Table of Contents
Essential Health Assessment 2nd Chapter 1: Understanding Health Assessment
Chapter 2: Interviewing the Patient for the Health History
Edition Thompson Test Bank Chapter 3: Taking the Health History
Chapter 4: Assessing Nutrition and Anthropometric Measurements
Chapter 5: Assessment Techniques
Chapter 6: General Survey and Assessing Vital Signs
Chapter 7: Assessing Pain
Chapter 8: Assessing the Skin, Hair, and Nails
Chapter 9: Assessing the Head, Face, Mouth, and Neck
Chapter 10: Assessing the Ears
Chapter 11: Assessing the Eyes
Chapter 12: Assessing the Respiratory System
Chapter 13: Assessing the Cardiovascular System
Chapter 14: Assessing the Abdomen
Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System
Chapter 16: Assessing the Musculoskeletal System
Chapter 17: Assessing the Neurological System
Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System
Chapter 19: Assessing the Male Breasts and Reproductive System
Chapter 20: Assessing the Anus and Rectum
Chapter 21: Assessing the Newborn
Chapter 22: Assessing the Child and Adolescent
Chapter 23 Assessing the Pregnant Woman
Chapter 24: Assessing the Older Adult
,Chapter 1: Understanding Health Assessment
2. Secondary health prevention.
3. Tertiary health prevention.
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible. 6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he
4. Health-care providers can never deny patients health care. is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
should you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
2. Health assessment is a foundational and priority nursing skill. This essential skill requires 3. Page the resident on call immediately to assess the patient.
registered nurses (RNs) to: 4. Go to the patient’s room and assess for fever and the epigastric discomfort.
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs. 7. You are leading an interdisciplinary team conference to discuss how to provide better care for
a challenging patient who has behavioral problems. There are several areas that need to be
problem solved and new ideas formulated to create an improved plan of care. What cognitive
skills are you using?
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police 1. Critical thinking
presence outside his door because theGRADESMORE.COM
patient is a known drug dealer in the community. You 2. Clinical decision making
know that nurses must treat all patients as persons. This is called: 3. Intuitive thinking
1. Caring. 4. Clinical reasoning
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
8. Best practice assessment techniques and instruments have been validated by:
1. American Nurses Association.
2. Code of Ethics for Nurses With Interpretive Statements.
4. The science-based framework updated every 10 years by the U.S. Department of Health and 3. Research and evidence-based practice.
Human Services that has set national goals and objectives for health promotion and disease 4. Patient Protection and Affordable Care Act.
prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force. 9. Health and illness are determined by many factors. What are the determinants of health
4. World Health Organization. identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
1. Genetics and biology
2. Gender and occupation
3. Individual behavior
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age 4. Social environment
48. The doctor recommended that this patient have a colonoscopy this year. This is an example 5. Physical environment
of: 6. Health services
1. Primary health prevention.
,10. The U.S. health-care system is evolving, and care is becoming more focused on which of Answers
the following? Select all that apply.
1. Wellness 1. The World Health Organization (WHO) established a global strategy called “Health for All.”
2. Functional status The goal for this strategy is:
3. Disease prevention 1. All individuals to get the same health care throughout their life spans.
4. Health promotion 2. The government to supply money to care for all the people in the world.
5. Acute illness management 3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
ANS: 3
11. You are performing a health assessment on a 32-year-old female patient who reports “feeling Page: 1
fatigued all the time.” She states, “I have not had a physical in over 8 years because I did not
have medical insurance.” The patient will be having a physical today. What will be part of the Feedback
health assessment? Select all that apply. 1. This is incorrect. “Health for All” does not mean that all individuals get the same
1. Collecting data on past health health care throughout their life spans.
2. Collecting data on present health 2. This is incorrect. “Health for All” does not mean the government will supply money
3. Collecting data on significant other’s health to care for all the people in the world.
4. Assessing factors influencing health 3. This is correct. “Health for All” means that resources for health care are evenly
5. Performing a physical examination distributed and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-care providers can deny
patients health care.
12. You are working with a patient as a copartner in care. The patient has multiple medical
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
problems. Put the following steps of GRADESMORE.COM
the nursing process in the correct order (1–5). (Enter the
registered nurses (RNs) to:
number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234.)
1. Diagnose and treat patients.
1. Planning
2. Identify normal and abnormal findings.
2. Evaluation 3. Refer patients with abnormal findings.
3. Assessment 4. Counsel patients with psychosocial needs.
4. Implementation
5. Diagnosis ANS: 2
Page: 5-6
Feedback
13. You are working on a medical surgical unit and are caring for a 24-year-old patient who is 3
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
hours post-op. The patient seems confused and restless since you assessed her an hour ago. You
2. This is correct. Assessing patients and being able to identify normal from abnormal
have a gut feeling that something is very wrong. This is an example of
findings is an essential role of the RN.
thinking.
3. This is incorrect. RNs in collaboration with the health-care providers do refer
patients. This is not the essential and foundational role in health assessment.
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
14. The four techniques of health assessment include inspection, palpation, percussion, and role in health assessment.
.
, 3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You
know that nurses must treat all patients as persons. This is called: 5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
1. Caring. 48. The doctor recommended that this patient have a colonoscopy this year. This is an example
2. Holistic process. of:
3. Person-centered care (PCC). 1. Primary health prevention.
4. Standards of care. 2. Secondary health prevention.
3. Tertiary health prevention.
ANS: 3
Page: 2
ANS: 2
Feedback Page: 4
1. This is incorrect. Caring is displaying a concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse Feedback
collaborates with the individual to pursue goals for health and well-being. 1. This is incorrect. This is not an example of primary prevention. Primary prevention is
3. This is correct. The new movement in health care is person-centered care (PCC), the prevention of disease and disability and focuses on improving an individual’s
which emphasizes the intrinsic value of treating all patients as persons. overall health and well-being. Immunizations and health education are examples of
4. This is incorrect. Standards of care identify standards of professional nursing primary prevention.
practice. 2. This is correct. Colonoscopy is an example of secondary prevention, which
encompasses early screenings and detection of disease and treatment of diseases.
3. This is incorrect. This is not an example of tertiary prevention. Tertiary prevention
encompasses the restoration of health after illness or disease has occurred. A
4. The science-based framework updated every 10 years by the U.S. Department of Health and rehabilitation program for stroke patients is an example of tertiary prevention.
Human Services that has set n a t i o n a lGgRo aAl D
s aEnS
dMoO
bjR
ecEti.
veCsOfoMr health promotion and disease
prevention is:
1. Healthy People.
2. Healthy People 2020. 6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he
3. U.S. Preventive Task Force. is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
4. World Health Organization. should you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
ANS: 2 2. Go check to see if the patient has an order for Tylenol for a fever.
Page: 2 3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
Feedback
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative. ANS: 4
2. This is correct. Healthy People 2020 specifically identifies science-based, national Page: 5
goals and objectives with 10-year targets designed to guide national health promotion
and disease prevention efforts to improve the health of all people in the United Feedback
States. 1. This is incorrect. The medical assistant role should never be to assess a patient.
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence- 2. This is incorrect. The first priority would be to assess the patient prior to checking
based medicine to improve the health of all Americans by making evidence-based medication orders for fever.
recommendations about clinical preventive services such as screenings, counseling 3. This is incorrect. The nurse should first assess the patient to give an objective report
services, and preventive medications. to the resident.
4. This is incorrect. The World Health Organization is a specialized agency of the 4. This is correct. Assessing a patient is always a priority role of the RN. This is a role
United Nations working to improve the health of the world’s people. that should never be delegated to the licensed practical nurse or unlicensed assistive
personnel.
Essential Health Assessment 2nd Chapter 1: Understanding Health Assessment
Chapter 2: Interviewing the Patient for the Health History
Edition Thompson Test Bank Chapter 3: Taking the Health History
Chapter 4: Assessing Nutrition and Anthropometric Measurements
Chapter 5: Assessment Techniques
Chapter 6: General Survey and Assessing Vital Signs
Chapter 7: Assessing Pain
Chapter 8: Assessing the Skin, Hair, and Nails
Chapter 9: Assessing the Head, Face, Mouth, and Neck
Chapter 10: Assessing the Ears
Chapter 11: Assessing the Eyes
Chapter 12: Assessing the Respiratory System
Chapter 13: Assessing the Cardiovascular System
Chapter 14: Assessing the Abdomen
Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System
Chapter 16: Assessing the Musculoskeletal System
Chapter 17: Assessing the Neurological System
Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System
Chapter 19: Assessing the Male Breasts and Reproductive System
Chapter 20: Assessing the Anus and Rectum
Chapter 21: Assessing the Newborn
Chapter 22: Assessing the Child and Adolescent
Chapter 23 Assessing the Pregnant Woman
Chapter 24: Assessing the Older Adult
,Chapter 1: Understanding Health Assessment
2. Secondary health prevention.
3. Tertiary health prevention.
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible. 6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he
4. Health-care providers can never deny patients health care. is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
should you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
2. Health assessment is a foundational and priority nursing skill. This essential skill requires 3. Page the resident on call immediately to assess the patient.
registered nurses (RNs) to: 4. Go to the patient’s room and assess for fever and the epigastric discomfort.
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs. 7. You are leading an interdisciplinary team conference to discuss how to provide better care for
a challenging patient who has behavioral problems. There are several areas that need to be
problem solved and new ideas formulated to create an improved plan of care. What cognitive
skills are you using?
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police 1. Critical thinking
presence outside his door because theGRADESMORE.COM
patient is a known drug dealer in the community. You 2. Clinical decision making
know that nurses must treat all patients as persons. This is called: 3. Intuitive thinking
1. Caring. 4. Clinical reasoning
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
8. Best practice assessment techniques and instruments have been validated by:
1. American Nurses Association.
2. Code of Ethics for Nurses With Interpretive Statements.
4. The science-based framework updated every 10 years by the U.S. Department of Health and 3. Research and evidence-based practice.
Human Services that has set national goals and objectives for health promotion and disease 4. Patient Protection and Affordable Care Act.
prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force. 9. Health and illness are determined by many factors. What are the determinants of health
4. World Health Organization. identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
1. Genetics and biology
2. Gender and occupation
3. Individual behavior
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age 4. Social environment
48. The doctor recommended that this patient have a colonoscopy this year. This is an example 5. Physical environment
of: 6. Health services
1. Primary health prevention.
,10. The U.S. health-care system is evolving, and care is becoming more focused on which of Answers
the following? Select all that apply.
1. Wellness 1. The World Health Organization (WHO) established a global strategy called “Health for All.”
2. Functional status The goal for this strategy is:
3. Disease prevention 1. All individuals to get the same health care throughout their life spans.
4. Health promotion 2. The government to supply money to care for all the people in the world.
5. Acute illness management 3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
ANS: 3
11. You are performing a health assessment on a 32-year-old female patient who reports “feeling Page: 1
fatigued all the time.” She states, “I have not had a physical in over 8 years because I did not
have medical insurance.” The patient will be having a physical today. What will be part of the Feedback
health assessment? Select all that apply. 1. This is incorrect. “Health for All” does not mean that all individuals get the same
1. Collecting data on past health health care throughout their life spans.
2. Collecting data on present health 2. This is incorrect. “Health for All” does not mean the government will supply money
3. Collecting data on significant other’s health to care for all the people in the world.
4. Assessing factors influencing health 3. This is correct. “Health for All” means that resources for health care are evenly
5. Performing a physical examination distributed and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-care providers can deny
patients health care.
12. You are working with a patient as a copartner in care. The patient has multiple medical
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
problems. Put the following steps of GRADESMORE.COM
the nursing process in the correct order (1–5). (Enter the
registered nurses (RNs) to:
number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234.)
1. Diagnose and treat patients.
1. Planning
2. Identify normal and abnormal findings.
2. Evaluation 3. Refer patients with abnormal findings.
3. Assessment 4. Counsel patients with psychosocial needs.
4. Implementation
5. Diagnosis ANS: 2
Page: 5-6
Feedback
13. You are working on a medical surgical unit and are caring for a 24-year-old patient who is 3
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
hours post-op. The patient seems confused and restless since you assessed her an hour ago. You
2. This is correct. Assessing patients and being able to identify normal from abnormal
have a gut feeling that something is very wrong. This is an example of
findings is an essential role of the RN.
thinking.
3. This is incorrect. RNs in collaboration with the health-care providers do refer
patients. This is not the essential and foundational role in health assessment.
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
14. The four techniques of health assessment include inspection, palpation, percussion, and role in health assessment.
.
, 3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You
know that nurses must treat all patients as persons. This is called: 5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
1. Caring. 48. The doctor recommended that this patient have a colonoscopy this year. This is an example
2. Holistic process. of:
3. Person-centered care (PCC). 1. Primary health prevention.
4. Standards of care. 2. Secondary health prevention.
3. Tertiary health prevention.
ANS: 3
Page: 2
ANS: 2
Feedback Page: 4
1. This is incorrect. Caring is displaying a concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse Feedback
collaborates with the individual to pursue goals for health and well-being. 1. This is incorrect. This is not an example of primary prevention. Primary prevention is
3. This is correct. The new movement in health care is person-centered care (PCC), the prevention of disease and disability and focuses on improving an individual’s
which emphasizes the intrinsic value of treating all patients as persons. overall health and well-being. Immunizations and health education are examples of
4. This is incorrect. Standards of care identify standards of professional nursing primary prevention.
practice. 2. This is correct. Colonoscopy is an example of secondary prevention, which
encompasses early screenings and detection of disease and treatment of diseases.
3. This is incorrect. This is not an example of tertiary prevention. Tertiary prevention
encompasses the restoration of health after illness or disease has occurred. A
4. The science-based framework updated every 10 years by the U.S. Department of Health and rehabilitation program for stroke patients is an example of tertiary prevention.
Human Services that has set n a t i o n a lGgRo aAl D
s aEnS
dMoO
bjR
ecEti.
veCsOfoMr health promotion and disease
prevention is:
1. Healthy People.
2. Healthy People 2020. 6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he
3. U.S. Preventive Task Force. is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
4. World Health Organization. should you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
ANS: 2 2. Go check to see if the patient has an order for Tylenol for a fever.
Page: 2 3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
Feedback
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative. ANS: 4
2. This is correct. Healthy People 2020 specifically identifies science-based, national Page: 5
goals and objectives with 10-year targets designed to guide national health promotion
and disease prevention efforts to improve the health of all people in the United Feedback
States. 1. This is incorrect. The medical assistant role should never be to assess a patient.
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence- 2. This is incorrect. The first priority would be to assess the patient prior to checking
based medicine to improve the health of all Americans by making evidence-based medication orders for fever.
recommendations about clinical preventive services such as screenings, counseling 3. This is incorrect. The nurse should first assess the patient to give an objective report
services, and preventive medications. to the resident.
4. This is incorrect. The World Health Organization is a specialized agency of the 4. This is correct. Assessing a patient is always a priority role of the RN. This is a role
United Nations working to improve the health of the world’s people. that should never be delegated to the licensed practical nurse or unlicensed assistive
personnel.
