TEST BANK
dn
Advanced Health Assessment and Differential Diagnosis: Essentials
dn dn dn dn dn dn dn
for Clinical Practice
dn dn
Karen Myrick, and Laima Karosas
dn dn dn dn
1st Edition
dn
www.PlusBay.Plus
,Table of Contents
dn dn
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
dn dn dn dn dn dn dn dn dn 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
dn dn dn dn dn dn dn dn dn dn dn 13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
dn dn dn dn dn dn dn dn dn dn 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears
dn dn dn dn dn dn dn dn dn 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
dn dn dn dn dn dn dn dn dn 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System
dn dn dn dn dn dn dn dn 48
Chapter 7. Advanced Health Assessment of the Respiratory System
dn dn dn dn dn dn dn dn 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
dn dn dn dn dn dn dn dn dn dn 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
dn dn dn dn dn dn dn dn dn 83
Chapter 10. Advanced Assessment of the Female Reproductive System
dn dn dn dn dn dn dn dn 93
Chapter 11. Advanced Health Assessment of the Neurological System
dn dn dn dn dn dn dn dn 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
dn dn dn dn dn dn dn dn 117
www.PlusBay.Plus
, Test Bank - dn dn
Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
dn dn dn dn dn dn dn dn dn dn
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
dn dn dn dn dn dn dn dn dn
MULTIPLE CHOICE dn
1. The nurse is preparing to conduct a health history. Which of these statements best describes the
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
purpose of a health history?
dn dn dn dn dn
a. To provide an opportunity for interaction between the patient and the nurse
dn dn dn dn dn dn dn dn dn dn dn
b. To provide a form for obtaining the patients biographic information
dn dn dn dn dn dn dn dn dn
c. To document the normal and abnormal findings of a physical assessment
dn dn dn dn dn dn dn dn dn dn
d. To provide a database of subjective information about the patients past and current health
dn dn dn dn dn dn dn dn dn dn dn dn dn
ANS: D d n
The purpose of the health history is to collect subjective data what the person says about him or herse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
lf. The other options are not correct.
dn dn dn dn dn dn
DIF: Cognitive Level: Understanding (Comprehension) dn dn dn
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
correct? The patient: dn dn
a. Has a history of drug abuse and therefore is not reliable.
dn dn dn dn dn dn dn dn dn dn
b. Provided consistent information and therefore is reliable. dn dn dn dn dn dn
c. Smiled throughout interview and therefore is assumed reliable. dn dn dn dn dn dn dn
d. Would not answer questions concerning stress and therefore is not reliable.
dn dn dn dn dn dn dn dn dn dn
ANS: B d n
A reliable person always gives the same answers, even when questions are rephrased or are repeated l
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ater in the interview. The other s t a t W
dn dn e mWe nWt s.a T
dn reB
noS
t cMor.reW
ct.S dn dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
3. A 59-year- dn
old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 2
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
4 hours. How would the nurse best document his reason for seeking care?
dn dn dn dn dn dn dn dn dn dn dn dn
a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
dn dn dn dn dn dn dn dn dn
b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
d. J.M. is a 59-year- dn dn dn
old man who states that he has been having black stools for the past 24 hours.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ANS: D d n
The reason for seeking care is a brief spontaneous statement in the persons own words that describes t
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
he reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
in quotation marks to indicate the persons exact words.
dn dn dn dn dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
s best response?
dn dn
a. Can you point to where it hurts? dn dn dn dn dn dn
b. Well talk more about that later in the interview. dn dn dn dn dn dn dn dn
c. What have you had to eat in the last 24 hours? dn dn dn dn dn dn dn dn dn dn
1|Page
dn dn dn dn dn
www.PlusBay.Plus
, Test Bank - dn dn
Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
dn dn dn dn dn dn dn dn dn dn
d. Have you ever had any surgeries on your abdomen?
dn dn dn dn dn dn dn dn d
ANS: A
n d n
A final summary of any symptom the person has should include, along with seven other critical characte
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ristics, Location: specific. The person is asked to point to the location.
dn dn dn dn dn dn dn dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
5. A 29-year-dn
old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses ap
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
propriate response to the womans statement? dn dn dn dn dn
a. How does your family react to your pain? dn dn dn dn dn dn dn
b. The pain must be terrible. You probably pinched a nerve.
dn dn dn dn dn dn dn dn dn
c. Ive had back pain myself, and it can be excruciating.
dn dn dn dn dn dn dn dn dn
d. How would you say the pain affects your ability to do your daily activities?
dn dn dn dn dn dn dn dn dn dn dn dn dn
ANS: D d n
The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives s
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
hould be avoided and the patient should be asked how the pain affects his or her daily activities. The oth
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
er responses are not appropriate.
dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
would be most accurate?
dn dn dn dn
a. Patient denies usual childhood illnesses. dn dn dn dn
b. Patient states he was a very healthy child. dn dn dn dn dn dn dn
c. Patient states his sister had measles, but he didnt. dn dn dn dn dn dn dn dn
d. Patient denies measles, mumps,Wr uWbeWll .
a, T
chB
ickSenMp.
dnoxW
, pSertussis, and strep throat.
dn dn dn dn dn dn dn
ANS: D d n
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid r
dn dn dn dn dn dn dn dn dn dn dn dn
ecording usual childhood illnesses because an illness common in the persons childhood may be unus
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ual today (e.g., measles).
dn dn dn
DIF: Cognitive Level: Remembering (Knowledge) dn dn dn
REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn d
spontaneous abortions. Her four children are still living. How would the nurse record this information
n dn dn dn dn dn dn dn dn dn dn dn dn dn dn
?
a. P-6, B-4, (S)Ab-2 dn dn
b. Grav 6, Term 4, (S)Ab-2, Living 4 dn dn dn dn dn dn
c. Patient has had four living babies. dn dn dn dn dn
d. Patient has been pregnant six times. dn dn dn dn dn
ANS: B d n
Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which th
dn dn dn dn dn dn dn dn dn dn dn dn dn
e fetus reached term (term), number of preterm pregnancies (preterm), number of incomplete preg
dn dn dn dn dn dn dn dn dn dn dn dn dn
nancies (abortions), and number of children living (living). This is recorded: Grav
dn dn dn dn dn dn dn dn dn dn dn dn
Term Preterm Ab Living dn dn dn dn dn
. For any incomplete pregnancies, the duration is recorded and whether the pr dn dn dn dn dn dn dn dn dn dn dn dn
egnancy resulted in a spontaneous (S) or an induced (I) abortion.
dn dn dn dn dn dn dn dn dn dn
2|Page
dn dn dn dn dn
www.PlusBay.Plus
dn
Advanced Health Assessment and Differential Diagnosis: Essentials
dn dn dn dn dn dn dn
for Clinical Practice
dn dn
Karen Myrick, and Laima Karosas
dn dn dn dn
1st Edition
dn
www.PlusBay.Plus
,Table of Contents
dn dn
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
dn dn dn dn dn dn dn dn dn 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
dn dn dn dn dn dn dn dn dn dn dn 13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
dn dn dn dn dn dn dn dn dn dn 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears
dn dn dn dn dn dn dn dn dn 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
dn dn dn dn dn dn dn dn dn 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System
dn dn dn dn dn dn dn dn 48
Chapter 7. Advanced Health Assessment of the Respiratory System
dn dn dn dn dn dn dn dn 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
dn dn dn dn dn dn dn dn dn dn 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
dn dn dn dn dn dn dn dn dn 83
Chapter 10. Advanced Assessment of the Female Reproductive System
dn dn dn dn dn dn dn dn 93
Chapter 11. Advanced Health Assessment of the Neurological System
dn dn dn dn dn dn dn dn 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
dn dn dn dn dn dn dn dn 117
www.PlusBay.Plus
, Test Bank - dn dn
Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
dn dn dn dn dn dn dn dn dn dn
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
dn dn dn dn dn dn dn dn dn
MULTIPLE CHOICE dn
1. The nurse is preparing to conduct a health history. Which of these statements best describes the
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
purpose of a health history?
dn dn dn dn dn
a. To provide an opportunity for interaction between the patient and the nurse
dn dn dn dn dn dn dn dn dn dn dn
b. To provide a form for obtaining the patients biographic information
dn dn dn dn dn dn dn dn dn
c. To document the normal and abnormal findings of a physical assessment
dn dn dn dn dn dn dn dn dn dn
d. To provide a database of subjective information about the patients past and current health
dn dn dn dn dn dn dn dn dn dn dn dn dn
ANS: D d n
The purpose of the health history is to collect subjective data what the person says about him or herse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
lf. The other options are not correct.
dn dn dn dn dn dn
DIF: Cognitive Level: Understanding (Comprehension) dn dn dn
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
correct? The patient: dn dn
a. Has a history of drug abuse and therefore is not reliable.
dn dn dn dn dn dn dn dn dn dn
b. Provided consistent information and therefore is reliable. dn dn dn dn dn dn
c. Smiled throughout interview and therefore is assumed reliable. dn dn dn dn dn dn dn
d. Would not answer questions concerning stress and therefore is not reliable.
dn dn dn dn dn dn dn dn dn dn
ANS: B d n
A reliable person always gives the same answers, even when questions are rephrased or are repeated l
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ater in the interview. The other s t a t W
dn dn e mWe nWt s.a T
dn reB
noS
t cMor.reW
ct.S dn dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
3. A 59-year- dn
old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 2
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
4 hours. How would the nurse best document his reason for seeking care?
dn dn dn dn dn dn dn dn dn dn dn dn
a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
dn dn dn dn dn dn dn dn dn
b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
d. J.M. is a 59-year- dn dn dn
old man who states that he has been having black stools for the past 24 hours.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ANS: D d n
The reason for seeking care is a brief spontaneous statement in the persons own words that describes t
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
he reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
in quotation marks to indicate the persons exact words.
dn dn dn dn dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
s best response?
dn dn
a. Can you point to where it hurts? dn dn dn dn dn dn
b. Well talk more about that later in the interview. dn dn dn dn dn dn dn dn
c. What have you had to eat in the last 24 hours? dn dn dn dn dn dn dn dn dn dn
1|Page
dn dn dn dn dn
www.PlusBay.Plus
, Test Bank - dn dn
Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
dn dn dn dn dn dn dn dn dn dn
d. Have you ever had any surgeries on your abdomen?
dn dn dn dn dn dn dn dn d
ANS: A
n d n
A final summary of any symptom the person has should include, along with seven other critical characte
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ristics, Location: specific. The person is asked to point to the location.
dn dn dn dn dn dn dn dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
5. A 29-year-dn
old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses ap
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
propriate response to the womans statement? dn dn dn dn dn
a. How does your family react to your pain? dn dn dn dn dn dn dn
b. The pain must be terrible. You probably pinched a nerve.
dn dn dn dn dn dn dn dn dn
c. Ive had back pain myself, and it can be excruciating.
dn dn dn dn dn dn dn dn dn
d. How would you say the pain affects your ability to do your daily activities?
dn dn dn dn dn dn dn dn dn dn dn dn dn
ANS: D d n
The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives s
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
hould be avoided and the patient should be asked how the pain affects his or her daily activities. The oth
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
er responses are not appropriate.
dn dn dn dn
DIF: Cognitive Level: Applying (Application) dn dn dn
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
would be most accurate?
dn dn dn dn
a. Patient denies usual childhood illnesses. dn dn dn dn
b. Patient states he was a very healthy child. dn dn dn dn dn dn dn
c. Patient states his sister had measles, but he didnt. dn dn dn dn dn dn dn dn
d. Patient denies measles, mumps,Wr uWbeWll .
a, T
chB
ickSenMp.
dnoxW
, pSertussis, and strep throat.
dn dn dn dn dn dn dn
ANS: D d n
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid r
dn dn dn dn dn dn dn dn dn dn dn dn
ecording usual childhood illnesses because an illness common in the persons childhood may be unus
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ual today (e.g., measles).
dn dn dn
DIF: Cognitive Level: Remembering (Knowledge) dn dn dn
REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environmen
d n dn dn d n dn dn dn dn dn dn
t: Management of Care
dn dn dn
7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn d
spontaneous abortions. Her four children are still living. How would the nurse record this information
n dn dn dn dn dn dn dn dn dn dn dn dn dn dn
?
a. P-6, B-4, (S)Ab-2 dn dn
b. Grav 6, Term 4, (S)Ab-2, Living 4 dn dn dn dn dn dn
c. Patient has had four living babies. dn dn dn dn dn
d. Patient has been pregnant six times. dn dn dn dn dn
ANS: B d n
Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which th
dn dn dn dn dn dn dn dn dn dn dn dn dn
e fetus reached term (term), number of preterm pregnancies (preterm), number of incomplete preg
dn dn dn dn dn dn dn dn dn dn dn dn dn
nancies (abortions), and number of children living (living). This is recorded: Grav
dn dn dn dn dn dn dn dn dn dn dn dn
Term Preterm Ab Living dn dn dn dn dn
. For any incomplete pregnancies, the duration is recorded and whether the pr dn dn dn dn dn dn dn dn dn dn dn dn
egnancy resulted in a spontaneous (S) or an induced (I) abortion.
dn dn dn dn dn dn dn dn dn dn
2|Page
dn dn dn dn dn
www.PlusBay.Plus
