TEST BANK FOR ESSENTIAL HEALTH
ASSESSMENT 1ST EDITION BY JANICE M.
THOMPSON | ALL CHAPTERS COVERED
,Table of Contents
Contents
Chapter 1: Understanding Health Assessment ................................................................................................... 1
Answers ................................................................................................................................................................... 4
Chapter 2: Interviewing the Patient for the Health History ............................................................................ 11
Answers ................................................................................................................................................................. 20
Chapter 3: Taking the Health History ................................................................................................................ 45
Answers ................................................................................................................................................................. 52
Chapter 4: Assessing Nutrition and Anthropometric Measurements ............................................................ 66
Answers ................................................................................................................................................................. 74
Chapter 5: Assessment Techniques .................................................................................................................... 93
Answers ................................................................................................................................................................. 97
Chapter 6: General Survey and Assessing Vital Signs.................................................................................... 104
Answers ............................................................................................................................................................... 113
Chapter 7: Assessing Pain .................................................................................................................................. 140
Answers ............................................................................................................................................................... 146
Chapter 8: Assessing the Skin, Hair, and Nails ............................................................................................... 162
Answers ............................................................................................................................................................... 174
Chapter 9: Assessing the Head, Face, Mouth, and Neck ............................................................................... 206
Answers ............................................................................................................................................................... 218
Chapter 10: Assessing the Ears.......................................................................................................................... 247
Answers ............................................................................................................................................................... 254
Chapter 11: Assessing the Eyes ......................................................................................................................... 268
Answers ............................................................................................................................................................... 277
Chapter 12: Assessing the Respiratory System ............................................................................................... 305
Answers ............................................................................................................................................................... 313
Chapter 13: Assessing the Cardiovascular System ......................................................................................... 334
Answers ............................................................................................................................................................... 342
Chapter 14: Assessing the Abdomen ................................................................................................................ 364
Answers ............................................................................................................................................................... 373
Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System ........................ 393
Answers ............................................................................................................................................................... 402
Chapter 16: Assessing the Musculoskeletal System ....................................................................................... 421
Answers ............................................................................................................................................................... 431
Chapter 17: Assessing the Neurological System ............................................................................................. 448
Answers ............................................................................................................................................................... 459
Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System .......................................... 482
Answers ............................................................................................................................................................... 490
Chapter 19: Assessing the Male Breasts and Reproductive System ............................................................. 512
Answers ............................................................................................................................................................... 519
,-
Chapter 1: Understanding Health Assessment
1. The World Health Organization (WHO) established a global strategy called “Health for
All.” The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
2. Health assessment is a foundational and priority nursing skill. This essential skill
requires registered nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You
know that nurses must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
4. The science-based framework updated every 10 years by the U.S. Department of
Health and Human Services that has set national goals and objectives for health
promotion and disease prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Tas-k Force.
4. World Health Organization.
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
1. Primary health prevention.
1|Page
, -
2. Secondary health prevention.
3. Tertiary health prevention.
6. A patient in the hospital puts on his call light and tells the person answering that he
“thinks he is running a fever and has stomach discomfort.” You are the registered nurse in
charge. What should you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
7. You are leading an interdisciplinary team conference to discuss how to provide better
care for a challenging patient who has behavioral problems. There are several areas that
need to be problem solved and new ideas formulated to create an improved plan of care.
What cognitive skills are you using?
1. Critical thinking
2. Clinical decision making
3. Intuitive thinking
4. Clinical reasoning
8. Best practice assessment techniques and instruments have been validated by:
1. American Nurses Association.
2. Code of Ethics for Nurses With Interpretive Statements.
3. Research and evidence-based practice.
4. Patient Protection and Affordable Care Act.
9. Health and illness are determined by many factors. What are the determinants of health
identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
1. Genetics and biology
2. Gender and occupation
3. Individual behavior
4. Social environment
5. Physical environment
6. Health services
2|Page
ASSESSMENT 1ST EDITION BY JANICE M.
THOMPSON | ALL CHAPTERS COVERED
,Table of Contents
Contents
Chapter 1: Understanding Health Assessment ................................................................................................... 1
Answers ................................................................................................................................................................... 4
Chapter 2: Interviewing the Patient for the Health History ............................................................................ 11
Answers ................................................................................................................................................................. 20
Chapter 3: Taking the Health History ................................................................................................................ 45
Answers ................................................................................................................................................................. 52
Chapter 4: Assessing Nutrition and Anthropometric Measurements ............................................................ 66
Answers ................................................................................................................................................................. 74
Chapter 5: Assessment Techniques .................................................................................................................... 93
Answers ................................................................................................................................................................. 97
Chapter 6: General Survey and Assessing Vital Signs.................................................................................... 104
Answers ............................................................................................................................................................... 113
Chapter 7: Assessing Pain .................................................................................................................................. 140
Answers ............................................................................................................................................................... 146
Chapter 8: Assessing the Skin, Hair, and Nails ............................................................................................... 162
Answers ............................................................................................................................................................... 174
Chapter 9: Assessing the Head, Face, Mouth, and Neck ............................................................................... 206
Answers ............................................................................................................................................................... 218
Chapter 10: Assessing the Ears.......................................................................................................................... 247
Answers ............................................................................................................................................................... 254
Chapter 11: Assessing the Eyes ......................................................................................................................... 268
Answers ............................................................................................................................................................... 277
Chapter 12: Assessing the Respiratory System ............................................................................................... 305
Answers ............................................................................................................................................................... 313
Chapter 13: Assessing the Cardiovascular System ......................................................................................... 334
Answers ............................................................................................................................................................... 342
Chapter 14: Assessing the Abdomen ................................................................................................................ 364
Answers ............................................................................................................................................................... 373
Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System ........................ 393
Answers ............................................................................................................................................................... 402
Chapter 16: Assessing the Musculoskeletal System ....................................................................................... 421
Answers ............................................................................................................................................................... 431
Chapter 17: Assessing the Neurological System ............................................................................................. 448
Answers ............................................................................................................................................................... 459
Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System .......................................... 482
Answers ............................................................................................................................................................... 490
Chapter 19: Assessing the Male Breasts and Reproductive System ............................................................. 512
Answers ............................................................................................................................................................... 519
,-
Chapter 1: Understanding Health Assessment
1. The World Health Organization (WHO) established a global strategy called “Health for
All.” The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
2. Health assessment is a foundational and priority nursing skill. This essential skill
requires registered nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You
know that nurses must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
4. The science-based framework updated every 10 years by the U.S. Department of
Health and Human Services that has set national goals and objectives for health
promotion and disease prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Tas-k Force.
4. World Health Organization.
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
1. Primary health prevention.
1|Page
, -
2. Secondary health prevention.
3. Tertiary health prevention.
6. A patient in the hospital puts on his call light and tells the person answering that he
“thinks he is running a fever and has stomach discomfort.” You are the registered nurse in
charge. What should you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
7. You are leading an interdisciplinary team conference to discuss how to provide better
care for a challenging patient who has behavioral problems. There are several areas that
need to be problem solved and new ideas formulated to create an improved plan of care.
What cognitive skills are you using?
1. Critical thinking
2. Clinical decision making
3. Intuitive thinking
4. Clinical reasoning
8. Best practice assessment techniques and instruments have been validated by:
1. American Nurses Association.
2. Code of Ethics for Nurses With Interpretive Statements.
3. Research and evidence-based practice.
4. Patient Protection and Affordable Care Act.
9. Health and illness are determined by many factors. What are the determinants of health
identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
1. Genetics and biology
2. Gender and occupation
3. Individual behavior
4. Social environment
5. Physical environment
6. Health services
2|Page
