Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
Edition Myrick Test Bank
Table of Contents:
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
Chapter 4. Advanced Health Assessment of the Eyes and Ears
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
Chapter 6. Advanced Health Assessment of the Cardiovascular System
Chapter 7 Advanced Health Assessment of the Respiratory System
Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
Chapter 9 Advanced Health Assessment of the Male Genitourinary System
Chapter 10 Advanced Assessment of the Female Reproductive System
Chapter 11 Advanced Health Assessment of the Neurological System
Chapter 12 Advanced Health Assessment of the Musculoskeletal System
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
Edition Myrick Test Bank
Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
MULTIPLE CHOICE
1. The nurse is preparing to conduct a health history. Which of these statements best describes
the purpose of a health history?
a To provide an opportunity for interaction between the patient and the nurse
.
b To provide a form for obtaining the patients biographic information
.
c To document the normal and abnormal findings of a physical assessment
.
d To provide a database of subjective information about the patients past and
. current health
ANSWER: D
The purpose of the health history is to collect subjective datawhat the person says about him or
herself. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. When the nurse is evaluating the reliability of a patients responses, which of these statements
would be correct? The patient:
a Has a history of drug abuse and therefore is not reliable.
.
b Provided consistent information and therefore is reliable.
.
c Smiled throughout interview and therefore is assumed reliable.
.
d Would not answer questions concerning stress and therefore is not reliable.
.
ANSWER: B
A reliable person always gives the same answers, even when questions are rephrased or are
repeated later in the interview. The other statements are not correct.
DIF: Cognitive Level: Applying (Application) REF: dm. 49
, MSC: p Client p Needs: p Safe p and p Effective p Care pEnvironment: p Management p of p Care
3. A p 59-year-old p patient p tells p the p nurse p that p he p has p ulcerative p colitis. p He p has p been
p having p blackpstools p for p the p last p 24 p hours. p How p would p the p nurse p best p document p his
p reason p for p seeking p care?
a J.M. p is pa p 59-year-old p man p seeking p treatment p for p ulcerative p colitis.
.
b J.M. p came p into p the p clinic p complaining p of p having p black p stools p for p the
. p past p 24phours.
c J.M. p is p a p 59-year-old p man p who p states p that p he p has p ulcerative p colitis pand
. p wants p itpchecked.
d J.M. p is pa p 59-year-old p man p who p states pthat p he p has p been p having p black
. p stools p forpthe ppast p24 phours.
ANSWER: p D
The p reason p for p seeking p care p is p a p brief pspontaneous p statement p in pthe p persons p own p words
p thatpdescribes p the p reason p for p the p visit. p It p states p one p (possibly p two) p signs p or p symptoms
p and p their pduration. p It p is penclosed p in pquotation pmarks pto pindicate p the p persons p exact
p words.
DIF: p Cognitive p Level: p Applying p (Application) p REF: p dm. p 50
MSC: p Client p Needs: p Safe p and p Effective p Care pEnvironment: p Management p of p Care
4. A p patient ptells p the p nurse p that p she p has p had pabdominal p pain p for p the p past p week. p What
p would p be p thepnurses pbest presponse?
a Can p you p point pto p where p it phurts?
.
b Well p talk p more p about p that p later p in p the p interview.
.
c What p have p you phad p to peat p in p the plast p 24 p hours?
.
d Have p you p ever p had p any psurgeries p on p your p abdomen?
.
ANSWER: p A
A p final p summary pof p any psymptom p the p person phas p should p include, p along p with p seven
p other p criticalpcharacteristics, p Location: pspecific. p The p person pis pasked pto ppoint pto pthe
p location.
DIF: p Cognitive p Level: p Applying p (Application) p REF: p dm. p 50
MSC: p Client p Needs: p Safe p and p Effective p Care pEnvironment: p Management p of p Care
5. A p 29-year-old p woman p tells p the p nurse p that p she p has pexcruciating p pain p in p her p back.
p Which p wouldpbe pthe pnurses pappropriate presponse pto pthe pwomans pstatement?