Advanced Health Assessment and Differential Diagnosis
Essentials for Clinical Practice
1st Edition by Myrick, all Chapters 1 - 12
,AdvancedcHealthc Assessmentc andc Differentialc Diagnosisc EssentialscforcClinicalcPracticec1stcEditionc
MyrickcTestcBank
TablecofcContents:
Chapterc1.cHealthcHistory,cThecPatientcInterview,cAndcMotivationalcInterviewing
Chapterc2.cAdvancedcHealthcAssessmentcofcthecHead,cNeck,candcLymphaticcSystem
Chapterc3.cAdvancedcHealthcAssessmentcofcthecNose,cMouth,candcThroat
Chapterc4.cAdvancedcHealthcAssessmentcofcthecEyes candcEars
Chapterc5.cAdvancedcHealthcAssessmentcofcSkin,cHair,candcNails
Chapterc6.cAdvancedcHealthcAssessmentcofcthecCardiovascularcSystem
Chapterc7cAdvancedcHealthcAssessmentcofcthecRespiratorycSystem
Chapterc8cAdvancedcHealthcAssessmentcofcthecAbdomen,cRectum,candcAnus
Chapterc9cAdvancedcHealthcAssessmentcofcthecMalecGenitourinarycSystem
Chapterc10cAdvancedcAssessmentcofcthecFemalecReproductivecSystem
Chapterc11cAdvancedcHealthcAssessmentcofcthecNeurologicalcSystem
Chapterc12cAdvancedcHealthcAssessmentcofcthecMusculoskeletalcSystem
,AdvancedcHealthc Assessmentc andc Differentialc Diagnosisc EssentialscforcClinicalcPracticec1stcE
ditioncMyrickcTestcBank
Chapterc 1:c Healthc History,c Thec Patientc Interview,c Andc Motivationalc Interviewing
MULTIPLEcCHOICE
1. Thec nursec isc preparingc toc conductc ac healthc history.c Whichc ofcthesec statementsc bestc describescth
ec purposec ofcac healthc history?
a Toc providec anc opportunityc forc interactionc betweenc thec patientc andc thec nurse
.
b Toc providec ac formc forc obtainingc thec patientsc biographicc information
.
c Toc documentc thec normalc andc abnormalc findingsc ofc ac physicalc assessment
.
d Toc providec ac databasec ofc subjectivec informationc aboutc thec patientsc pastc andccurre
. ntchealth
ANSWER:cD
Thec purposec ofcthec healthc historycisc toc collectc subjectivec datawhatcthec personc saysc aboutc himc orcherself.c
Thecothercoptionscarecnotccorrect.
DIF:c Cognitivec Level:c Understandingc (Comprehension)c REF:c dm.c 49
MSC:c Clientc Needs:c Safec andc Effectivec Carec Environment:c Managementc ofcCare
2. Whenc thec nursec iscevaluatingc thec reliabilitycofc ac patientsc responses,c whichc ofc thesec statementscw
ouldcbeccorrect?cThecpatient:
a Hasc ac historycofcdrugcabusec andc thereforec isc notc reliable.
.
b Providedc consistentc informationc andc thereforec isc reliable.
.
c Smiledc throughoutc interviewc andc thereforec isc assumedc reliable.
.
d Wouldc notc answerc questionsc concerningc stressc andc thereforec isc notc reliable.
.
ANSWER:cB
Ac reliablec personc alwaysc givesc thec samec answers,c evenc whenc questionsc arec rephrasedc orc arecrepeate
dclatercincthec interview.cThecothercstatementscarecnotccorrect.
DIF:c Cognitivec Level:c Applyingc (Application)c REF:c dm.c 49
, MSC:c Clientc Needs:c Safec andc Effectivec Carec Environment:c Managementc ofcCare
3. Ac 59-year-
oldc patientc tellsc thec nursec thatc hec hasc ulcerativec colitis.c Hec hasc beenc havingc blackcstoolscforcthec la
stc 24c hours.c Howcwouldc thec nursecbestc documentc hisc reasonc forcseekingccare?
a J.M.c iscac 59-year-oldc mancseekingc treatmentc forc ulcerativec colitis.
.
b J.M.c camec intoc thec clinicccomplainingc ofchavingc blackc stoolsc forc thec pastc 24chours
. .
c J.M.ciscac59-year-
. oldc mancwhoc statescthatc hec hasculcerativec colitisc andc wantscitcchecked.
d J.M.c iscac 59-year-
. oldc mancwhoc statescthatc hechasc beenc havingcblackc stoolsc forcthecpastc24chours.
ANSWER:cD
Thec reasonc forcseekingccarec iscac briefcspontaneousc statementc inc thec personsc owncwordsc thatcdescribes
c thec reasonc forc the c visit.c Itc statesc onec (possiblyc two)c signsc orc symptomsc andc their cduration.c Itc isc enclo
sedcincquotationcmarksctocindicatec thecpersonscexactcwords.
DIF:c Cognitivec Level:c Applyingc (Application)c REF:c dm.c 50
MSC:c Clientc Needs:c Safec andc Effectivec Carec Environment:c Managementc ofcCare
4. Acpatientctellsc thec nursecthatc shec hasc hadcabdominalc painc forc thec pastcweek.c Whatc wouldc bec thecnu
rsescbestcresponse?
a Canc youcpointc tocwherec itchurts?
.
b Wellc talkcmorec aboutc thatclaterc incthec interview.
.
c Whatchavec youchadctoceatc incthec lastc24chours?
.
d Havec youc everc hadc anycsurgeriesconc yourcabdomen?
.
ANSWER:cA
Acfinalc summarycofc anycsymptomc thec personc hascshouldc include,c alongcwithc sevenc otherc criticalccha
racteristics,cLocation:cspecific.cThecpersonciscaskedc tocpointctoctheclocation.
DIF:c Cognitivec Level:c Applyingc (Application)c REF:c dm.c 50
MSC:c Clientc Needs:c Safec andc Effectivec Carec Environment:c Managementc ofcCare
5. Ac 29-year-
oldc womanc tellsc thec nursec thatc shec hascexcruciatingc painc inc herc back.c Whichc wouldcbecthecnursescap
propriatecresponsectocthecwomanscstatement?