Test Bank for Advanced Health Assessment and Differential
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Diagnosis Essentials For Clinical Practice
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1st Edition Myrick, Chapters 1 - 12
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
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Edition Myrick Test Bank
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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 Essentials for Clinical Practice
h h h h h h h h h
1stEdition Myrick Test Bank
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Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE h
1. The nurse is preparing to conduct a health history. Which of these statements best
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describesthe 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
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. current health
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ANSWER: D h
The purpose of the health history is to collect subjective datawhat the person says about him or
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herself. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. When the nurse is evaluating the reliability of a patients responses, which of these
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statementswould be correct? The patient:
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a Has a history of drug abuse and therefore is not reliable.
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.
b Provided consistent information and therefore is reliable.
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.
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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.
ANSWER: B h
A reliable person always gives the same answers, even when questions are rephrased or are
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repeated later in the interview. The other statements are not correct.
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DIF: Cognitive Level: Applying (Application) REF: dm. 49
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, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having
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blackstools for the last 24 hours. How would the nurse best document his reason for seeking
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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
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. hours.
h
c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it
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. checked.
h
d J.M. is a 59-year-old man who states that he has been having black stools for
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. the past 24 hours.
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ANSWER: D h
The reason for seeking care is a brief spontaneous statement in the persons own words that
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describes the reason for the visit. It states one (possibly two) signs or symptoms and their
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duration. It is enclosed in quotation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: 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
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thenurses 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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.
c What have you had to eat in the last 24 hours?
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.
d Have you ever had any surgeries on your abdomen?
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.
ANSWER: A h
A final summary of any symptom the person has should include, along with seven other
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criticalcharacteristics, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which
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wouldbe the nurses appropriate response to the womans statement?
h h h h h h h h h h
h h h h h h h
Diagnosis Essentials For Clinical Practice
h h h h h h
1st Edition Myrick, Chapters 1 - 12
h h h h h h
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
h h h h h h h h h h
Edition Myrick Test Bank
h h h h
Table of Contents:
h h
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
h h h h h h h h h
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
h h h h h h h h h h h
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
h h h h h h h h h h
Chapter 4. Advanced Health Assessment of the Eyes and Ears
h h h h h h h h h
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
h h h h h h h h h
Chapter 6. Advanced Health Assessment of the Cardiovascular System
h h h h h h h h
Chapter 7 Advanced Health Assessment of the Respiratory System
h h h h h h h h
Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
h h h h h h h h h h
Chapter 9 Advanced Health Assessment of the Male Genitourinary System
h h h h h h h h h
Chapter 10 Advanced Assessment of the Female Reproductive System
h h h h h h h h
Chapter 11 Advanced Health Assessment of the Neurological System
h h h h h h h h
Chapter 12 Advanced Health Assessment of the Musculoskeletal System
h h h h h h h h
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
h h h h h h h h h
1stEdition Myrick Test Bank
h h h h h
Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
h h h h h h h h h
MULTIPLE CHOICE h
1. The nurse is preparing to conduct a health history. Which of these statements best
h h h h h h h h h h h h h
describesthe purpose of a health history?
h h h h h h h
a To provide an opportunity for interaction between the patient and the nurse
h h h h h h h h h h h
.
b To provide a form for obtaining the patients biographic information
h h h h h h h h h
.
c To document the normal and abnormal findings of a physical assessment
h h h h h h h h h h
.
d To provide a database of subjective information about the patients past and
h h h h h h h h h h h
. current health
h h
ANSWER: D h
The purpose of the health history is to collect subjective datawhat the person says about him or
h h h h h h h h h h h h h h h h
herself. The other options are not correct.
h h h h h h h
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
2. When the nurse is evaluating the reliability of a patients responses, which of these
h h h h h h h h h h h h h
statementswould be correct? The patient:
h h h h h h
a Has a history of drug abuse and therefore is not reliable.
h h h h h h h h h h
.
b Provided consistent information and therefore is reliable.
h h h h h h
.
c Smiled throughout interview and therefore is assumed reliable.
h h h h h h h
.
d Would not answer questions concerning stress and therefore is not reliable.
h h h h h h h h h h
.
ANSWER: B h
A reliable person always gives the same answers, even when questions are rephrased or are
h h h h h h h h h h h h h h
repeated later in the interview. The other statements are not correct.
h h h h h h h h h h h
DIF: Cognitive Level: Applying (Application) REF: dm. 49
h h h h h h h
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having
h h h h h h h h h h h h h h
blackstools for the last 24 hours. How would the nurse best document his reason for seeking
h h h h h h h h h h h h h h h h h
care?
h
a J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
h h h h h h h h h
.
b J.M. came into the clinic complaining of having black stools for the past 24
h h h h h h h h h h h h h
. hours.
h
c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it
h h h h h h h h h h h h h h
. checked.
h
d J.M. is a 59-year-old man who states that he has been having black stools for
h h h h h h h h h h h h h h
. the past 24 hours.
h h h h
ANSWER: D h
The reason for seeking care is a brief spontaneous statement in the persons own words that
h h h h h h h h h h h h h h h
describes the reason for the visit. It states one (possibly two) signs or symptoms and their
h h h h h h h h h h h h h h h h
duration. It is enclosed in quotation marks to indicate the persons exact words.
h h h h h h h h h h h h h
DIF: Cognitive Level: Applying (Application) REF: dm. 50
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be
h h h h h h h h h h h h h h h h h
thenurses best response?
h h h h
a Can you point to where it hurts?
h h h h h h
.
b Well talk more about that later in the interview.
h h h h h h h h
.
c What have you had to eat in the last 24 hours?
h h h h h h h h h h
.
d Have you ever had any surgeries on your abdomen?
h h h h h h h h
.
ANSWER: A h
A final summary of any symptom the person has should include, along with seven other
h h h h h h h h h h h h h h
criticalcharacteristics, Location: specific. The person is asked to point to the location.
h h h h h h h h h h h h h
DIF: Cognitive Level: Applying (Application) REF: dm. 50
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which
h h h h h h h h h h h h h h
wouldbe the nurses appropriate response to the womans statement?
h h h h h h h h h h
