gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt TEST BANK gt
gt for Advanced Health Assessment and Differential Diagnosis Essentials Fo
gt gt gt gt gt gt gt gt
r Clinical Practice
gt gt gt
1st Edition Myrick, Chapters 1 - 12
gt gt gt gt gt gt
,Advancedgt Healthgt Assessmentg t andgt Differentialgt Diagnosisgt EssentialsgtforgtClinicalgtPracticegt1stgtEd
itiongtMyrickgtTestgtBank
TablegtofgtContents:
Chaptergt1.gtHealthgtHistory,gtThegtPatientgtInterview,gtAndgtMotivationalgtInterviewing
Chaptergt2.gtAdvancedgtHealthgtAssessmentgtofgtthegtHead,gtNeck,gtandgtLymphaticgtSystem
Chaptergt3.gtAdvancedgtHealthgtAssessmentgtofgtthegtNose,gtMouth,gtandgtThroat
Chaptergt4.gtAdvancedgtHealthgtAssessmentgtofgtthegtEyesgtandgtEars
Chaptergt5.gtAdvancedgtHealthgtAssessmentgtofgtSkin,gtHair,gtandgtNails
Chaptergt6.gtAdvancedgtHealthgtAssessmentgtofgtthegtCardiovasculargtSystem
Chaptergt7gtAdvancedgtHealthgtAssessmentgtofgtthegtRespiratorygtSystem
Chaptergt8gtAdvancedgtHealthgtAssessmentgtofgtthegtAbdomen,gtRectum,gtandgtAnus
Chaptergt9gtAdvancedgtHealthgtAssessmentgtofgtthegtMalegtGenitourinarygtSystem
Chaptergt10gtAdvancedgtAssessmentgtofgtthegtFemalegtReproductivegtSystem
Chaptergt11gtAdvancedgtHealthgtAssessmentgtofgtthegtNeurologicalgtSystem
Chaptergt12gtAdvancedgtHealthgtAssessmentgtofgtthegtMusculoskeletalgtSystem
,Advancedgt Healthgt Assessmentg t andgt Differentialgt Diagnosisgt EssentialsgtforgtClinicalgtPracticegt
1stgtEditiongtMyrickgtTestgtBank
Chapterg t 1:gt Healthg t History,gt Theg t Patientg t Interview,g t Andg t Motivationalg t Interviewing
MULTIPLEgtCHOICE
1. Thegt nursegtisgt preparinggttogt conductgt agt healthgt history.g t Whichg t ofgtthesegt statementsgt bestgt desc
ribesgtthegt purposegt ofgtagt healthgt history?
a Togt providegt angt opportunityg t forgt interactiongt betweengt theg t patientgt andgt theg t nurse
.
b Togt providegt agt formg t forgt obtaininggt theg t patientsgt biographicg t information
.
c Togt documentg t theg t normalgt andgt abnormalg t findingsg t ofgt agt physicalgt assessment
.
d Togt providegt agt databasegt ofgt subjectiveg t informationgt aboutgt thegt patientsgt pastg t andgt
. currentgthealth
ANSWER:gt D
Thegt purposegt ofgttheg t healthgt historygtisgt togt collectg t subjectiveg t datawhatgtthegt persongt saysgt aboutg t himgt orgth
erself.gtThegtothergtoptionsgtaregtnotgtcorrect.
DIF:g t Cognitiveg t Level:g t Understandinggt (Comprehension)g t REF:g t dm.gt 49
MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
2. Whengt thegt nursegt isgtevaluatinggt thegt reliabilitygt ofgtagt patientsgt responses,gt whichg t ofgt thesegt state
mentsgtwouldgtbegtcorrect?gtThegtpatient:
a Hasgt agt historygtofgt druggt abusegt andgt thereforegt isgt notgt reliable.
.
b Providedgt consistentg t informationg t andgt thereforeg t isgt reliable.
.
c Smiledgt throughoutgt interviewg t andg t thereforeg t isgt assumedg t reliable.
.
d Wouldgt notg t answergt questionsg t concerninggt stressgt andg t thereforeg t isgt notgt reliable.
.
ANSWER:gt B
Agt reliablegt persongtalwaysg t givesgt theg t samegt answers,gt evengt whengt questionsgt aregt rephrasedg t orgtaregtr
epeatedgtlatergtingtthegtinterview.gtThegtothergtstatementsgtaregt notgtcorrect.
DIF:gt Cognitiveg t Level:gt Applyinggt (Application)gt REF:g t dm.gt 49
, MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
3. Agt 59-year-
oldgt patientgt tellsgt thegt nursegt thatg t heg t hasgt ulcerativegt colitis.gt Hegt hasgt beengt havinggt blackgtstoolsgtfo
rgt thegt lastgt 24gt hours.gt Howgt wouldgt thegt nursegt bestgt documentgt hisgt reasongt forgt seekinggt care?
a J.M.gt isgt agt 59-year-oldgt mangt seekinggt treatmentgt forgt ulcerativeg t colitis.
.
b J.M.gt camegt intogt thegt clinicgt complaininggt ofgt havinggt blackgt stoolsgt forgt thegt pastgt24gt
. hours.
c J.M.gt isgtagt 59-year-
. oldgt mangt whogt statesgt thatgt hegt hasgt ulcerativegt colitisgtandgt wantsgtitgtchecked.
d J.M.gt isgtagt 59-year-
. oldgt mangt whogt statesgt thatgt hegt hasgt beengt havinggt blackgt stoolsgt forgtthegtpastgt24gthour
s.
ANSWER:gt D
Thegt reasongt forgt seekinggt caregt isgt agt briefgtspontaneousgt statementgt ingtthegt personsgt owngt wordsgt thatgtde
scribesgt thegt reasongt forgtthegt visit.gt Itgt statesgt onegt (possiblygttwo)gt signsgt orgt symptomsgt andgttheirgtdurat
ion.gtItgtisgtenclosedgtingtquotationgtmarksgttogtindicategt thegtpersonsgtexactgtwords.
DIF:gt Cognitiveg t Level:gt Applyinggt (Application)gt REF:g t dm.gt 50
MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
4. Agt patientgttellsgt thegt nursegtthatgt shegt hasgt hadgt abdominalgt paingt forgtthegt pastgt week.gt Whatgt wouldgt b
egt thegtnursesgtbestgtresponse?
a Cangt yougt pointgttogt wheregt itgthurts?
.
b Wellgt talkgt moregt aboutgt thatgt latergt ingt thegt interview.
.
c Whatgt havegt yougt hadgttogteatgt ingtthegt lastgt24gt hours?
.
d Havegt yougtevergt hadgt anygtsurgeriesgt ongt yourgt abdomen?
.
ANSWER:gt A
Agt finalg t summarygtofgt anygtsymptomg t thegt persongt hasgtshouldgt include,gt alonggt withgt sevengt othergt crit
icalgtcharacteristics,gtLocation:gtspecific.gtThegtpersongtisgtaskedgttogtpointgttogtthegtlocation.
DIF:gt Cognitiveg t Level:gt Applyinggt (Application)gt REF:g t dm.gt 50
MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
5. Agt 29-year-
oldgt womangt tellsgt thegt nursegt thatgt shegt hasgt excruciatinggt paingtingt hergt back.gt Whichgt wouldgtbegtthegtn
ursesgtappropriategtresponsegttogtthegtwomansgtstatement?
gt for Advanced Health Assessment and Differential Diagnosis Essentials Fo
gt gt gt gt gt gt gt gt
r Clinical Practice
gt gt gt
1st Edition Myrick, Chapters 1 - 12
gt gt gt gt gt gt
,Advancedgt Healthgt Assessmentg t andgt Differentialgt Diagnosisgt EssentialsgtforgtClinicalgtPracticegt1stgtEd
itiongtMyrickgtTestgtBank
TablegtofgtContents:
Chaptergt1.gtHealthgtHistory,gtThegtPatientgtInterview,gtAndgtMotivationalgtInterviewing
Chaptergt2.gtAdvancedgtHealthgtAssessmentgtofgtthegtHead,gtNeck,gtandgtLymphaticgtSystem
Chaptergt3.gtAdvancedgtHealthgtAssessmentgtofgtthegtNose,gtMouth,gtandgtThroat
Chaptergt4.gtAdvancedgtHealthgtAssessmentgtofgtthegtEyesgtandgtEars
Chaptergt5.gtAdvancedgtHealthgtAssessmentgtofgtSkin,gtHair,gtandgtNails
Chaptergt6.gtAdvancedgtHealthgtAssessmentgtofgtthegtCardiovasculargtSystem
Chaptergt7gtAdvancedgtHealthgtAssessmentgtofgtthegtRespiratorygtSystem
Chaptergt8gtAdvancedgtHealthgtAssessmentgtofgtthegtAbdomen,gtRectum,gtandgtAnus
Chaptergt9gtAdvancedgtHealthgtAssessmentgtofgtthegtMalegtGenitourinarygtSystem
Chaptergt10gtAdvancedgtAssessmentgtofgtthegtFemalegtReproductivegtSystem
Chaptergt11gtAdvancedgtHealthgtAssessmentgtofgtthegtNeurologicalgtSystem
Chaptergt12gtAdvancedgtHealthgtAssessmentgtofgtthegtMusculoskeletalgtSystem
,Advancedgt Healthgt Assessmentg t andgt Differentialgt Diagnosisgt EssentialsgtforgtClinicalgtPracticegt
1stgtEditiongtMyrickgtTestgtBank
Chapterg t 1:gt Healthg t History,gt Theg t Patientg t Interview,g t Andg t Motivationalg t Interviewing
MULTIPLEgtCHOICE
1. Thegt nursegtisgt preparinggttogt conductgt agt healthgt history.g t Whichg t ofgtthesegt statementsgt bestgt desc
ribesgtthegt purposegt ofgtagt healthgt history?
a Togt providegt angt opportunityg t forgt interactiongt betweengt theg t patientgt andgt theg t nurse
.
b Togt providegt agt formg t forgt obtaininggt theg t patientsgt biographicg t information
.
c Togt documentg t theg t normalgt andgt abnormalg t findingsg t ofgt agt physicalgt assessment
.
d Togt providegt agt databasegt ofgt subjectiveg t informationgt aboutgt thegt patientsgt pastg t andgt
. currentgthealth
ANSWER:gt D
Thegt purposegt ofgttheg t healthgt historygtisgt togt collectg t subjectiveg t datawhatgtthegt persongt saysgt aboutg t himgt orgth
erself.gtThegtothergtoptionsgtaregtnotgtcorrect.
DIF:g t Cognitiveg t Level:g t Understandinggt (Comprehension)g t REF:g t dm.gt 49
MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
2. Whengt thegt nursegt isgtevaluatinggt thegt reliabilitygt ofgtagt patientsgt responses,gt whichg t ofgt thesegt state
mentsgtwouldgtbegtcorrect?gtThegtpatient:
a Hasgt agt historygtofgt druggt abusegt andgt thereforegt isgt notgt reliable.
.
b Providedgt consistentg t informationg t andgt thereforeg t isgt reliable.
.
c Smiledgt throughoutgt interviewg t andg t thereforeg t isgt assumedg t reliable.
.
d Wouldgt notg t answergt questionsg t concerninggt stressgt andg t thereforeg t isgt notgt reliable.
.
ANSWER:gt B
Agt reliablegt persongtalwaysg t givesgt theg t samegt answers,gt evengt whengt questionsgt aregt rephrasedg t orgtaregtr
epeatedgtlatergtingtthegtinterview.gtThegtothergtstatementsgtaregt notgtcorrect.
DIF:gt Cognitiveg t Level:gt Applyinggt (Application)gt REF:g t dm.gt 49
, MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
3. Agt 59-year-
oldgt patientgt tellsgt thegt nursegt thatg t heg t hasgt ulcerativegt colitis.gt Hegt hasgt beengt havinggt blackgtstoolsgtfo
rgt thegt lastgt 24gt hours.gt Howgt wouldgt thegt nursegt bestgt documentgt hisgt reasongt forgt seekinggt care?
a J.M.gt isgt agt 59-year-oldgt mangt seekinggt treatmentgt forgt ulcerativeg t colitis.
.
b J.M.gt camegt intogt thegt clinicgt complaininggt ofgt havinggt blackgt stoolsgt forgt thegt pastgt24gt
. hours.
c J.M.gt isgtagt 59-year-
. oldgt mangt whogt statesgt thatgt hegt hasgt ulcerativegt colitisgtandgt wantsgtitgtchecked.
d J.M.gt isgtagt 59-year-
. oldgt mangt whogt statesgt thatgt hegt hasgt beengt havinggt blackgt stoolsgt forgtthegtpastgt24gthour
s.
ANSWER:gt D
Thegt reasongt forgt seekinggt caregt isgt agt briefgtspontaneousgt statementgt ingtthegt personsgt owngt wordsgt thatgtde
scribesgt thegt reasongt forgtthegt visit.gt Itgt statesgt onegt (possiblygttwo)gt signsgt orgt symptomsgt andgttheirgtdurat
ion.gtItgtisgtenclosedgtingtquotationgtmarksgttogtindicategt thegtpersonsgtexactgtwords.
DIF:gt Cognitiveg t Level:gt Applyinggt (Application)gt REF:g t dm.gt 50
MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
4. Agt patientgttellsgt thegt nursegtthatgt shegt hasgt hadgt abdominalgt paingt forgtthegt pastgt week.gt Whatgt wouldgt b
egt thegtnursesgtbestgtresponse?
a Cangt yougt pointgttogt wheregt itgthurts?
.
b Wellgt talkgt moregt aboutgt thatgt latergt ingt thegt interview.
.
c Whatgt havegt yougt hadgttogteatgt ingtthegt lastgt24gt hours?
.
d Havegt yougtevergt hadgt anygtsurgeriesgt ongt yourgt abdomen?
.
ANSWER:gt A
Agt finalg t summarygtofgt anygtsymptomg t thegt persongt hasgtshouldgt include,gt alonggt withgt sevengt othergt crit
icalgtcharacteristics,gtLocation:gtspecific.gtThegtpersongtisgtaskedgttogtpointgttogtthegtlocation.
DIF:gt Cognitiveg t Level:gt Applyinggt (Application)gt REF:g t dm.gt 50
MSC:gt Clientgt Needs:g t Safeg t andgt Effectivegt Caregt Environment:gt Managementgt ofgt Care
5. Agt 29-year-
oldgt womangt tellsgt thegt nursegt thatgt shegt hasgt excruciatinggt paingtingt hergt back.gt Whichgt wouldgtbegtthegtn
ursesgtappropriategtresponsegttogtthegtwomansgtstatement?
