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EssentialHealthAssessment 2nd Edition
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byJaniceMThompson,Chapter1-24
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,TableofContents l l
Chapter01UnderstandingHealthAssessment ______________________________________________________ 1
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Chapter 02 Interviewing the Patient for the Health History
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lChapter 03TakingtheHealthHistory ___________________________________________________________ 40
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Chapter 04 Assessing Nutrition and Anthropometric Measurements
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lChapter05Assessment Techniques ____________________________________________________________ 88
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Chapter 06 General Surveyand Assessing Vital Signs
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l 99 Chapter07 AssessingPain _____________________ 128 l l l l l
Chapter08AssessingtheSkin,Hair,andNails _____________________________________________________ 149
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Chapter 09 Assessing the Head, Face, Mouth, and Neck
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188 Chapter 10Assessing theEars _____________________________________________________________ 229
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Chapter 11Assessingthe Eyes ________________________________________________________________ 250
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Chapter12AssessingtheRespiratorySystem
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Chapter 13 Assessing theCardiovascular System
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Chapter 14 Assessingthe Abdomen
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Chapter 15 AssessingthePeripheralVascular System and RegionalLymphatic System
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Chapter 16 Assessing theMusculoskeletal 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
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Chapter19AssessingtheMaleBreastsandReproductiveSystem
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Chapter20AssessingtheAnusandRectum
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Chapter 21 Assessingthe Newborn
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Chapter 22 Assessing the Child and Adolescent
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Chapter 23 AssessingthePregnant Woman
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Chapter24AssessingtheOlder Adult
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Chapter1:UnderstandingHealth Assessment
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1. The World Health Organization (WHO) established a globalstrategy called“Health forAll.”
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e goal for this strategy is:
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1. Allindividualstoget thesamehealthcarethroughout theirlifespans.
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2. Thegovernmenttosupplymoneytocareforallthepeopleintheworld.
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3. Resourcesforhealthcaretobeevenlydistributed andaccessible. l l l l l l l l l
4. Health-careproviderscanneverdenypatients health care. l l l l l l l
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1. This is incorrect. “Health for All”does not mean that all individuals get the same health
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care throughout their life spans.
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2. Thisisincorrect.“HealthforAll”doesnotmeanthegovernmentwillsupplymoney t o care
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for all the people in the world.
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3. This is correct. “Health for All” means that resources for health care are evenly
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distributedandaccessibletoeveryone.
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4. Thisisincorrect. “Health forAll”doesnot mean that health-
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careproviderscandeny patientshealth care.
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2. Healthassessmentis afoundationalandpriority nursingskill.Thisessentialskillrequires
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ed nurses (RNs) to:
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1. Diagnoseandtreatpatients. l l l
2. Identifynormalandabnormalfindings. l l l l
3. Referpatients withabnormal findings.
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4. Counselpatientswith psychosocial needs. l l l l
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1. Thisisincorrect.The roleoftheRNisnottodiagnoseandtreat patients.
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2. This is correct. Assessing patients andbeing ableto identify normal from abnormal
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indingsisanessentialroleoftheRN. l l l l l l l
3. Thisis incorrect. RNs in collaboration with thehealth-
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careprovidersdorefer patients.Thisisnottheessentialandfoundationalrole
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4. This is incorrect. RNs do counsel patients, but it isnot the essential and foundational role
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in health assessment.
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3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police presen ce
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outsidehisdoorbecausethepatientisaknowndrugdealerinthe community.Youknow that nu rses must
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treat all patients aspersons. This is called:
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1. Caring.
2. Holistic process. l
3. Person-centered care(PCC). l l
4. Standardsof care. l l
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1. Thisisincorrect. Caring is displayingaconcern for patients.
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2. This is incorrect. Theholistic caringprocessis a relational process; thenurse c
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ollaborateswiththeindividualtopursuegoalsforhealth andwell-being. l l l l l l l l l l
3. This is correct.Thenew movement in health care is person-
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centered care(PCC), which emphasizes the intrinsic value oftreating all patients a l l l l l l l l TC l l
4. Thisis incorrect.Standards ofcareidentify standardsofprofessional nursing
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ractice.
4.Thescience-
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based framework updated every 10 years by the U.S. Department of Health and Human Services th at has
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set national goals andobjectives forhealth promotion and disease
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1. Healthy People. l
2. Healthy People 2020. l l
3. U.S. Preventive Task Force. l l TC
4. WorldHealthOrganization. l l
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1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
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2. This is correct. Healthy People 2020 specifically identifies science-
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based, national goalsandobjectiveswith 10-
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yeartargets designed toguidenationalhealth promotion
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to improve the health of all people in the United
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3. Thisisincorrect.TheU.S.PreventiveServicesTaskForce’sgoalisto useevidence-based
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medicinetoimprovethehealthofallAmericansbymakingevidence-
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based recommendations about clinical preventive services such as screenings, counseli ng l l l TC l l TC l l
lservices,andpreventivemedications. l l l
4. Thisisincorrect.The WorldHealth Organization is aspecialized agency ofthe United
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Nationsworkingtoimprovethehealthoftheworld’s people.
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