TEST BANK
u
Essential Health Assessment
u u
Janice M Thompson
u u
1st Edition
u
,Table of Contents
u u
Chapteru01uUnderstandinguHealthuAssessment 1
Chapteru02uInterviewingutheuPatientuforutheuHealthuHistory 11
Chapteru03uTakingutheuHealthuHistory 40
Chapteru04uAssessinguNutritionuanduAnthropometricuMeasurements 61
Chapteru05uAssessmentuTechniques 88
Chapteru06uGeneraluSurveyuanduAssessinguVitaluSigns 99
Chapteru07uAssessinguPain 128
Chapteru08uAssessingutheuSkin,uHair,uanduNails 149
Chapteru09uAssessingutheuHead,uFace,uMouth,uanduNeck 188
Chapteru10uAssessingutheuEars 229
Chapteru11uAssessingutheuEyes 250
Chapteru12uAssessingutheuRespiratoryuSystem 281
Chapteru13uAssessingutheuCardiovascularuSystem 308
Chapteru14uAssessingutheuAbdomen 335
Chapteru15uAssessingutheuPeripheraluVascularuSystemuanduRegionaluLymphaticuSystem 363
Chapteru16uAssessingutheuMusculoskeletaluSystem 391
Chapteru17uAssessingutheuNeurologicaluSystem 417
Chapteru18uAssessingutheuFemaleuBreasts,uAxillae,uanduReproductiveuSystem 451
Chapteru19uAssessingutheuMaleuBreastsuanduReproductiveuSystem 477
Chapteru20uAssessingutheuAnusuanduRectum 501
Chapteru21uAssessingutheuNewborn 517
Chapteru22uAssessingutheuChilduanduAdolescent 555
Chapteru23uAssessingutheuPregnantuWoman 583
Chapteru24uAssessingutheuOlderuAdult 612
, TestuBanku-uEssentialuHealthuAssessment,u1stueditionu(Thompson,u2025)
Chapter 1: Understanding Health Assessment
u u u u
1.uTheuWorlduHealthuOrganizationu(WHO)uestablisheduauglobalustrategyucalledu“HealthuforuAll.”uTheu
goaluforuthisustrategyuis:
1. Alluindividualsutougetutheusameuhealthucareuthroughoututheirulifeuspans.
2. Theugovernmentutousupplyumoneyutoucareuforuallutheupeopleuinutheuworld.
3. Resourcesuforuhealthucareutoubeuevenlyudistributeduanduaccessible.
4. Health-careuprovidersucanuneverudenyupatientsuhealthucare.
2.uHealthuassessmentuisuaufoundationaluandupriorityunursinguskill.uThisuessentialuskillurequiresuregister
edunursesu(RNs)uto:
1. Diagnoseuandutreatupatients.
2. Identifyunormaluanduabnormalufindings.
3. Referupatientsuwithuabnormalufindings.
4. Counselupatientsuwithupsychosocialuneeds.
3.uYouuareuassessinguaupatientuwithufiveugunshotuwoundsuonuautraumauunit.uThereuisuaupoliceupresenc
euoutsideuhisudoorubecauseutheupatientuisuauknownudrugudealeruinutheucommunity.uYouuknowuthatunurse
sumustutreatuallupatientsuasupersons.uThisuisucalled:
1. Caring.
2. Holisticuprocess.
3. Person-centereducareu(PCC).
4. Standardsuofucare.
4.uTheuscience-
baseduframeworkuupdatedueveryu10uyearsubyutheuU.S.uDepartmentuofuHealthuanduHumanuServicesuthat
uhasusetunationalugoalsuanduobjectivesuforuhealthupromotionuandudiseaseupreventionuis:
1. HealthyuPeople.
2. HealthyuPeopleu2020.
3. U.S.uPreventiveuTaskuForce.
4. WorlduHealthuOrganization.
5. Au38-year-oldumaleuhasuaufamilyuhistoryuofucolonucancer.uHisufatherudieduofucolonucanceruatuage
48.uTheudoctorurecommendeduthatuthisupatientuhaveuaucolonoscopyuthisuyear.uThisuisuanuexampleuof:
1. Primaryu healthu prevention.
1u|uPuaugue
, TestuBanku-uEssentialuHealthuAssessment,u1stueditionu(Thompson,u2025)
2. Secondaryuhealthuprevention.
3. Tertiaryuhealthuprevention.
6.uAupatientuinutheuhospitaluputsuonuhisucallulightuandutellsutheupersonuansweringuthatuheu“thinksuheuisuru
nninguaufeveruanduhasustomachudiscomfort.”uYouuareutheuregisteredunurseuinucharge.uWhatushoulduyou
udo?
1. Askutheumedicaluassistantutougoutoutheupatient’suroomuanduassessuhisucomplaints.
2. GoucheckutouseeuifutheupatientuhasuanuorderuforuTylenoluforuaufever.
3. Pageutheuresidentuonucalluimmediatelyutouassessutheupatient.
4. Goutoutheupatient’suroomuanduassessuforufeveruandutheuepigastricudiscomfort.
7.uYouuareuleadinguanuinterdisciplinaryuteamuconferenceutoudiscussuhowutouprovideubetterucareuforuauc
hallengingupatientuwhouhasubehavioraluproblems.uThereuareuseveraluareasuthatuneedutoubeuproblemusol
veduandunewuideasuformulatedutoucreateuanuimproveduplanuofucare.uWhatucognitiveuskillsuareuyouuusin
g?
1. Criticaluthinking
2. Clinicaludecisionumaking
3. Intuitiveuthinking
4. Clinicalureasoning
8.uBestupracticeuassessmentutechniquesuanduinstrumentsuhaveubeenuvalidateduby:
1. AmericanuNursesuAssociation.
2. CodeuofuEthicsuforuNursesuWithuInterpretiveuStatements.
3. Researchuanduevidence-basedupractice.
4. PatientuProtectionuanduAffordableuCareuAct.
9. Healthuanduillnessuareudeterminedubyumanyufactors.uWhatuareutheudeterminantsuofuhealthuidentifiedub
yutheuCentersuforuDiseaseuControluanduPreventionu(CDC)?uSelectualluthatuapply.
1. Geneticsuandubiology
2. Genderuanduoccupation
3. Individualubehavior
4. Socialuenvironment
5. Physicaluenvironment
6. Healthuservices
2u|uPuaugue
u
Essential Health Assessment
u u
Janice M Thompson
u u
1st Edition
u
,Table of Contents
u u
Chapteru01uUnderstandinguHealthuAssessment 1
Chapteru02uInterviewingutheuPatientuforutheuHealthuHistory 11
Chapteru03uTakingutheuHealthuHistory 40
Chapteru04uAssessinguNutritionuanduAnthropometricuMeasurements 61
Chapteru05uAssessmentuTechniques 88
Chapteru06uGeneraluSurveyuanduAssessinguVitaluSigns 99
Chapteru07uAssessinguPain 128
Chapteru08uAssessingutheuSkin,uHair,uanduNails 149
Chapteru09uAssessingutheuHead,uFace,uMouth,uanduNeck 188
Chapteru10uAssessingutheuEars 229
Chapteru11uAssessingutheuEyes 250
Chapteru12uAssessingutheuRespiratoryuSystem 281
Chapteru13uAssessingutheuCardiovascularuSystem 308
Chapteru14uAssessingutheuAbdomen 335
Chapteru15uAssessingutheuPeripheraluVascularuSystemuanduRegionaluLymphaticuSystem 363
Chapteru16uAssessingutheuMusculoskeletaluSystem 391
Chapteru17uAssessingutheuNeurologicaluSystem 417
Chapteru18uAssessingutheuFemaleuBreasts,uAxillae,uanduReproductiveuSystem 451
Chapteru19uAssessingutheuMaleuBreastsuanduReproductiveuSystem 477
Chapteru20uAssessingutheuAnusuanduRectum 501
Chapteru21uAssessingutheuNewborn 517
Chapteru22uAssessingutheuChilduanduAdolescent 555
Chapteru23uAssessingutheuPregnantuWoman 583
Chapteru24uAssessingutheuOlderuAdult 612
, TestuBanku-uEssentialuHealthuAssessment,u1stueditionu(Thompson,u2025)
Chapter 1: Understanding Health Assessment
u u u u
1.uTheuWorlduHealthuOrganizationu(WHO)uestablisheduauglobalustrategyucalledu“HealthuforuAll.”uTheu
goaluforuthisustrategyuis:
1. Alluindividualsutougetutheusameuhealthucareuthroughoututheirulifeuspans.
2. Theugovernmentutousupplyumoneyutoucareuforuallutheupeopleuinutheuworld.
3. Resourcesuforuhealthucareutoubeuevenlyudistributeduanduaccessible.
4. Health-careuprovidersucanuneverudenyupatientsuhealthucare.
2.uHealthuassessmentuisuaufoundationaluandupriorityunursinguskill.uThisuessentialuskillurequiresuregister
edunursesu(RNs)uto:
1. Diagnoseuandutreatupatients.
2. Identifyunormaluanduabnormalufindings.
3. Referupatientsuwithuabnormalufindings.
4. Counselupatientsuwithupsychosocialuneeds.
3.uYouuareuassessinguaupatientuwithufiveugunshotuwoundsuonuautraumauunit.uThereuisuaupoliceupresenc
euoutsideuhisudoorubecauseutheupatientuisuauknownudrugudealeruinutheucommunity.uYouuknowuthatunurse
sumustutreatuallupatientsuasupersons.uThisuisucalled:
1. Caring.
2. Holisticuprocess.
3. Person-centereducareu(PCC).
4. Standardsuofucare.
4.uTheuscience-
baseduframeworkuupdatedueveryu10uyearsubyutheuU.S.uDepartmentuofuHealthuanduHumanuServicesuthat
uhasusetunationalugoalsuanduobjectivesuforuhealthupromotionuandudiseaseupreventionuis:
1. HealthyuPeople.
2. HealthyuPeopleu2020.
3. U.S.uPreventiveuTaskuForce.
4. WorlduHealthuOrganization.
5. Au38-year-oldumaleuhasuaufamilyuhistoryuofucolonucancer.uHisufatherudieduofucolonucanceruatuage
48.uTheudoctorurecommendeduthatuthisupatientuhaveuaucolonoscopyuthisuyear.uThisuisuanuexampleuof:
1. Primaryu healthu prevention.
1u|uPuaugue
, TestuBanku-uEssentialuHealthuAssessment,u1stueditionu(Thompson,u2025)
2. Secondaryuhealthuprevention.
3. Tertiaryuhealthuprevention.
6.uAupatientuinutheuhospitaluputsuonuhisucallulightuandutellsutheupersonuansweringuthatuheu“thinksuheuisuru
nninguaufeveruanduhasustomachudiscomfort.”uYouuareutheuregisteredunurseuinucharge.uWhatushoulduyou
udo?
1. Askutheumedicaluassistantutougoutoutheupatient’suroomuanduassessuhisucomplaints.
2. GoucheckutouseeuifutheupatientuhasuanuorderuforuTylenoluforuaufever.
3. Pageutheuresidentuonucalluimmediatelyutouassessutheupatient.
4. Goutoutheupatient’suroomuanduassessuforufeveruandutheuepigastricudiscomfort.
7.uYouuareuleadinguanuinterdisciplinaryuteamuconferenceutoudiscussuhowutouprovideubetterucareuforuauc
hallengingupatientuwhouhasubehavioraluproblems.uThereuareuseveraluareasuthatuneedutoubeuproblemusol
veduandunewuideasuformulatedutoucreateuanuimproveduplanuofucare.uWhatucognitiveuskillsuareuyouuusin
g?
1. Criticaluthinking
2. Clinicaludecisionumaking
3. Intuitiveuthinking
4. Clinicalureasoning
8.uBestupracticeuassessmentutechniquesuanduinstrumentsuhaveubeenuvalidateduby:
1. AmericanuNursesuAssociation.
2. CodeuofuEthicsuforuNursesuWithuInterpretiveuStatements.
3. Researchuanduevidence-basedupractice.
4. PatientuProtectionuanduAffordableuCareuAct.
9. Healthuanduillnessuareudeterminedubyumanyufactors.uWhatuareutheudeterminantsuofuhealthuidentifiedub
yutheuCentersuforuDiseaseuControluanduPreventionu(CDC)?uSelectualluthatuapply.
1. Geneticsuandubiology
2. Genderuanduoccupation
3. Individualubehavior
4. Socialuenvironment
5. Physicaluenvironment
6. Healthuservices
2u|uPuaugue