nd
Essential Health Assessment 2 Editi
b1 b1 b1 b1
on Thompson Test Bank
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, Table of Contents b1 b1
Chapter 1: Understanding Health Assessment
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Chapter 2: Interviewing the Patient for the Health History
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Chapter 3: Taking the Health History
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Chapter 4: Assessing Nutrition and Anthropometric Measurements Cha
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pter 5: Assessment Techniques
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Chapter 6: General Survey and Assessing Vital Signs Chap
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ter 7: Assessing Pain
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Chapter 8: Assessing the Skin, Hair, and Nails
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Chapter 9: Assessing the Head, Face, Mouth, and Neck Ch
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apter 10: Assessing the Ears
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Chapter 11: Assessing the Eyes
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Chapter 12: Assessing the Respiratory System C
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hapter 13: Assessing the Cardiovascular System C
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hapter 14: Assessing the Abdomen
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Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System
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Chapter 16: Assessing the Musculoskeletal System
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Chapter 17: Assessing the Neurological System
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Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System Chap
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ter 19: Assessing the Male Breasts and Reproductive System
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Chapter 20: Assessing the Anus and Rectum Chap
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ter 21: Assessing the Newborn
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Chapter 22: Assessing the Child and Adolescent C
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hapter 23 Assessing the Pregnant Woman Chapt
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er 24: Assessing the Older Adult
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,Chapter 1: Understanding Health Assessment b1 b1 b1 b1
1. The World Health Organization (WHO) established a global strategy called ―Health for All.
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‖ The goal for this strategy is:
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1. All individuals to get the same health care throughout their life spans.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
2. The government to supply money to care for all the people in the world.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
3. Resources for health care to be evenly distributed and accessible.
b1 b1 b1 b1 b1 b1 b1 b1 b1
4. Health-care providers can never deny patients health care.
b1 b1 b1 b1 b1 b1 b1
2. Health assessment is a foundational and priority nursing skill. This essential skill requir
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
es registered nurses (RNs) to:
b1 b1 b1 b1
1. Diagnose and treat patients. b1 b1 b1
2. Identify normal and abnormal findings. b1 b1 b1 b1
3. Refer patients with abnormal findings.
b1 b1 b1 b1
4. Counsel patients with psychosocial needs.
b1 b1 b1 b1
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a pol
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ice presence outside his door because the patient is a known drug dealer in the community
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
. You know that nurses must treat all patients as persons. This is called:
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
1. Caring.
2. Holistic process. b1
3. Person-centered care (PCC). b1 b1
4. Standards of care. b1 b1
4. The science- b1
based framework updated every 10 years by the U.S. Department of Health and Human Serv
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ices that has set national goals and objectives for health promotion and disease prevention i
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
s:
1. Healthy People. b1
2. Healthy People 2020. b1 b1
3. U.S. Preventive Task Force.
b1 b1 b1
4. World Health Organization. b1 b1
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
48. The doctor recommended that this patient have a colonoscopy this year. This is an exampl
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
e of:
b1
1. Primary health prevention. b1 b1
, 2. Secondary health prevention. b1 b1
3. Tertiary health prevention. b1 b1
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
he is running a fever and has stomach discomfort.‖ You are the registered nurse in charge.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
What should you do? b1 b1 b1
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
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.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
7. You are leading an interdisciplinary team conference to discuss how to provide better care f
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
or a challenging patient who has behavioral problems. There are several areas that need to be
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
problem solved and new ideas formulated to create an improved plan of care. What cognitiv
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
e skills are you using?
b1 b1 b1 b1
1. Critical thinking b1
2. Clinical decision making b1 b1
3. Intuitive thinking b1
4. Clinical reasoning b1
8. Best practice assessment techniques and instruments have been validated by:
b1 b1 b1 b1 b1 b1 b1 b1 b1
1. American Nurses Association. b1 b1
2. Code of Ethics for Nurses With Interpretive Statements.
b1 b1 b1 b1 b1 b1 b1
3. Research and evidence-based practice. b1 b1 b1
4. Patient Protection and Affordable Care Act.
b1 b1 b1 b1 b1
9. Health and illness are determined by many factors. What are the determinants of health
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
1. Genetics and biology b1 b1
2. Gender and occupation b1 b1
3. Individual behavior b1
4. Social environment b1
5. Physical environment b1
6. Health services b1
Essential Health Assessment 2 Editi
b1 b1 b1 b1
on Thompson Test Bank
b1 b1 b1
, Table of Contents b1 b1
Chapter 1: Understanding Health Assessment
b1 b1 b1 b1
Chapter 2: Interviewing the Patient for the Health History
b1 b1 b1 b1 b1 b1 b1 b1 b1
Chapter 3: Taking the Health History
b1 b1 b1 b1 b1
Chapter 4: Assessing Nutrition and Anthropometric Measurements Cha
b1 b1 b1 b1 b1 b1 b1
pter 5: Assessment Techniques
b1 b1 b1
Chapter 6: General Survey and Assessing Vital Signs Chap
b1 b1 b1 b1 b1 b1 b1 b1
ter 7: Assessing Pain
b1 b1 b1
Chapter 8: Assessing the Skin, Hair, and Nails
b1 b1 b1 b1 b1 b1 b1
Chapter 9: Assessing the Head, Face, Mouth, and Neck Ch
b1 b1 b1 b1 b1 b1 b1 b1 b1
apter 10: Assessing the Ears
b1 b1 b1 b1
Chapter 11: Assessing the Eyes
b1 b1 b1 b1
Chapter 12: Assessing the Respiratory System C
b1 b1 b1 b1 b1 b1
hapter 13: Assessing the Cardiovascular System C
b1 b1 b1 b1 b1 b1
hapter 14: Assessing the Abdomen
b1 b1 b1 b1
Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
Chapter 16: Assessing the Musculoskeletal System
b1 b1 b1 b1 b1
Chapter 17: Assessing the Neurological System
b1 b1 b1 b1 b1
Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System Chap
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ter 19: Assessing the Male Breasts and Reproductive System
b1 b1 b1 b1 b1 b1 b1 b1
Chapter 20: Assessing the Anus and Rectum Chap
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ter 21: Assessing the Newborn
b1 b1 b1 b1
Chapter 22: Assessing the Child and Adolescent C
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hapter 23 Assessing the Pregnant Woman Chapt
b1 b1 b1 b1 b1 b1
er 24: Assessing the Older Adult
b1 b1 b1 b1 b1
,Chapter 1: Understanding Health Assessment b1 b1 b1 b1
1. The World Health Organization (WHO) established a global strategy called ―Health for All.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
‖ The goal for this strategy is:
b1 b1 b1 b1 b1 b1
1. All individuals to get the same health care throughout their life spans.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
2. The government to supply money to care for all the people in the world.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
3. Resources for health care to be evenly distributed and accessible.
b1 b1 b1 b1 b1 b1 b1 b1 b1
4. Health-care providers can never deny patients health care.
b1 b1 b1 b1 b1 b1 b1
2. Health assessment is a foundational and priority nursing skill. This essential skill requir
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
es registered nurses (RNs) to:
b1 b1 b1 b1
1. Diagnose and treat patients. b1 b1 b1
2. Identify normal and abnormal findings. b1 b1 b1 b1
3. Refer patients with abnormal findings.
b1 b1 b1 b1
4. Counsel patients with psychosocial needs.
b1 b1 b1 b1
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a pol
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ice presence outside his door because the patient is a known drug dealer in the community
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
. You know that nurses must treat all patients as persons. This is called:
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
1. Caring.
2. Holistic process. b1
3. Person-centered care (PCC). b1 b1
4. Standards of care. b1 b1
4. The science- b1
based framework updated every 10 years by the U.S. Department of Health and Human Serv
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ices that has set national goals and objectives for health promotion and disease prevention i
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
s:
1. Healthy People. b1
2. Healthy People 2020. b1 b1
3. U.S. Preventive Task Force.
b1 b1 b1
4. World Health Organization. b1 b1
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
48. The doctor recommended that this patient have a colonoscopy this year. This is an exampl
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
e of:
b1
1. Primary health prevention. b1 b1
, 2. Secondary health prevention. b1 b1
3. Tertiary health prevention. b1 b1
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
he is running a fever and has stomach discomfort.‖ You are the registered nurse in charge.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
What should you do? b1 b1 b1
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
2. Go check to see if the patient has an order for Tylenol for a fever.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
3. Page the resident on call immediately to assess the patient.
b1 b1 b1 b1 b1 b1 b1 b1 b1
4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
7. You are leading an interdisciplinary team conference to discuss how to provide better care f
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
or a challenging patient who has behavioral problems. There are several areas that need to be
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
problem solved and new ideas formulated to create an improved plan of care. What cognitiv
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
e skills are you using?
b1 b1 b1 b1
1. Critical thinking b1
2. Clinical decision making b1 b1
3. Intuitive thinking b1
4. Clinical reasoning b1
8. Best practice assessment techniques and instruments have been validated by:
b1 b1 b1 b1 b1 b1 b1 b1 b1
1. American Nurses Association. b1 b1
2. Code of Ethics for Nurses With Interpretive Statements.
b1 b1 b1 b1 b1 b1 b1
3. Research and evidence-based practice. b1 b1 b1
4. Patient Protection and Affordable Care Act.
b1 b1 b1 b1 b1
9. Health and illness are determined by many factors. What are the determinants of health
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
1. Genetics and biology b1 b1
2. Gender and occupation b1 b1
3. Individual behavior b1
4. Social environment b1
5. Physical environment b1
6. Health services b1