Test Bank for Advanced Health Assessment and Differential
m m m m m m m m
Diagnosis Essentials For Clinical Practice
m m m m m
1st Edition Myrick, Chapters 1 - 12
m m m m m m
,AdvancedmHealthm Assessmentm andm DifferentialmDiagnosism EssentialsmformClinicalmPracticem1stmE
ditionmMyrickmTestmBank
TablemofmContents:
Chapterm1.mHealthmHistory,mThemPatientmInterview,mAndmMotivationalmInterviewing
Chapterm2.mAdvancedmHealthmAssessmentmofmthemHead,mNeck,mandmLymphaticmSystem
Chapterm3.mAdvancedmHealthmAssessmentmofmthemNose,mMouth,mandmThroat
Chapterm4.mAdvancedmHealthmAssessmentmofmthemEyesmandmEars
Chapterm5.mAdvancedmHealthmAssessmentmofmSkin,mHair,mandmNails
Chapterm6.mAdvancedmHealthmAssessmentmofmthemCardiovascularmSystem
Chapterm7mAdvancedmHealthmAssessmentmofmthemRespiratorymSystem
Chapterm8mAdvancedmHealthmAssessmentmofmthemAbdomen,mRectum,mandmAnus
Chapterm9mAdvancedmHealthmAssessmentmofmthemMalemGenitourinarymSystem
Chapterm10mAdvancedmAssessmentmofmthemFemalemReproductivemSystem
Chapterm11mAdvancedmHealthmAssessmentmofmthemNeurologicalmSystem
Chapterm12mAdvancedmHealthmAssessmentmofmthemMusculoskeletalmSystem
,AdvancedmHealthm Assessmentm andm Differentialm Diagnosism EssentialsmformClinicalmPractice
m1stmEditionmMyrickmTestmBank
Chapterm 1:m Healthm History,m Them Patientm Interview,m Andm Motivationalm Interviewing
MULTIPLEmCHOICE
1. Themnursemism preparingmtomconductmam healthm history.m Whichm ofmthesem statementsmbestmdes
cribesmthempurposemofmam healthmhistory?
a Tomprovidem anmopportunitym form interactionm betweenmthem patientmandm them nurse
.
b Tom providem am formm form obtainingmthem patientsm biographicm information
.
c Tomdocumentm them normalmandm abnormalm findingsm ofm am physicalm assessment
.
d Tomprovidem am databasemofm subjectivem informationm aboutmthem patientsmpastm and
. mcurrentmhealth
ANSWER:mD
Thempurposemofmthem healthmhistorymism tomcollectm subjectivem datawhatmthempersonmsaysmaboutm himmorm
herself.mThemothermoptionsmaremnotmcorrect.
DIF:m Cognitivem Level:m Understandingm(Comprehension)m REF:m dm.m 49
MSC:mClientm Needs:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
2. Whenm them nursemismevaluatingmthem reliabilitymofmam patientsm responses,mwhichm ofmthesem state
mentsmwouldmbemcorrect?mThempatient:
a Hasmam historymofmdrugmabusem andmthereforemismnotm reliable.
.
b Providedm consistentm informationm andm thereforem ism reliable.
.
c Smiledm throughoutm interviewm andm thereforem ismassumedm reliable.
.
d Wouldm notm answerm questionsm concerningmstressm andm thereforem ism notm reliable.
.
ANSWER:mB
Amreliablempersonmalwaysm givesmthem samem answers,mevenm whenm questionsm arem rephrasedm ormarem
repeatedmlaterminmtheminterview.mThemothermstatementsmaremnotmcorrect.
DIF:m Cognitivem Level:m Applyingm(Application)m REF:m dm.m 49
, MSC:mClientmNeeds:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
3. Am59-year-
oldmpatientmtellsmthem nursemthatm hem hasmulcerativem colitis.m Hem hasmbeenmhavingmblackmstoolsmf
ormthemlastm24mhours.mHowmwouldmthemnursembestm documentmhismreasonmform seekingmcare?
a J.M.mismam 59-year-oldm manmseekingmtreatmentm form ulcerativem colitis.
.
b J.M.mcamemintomthemclinicmcomplainingmofmhavingm blackmstoolsm formthempastm2
. 4mhours.
c J.M.mismam59-year-
. oldmmanmwhomstatesmthatm hemhasmulcerativemcolitismandmwantsmitmchecked.
d J.M.mismam 59-year-
. oldmmanmwhomstatesmthatm hemhasmbeenmhavingmblackmstoolsm formthempastm24mho
urs.
ANSWER:mD
Themreasonm formseekingmcaremismambriefmspontaneousmstatementminmthempersonsmownmwordsmthatm
describesmthemreasonm form them visit.mItmstatesmonem(possiblymtwo)msignsmormsymptomsmandmtheirmd
uration.mItmismenclosedminmquotationmmarksmtomindicatemthempersonsmexactmwords.
DIF:m Cognitivem Level:m Applyingm(Application)m REF:m dm.m 50
MSC:mClientm Needs:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
4. Ampatientmtellsmthemnursemthatmshemhasmhadmabdominalmpainmformthempastmweek.mWhatmwould
m bem themnursesmbest mresponse?
a Canmyoumpointmtomwheremitmhurts?
.
b Wellmtalkmmoremaboutmthatmlaterminmtheminterview.
.
c Whatmhavem youmhadmtomeatminmthemlastm24mhours?
.
d Havem youmevermhadmanymsurgeriesmonm yourmabdomen?
.
ANSWER:mA
Amfinalm summarymofmanymsymptomm thempersonmhasmshouldm include,malongm withmsevenm othermcr
iticalmcharacteristics,mLocation:mspecific.mThempersonmismaskedmtompointmtomthemlocation.
DIF:m Cognitivem Level:m Applyingm(Application)m REF:m dm.m 50
MSC:mClientm Needs:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
5. Am29-year-
oldmwomanmtellsmthem nursem thatmshem hasmexcruciatingmpainminm herm back.m Whichmwouldmbemthem
nursesmappropriatemresponsemtomthemwomansmstatement?
m m m m m m m m
Diagnosis Essentials For Clinical Practice
m m m m m
1st Edition Myrick, Chapters 1 - 12
m m m m m m
,AdvancedmHealthm Assessmentm andm DifferentialmDiagnosism EssentialsmformClinicalmPracticem1stmE
ditionmMyrickmTestmBank
TablemofmContents:
Chapterm1.mHealthmHistory,mThemPatientmInterview,mAndmMotivationalmInterviewing
Chapterm2.mAdvancedmHealthmAssessmentmofmthemHead,mNeck,mandmLymphaticmSystem
Chapterm3.mAdvancedmHealthmAssessmentmofmthemNose,mMouth,mandmThroat
Chapterm4.mAdvancedmHealthmAssessmentmofmthemEyesmandmEars
Chapterm5.mAdvancedmHealthmAssessmentmofmSkin,mHair,mandmNails
Chapterm6.mAdvancedmHealthmAssessmentmofmthemCardiovascularmSystem
Chapterm7mAdvancedmHealthmAssessmentmofmthemRespiratorymSystem
Chapterm8mAdvancedmHealthmAssessmentmofmthemAbdomen,mRectum,mandmAnus
Chapterm9mAdvancedmHealthmAssessmentmofmthemMalemGenitourinarymSystem
Chapterm10mAdvancedmAssessmentmofmthemFemalemReproductivemSystem
Chapterm11mAdvancedmHealthmAssessmentmofmthemNeurologicalmSystem
Chapterm12mAdvancedmHealthmAssessmentmofmthemMusculoskeletalmSystem
,AdvancedmHealthm Assessmentm andm Differentialm Diagnosism EssentialsmformClinicalmPractice
m1stmEditionmMyrickmTestmBank
Chapterm 1:m Healthm History,m Them Patientm Interview,m Andm Motivationalm Interviewing
MULTIPLEmCHOICE
1. Themnursemism preparingmtomconductmam healthm history.m Whichm ofmthesem statementsmbestmdes
cribesmthempurposemofmam healthmhistory?
a Tomprovidem anmopportunitym form interactionm betweenmthem patientmandm them nurse
.
b Tom providem am formm form obtainingmthem patientsm biographicm information
.
c Tomdocumentm them normalmandm abnormalm findingsm ofm am physicalm assessment
.
d Tomprovidem am databasemofm subjectivem informationm aboutmthem patientsmpastm and
. mcurrentmhealth
ANSWER:mD
Thempurposemofmthem healthmhistorymism tomcollectm subjectivem datawhatmthempersonmsaysmaboutm himmorm
herself.mThemothermoptionsmaremnotmcorrect.
DIF:m Cognitivem Level:m Understandingm(Comprehension)m REF:m dm.m 49
MSC:mClientm Needs:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
2. Whenm them nursemismevaluatingmthem reliabilitymofmam patientsm responses,mwhichm ofmthesem state
mentsmwouldmbemcorrect?mThempatient:
a Hasmam historymofmdrugmabusem andmthereforemismnotm reliable.
.
b Providedm consistentm informationm andm thereforem ism reliable.
.
c Smiledm throughoutm interviewm andm thereforem ismassumedm reliable.
.
d Wouldm notm answerm questionsm concerningmstressm andm thereforem ism notm reliable.
.
ANSWER:mB
Amreliablempersonmalwaysm givesmthem samem answers,mevenm whenm questionsm arem rephrasedm ormarem
repeatedmlaterminmtheminterview.mThemothermstatementsmaremnotmcorrect.
DIF:m Cognitivem Level:m Applyingm(Application)m REF:m dm.m 49
, MSC:mClientmNeeds:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
3. Am59-year-
oldmpatientmtellsmthem nursemthatm hem hasmulcerativem colitis.m Hem hasmbeenmhavingmblackmstoolsmf
ormthemlastm24mhours.mHowmwouldmthemnursembestm documentmhismreasonmform seekingmcare?
a J.M.mismam 59-year-oldm manmseekingmtreatmentm form ulcerativem colitis.
.
b J.M.mcamemintomthemclinicmcomplainingmofmhavingm blackmstoolsm formthempastm2
. 4mhours.
c J.M.mismam59-year-
. oldmmanmwhomstatesmthatm hemhasmulcerativemcolitismandmwantsmitmchecked.
d J.M.mismam 59-year-
. oldmmanmwhomstatesmthatm hemhasmbeenmhavingmblackmstoolsm formthempastm24mho
urs.
ANSWER:mD
Themreasonm formseekingmcaremismambriefmspontaneousmstatementminmthempersonsmownmwordsmthatm
describesmthemreasonm form them visit.mItmstatesmonem(possiblymtwo)msignsmormsymptomsmandmtheirmd
uration.mItmismenclosedminmquotationmmarksmtomindicatemthempersonsmexactmwords.
DIF:m Cognitivem Level:m Applyingm(Application)m REF:m dm.m 50
MSC:mClientm Needs:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
4. Ampatientmtellsmthemnursemthatmshemhasmhadmabdominalmpainmformthempastmweek.mWhatmwould
m bem themnursesmbest mresponse?
a Canmyoumpointmtomwheremitmhurts?
.
b Wellmtalkmmoremaboutmthatmlaterminmtheminterview.
.
c Whatmhavem youmhadmtomeatminmthemlastm24mhours?
.
d Havem youmevermhadmanymsurgeriesmonm yourmabdomen?
.
ANSWER:mA
Amfinalm summarymofmanymsymptomm thempersonmhasmshouldm include,malongm withmsevenm othermcr
iticalmcharacteristics,mLocation:mspecific.mThempersonmismaskedmtompointmtomthemlocation.
DIF:m Cognitivem Level:m Applyingm(Application)m REF:m dm.m 50
MSC:mClientm Needs:m Safem andmEffectivem CaremEnvironment:m Managementm ofmCare
5. Am29-year-
oldmwomanmtellsmthem nursem thatmshem hasmexcruciatingmpainminm herm back.m Whichmwouldmbemthem
nursesmappropriatemresponsemtomthemwomansmstatement?
