eAssessingetheeChildeandeAdolescent 555
Chaptere23eAssessingetheePregnanteWoman 583
Chaptere24eAssessingetheeOldereAdult 612
,e TesteBanke-
eEssentialeHealtheAssessment,e2ndeeditione(Thompson,e2023)e
Chaptere1:eUnderstandingeHealtheAssessment
1.eTheeWorldeHealtheOrganizatione(WHO)eestablishedeaeglobalestrategyecallede“HealtheforeAll.”e Theego
aleforethisestrategyeis:
1. Alleindividualsetoegetetheesameehealthecareethroughoutetheirelifeespans.
2. Theegovernmentetoesupplyemoneyetoecareeforealletheepeopleeinetheeworld.
3. Resourceseforehealthecareetoebeeevenlyedistributedeandeaccessible.
4. Health-careeprovidersecaneneveredenyepatientsehealthecare.
ANS:e3
Page:e1
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1. Thiseiseincorrect.e“HealtheforeAll”edoesenotemeanethatealleindividualsegetetheesamee heal
thecareethroughoutetheirelifeespans.
2. Thiseiseincorrect.e“HealtheforeAll”edoesenotemeanetheegovernmentewillesupplyemoneye toec
areeforealletheepeopleeinetheeworld.
3. Thiseisecorrect.e“HealtheforeAll”emeansethateresourceseforehealthecareeareeevenlye dist
ributedeandeaccessibleetoeeveryone.
4. Thiseiseincorrect.e“HealtheforeAll”edoesenotemeanethatehealth-
careeprovidersecanedenye patientsehealthecare.
2.eHealtheassessmenteiseaefoundationaleandepriorityenursingeskill.eThiseessentialeskillerequirese registereden
ursese(RNs)eto:
1. Diagnoseeandetreatepatients.
2. Identifyenormaleandeabnormalefindings.
3. Referepatientsewitheabnormalefindings.
4. Counselepatientsewithepsychosocialeneeds.
ANS:e2
Page:e5-6
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1. Thiseiseincorrect.eTheeroleeofetheeRNeisenotetoediagnoseeandetreatepatients.
2. Thiseisecorrect.eAssessingepatientseandebeingeableetoeidentifyenormalefromeabnormale find
ingseiseaneessentialeroleeofetheeRN.
3. Thiseiseincorrect.eRNseinecollaborationewithetheehealth-
careeprovidersedoerefere patients.eThiseisenotetheeessentialeandefoundationaleroleeine
4. health
Thiseiseeassessment.
incorrect.eRNsedoecounselepatients,ebuteiteisenotetheeessentialeandefoundationale role
einehealtheassessment.
3e|ePeaegee
, e TesteBanke-
eEssentialeHealtheAssessment,e2ndeeditione(Thompson,e2023)e
3.eYoueareeassessingeaepatientewithefiveegunshotewoundseoneaetraumaeunit.eThereeiseaepolicee presenceeou
tsideehisedoorebecauseetheepatienteiseaeknownedrugedealereinetheecommunity.eYoueknowe thatenursesemust
etreateallepatientseasepersons.eThiseisecalled:
1. Caring.
2. Holisticeprocess.
3. Person-centeredecaree(PCC).
4. Standardseofecare.
ANS:e3
Page:e2
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1. Thiseiseincorrect.eCaringeisedisplayingeaeconcerneforepatients.
2. Thiseiseincorrect.eTheeholisticecaringeprocesseiseaerelationaleprocess;etheenursee coll
aboratesewithetheeindividualetoepursueegoalseforehealtheandewell-being.
3. Thiseisecorrect.eTheenewemovementeinehealthecareeiseperson-
centeredecaree(PCC),e whicheemphasizesetheeintrinsicevalueeofetreatingeallepatientseasep
4. ersons.
This eiseincorrect.eStandardseofecareeidentifyestandardseofeprofessionalenursinge pra
ctice.
4.eTheescience-
basedeframeworkeupdatedeeverye10eyearsebyetheeU.S.eDepartmenteofeHealtheande HumaneServicesethateh
asesetenationalegoalseandeobjectiveseforehealthepromotioneandediseasee preventioneis:
1. HealthyePeople.
2. HealthyePeoplee2020.
3. U.S.ePreventiveeTaskeForce.
4. WorldeHealtheOrganization.
ANS:e2
Page:e2
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1. Thiseiseincorrect.eHealthyePeopleeisetheegeneraletitleeforetheenation’sefederaleinitiative.
2. Thiseisecorrect.eHealthyePeoplee2020especificallyeidentifiesescience-
based,enationale goalseandeobjectivesewithe10-
yearetargetsedesignedetoeguideenationalehealthepromotione andediseaseepreventioneeffortsetoe
improveetheehealtheofeallepeopleeinetheeUnitedee e States.
3. Thiseiseincorrect.eTheeU.S.ePreventiveeServiceseTaskeForce’segoaleisetoeuseeevidence-
e basedemedicineetoeimproveetheehealtheofealleAmericansebyemakingeevidence-
basede recommendationseabouteclinicalepreventiveeservicesesucheasescreenings,ecounseling
e services,eandepreventiveemedications.
4. Thiseiseincorrect.eTheeWorldeHealtheOrganizationeiseaespecializedeagencyeofethee Uni
tedeNationseworkingetoeimproveetheehealtheofetheeworld’sepeople.
4e|ePeaegee
Essential Health Assessment 2nd Edition
by Janice M Thompson, Chapter 1 - 24
,Table of Contents
e e
Chaptere01eUnderstandingeHealtheAssessment 1
Chaptere02eInterviewingetheePatienteforetheeHealtheHistory 11
Chaptere03eTakingetheeHealtheHistory 40
Chaptere04eAssessingeNutritioneandeAnthropometriceMeasurements 61
Chaptere05eAssessmenteTechniques 88
Chaptere06eGeneraleSurveyeandeAssessingeVitaleSigns 99
Chaptere07eAssessingePain 128
Chaptere08eAssessingetheeSkin,eHair,eandeNails 149
Chaptere09eAssessingetheeHead,eFace,eMouth,eandeNeck 188
Chaptere10eAssessingetheeEars 229
Chaptere11eAssessingetheeEyes 250
Chaptere12eAssessingetheeRespiratoryeSystem 281
Chaptere13eAssessingetheeCardiovasculareSystem 308
Chaptere14eAssessingetheeAbdomen 335
Chaptere15eAssessingetheePeripheraleVasculareSystemeandeRegionaleLymphaticeSystem 363
Chaptere16eAssessingetheeMusculoskeletaleSystem 391
Chaptere17eAssessingetheeNeurologicaleSystem 417
Chaptere18eAssessingetheeFemaleeBreasts,eAxillae,eandeReproductiveeSystem 451
Chaptere19eAssessingetheeMaleeBreastseandeReproductiveeSystem 477
Chaptere20eAssessingetheeAnuseandeRectum 501
Chaptere21eAssessingetheeNewborn 517
Chaptere22eAssessingetheeChildeandeAdolescent 555
Chaptere23eAssessingetheePregnanteWoman 583
Chaptere24eAssessingetheeOldereAdult 612
,e TesteBanke-
eEssentialeHealtheAssessment,e2ndeeditione(Thompson,e2023)e
Chaptere1:eUnderstandingeHealtheAssessment
1.eTheeWorldeHealtheOrganizatione(WHO)eestablishedeaeglobalestrategyecallede“HealtheforeAll.”e Theego
aleforethisestrategyeis:
1. Alleindividualsetoegetetheesameehealthecareethroughoutetheirelifeespans.
2. Theegovernmentetoesupplyemoneyetoecareeforealletheepeopleeinetheeworld.
3. Resourceseforehealthecareetoebeeevenlyedistributedeandeaccessible.
4. Health-careeprovidersecaneneveredenyepatientsehealthecare.
ANS:e3
Page:e1
Feedback
1. Thiseiseincorrect.e“HealtheforeAll”edoesenotemeanethatealleindividualsegetetheesamee heal
thecareethroughoutetheirelifeespans.
2. Thiseiseincorrect.e“HealtheforeAll”edoesenotemeanetheegovernmentewillesupplyemoneye toec
areeforealletheepeopleeinetheeworld.
3. Thiseisecorrect.e“HealtheforeAll”emeansethateresourceseforehealthecareeareeevenlye dist
ributedeandeaccessibleetoeeveryone.
4. Thiseiseincorrect.e“HealtheforeAll”edoesenotemeanethatehealth-
careeprovidersecanedenye patientsehealthecare.
2.eHealtheassessmenteiseaefoundationaleandepriorityenursingeskill.eThiseessentialeskillerequirese registereden
ursese(RNs)eto:
1. Diagnoseeandetreatepatients.
2. Identifyenormaleandeabnormalefindings.
3. Referepatientsewitheabnormalefindings.
4. Counselepatientsewithepsychosocialeneeds.
ANS:e2
Page:e5-6
Feedback
1. Thiseiseincorrect.eTheeroleeofetheeRNeisenotetoediagnoseeandetreatepatients.
2. Thiseisecorrect.eAssessingepatientseandebeingeableetoeidentifyenormalefromeabnormale find
ingseiseaneessentialeroleeofetheeRN.
3. Thiseiseincorrect.eRNseinecollaborationewithetheehealth-
careeprovidersedoerefere patients.eThiseisenotetheeessentialeandefoundationaleroleeine
4. health
Thiseiseeassessment.
incorrect.eRNsedoecounselepatients,ebuteiteisenotetheeessentialeandefoundationale role
einehealtheassessment.
3e|ePeaegee
, e TesteBanke-
eEssentialeHealtheAssessment,e2ndeeditione(Thompson,e2023)e
3.eYoueareeassessingeaepatientewithefiveegunshotewoundseoneaetraumaeunit.eThereeiseaepolicee presenceeou
tsideehisedoorebecauseetheepatienteiseaeknownedrugedealereinetheecommunity.eYoueknowe thatenursesemust
etreateallepatientseasepersons.eThiseisecalled:
1. Caring.
2. Holisticeprocess.
3. Person-centeredecaree(PCC).
4. Standardseofecare.
ANS:e3
Page:e2
Feedback
1. Thiseiseincorrect.eCaringeisedisplayingeaeconcerneforepatients.
2. Thiseiseincorrect.eTheeholisticecaringeprocesseiseaerelationaleprocess;etheenursee coll
aboratesewithetheeindividualetoepursueegoalseforehealtheandewell-being.
3. Thiseisecorrect.eTheenewemovementeinehealthecareeiseperson-
centeredecaree(PCC),e whicheemphasizesetheeintrinsicevalueeofetreatingeallepatientseasep
4. ersons.
This eiseincorrect.eStandardseofecareeidentifyestandardseofeprofessionalenursinge pra
ctice.
4.eTheescience-
basedeframeworkeupdatedeeverye10eyearsebyetheeU.S.eDepartmenteofeHealtheande HumaneServicesethateh
asesetenationalegoalseandeobjectiveseforehealthepromotioneandediseasee preventioneis:
1. HealthyePeople.
2. HealthyePeoplee2020.
3. U.S.ePreventiveeTaskeForce.
4. WorldeHealtheOrganization.
ANS:e2
Page:e2
Feedback
1. Thiseiseincorrect.eHealthyePeopleeisetheegeneraletitleeforetheenation’sefederaleinitiative.
2. Thiseisecorrect.eHealthyePeoplee2020especificallyeidentifiesescience-
based,enationale goalseandeobjectivesewithe10-
yearetargetsedesignedetoeguideenationalehealthepromotione andediseaseepreventioneeffortsetoe
improveetheehealtheofeallepeopleeinetheeUnitedee e States.
3. Thiseiseincorrect.eTheeU.S.ePreventiveeServiceseTaskeForce’segoaleisetoeuseeevidence-
e basedemedicineetoeimproveetheehealtheofealleAmericansebyemakingeevidence-
basede recommendationseabouteclinicalepreventiveeservicesesucheasescreenings,ecounseling
e services,eandepreventiveemedications.
4. Thiseiseincorrect.eTheeWorldeHealtheOrganizationeiseaespecializedeagencyeofethee Uni
tedeNationseworkingetoeimproveetheehealtheofetheeworld’sepeople.
4e|ePeaegee