Differential Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,AdvancedQHealthQ AssessmentQ andQ DifferentialQ DiagnosisQ EssentialsQforQClinicalQPractice
Q1stQEditionQMyrickQTestQBank
TableQofQContents:
ChapterQ1.QHealthQHistory,QTheQPatientQInterview,QAndQMotivationalQInterviewing
ChapterQ2.QAdvancedQHealthQAssessmentQofQtheQHead,QNeck,QandQLymphaticQSystem
ChapterQ3.QAdvancedQHealthQAssessmentQofQtheQNose,QMouth,QandQThroat
ChapterQ4.QAdvancedQHealthQAssessmentQofQtheQEyesQandQEars
ChapterQ5.QAdvancedQHealthQAssessmentQofQSkin,QHair,QandQNails
ChapterQ6.QAdvancedQHealthQAssessmentQofQtheQCardiovascularQSystem
ChapterQ7QAdvancedQHealthQAssessmentQofQtheQRespiratoryQSystem
ChapterQ8QAdvancedQHealthQAssessmentQofQtheQAbdomen,QRectum,QandQAnus
ChapterQ9QAdvancedQHealthQAssessmentQofQtheQMaleQGenitourinaryQSystem
ChapterQ10QAdvancedQAssessmentQofQtheQFemaleQReproductiveQSystem
ChapterQ11QAdvancedQHealthQAssessmentQofQtheQNeurologicalQSystem
ChapterQ12QAdvancedQHealthQAssessmentQofQtheQMusculoskeletalQSystem
,AdvancedQHealthQ AssessmentQ andQ DifferentialQ DiagnosisQ EssentialsQforQClinicalQPr
acticeQ1stQEditionQMyrickQTestQBank
ChapterQ 1:Q HealthQ History,Q TheQ PatientQ Interview,Q AndQ MotivationalQ Interviewing
MULTIPLEQCHOICE
1. TheQ nurseQ isQ preparingQ toQ conductQ aQ healthQ history.Q WhichQ ofQ theseQ statementsQ b
estQ describesQtheQ purposeQ ofQ aQ healthQ history?
a ToQ provideQ anQ opportunityQ forQ interactionQ betweenQ theQ patientQ andQ theQ nur
. se
b ToQ provideQ aQ formQ forQ obtainingQ theQ patientsQ biographicQ information
.
c ToQ documentQ theQ normalQ andQ abnormalQ findingsQ ofQ aQ physicalQ assessment
.
d ToQ provideQ aQ databaseQ ofQ subjectiveQ informationQ aboutQ theQ patientsQ pas
. tQ andQcurrentQhealth
ANSWER:Q D
TheQ purposeQ ofQ theQ healthQ historyQisQ toQ collectQ subjectiveQ datawhatQ theQ personQ saysQ about
Q himQ orQherself.QTheQotherQoptionsQareQnotQcorrect.
DIF:Q CognitiveQ Level:Q UnderstandingQ (Comprehension)Q REF:Q dm.Q 49
MSC:Q ClientQ Needs:Q SafeQ andQ EffectiveQ CareQ Environment:Q ManagementQ ofQ Care
2. WhenQ theQ nurseQ isQ evaluatingQ theQ reliabilityQ ofQ aQ patientsQ responses,Q whichQ ofQ thes
eQ statementsQwouldQbeQcorrect?QTheQpatient:
a HasQ aQ historyQofQ drugQ abuseQ andQ thereforeQ isQ notQ reliable.
.
b ProvidedQ consistentQ informationQ andQ thereforeQ isQ reliable.
.
c SmiledQ throughoutQ interviewQ andQ thereforeQ isQ assumedQ reliable.
.
d WouldQ notQ answerQ questionsQ concerningQ stressQ andQ thereforeQ isQ notQ reliable
. .
ANSWER:Q B
AQ reliableQ personQ alwaysQ givesQ theQ sameQ answers,Q evenQ whenQ questionsQ areQ rephrased
Q orQ areQrepeatedQlaterQinQtheQinterview.QTheQotherQstatementsQareQ notQcorrect.
DIF:Q CognitiveQ Level:Q ApplyingQ (Application)Q REF:Q dm.Q 49
, MSC:Q ClientQ Needs:Q SafeQ andQ EffectiveQ CareQ Environment:Q ManagementQ ofQ Care
3. AQ 59-year-
oldQ patientQ tellsQ theQ nurseQ thatQ heQ hasQ ulcerativeQ colitis.Q HeQ hasQ beenQ havingQ black
QstoolsQ forQ theQ lastQ 24Q hours.Q HowQ wouldQ theQ nurseQ bestQ documentQ hisQ reasonQ forQ
seekingQ care?
a J.M.Q isQ aQ 59-year-oldQ manQ seekingQ treatmentQ forQ ulcerativeQ colitis.
.
b J.M.Q cameQ intoQ theQ clinicQ complainingQ ofQ havingQ blackQ stoolsQ forQ theQ
. pastQ 24Qhours.
c J.M.Q isQ aQ 59-year-
. oldQ manQ whoQ statesQ thatQ heQ hasQ ulcerativeQ colitisQ andQ wantsQitQchecked.
d J.M.Q isQaQ 59-year-
. oldQ manQ whoQ statesQthatQ heQ hasQ beenQ havingQ blackQ stoolsQ forQtheQpast
Q24Qhours.
ANSWER:Q D
TheQ reasonQ forQ seekingQ careQ isQaQ briefQspontaneousQ statementQ inQtheQ personsQ ownQ wor
dsQ thatQdescribesQ theQ reasonQ forQ theQ visit.Q ItQ statesQ oneQ (possiblyQtwo)Q signsQ orQ sympto
msQ andQ theirQduration.QItQisQenclosedQinQquotationQmarksQtoQindicateQ theQpersonsQexact
Qwords.
DIF:Q CognitiveQ Level:Q ApplyingQ (Application)Q REF:Q dm.Q 50
MSC:Q ClientQ Needs:Q SafeQ andQ EffectiveQ CareQ Environment:Q ManagementQ ofQ Care
4. AQ patientQtellsQ theQ nurseQ thatQ sheQ hasQ hadQ abdominalQ painQ forQ theQ pastQ week.Q Wha
tQ wouldQ beQ theQnursesQbestQresponse?
a CanQ youQ pointQ toQ whereQ itQhurts?
.
b WellQ talkQ moreQ aboutQ thatQlaterQ inQ theQ interview.
.
c WhatQ haveQ youQ hadQ toQ eatQ inQtheQ lastQ 24Q hours?
.
d HaveQ youQ everQ hadQ anyQsurgeriesQ onQ yourQ abdomen?
.
ANSWER:Q A
AQ finalQ summaryQofQ anyQsymptomQ theQ personQ hasQ shouldQ include,Q alongQ withQ sevenQ
otherQ criticalQcharacteristics,QLocation:Qspecific.QTheQpersonQisQaskedQtoQpointQtoQtheQlo
cation.
DIF:Q CognitiveQ Level:Q ApplyingQ (Application)Q REF:Q dm.Q 50
MSC:Q ClientQ Needs:Q SafeQ andQ EffectiveQ CareQ Environment:Q ManagementQ ofQ Care
5. AQ 29-year-
oldQ womanQ tellsQ theQ nurseQ thatQ sheQ hasQ excruciatingQ painQ inQ herQ back.Q WhichQ would
QbeQtheQnursesQappropriateQresponseQtoQtheQwomansQstatement?