Advanced Health Assessment and Differential Diagnosis: Essential
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s for 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
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Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
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Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
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Chapter 4. Advanced Health Assessment of the Eyes and Ears
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Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
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Chapter 6. Advanced Health Assessment of the Cardiovascular System
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Chapter 7. Advanced Health Assessment of the Respiratory System
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Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
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Chapter 9. Advanced Health Assessment of the Male Genitourinary System
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Chapter 10. Advanced Assessment of the Female Reproductive System
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Chapter 11. Advanced Health Assessment of the Neurological System
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Chapter 12. Advanced Health Assessment of the Musculoskeletal System
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Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE km
1. The nurse is preparing to conduct a health history. Which of these statements best describes
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the purpose of a health history?
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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 k m
The purpose of the health history is to collect subjective data what the person says about him or h
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erself. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) km km km
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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2. When the nurse is evaluating the reliability of a patients responses, which of these statements would b
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e
correct? The patient: km km
a. Has a history of drug abuse and therefore is not reliable.
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b. Provided consistent information and therefore is reliable. km km km km km km
c. Smiled throughout interview and therefore is assumed reliable.
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d. Would not answer questions concerning stress and therefore is not reliable.
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ANS: B k m
A reliable person always gives the same answers, even when questions are rephrased or are repeat
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ed later in the interview. The other s t a t W
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re B
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t cMor.reW
ctS
. km km km km km
DIF: Cognitive Level: Applying (Application) km km km
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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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 las
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t 24 hours. 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.
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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- km km km
old man who states that he has been having black stools for the past 24 hours.
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ANS: D k m
The reason for seeking care is a brief spontaneous statement in the persons own words that describ
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es the reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is en
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closed in quotation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) km km km
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environm
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ent: Management of Care
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4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nu
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rses best response?
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a. Can you point to where it hurts?
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b. Well talk more about that later in the interview.
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1 | P ag e
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Advanced
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c. What have
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Assessment
had to eatand
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Differential
in the
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Diagnosis, 1st Edition (Myrick, 2020)
last 24 hours?
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2 | P ag e
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