ADVANCED HEALTH ASSESSMENT
$se $se
AND DIFFERENTIAL DIAGNOSIS
$se $se $se
Essentials for Clinical Practice
$se $se $se
1st Edition $se
$se Myrick
TEST BANK $ s e
,Advanced $seHealth $seAssessment $seand $seDifferential $seDiagnosis $seEssentials $sefor $seClinical
$se Practice $se1st $seEdition $seMyrick $seTest $seBank
Table $seof $seContents:
Chapter $se1. $seHealth $seHistory, $seThe $sePatient $seInterview, $seAnd $seMotivational $seInterviewing
Chapter $se2. $seAdvanced $seHealth $seAssessment $seof $sethe $seHead, $seNeck, $seand $seLymphatic $seSystem
Chapter $se3. $seAdvanced $seHealth $seAssessment $seof $sethe $seNose, $seMouth, $seand $seThroat
Chapter $se4. $seAdvanced $seHealth $seAssessment $seof $sethe $seEyes $seand $seEars
Chapter $se5. $seAdvanced $seHealth $seAssessment $seof $seSkin, $seHair, $seand $seNails
Chapter $se6. $seAdvanced $seHealth $seAssessment $seof $sethe $seCardiovascular $seSystem
Chapter $se7 $seAdvanced $seHealth $seAssessment $seof $sethe $seRespiratory $seSystem
Chapter $se8 $seAdvanced $seHealth $seAssessment $seof $sethe $seAbdomen, $seRectum, $seand $seAnus
Chapter $se9 $seAdvanced $seHealth $seAssessment $seof $sethe $seMale $seGenitourinary $seSystem
Chapter $se10 $seAdvanced $seAssessment $seof $sethe $seFemale $seReproductive $seSystem
Chapter $se11 $seAdvanced $seHealth $seAssessment $seof $sethe $seNeurological $seSystem
Chapter $se12 $seAdvanced $seHealth $seAssessment $seof $sethe $seMusculoskeletal $seSystem
,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
ANS: 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.
.
ANS: 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: $se Client $se Needs: $se Safe $se and $se Effective $ se Care $seEnvironment: $ se Management $se of $se Care
3. A $se59-year-old $sepatient $setells $sethe $senurse $sethat $sehe $sehas $seulcerative $secolitis. $seHe $sehas $sebeen
$sehaving $seblack $sestools $sefor $sethe $selast $se24 $sehours. $seHow $sewould $sethe $senurse $sebest $sedocument
$sehis $sereason $sefor $seseeking $secare?
a J.M. $se is $se a $ se 59-year-old $se man $se seeking $se treatment $se for $se ulcerative $ s e colitis.
.
b J.M. $secame $seinto $sethe $seclinic $secomplaining $seof $sehaving $seblack $sestools $sefor
. $sethe $sepast $se24 $sehours.
c J.M. $seis $sea $se59-year-old $seman $sewho $sestates $sethat $sehe $sehas $seulcerative $secolitis $seand
. $sewants $seit $sechecked.
d J.M. $seis $sea $se59-year-old $seman $sewho $sestates $sethat $sehe $sehas $sebeen $sehaving
. $seblack $sestools $sefor $sethe $sepast $se24 $sehours.
ANS: $seD
The $sereason $sefor $seseeking $secare $seis $sea $sebrief $sespontaneous $sestatement $sein $sethe $sepersons $seown
$sewords $sethat $sedescribes $sethe $sereason $sefor $sethe $sevisit. $seIt $sestates $seone $se(possibly $setwo) $sesigns $seor
$sesymptoms $seand $setheir $seduration. $seIt $seis $seenclosed $sein $sequotation $semarks $seto $seindicate $sethe
$sepersons $seexact $sewords.
DIF: $se Cognitive $ s e Level: $se Applying $se (Application) $se REF: $ s e dm. $se 50
MSC: $se Client $se Needs: $se Safe $se and $se Effective $ se Care $seEnvironment: $ se Management $se of $se Care
4. A $sepatient $setells $sethe $senurse $sethat $seshe $sehas $sehad $seabdominal $sepain $sefor $sethe $sepast $seweek.
$seWhat $sewould $sebe $sethe $senurses $sebest $seresponse?
a Can $se you $se point $se to $se where $seit $sehurts?
.
b Well $se talk $semore $se about $se that $se later $se in $se the $se interview.
.
c What $sehave $se you $se had $seto $seeat $se in $sethe $selast $se24 $se hours?
.
d Have $se you $se ever $se had $se any $sesurgeries $se on $se your $seabdomen?
.
ANS: $seA
A $sefinal $sesummary $seof $seany $sesymptom $sethe $seperson $sehas $seshould $seinclude, $sealong $sewith $seseven
$seother $secritical $secharacteristics, $seLocation: $sespecific. $seThe $seperson $seis $seasked $seto $sepoint $seto $sethe
$selocation.
DIF: $se Cognitive $ s e Level: $se Applying $se (Application) $se REF: $ s e dm. $se 50
MSC: $se Client $se Needs: $se Safe $se and $se Effective $ se Care $seEnvironment: $ se Management $se of $se Care
5. A $se29-year-old $sewoman $setells $sethe $senurse $sethat $seshe $sehas $seexcruciating $sepain $sein $seher $seback.
$seWhich $sewould $sebe $sethe $senurses $seappropriate $seresponse $seto $sethe $sewomans $sestatement?