TEST BANK
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Advanced Health Assessment and Differential Diagnosis: Essentials f
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or Clinical Practice
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Karen Myrick, and Laima Karosas
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1st Edition
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www.PlusBay.Plus
,Table of Contents
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
zl zl zl zl zl zl zl zl zl 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
zl zl zl zl zl zl zl zl zl zl zl 13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
zl zl zl zl zl zl zl zl zl zl 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears
zl zl zl zl zl zl zl zl zl 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
zl zl zl zl zl zl zl zl zl 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System
zl zl zl zl zl zl zl zl 48
Chapter 7. Advanced Health Assessment of the Respiratory System
zl zl zl zl zl zl zl zl 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
zl zl zl zl zl zl zl zl zl zl 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
zl zl zl zl zl zl zl zl zl 83
Chapter 10. Advanced Assessment of the Female Reproductive System
zl zl zl zl zl zl zl zl 93
Chapter 11. Advanced Health Assessment of the Neurological System
zl zl zl zl zl zl zl zl 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
zl zl zl zl zl zl zl zl 117
www.PlusBay.Plus
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
zl zl zl zl zl zl zl zl zl zl zl zl
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE zl
1. The nurse is preparing to conduct a health history. Which of these statements best describes the pu
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
rpose of a health history?
zl zl zl zl
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 and current health
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ANS: D z l
The purpose of the health history is to collect subjective data what the person says about him or herself.
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The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) zl zl zl
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
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correct? The patient: zl zl
a. Has a history of drug abuse and therefore is not reliable.
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b. Provided consistent information and therefore is reliable. zl zl zl zl zl zl
c. Smiled throughout interview and therefore is assumed reliable. zl zl zl zl zl zl zl
d. Would not answer questions concerning stress and therefore is not reliable.
zl zl zl zl zl zl zl zl zl zl
ANS: B z l
A reliable person always gives the same answers, even when questions are rephrased or are repeated later
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in the interview. The other s t a t W
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reB
noS
t cMor.reW
ct.S zl zl zl zl zl
DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
3. A 59-year-
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old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 ho
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urs. How would the nurse best document his reason for seeking care?
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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 24 hours.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
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d. J.M. is a 59-year- zl zl zl
old man who states that he has been having black stools for the past 24 hours.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ANS: D z l
The reason for seeking care is a brief spontaneous statement in the persons own words that describes the
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reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in quo
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tation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses be
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st response?
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a. Can you point to where it hurts? zl zl zl zl zl zl
b. Well talk more about that later in the interview. zl zl zl zl zl zl zl zl
c. What have you had to eat in the last 24 hours? zl zl zl zl zl zl zl zl zl zl
1|Page
zl zl zl zl zl
www.PlusBay.Plus
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
zl zl zl zl zl zl zl zl zl zl zl zl
d. Have you ever had any surgeries on your abdomen?
zl zl zl zl zl zl zl zl zl
ANS: A z l
A final summary of any symptom the person has should include, along with seven other critical characterist
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ics, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment:z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
5. A 29-year-
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old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses appro
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priate response to the womans statement?
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a. How does your family react to your pain? zl zl zl zl zl zl zl
b. The pain must be terrible. You probably pinched a nerve.
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c. Ive had back pain myself, and it can be excruciating.
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d. How would you say the pain affects your ability to do your daily activities?
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ANS: D z l
The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives shou
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ld be avoided and the patient should be asked how the pain affects his or her daily activities. The other resp
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onses are not appropriate.
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DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment:z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse w
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ould be most accurate?
zl zl zl
a. Patient denies usual childhood illnesses. zl zl zl zl
b. Patient states he was a very healthy child. zl zl zl zl zl zl zl
c. Patient states his sister had measles, but he didnt. zl zl zl zl zl zl zl zl
d. Patient denies measles, mumps,Wr uWbeWll .
a, T
chBickSenMp.
zloxW
, pSertussis, and strep throat. zl zl zl zl zl zl zl
ANS: D z l
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid rec
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ording usual childhood illnesses because an illness common in the persons childhood may be unusual t
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oday (e.g., measles).
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DIF: Cognitive Level: Remembering (Knowledge) zl zl zl
REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environment:z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spo
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ntaneous abortions. Her four children are still living. How would the nurse record this information?
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a. P-6, B-4, (S)Ab-2 zl zl
b. Grav 6, Term 4, (S)Ab-2, Living 4 zl zl zl zl zl zl
c. Patient has had four living babies. zl zl zl zl zl
d. Patient has been pregnant six times. zl zl zl zl zl
ANS: B z l
Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which the f
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etus reached term (term), number of preterm pregnancies (preterm), number of incomplete pregnanci
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es (abortions), and number of children living (living). This is recorded: Grav Term
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Preterm Ab Living zl zl zl
. For any incomplete pregnancies, the duration is recorded and whether the preg zl zl zl zl zl zl zl zl zl zl zl zl
nancy resulted in a spontaneous (S) or an induced (I) abortion.
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DIF: Cognitive Level: Applying (Application) zl zl zl REF: dm. 51 z l z l zl
2|Page
zl zl zl zl zl
www.PlusBay.Plus
zl
Advanced Health Assessment and Differential Diagnosis: Essentials f
zl zl zl zl zl zl zl
or Clinical Practice
zl zl
Karen Myrick, and Laima Karosas
zl zl zl zl
1st Edition
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www.PlusBay.Plus
,Table of Contents
zl zl
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
zl zl zl zl zl zl zl zl zl 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
zl zl zl zl zl zl zl zl zl zl zl 13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
zl zl zl zl zl zl zl zl zl zl 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears
zl zl zl zl zl zl zl zl zl 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
zl zl zl zl zl zl zl zl zl 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System
zl zl zl zl zl zl zl zl 48
Chapter 7. Advanced Health Assessment of the Respiratory System
zl zl zl zl zl zl zl zl 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
zl zl zl zl zl zl zl zl zl zl 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
zl zl zl zl zl zl zl zl zl 83
Chapter 10. Advanced Assessment of the Female Reproductive System
zl zl zl zl zl zl zl zl 93
Chapter 11. Advanced Health Assessment of the Neurological System
zl zl zl zl zl zl zl zl 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
zl zl zl zl zl zl zl zl 117
www.PlusBay.Plus
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
zl zl zl zl zl zl zl zl zl zl zl zl
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
zl zl zl zl zl zl zl zl zl
MULTIPLE CHOICE zl
1. The nurse is preparing to conduct a health history. Which of these statements best describes the pu
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
rpose of a health history?
zl zl zl zl
a. To provide an opportunity for interaction between the patient and the nurse
zl zl zl zl zl zl zl zl zl zl zl
b. To provide a form for obtaining the patients biographic information
zl zl zl zl zl zl zl zl zl
c. To document the normal and abnormal findings of a physical assessment
zl zl zl zl zl zl zl zl zl zl
d. To provide a database of subjective information about the patients past and current health
zl zl zl zl zl zl zl zl zl zl zl zl zl
ANS: D z l
The purpose of the health history is to collect subjective data what the person says about him or herself.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
The other options are not correct.
zl zl zl zl zl
DIF: Cognitive Level: Understanding (Comprehension) zl zl zl
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
correct? The patient: zl zl
a. Has a history of drug abuse and therefore is not reliable.
zl zl zl zl zl zl zl zl zl zl
b. Provided consistent information and therefore is reliable. zl zl zl zl zl zl
c. Smiled throughout interview and therefore is assumed reliable. zl zl zl zl zl zl zl
d. Would not answer questions concerning stress and therefore is not reliable.
zl zl zl zl zl zl zl zl zl zl
ANS: B z l
A reliable person always gives the same answers, even when questions are rephrased or are repeated later
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
in the interview. The other s t a t W
zl zl zl e mWe nWt s.a T
reB
noS
t cMor.reW
ct.S zl zl zl zl zl
DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
3. A 59-year-
zl
old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 ho
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
urs. How would the nurse best document his reason for seeking care?
zl zl zl zl zl zl zl zl zl zl zl
a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
zl zl zl zl zl zl zl zl zl
b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
d. J.M. is a 59-year- zl zl zl
old man who states that he has been having black stools for the past 24 hours.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ANS: D z l
The reason for seeking care is a brief spontaneous statement in the persons own words that describes the
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in quo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
tation marks to indicate the persons exact words.
zl zl zl zl zl zl zl
DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses be
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
st response?
zl
a. Can you point to where it hurts? zl zl zl zl zl zl
b. Well talk more about that later in the interview. zl zl zl zl zl zl zl zl
c. What have you had to eat in the last 24 hours? zl zl zl zl zl zl zl zl zl zl
1|Page
zl zl zl zl zl
www.PlusBay.Plus
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
zl zl zl zl zl zl zl zl zl zl zl zl
d. Have you ever had any surgeries on your abdomen?
zl zl zl zl zl zl zl zl zl
ANS: A z l
A final summary of any symptom the person has should include, along with seven other critical characterist
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ics, Location: specific. The person is asked to point to the location.
zl zl zl zl zl zl zl zl zl zl zl
DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment:z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
5. A 29-year-
zl
old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses appro
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
priate response to the womans statement?
zl zl zl zl zl
a. How does your family react to your pain? zl zl zl zl zl zl zl
b. The pain must be terrible. You probably pinched a nerve.
zl zl zl zl zl zl zl zl zl
c. Ive had back pain myself, and it can be excruciating.
zl zl zl zl zl zl zl zl zl
d. How would you say the pain affects your ability to do your daily activities?
zl zl zl zl zl zl zl zl zl zl zl zl zl
ANS: D z l
The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives shou
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ld be avoided and the patient should be asked how the pain affects his or her daily activities. The other resp
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onses are not appropriate.
zl zl zl
DIF: Cognitive Level: Applying (Application) zl zl zl
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment:z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse w
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ould be most accurate?
zl zl zl
a. Patient denies usual childhood illnesses. zl zl zl zl
b. Patient states he was a very healthy child. zl zl zl zl zl zl zl
c. Patient states his sister had measles, but he didnt. zl zl zl zl zl zl zl zl
d. Patient denies measles, mumps,Wr uWbeWll .
a, T
chBickSenMp.
zloxW
, pSertussis, and strep throat. zl zl zl zl zl zl zl
ANS: D z l
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid rec
zl zl zl zl zl zl zl zl zl zl zl zl
ording usual childhood illnesses because an illness common in the persons childhood may be unusual t
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
oday (e.g., measles).
zl zl
DIF: Cognitive Level: Remembering (Knowledge) zl zl zl
REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environment:z l zl zl z l zl zl zl zl zl zl zl
Management of Care zl zl
7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ntaneous abortions. Her four children are still living. How would the nurse record this information?
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
a. P-6, B-4, (S)Ab-2 zl zl
b. Grav 6, Term 4, (S)Ab-2, Living 4 zl zl zl zl zl zl
c. Patient has had four living babies. zl zl zl zl zl
d. Patient has been pregnant six times. zl zl zl zl zl
ANS: B z l
Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which the f
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
etus reached term (term), number of preterm pregnancies (preterm), number of incomplete pregnanci
zl zl zl zl zl zl zl zl zl zl zl zl
es (abortions), and number of children living (living). This is recorded: Grav Term
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
Preterm Ab Living zl zl zl
. For any incomplete pregnancies, the duration is recorded and whether the preg zl zl zl zl zl zl zl zl zl zl zl zl
nancy resulted in a spontaneous (S) or an induced (I) abortion.
zl zl zl zl zl zl zl zl zl zl
DIF: Cognitive Level: Applying (Application) zl zl zl REF: dm. 51 z l z l zl
2|Page
zl zl zl zl zl
www.PlusBay.Plus
