ESSENTIAL HEALTH
nd
ASSESSMENT 2 EDITION
BY JANICE M. THOMPSON
CHAPTERS 1 UPTO 24
LATEST GRADED A+.
,Table of Contents
Chapter 01 Understanding Health Assessment ______________________________________________________ 1
Chapter 02 Interviewing the Patientvfor the Health History 11
Chapter 03 Taking the Health History ___________________________________________________________ 40
Chapter 04 Assessing Nutrition and A nthropometric Measurements 61
Chapter 05 AssessmentvTechniques _____________________________________________________________ 88
Chapter 06 General Survey a nd Assessing Vital Signs 99
Chapter 07 AssessingvPain___________________________________________________________________ 128
Chapter 08 Assessingvthe Skin, Hair, and Nails ____________________________________________________ 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck 188
Chapter 10vAssessing the Ears ________________________________________________________________ 229
Chapter 11 Assessingvthe Eyes ________________________________________________________________ 250
Chapter 12 Assessing the Respiratory System 281
Chapter 13 Assessing the Cardiovascular System 308
Chapter 14 Assessingvthe Abdomen 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System 363
Chapter 16 Assessing the Musculoskeletal System 391
Chapter 17 Assessingvthe Neurological System 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System 451
Chapter 19 Assessing the Male Breasts and ReproductivevSystem 477
Chapter 20vAssessing the Anus and Rectum 501
Chapter 21 Assessingvthe Newborn 517
Chapter 22 Assessing the Child and Adolescent 555
Chapter 23 Assessing the Pregnant Woman 583
Chapter 24 Assessingvthe Older Adult 612
, Test Bankv-
Chapter 1: Understanding Health Assessment
1. The World Health Organizationv(WHO) established avglobal strategy called “Health for All.” The go
al for this strategy is:
1. All individuals to getvthe same health care throughout their life spans.
2. The government to supply money to carevfor all the people in the world.
3. Resources for health carevto be evenly distributed and accessible.
4. Health-carevproviders can never deny patients health care.
ANS: 3
Page: 1
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same healt
h care throughoutvtheir life spans.
2. This is incorrect. “Health for All” does not mean the government will supply money to ca
revfor all the people in the world.
3. This is correct. “Health for All” means thatvresources for health care are evenly distr
ibuted and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-
care providers canvdeny patients health care.
2. Health assessment is a foundational and priority nursing skill. This essentialvskill requires registered n
urses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patientsvwith psychosocial needs.
ANS: 2
Page: 5-6
Feedback
1. This is incorrect. The role of thevRN is not to diagnose and treat patients.
2. This is correct. Assessing patients and being able to identify normal from abnormal findi
ngs is an essential role of the RN.
3. This is incorrect. RNs in collaboration with the health-
care providersvdo refer patients. This is not the essential and foundational role in
4. This is incorrect. RNs do counsel patients, but it is notvthe essential and foundational role
in health assessment.
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, Test Bankv-
3. You are assessingva patient with five gunshot wounds on a trauma unit. There is a police presence out
side his door because the patientvis a known drug dealer in the community. You know that nurses mustvt
reat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
ANS: 3
Page: 2
Feedback
1. This is incorrect. Caringvis displayingva concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse colla
borates with the individual to pursue goals for health and well-being.
3. This is correct. The new movementvin health carevis person-
centered care (PCC), which emphasizes the intrinsic value of treatingvall patients as p
4. This is incorrect. Standards of care identify standards of professional nursing prac
tice.
4. The science-
based frameworkvupdated every 10 years by the U.S. Departmentvof Health and Human Services thatvha
s set national goals and objectives forvhealth promotion and disease prevention is:
1. HealthyvPeople.
2. HealthyvPeoplev2020.
3. U.S. Preventive Task Force.
4. WorldvHealth Organization.
ANS: 2
Page: 2
Feedback
1. This is incorrect. Healthy Peoplevisvthe general title for the nation’s federal initiative.
2. This is correct. HealthyvPeoplev2020 specifically identifies science-
based, national goals and objectives with 10-
year targets designed to guide national health promotion and disease prevention efforts to
improve the health of all people in the United States.
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
based medicine to improve the health of all Americans by makingvevidence-
based recommendations aboutvclinical preventivevservices such as screenings, counseling
services, and preventive medications.
4. This is incorrect. ThevWorld Health Organization is a specialized agency of thev Unit
ed Nations working to improve the health of the world’s people.
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