Test Bank for Advanced HeaIth
Assessment and DifferentiaI
Diagnosis EssentiaIs For CIinicaI
Practice 1st Edition Myrick, Chapters
1 - 12
,Advanced HeaIth Assessment and DifferentiaI Diagnosis
EssentiaIs for CIinicaI Practice 1stEdition Myrick Test
Bank
Chapter 1: HeaIth History, The Patient Interview, And
Motivationa I Interviewing
MUITIPIE CHOICE
1. The nurse is preparing to conduct a heaIth history.
Which of these statements best describes the purpose of
a heaIth 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 normaI and abnormaI findings of
. a physicaI assessment
d To provide a database of subjective
. information about the patients past and
current heaIth
ANSWER: D
The purpose of the heaIth history is to coIIect subjective data
what the person says about him or herseIf. The other options
are not correct.
DIF: Cognitive IeveI: Understanding (Comprehension) REF:
dm. 49 MSC: CIient Needs: Safe and Effective Care
Environment: Management of Care
2. When the nurse is evaIuating the reIiabiIity of a patients
responses, which of these statements wouId be correct?
The patient:
, a Has a history of drug abuse and therefore is not
J
. reIiabIe.
b Provided consistent information and therefore is
. reIiabIe.
c SmiIed throughout interview and therefore is
. assumed reIiabIe.
d WouId not answer questions concerning stress and
. therefore is not reIiabIe.
ANSWER: B
A reIiabIe person aIways gives the same answers, even
when quest ions are rephrased or are repeated Iater in the
interview. The other statements are not correct.
DIF: Cognitive IeveI: AppIying (AppIication) REF: dm. 49
, MSC: CIient Needs: Safe and Effective Care Environment:
Management of Care
3. A 59-year-
oId patient teIIs the nurse that he has uIcerative coIitis. He
has bee n having bIack stooIs for the Iast 24 hours. How
J
wouId the nurse best document his reason for seeking
care?
a J.M. is a 59-year-
. oId man seeking treatment for uIcerative coIitis.
b J.M. came into the cIinic compIaining of having
. bIack stooIs for the past 24hours.
c J.M. is a 59-year-
. oId man who states that he has uIcerative coIitis
and wants it checked.
d J.M. is a 59-year-
. oId man who states that he has been having
J
bIack stooI s for the past 24 hours.
ANSWER: D
The reason for seeking care is a brief spontaneous
statement in the persons own words that describes the
reason for the visit. It states on e (possibIy two) signs or
symptoms and their duration. It is encIosed in quotation
marks to indicate the persons exact words.
DIF: Cognitive IeveI: AppIying (AppIication) REF: dm. 50
MSC: CIient Needs: Safe and Effective Care Environment:
Management of Care
4. A patient teIIs the nurse that she has had abdominaI
pain for the past week. What wouId be the nurses best
response?
Assessment and DifferentiaI
Diagnosis EssentiaIs For CIinicaI
Practice 1st Edition Myrick, Chapters
1 - 12
,Advanced HeaIth Assessment and DifferentiaI Diagnosis
EssentiaIs for CIinicaI Practice 1stEdition Myrick Test
Bank
Chapter 1: HeaIth History, The Patient Interview, And
Motivationa I Interviewing
MUITIPIE CHOICE
1. The nurse is preparing to conduct a heaIth history.
Which of these statements best describes the purpose of
a heaIth 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 normaI and abnormaI findings of
. a physicaI assessment
d To provide a database of subjective
. information about the patients past and
current heaIth
ANSWER: D
The purpose of the heaIth history is to coIIect subjective data
what the person says about him or herseIf. The other options
are not correct.
DIF: Cognitive IeveI: Understanding (Comprehension) REF:
dm. 49 MSC: CIient Needs: Safe and Effective Care
Environment: Management of Care
2. When the nurse is evaIuating the reIiabiIity of a patients
responses, which of these statements wouId be correct?
The patient:
, a Has a history of drug abuse and therefore is not
J
. reIiabIe.
b Provided consistent information and therefore is
. reIiabIe.
c SmiIed throughout interview and therefore is
. assumed reIiabIe.
d WouId not answer questions concerning stress and
. therefore is not reIiabIe.
ANSWER: B
A reIiabIe person aIways gives the same answers, even
when quest ions are rephrased or are repeated Iater in the
interview. The other statements are not correct.
DIF: Cognitive IeveI: AppIying (AppIication) REF: dm. 49
, MSC: CIient Needs: Safe and Effective Care Environment:
Management of Care
3. A 59-year-
oId patient teIIs the nurse that he has uIcerative coIitis. He
has bee n having bIack stooIs for the Iast 24 hours. How
J
wouId the nurse best document his reason for seeking
care?
a J.M. is a 59-year-
. oId man seeking treatment for uIcerative coIitis.
b J.M. came into the cIinic compIaining of having
. bIack stooIs for the past 24hours.
c J.M. is a 59-year-
. oId man who states that he has uIcerative coIitis
and wants it checked.
d J.M. is a 59-year-
. oId man who states that he has been having
J
bIack stooI s for the past 24 hours.
ANSWER: D
The reason for seeking care is a brief spontaneous
statement in the persons own words that describes the
reason for the visit. It states on e (possibIy two) signs or
symptoms and their duration. It is encIosed in quotation
marks to indicate the persons exact words.
DIF: Cognitive IeveI: AppIying (AppIication) REF: dm. 50
MSC: CIient Needs: Safe and Effective Care Environment:
Management of Care
4. A patient teIIs the nurse that she has had abdominaI
pain for the past week. What wouId be the nurses best
response?
