Essential Health Assessment 2nd Edition
by Janice M Thompson, Chapter 1 - 24
,Table of Contents
r r
Chapterr01rUnderstandingrHealthrAssessment 1
Chapterr02rInterviewingrtherPatientrforrtherHealthrHistory 11
Chapterr03rTakingrtherHealthrHistory 40
Chapterr04rAssessingrNutritionrandrAnthropometricrMeasurements 61
Chapterr05rAssessmentrTechniques 88
Chapterr06rGeneralrSurveyrandrAssessingrVitalrSigns 99
Chapterr07rAssessingrPain 128
Chapterr08rAssessingrtherSkin,rHair,randrNails 149
Chapterr09rAssessingrtherHead,rFace,rMouth,randrNeck 188
Chapterr10rAssessingrtherEars 229
Chapterr11rAssessingrtherEyes 250
Chapterr12rAssessingrtherRespiratoryrSystem 281
Chapterr13rAssessingrtherCardiovascularrSystem 308
Chapterr14rAssessingrtherAbdomen 335
Chapterr15rAssessingrtherPeripheralrVascularrSystemrandrRegionalrLymphaticrSystem 363
Chapterr16rAssessingrtherMusculoskeletalrSystem 391
Chapterr17rAssessingrtherNeurologicalrSystem 417
Chapterr18rAssessingrtherFemalerBreasts,rAxillae,randrReproductiverSystem 451
Chapterr19rAssessingrtherMalerBreastsrandrReproductiverSystem 477
Chapterr20rAssessingrtherAnusrandrRectum 501
Chapterr21rAssessingrtherNewborn 517
Chapterr22rAssessingrtherChildrandrAdolescent 555
Chapterr23rAssessingrtherPregnantrWoman 583
Chapterr24rAssessingrtherOlderrAdult 612
,r TestrBankr-rEssentialrHealthrAssessment,r2ndreditionr(Thompson,r2023)r
Chapterr1:rUnderstandingrHealthrAssessment
1.rTherWorldrHealthrOrganizationr(WHO)restablishedrarglobalrstrategyrcalledr“HealthrforrAll.”r Thergoal
rforrthisrstrategyris:
1. Allrindividualsrtorgetrthersamerhealthrcarerthroughoutrtheirrliferspans.
2. Thergovernmentrtorsupplyrmoneyrtorcarerforrallrtherpeoplerinrtherworld.
3. Resourcesrforrhealthrcarertorberevenlyrdistributedrandraccessible.
4. Health-carerprovidersrcanrneverrdenyrpatientsrhealthrcare.
ANS:r3
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1. Thisrisrincorrect.r“HealthrforrAll”rdoesrnotrmeanrthatrallrindividualsrgetrthersamer healt
hrcarerthroughoutrtheirrliferspans.
2. Thisrisrincorrect.r“HealthrforrAll”rdoesrnotrmeanrthergovernmentrwillrsupplyrmoneyr torcar
erforrallrtherpeoplerinrtherworld.
3. Thisrisrcorrect.r“HealthrforrAll”rmeansrthatrresourcesrforrhealthrcarerarerevenlyr distri
butedrandraccessiblertoreveryone.
4. Thisrisrincorrect.r“HealthrforrAll”rdoesrnotrmeanrthatrhealth-
carerprovidersrcanrdenyr patientsrhealthrcare.
2.rHealthrassessmentrisrarfoundationalrandrpriorityrnursingrskill.rThisressentialrskillrrequiresr registeredrnu
rsesr(RNs)rto:
1. Diagnoserandrtreatrpatients.
2. Identifyrnormalrandrabnormalrfindings.
3. Referrpatientsrwithrabnormalrfindings.
4. Counselrpatientsrwithrpsychosocialrneeds.
ANS:r2
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1. Thisrisrincorrect.rTherrolerofrtherRNrisrnotrtordiagnoserandrtreatrpatients.
2. Thisrisrcorrect.rAssessingrpatientsrandrbeingrablertoridentifyrnormalrfromrabnormalr findi
ngsrisranressentialrrolerofrtherRN.
3. Thisrisrincorrect.rRNsrinrcollaborationrwithrtherhealth-
carerprovidersrdorreferr patients.rThisrisrnotrtheressentialrandrfoundationalrrolerinrh
4. ealth
Thisrrisassessment.
rincorrect.rRNsrdorcounselrpatients,rbutritrisrnotrtheressentialrandrfoundationalr roleri
nrhealthrassessment.
3r|rPrargre
, r TestrBankr-rEssentialrHealthrAssessment,r2ndreditionr(Thompson,r2023)r
3.rYourarerassessingrarpatientrwithrfivergunshotrwoundsronrartraumarunit.rThererisrarpolicer presenceroutsi
derhisrdoorrbecausertherpatientrisrarknownrdrugrdealerrinrthercommunity.rYourknowr thatrnursesrmustrtrea
trallrpatientsrasrpersons.rThisrisrcalled:
1. Caring.
2. Holisticrprocess.
3. Person-centeredrcarer(PCC).
4. Standardsrofrcare.
ANS:r3
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1. Thisrisrincorrect.rCaringrisrdisplayingrarconcernrforrpatients.
2. Thisrisrincorrect.rTherholisticrcaringrprocessrisrarrelationalrprocess;rthernurser collab
oratesrwithrtherindividualrtorpursuergoalsrforrhealthrandrwell-being.
3. Thisrisrcorrect.rThernewrmovementrinrhealthrcarerisrperson-
centeredrcarer(PCC),r whichremphasizesrtherintrinsicrvaluerofrtreatingrallrpatientsrasrper
4. sons.risrincorrect.rStandardsrofrcareridentifyrstandardsrofrprofessionalrnursingr pract
This
ice.
4.rTherscience-
basedrframeworkrupdatedreveryr10ryearsrbyrtherU.S.rDepartmentrofrHealthrandr HumanrServicesrthatrhasr
setrnationalrgoalsrandrobjectivesrforrhealthrpromotionrandrdiseaser preventionris:
1. HealthyrPeople.
2. HealthyrPeopler2020.
3. U.S.rPreventiverTaskrForce.
4. WorldrHealthrOrganization.
ANS:r2
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1. Thisrisrincorrect.rHealthyrPeoplerisrthergeneralrtitlerforrthernation’srfederalrinitiative.
2. Thisrisrcorrect.rHealthyrPeopler2020rspecificallyridentifiesrscience-
based,rnationalr goalsrandrobjectivesrwithr10-
yearrtargetsrdesignedrtorguidernationalrhealthrpromotionr andrdiseaserpreventionreffortsrtori
mprovertherhealthrofrallrpeoplerinrtherUnitedrr r States.
3. Thisrisrincorrect.rTherU.S.rPreventiverServicesrTaskrForce’srgoalrisrtoruserevidence-
r basedrmedicinertorimprovertherhealthrofrallrAmericansrbyrmakingrevidence-
basedr recommendationsraboutrclinicalrpreventiverservicesrsuchrasrscreenings,rcounselingr
services,randrpreventivermedications.
4. Thisrisrincorrect.rTherWorldrHealthrOrganizationrisrarspecializedragencyrofrther Unite
drNationsrworkingrtorimprovertherhealthrofrtherworld’srpeople.
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