TEST BANK
v
Essential Health Assessment
v v
Janice Thompson
v
1st Edition
v
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Table of Contents
v v
Chapterv01vUnderstandingvHealthvAssessment 1
Chapterv02vInterviewingvthevPatientvforvthevHealthvHistory 11
Chapterv03vTakingvthevHealthvHistory 40
Chapterv04vAssessingvNutritionvandvAnthropometricvMeasurements 61
Chapterv05vAssessmentvTechniques 88
Chapterv06vGeneralvSurveyvandvAssessingvVitalvSigns 99
Chapterv07vAssessingvPain 128
Chapterv08vAssessingvthevSkin,vHair,vandvNails 149
Chapterv09vAssessingvthevHead,vFace,vMouth,vandvNeck 188
Chapterv10vAssessingvthevEars 229
Chapterv11vAssessingvthevEyes 250
Chapterv12vAssessingvthevRespiratoryvSystem 281
Chapterv13vAssessingvthevCardiovascularvSystem 308
Chapterv14vAssessingvthevAbdomen 335
Chapterv15vAssessingvthevPeripheralvVascularvSystemvandvRegionalvLymphaticvSystem 363
Chapterv16vAssessingvthevMusculoskeletalvSystem 391
Chapterv17vAssessingvthevNeurologicalvSystem 417
Chapterv18vAssessingvthevFemalevBreasts,vAxillae,vandvReproductivevSystem 451
Chapterv19vAssessingvthevMalevBreastsvandvReproductivevSystem 477
Chapterv20vAssessingvthevAnusvandvRectum 501
Chapterv21vAssessingvthevNewborn 517
Chapterv22vAssessingvthevChildvandvAdolescent 555
Chapterv23vAssessingvthevPregnantvWoman 583
Chapterv24vAssessingvthevOldervAdult 612
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TestvBankv-vEssentialvHealthvAssessment,v1stveditionv(Thompson,v2018)
Chapterv1:vUnderstandingvHealthvAssessment
1.vThevWorldvHealthvOrganizationv(WHO)vestablishedvavglobalvstrategyvcalledv“HealthvforvAll.”vThev
goalvforvthisvstrategyvis:
1. Allvindividualsvtovgetvthevsamevhealthvcarevthroughoutvtheirvlifevspans.
2. Thevgovernmentvtovsupplyvmoneyvtovcarevforvallvthevpeoplevinvthevworld.
3. Resourcesvforvhealthvcarevtovbevevenlyvdistributedvandvaccessible.
4. Health-carevprovidersvcanvnevervdenyvpatientsvhealthvcare.
2.vHealthvassessmentvisvavfoundationalvandvpriorityvnursingvskill.vThisvessentialvskillvrequiresvregister
edvnursesv(RNs)vto:
1. Diagnosevandvtreatvpatients.
2. Identifyvnormalvandvabnormalvfindings.
3. Refervpatientsvwithvabnormalvfindings.
4. Counselvpatientsvwithvpsychosocialvneeds.
3.vYouvarevassessingvavpatientvwithvfivevgunshotvwoundsvonvavtraumavunit.vTherevisvavpolicevpresenc
evoutsidevhisvdoorvbecausevthevpatientvisvavknownvdrugvdealervinvthevcommunity.vYouvknowvthatvnurse
svmustvtreatvallvpatientsvasvpersons.vThisvisvcalled:
1. Caring.
2. Holisticvprocess.
3. Person-centeredvcarev(PCC).
4. Standardsvofvcare.
4.vThevscience-
basedvframeworkvupdatedveveryv10vyearsvbyvthevU.S.vDepartmentvofvHealthvandvHumanvServicesvtha
tvhasvsetvnationalvgoalsvandvobjectivesvforvhealthvpromotionvandvdiseasevpreventionvis:
1. HealthyvPeople.
2. HealthyvPeoplev2020.
3. U.S.vPreventivevTaskvForce.
4. WorldvHealthvOrganization.
5. Av38-year-oldvmalevhasvavfamilyvhistoryvofvcolonvcancer.vHisvfathervdiedvofvcolonvcancervatvage
48.vThevdoctorvrecommendedvthatvthisvpatientvhavevavcolonoscopyvthisvyear.vThisvisvanvexamplevof:
1. Primaryvhealthvprevention.
1v|vPvavgve
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2. Secondaryvhealthvprevention.
3. Tertiaryvhealthvprevention.
6.vAvpatientvinvthevhospitalvputsvonvhisvcallvlightvandvtellsvthevpersonvansweringvthatvhev“thinksvhevisvru
nningvavfevervandvhasvstomachvdiscomfort.”vYouvarevthevregisteredvnursevinvcharge.vWhatvshouldvyou
vdo?
1. Askvthevmedicalvassistantvtovgovtovthevpatient’svroomvandvassessvhisvcomplaints.
2. GovcheckvtovseevifvthevpatientvhasvanvordervforvTylenolvforvavfever.
3. Pagevthevresidentvonvcallvimmediatelyvtovassessvthevpatient.
4. Govtovthevpatient’svroomvandvassessvforvfevervandvthevepigastricvdiscomfort.
7.vYouvarevleadingvanvinterdisciplinaryvteamvconferencevtovdiscussvhowvtovprovidevbettervcarevforvavc
hallengingvpatientvwhovhasvbehavioralvproblems.vTherevarevseveralvareasvthatvneedvtovbevproblemvso
lvedvandvnewvideasvformulatedvtovcreatevanvimprovedvplanvofvcare.vWhatvcognitivevskillsvarevyouvusi
ng?
1. Criticalvthinking
2. Clinicalvdecisionvmaking
3. Intuitivevthinking
4. Clinicalvreasoning vvvvvvvvvvvvvvvvvvv
8.vBestvpracticevassessmentvtechniquesvandvinstrumentsvhavevbeenvvalidatedvby:
1. AmericanvNursesvAssociation.
2. CodevofvEthicsvforvNursesvWithvInterpretivevStatements.
3. Researchvandvevidence-basedvpractice.
4. PatientvProtectionvandvAffordablevCarevAct.
9.vHealthvandvillnessvarevdeterminedvbyvmanyvfactors.vWhatvarevthevdeterminantsvofvhealthvidentifiedvb
yvthevCentersvforvDiseasevControlvandvPreventionv(CDC)?vSelectvallvthatvapply.
1. Geneticsvandvbiology
2. Gendervandvoccupation
3. Individualvbehavior
4. Socialvenvironment
5. Physicalvenvironment
6. Healthvservices
2 |vPvavgve
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