TEST BANK FOR Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice 1st Edition by Suzanne Smeltze ISBN: 978-0826162496 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

TEST BANK
tb




Advanced Health Assessment and Differential Diagnosis: Essentials
tb tb tb tb tb tb tb




for Clinical Practice
tb tb




Karen Myrick, and Laima Karosas
tb tb tb tb




1st Edition
tb




www.PlusBay.Plus

,Table of Contents
tb tb




Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
tb tb tb tb tb tb tb tb tb 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
tb tb tb tb tb tb tb tb tb tb tb 13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
tb tb tb tb tb tb tb tb tb tb 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears
tb tb tb tb tb tb tb tb tb 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
tb tb tb tb tb tb tb tb tb 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System
tb tb tb tb tb tb tb tb 48
Chapter 7. Advanced Health Assessment of the Respiratory System
tb tb tb tb tb tb tb tb 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
tb tb tb tb tb tb tb tb tb tb 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
tb tb tb tb tb tb tb tb tb 83
Chapter 10. Advanced Assessment of the Female Reproductive System
tb tb tb tb tb tb tb tb 93
Chapter 11. Advanced Health Assessment of the Neurological System
tb tb tb tb tb tb tb tb 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
tb tb tb tb tb tb tb tb 117




www.PlusBay.Plus

, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
tb tb tb tb tb tb tb tb tb tb tb tb




Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
tb tb tb tb tb tb tb tb tb




MULTIPLE CHOICE tb




1. The nurse is preparing to conduct a health history. Which of these statements best describes the p
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



urpose of a health history? tb tb tb tb



a. To provide an opportunity for interaction between the patient and the nurse
tb tb tb tb tb tb tb tb tb tb tb



b. To provide a form for obtaining the patients biographic information
tb tb tb tb tb tb tb tb tb



c. To document the normal and abnormal findings of a physical assessment
tb tb tb tb tb tb tb tb tb tb



d. To provide a database of subjective information about the patients past and current health
tb tb tb tb tb tb tb tb tb tb tb tb tb




ANS: D t b



The purpose of the health history is to collect subjective data what the person says about him or herself.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



The other options are not correct.
tb tb tb tb tb




DIF: Cognitive Level: Understanding (Comprehension) tb tb tb



REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: t b tb tb t b tb tb tb tb tb tb t



Management of Care
b tb tb




2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



correct? The patient: tb tb



a. Has a history of drug abuse and therefore is not reliable.
tb tb tb tb tb tb tb tb tb tb



b. Provided consistent information and therefore is reliable. tb tb tb tb tb tb



c. Smiled throughout interview and therefore is assumed reliable. tb tb tb tb tb tb tb



d. Would not answer questions concerning stress and therefore is not reliable.
tb tb tb tb tb tb tb tb tb tb




ANS: B t b



A reliable person always gives the same answers, even when questions are rephrased or are repeated late
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



r in the interview. The other s t a t W
tb tb tb e mWe nWt s.a T
reB
noS
t cMor.reW
ctS
. tb tb tb tb tb




DIF: Cognitive Level: Applying (Application) tb tb tb



REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: t b tb tb t b tb tb tb tb tb tb t



Management of Care
b tb tb




3. A 59-year-tb



old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 h
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



ours. How would the nurse best document his reason for seeking care?
tb tb tb tb tb tb tb tb tb tb tb



a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
tb tb tb tb tb tb tb tb tb



b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb



c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



d. J.M. is a 59-year- tb tb tb



old man who states that he has been having black stools for the past 24 hours.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb




ANS: D t b



The reason for seeking care is a brief spontaneous statement in the persons own words that describes the
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in qu
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



otation marks to indicate the persons exact words.
tb tb tb tb tb tb tb




DIF: Cognitive Level: Applying (Application) tb tb tb



REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: t b tb tb t b tb tb tb tb tb tb t



Management of Care
b tb tb




4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses b
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



est response? tb



a. Can you point to where it hurts? tb tb tb tb tb tb



b. Well talk more about that later in the interview. tb tb tb tb tb tb tb tb



c. What have you had to eat in the last 24 hours? tb tb tb tb tb tb tb tb tb tb




1|Page
tb tb tb tb tb



www.PlusBay.Plus

, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
tb tb tb tb tb tb tb tb tb tb tb tb




d. Have you ever had any surgeries on your abdomen? tb tb tb tb tb tb tb tb tb




ANS: A t b



A final summary of any symptom the person has should include, along with seven other critical characterist
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



ics, Location: specific. The person is asked to point to the location.
tb tb tb tb tb tb tb tb tb tb tb




DIF: Cognitive Level: Applying (Application) tb tb tb



REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: t b tb tb t b tb tb tb tb tb tb t



Management of Care
b tb tb




5. A 29-year-
tb



old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses appro
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



priate response to the womans statement?
tb tb tb tb tb



a. How does your family react to your pain? tb tb tb tb tb tb tb



b. The pain must be terrible. You probably pinched a nerve.
tb tb tb tb tb tb tb tb tb



c. Ive had back pain myself, and it can be excruciating.
tb tb tb tb tb tb tb tb tb



d. How would you say the pain affects your ability to do your daily activities?
tb tb tb tb tb tb tb tb tb tb tb tb tb




ANS: D t b



The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives sho
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



uld be avoided and the patient should be asked how the pain affects his or her daily activities. The other res
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



ponses are not appropriate. tb tb tb




DIF: Cognitive Level: Applying (Application) tb tb tb



REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: t b tb tb t b tb tb tb tb tb tb t



Management of Care
b tb tb




6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse w
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



ould be most accurate?
tb tb tb



a. Patient denies usual childhood illnesses. tb tb tb tb



b. Patient states he was a very healthy child. tb tb tb tb tb tb tb


c. Patient states his sister had measles, but he didnt. tb tb tb tb tb tb tb tb



d. Patient denies measles, mumps,Wr uWbeWll .
a, T
chBickSenMp.
oxW
, pSertussis, and strep throat.
tb tb tb tb tb tb tb tb




ANS: D t b



Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid rec
tb tb tb tb tb tb tb tb tb tb tb tb



ording usual childhood illnesses because an illness common in the persons childhood may be unusual t
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



oday (e.g., measles). tb tb




DIF: Cognitive Level: Remembering (Knowledge) tb tb tb



REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environment: t b tb tb t b tb tb tb tb tb tb t



Management of Care
b tb tb




7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two sp
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb



ontaneous abortions. Her four children are still living. How would the nurse record this information?
tb tb tb tb tb tb tb tb tb tb tb tb tb tb



a. P-6, B-4, (S)Ab-2 tb tb



b. Grav 6, Term 4, (S)Ab-2, Living 4 tb tb tb tb tb tb



c. Patient has had four living babies. tb tb tb tb tb



d. Patient has been pregnant six times. tb tb tb tb tb




ANS: B t b



Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which the f
tb tb tb tb tb tb tb tb tb tb tb tb tb tb



etus reached term (term), number of preterm pregnancies (preterm), number of incomplete pregnanc
tb tb tb tb tb tb tb tb tb tb tb tb



ies (abortions), and number of children living (living). This is recorded: Grav Term
tb tb tb tb tb tb tb tb tb tb tb tb tb tb



Preterm Ab Living tb tb tb



. For any incomplete pregnancies, the duration is recorded and whether the pre tb tb tb tb tb tb tb tb tb tb tb tb



gnancy resulted in a spontaneous (S) or an induced (I) abortion.
tb tb tb tb tb tb tb tb tb tb




DIF: Cognitive Level: Applying (Application) tb tb tb REF: dm. 51 t b t b tb




2|Pagetb tb tb tb tb



www.PlusBay.Plus