Test Bank for Advanced Health Assessment and Differential
n n n n n n n
Diagnosis Essentials For Clinical Practice
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1st Edition Myrick, Chapters 1 - 12
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1stEdition
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n Myrick Test Bank
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Table of Contents:
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
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Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
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Chapter 4. Advanced Health Assessment of the Eyes and Ears
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Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
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Chapter 6. Advanced Health Assessment of the Cardiovascular System
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Chapter 7 Advanced Health Assessment of the Respiratory System
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Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
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Chapter 9 Advanced Health Assessment of the Male Genitourinary System
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Chapter 10 Advanced Assessment of the Female Reproductive System
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Chapter 11 Advanced Health Assessment of the Neurological System
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Chapter 12 Advanced Health Assessment of the Musculoskeletal System
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
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1stEdition Myrick Test Bank
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Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE n
1. The nurse is preparing to conduct a health history. Which of these statements best describesthe
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purpose of a health history?
n n n n n
a To provide an opportunity for interaction between the patient and the nurse
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.
b To provide a form for obtaining the patients biographic information
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.
c To document the normal and abnormal findings of a physical assessment
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.
d To provide a database of subjective information about the patients past
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. andcurrent health
n n n
ANSWER: D n
The purpose of the health history is to collect subjective datawhat the person says about him orherself.
n n n n n n n n n n n n n n n n n
The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. When the nurse is evaluating the reliability of a patients responses, which of these
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statementswould be correct? The patient:
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a Has a history of drug abuse and therefore is not reliable.
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.
b Provided consistent information and therefore is reliable. n n n n n n
.
c Smiled throughout interview and therefore is assumed reliable.
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.
d Would not answer questions concerning stress and therefore is not reliable.
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.
ANSWER: B n
A reliable person always gives the same answers, even when questions are rephrased or arerepeated
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later in the interview. The other statements are not correct.
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DIF: Cognitive Level: Applying (Application) REF: dm. 49
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, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having
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blackstools for the last 24 hours. How would the nurse best document his reason for seeking
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care?
n
a J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
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.
b J.M. came into the clinic complaining of having black stools for the past 24hours.
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.
c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants itchecked.
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.
d J.M. is a 59-year-old man who states that he has been having black stools forthe
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. past 24 hours.
n n n
ANSWER: D n
The reason for seeking care is a brief spontaneous statement in the persons own words thatdescribes
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the reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is
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enclosed in quotation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. A patient tells the nurse that she has had abdominal pain for the past week. What would be
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thenurses best response?
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a Can you point to where it hurts?
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.
b Well talk more about that later in the interview.
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.
c What have you had to eat in the last 24 hours?
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.
d Have you ever had any surgeries on your abdomen?
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.
ANSWER: A n
A final summary of any symptom the person has should include, along with seven other
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criticalcharacteristics, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which wouldbe
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the nurses appropriate response to the womans statement?
n n n n n n n n
n n n n n n n
Diagnosis Essentials For Clinical Practice
n n n n n n
1st Edition Myrick, Chapters 1 - 12
n n n n n n
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1stEdition
n n n n n n n n n n n
n Myrick Test Bank
n n
Table of Contents:
n n
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
n n n n n n n n n
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
n n n n n n n n n n n
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
n n n n n n n n n n
Chapter 4. Advanced Health Assessment of the Eyes and Ears
n n n n n n n n n
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
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Chapter 6. Advanced Health Assessment of the Cardiovascular System
n n n n n n n n
Chapter 7 Advanced Health Assessment of the Respiratory System
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Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
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Chapter 9 Advanced Health Assessment of the Male Genitourinary System
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Chapter 10 Advanced Assessment of the Female Reproductive System
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Chapter 11 Advanced Health Assessment of the Neurological System
n n n n n n n n
Chapter 12 Advanced Health Assessment of the Musculoskeletal System
n n n n n n n n
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
n n n n n n n n n
1stEdition Myrick Test Bank
n n n n n
Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
n n n n n n n n n
MULTIPLE CHOICE n
1. The nurse is preparing to conduct a health history. Which of these statements best describesthe
n n n n n n n n n n n n n n n
purpose of a health history?
n n n n n
a To provide an opportunity for interaction between the patient and the nurse
n n n n n n n n n n n
.
b To provide a form for obtaining the patients biographic information
n n n n n n n n n
.
c To document the normal and abnormal findings of a physical assessment
n n n n n n n n n n
.
d To provide a database of subjective information about the patients past
n n n n n n n n n n
. andcurrent health
n n n
ANSWER: D n
The purpose of the health history is to collect subjective datawhat the person says about him orherself.
n n n n n n n n n n n n n n n n n
The other options are not correct.
n n n n n n
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
n n n n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
2. When the nurse is evaluating the reliability of a patients responses, which of these
n n n n n n n n n n n n n
statementswould be correct? The patient:
n n n n n n
a Has a history of drug abuse and therefore is not reliable.
n n n n n n n n n n
.
b Provided consistent information and therefore is reliable. n n n n n n
.
c Smiled throughout interview and therefore is assumed reliable.
n n n n n n n
.
d Would not answer questions concerning stress and therefore is not reliable.
n n n n n n n n n n
.
ANSWER: B n
A reliable person always gives the same answers, even when questions are rephrased or arerepeated
n n n n n n n n n n n n n n n
later in the interview. The other statements are not correct.
n n n n n n n n n n
DIF: Cognitive Level: Applying (Application) REF: dm. 49
n n n n n n n
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having
n n n n n n n n n n n n n n
blackstools for the last 24 hours. How would the nurse best document his reason for seeking
n n n n n n n n n n n n n n n n n
care?
n
a J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
n n n n n n n n n
.
b J.M. came into the clinic complaining of having black stools for the past 24hours.
n n n n n n n n n n n n n n
.
c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants itchecked.
n n n n n n n n n n n n n n n
.
d J.M. is a 59-year-old man who states that he has been having black stools forthe
n n n n n n n n n n n n n n n
. past 24 hours.
n n n
ANSWER: D n
The reason for seeking care is a brief spontaneous statement in the persons own words thatdescribes
n n n n n n n n n n n n n n n n
the reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is
n n n n n n n n n n n n n n n n n n
enclosed in quotation marks to indicate the persons exact words.
n n n n n n n n n n
DIF: Cognitive Level: Applying (Application) REF: dm. 50
n n n n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be
n n n n n n n n n n n n n n n n n
thenurses best response?
n n n n
a Can you point to where it hurts?
n n n n n n
.
b Well talk more about that later in the interview.
n n n n n n n n
.
c What have you had to eat in the last 24 hours?
n n n n n n n n n n
.
d Have you ever had any surgeries on your abdomen?
n n n n n n n n
.
ANSWER: A n
A final summary of any symptom the person has should include, along with seven other
n n n n n n n n n n n n n n
criticalcharacteristics, Location: specific. The person is asked to point to the location.
n n n n n n n n n n n n n
DIF: Cognitive Level: Applying (Application) REF: dm. 50
n n n n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which wouldbe
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the nurses appropriate response to the womans statement?
n n n n n n n n
