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EssentialHealth Assessment 2nd Edition
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byJaniceMThompson,Chapter1-24
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,TableofContents n n
Chapter01 UnderstandingHealth Assessment ______________________________________________________ 1
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Chapter 02 Interviewing the Patient for the Health History
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n11 Chapter 03 Taking the Health History _______________________________________________________ 40
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Chapter 04 Assessing Nutrition and Anthropometric Measurements
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n61 Chapter05 Assessment Techniques ________________________________________________________ 88
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Chapter 06 General Surveyand Assessing Vital Signs
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n 99 Chapter 07 Assessing Pain ____________________ 128 n n n n n
Chapter08 AssessingtheSkin, Hair, and Nails _____________________________________________________ 149
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Chapter 09 Assessing the Head, Face, Mouth, and Neck
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n188 Chapter 10 Assessing the Ears ____________________________________________________________ 229
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Chapter 11 Assessing the Eyes ________________________________________________________________ 250
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Chapter12Assessingthe Respiratory System
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Chapter 13 Assessing the Cardiovascular System
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Chapter 14 Assessing the Abdomen
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Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
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Chapter 16 Assessing the Musculoskeletal 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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Chapter19 AssessingtheMaleBreasts and ReproductiveSystem
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Chapter 20AssessingtheAnus and Rectum
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Chapter 21 Assessing the Newborn
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Chapter 22 Assessing the Child and Adolescent
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Chapter 23 Assessing the Pregnant Woman
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Chapter 24Assessing the Older Adult
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, Test Bank - n n
Chapter1:Understanding Health Assessment
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1. The World Health Organization (WHO) established a global strategy called “Health for All.”
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e goal for this strategy is:
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1. All individualsto get thesamehealth care throughout theirlifespans.
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2. Thegovernment to supplymoney to care for all thepeople intheworld.
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3. Resourcesforhealthcaretobe evenlydistributed and accessible.
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4. Health-careproviders can neverdenypatients health care. n n n n n n n
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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. This isincorrect. “Health forAll”does notmean thegovernment will supplymoney t o
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care 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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distributed andaccessibleto everyone.
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4. This is incorrect. “Health forAll” does not mean that health-
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careproviders can deny patients health care.
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2. Health assessment is a foundational and priority nursing skill. This essential skill requires
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ed nurses (RNs) to:
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1. Diagnoseand treat patients. n n n
2. Identifynormal and abnormal findings. n n n n
3. Referpatients with abnormal findings.
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4. Counselpatients with psychosocial needs. n n n n
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1. This is incorrect. The roleof theRN is not to diagnoseand treat patients.
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2. This is correct. Assessing patients and being ableto identify normal from abnormal
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indings is an essential roleof theRN. n n n n n n n
3. Thisis incorrect. RNs in collaboration with the health-
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careproviders dorefer patients. This is not theessential and foundational role
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4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational role
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in health assessment.
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3|P a g e
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, Test Bank - n n
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police presen ce
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outside his door because the patient is a known drug dealer in the community. You know that nu rses
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must treat all patients as persons. This is called:
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1. Caring.
2. Holistic process. n
3. Person-centered care(PCC). n n
4. Standardsof care. n n
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1. This is incorrect. Caring is displaying aconcern for patients.
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2. This is incorrect. The holistic caring process is a relational process; the nurse c
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ollaborates withtheindividual topursue goals for health and well-being. n n n n n n n n n n
3. This is correct. The new movement in health care is person-
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centered care (PCC), which emphasizes the intrinsic value of treating all patients a
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4. This is incorrect. Standards of care identify standards of professional 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
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has set national goals and objectives for health promotion and disease
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1. Healthy People. n
2. Healthy People 2020. n n
3. U.S. Preventive Task Force.
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4. WorldHealth Organization. n n
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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 goals andobjectives with 10-
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year targets designed to guide national health promotion anddiseaseprevention efforts
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to improve the health of all people in the United
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3. This is incorrect. The U.S. PreventiveServices TaskForce’s goal is to use evidence- based
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medicinetoimprovethehealth ofallAmericans bymaking evidence-
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based recommendations about clinical preventive services such as screenings, counseli ng n n n TC n n TC n n
nservices, and preventivemedications. n n n
4. Thisisincorrect. The World Health Organization is aspecialized agency of the United
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Nationsworking to improvethehealth oftheworld’s people.
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4|P a g e
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