TEST BANK
Advanced Health Assessment and
Differential Diagnosis: Essentials for
Clinical Practice
Karen Myrick, and Laima Karosas
1st Edition
,
,Table of Contents
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System 48
Chapter 7. Advanced Health Assessment of the Respiratory System 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
83
Chapter 10. Advanced Assessment of the Female Reproductive System
93
Chapter 11. Advanced Health Assessment of the Neurological System
105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
117
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
Chapter1.HealthHistory,ThePatientInterview,AndMotivationalInter
viewing
MULTIPLECHOICE
1.The nurse is preparing to conduct a health history. Which of these
statements best describes the purpose of a health history?
a.To provide an opportunity for interaction between the patient and the
nurse
b.To provide a form for obtaining the patients biographic information
c.To document the normal and abnormal findings of a physical
assessment
d.To provide a database of subjective information about the patients past
and current health
ANS: D
The purpose of the health history is to collect subjective data what the
person says about him or herself. The other options are not correct.
DIF: Cognitive Level: REF: dm. 49
Understanding
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2.When the nurse is evaluating the reliability of a patients responses, which of these
statements would be correct? The patient:
a.Has a history of drug abuse and therefore is not reliable.
b.Provided consistent information and therefore is reliable.
c.Smiled throughout interview and therefore is assumed reliable.
d.Would not answer questions concerning stress and therefore is not reliable.
ANS: B
A reliable person always gives the same answers, even when questions are
rephrased or are repeated later in the interview. The other
statWemWenWts.aTreBnoSt cMor.reWctS.
DIF: Cognitive Level: Applying REF: dm. 49
(Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3.A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been
having black stools for the last 24 hours. How would the nurse best document his
reason for seeking care?
a.J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
b.J.M. came into the clinic complaining of having black stools for the past
24 hours. c.J.M. is a 59-year-old man who states that he has ulcerative
colitis and wants it checked. d.J.M. is a 59-year-old man who states that
he has been having black stools for the past 24 hours.
ANS: D
The reason for seeking care is a brief spontaneous statement in the persons own
words that describes the reason for the visit. It states one (possibly two) signs or
symptoms and their duration. It is enclosed in quotation marks to indicate the
persons exact words.
DIF: Cognitive Level: Applying REF: dm. 50
(Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4.A patient tells the nurse that she has had abdominal pain for the past week. What
would be the nurses best response?
a.Can you point to where it hurts?
Advanced Health Assessment and
Differential Diagnosis: Essentials for
Clinical Practice
Karen Myrick, and Laima Karosas
1st Edition
,
,Table of Contents
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System 48
Chapter 7. Advanced Health Assessment of the Respiratory System 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
83
Chapter 10. Advanced Assessment of the Female Reproductive System
93
Chapter 11. Advanced Health Assessment of the Neurological System
105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
117
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
Chapter1.HealthHistory,ThePatientInterview,AndMotivationalInter
viewing
MULTIPLECHOICE
1.The nurse is preparing to conduct a health history. Which of these
statements best describes the purpose of a health history?
a.To provide an opportunity for interaction between the patient and the
nurse
b.To provide a form for obtaining the patients biographic information
c.To document the normal and abnormal findings of a physical
assessment
d.To provide a database of subjective information about the patients past
and current health
ANS: D
The purpose of the health history is to collect subjective data what the
person says about him or herself. The other options are not correct.
DIF: Cognitive Level: REF: dm. 49
Understanding
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2.When the nurse is evaluating the reliability of a patients responses, which of these
statements would be correct? The patient:
a.Has a history of drug abuse and therefore is not reliable.
b.Provided consistent information and therefore is reliable.
c.Smiled throughout interview and therefore is assumed reliable.
d.Would not answer questions concerning stress and therefore is not reliable.
ANS: B
A reliable person always gives the same answers, even when questions are
rephrased or are repeated later in the interview. The other
statWemWenWts.aTreBnoSt cMor.reWctS.
DIF: Cognitive Level: Applying REF: dm. 49
(Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3.A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been
having black stools for the last 24 hours. How would the nurse best document his
reason for seeking care?
a.J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
b.J.M. came into the clinic complaining of having black stools for the past
24 hours. c.J.M. is a 59-year-old man who states that he has ulcerative
colitis and wants it checked. d.J.M. is a 59-year-old man who states that
he has been having black stools for the past 24 hours.
ANS: D
The reason for seeking care is a brief spontaneous statement in the persons own
words that describes the reason for the visit. It states one (possibly two) signs or
symptoms and their duration. It is enclosed in quotation marks to indicate the
persons exact words.
DIF: Cognitive Level: Applying REF: dm. 50
(Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4.A patient tells the nurse that she has had abdominal pain for the past week. What
would be the nurses best response?
a.Can you point to where it hurts?
