Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1stEdition
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Myrick Test Bank
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Table of Contents:
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Chapter1. HealthHistory, The Patient Interview, AndMotivational Interviewing
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Chapter 2. Advanced Health Assessment ofthe Head, Neck, and Lymphatic System
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Chapter 3. Advanced Health Assessment ofthe Nose, Mouth, andThroat
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Chapter 4. Advanced Health Assessment oftheEyes and Ears
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Chapter 5. Advanced Health Assessment ofSkin, Hair, and Nails
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Chapter 6. Advanced Health Assessment ofthe Cardiovascular System
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Chapter 7 Advanced Health Assessment ofthe RespiratorySystem
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Chapter 8 Advanced Health Assessment ofthe Abdomen, Rectum,and Anus
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Chapter 9 Advanced Health Assessment ofthe MaleGenitourinarySystem
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Chapter 10 Advanced Assessment ofthe Female Reproductive System
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Chapter 11 Advanced Health Assessment ofthe Neurological System
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Chapter 12 Advanced Health Assessment ofthe Musculoskeletal System
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1stEd r fv r f v r f v r f v r f v r f v rfv rfv rfv r fv rfv
ition Myrick Test Bank r fv r fv r fv
Chapter 1: Health History, The Patient Interview, And Motivational Interviewing r f v r f v r f v r f v r f v r f v r f v r f v r f v
MULTIPLE CHOICE rfv
1. The nurse is preparing to conduct a health history. Which of these statements best describesthe
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purpose of a health history?
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a To provide an opportunity for interaction between the patient and the nurse
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b To provide a form for obtaining the patients biographic information
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c To document the normal and abnormal findings of a physical assessment
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d To provide a database of subjective information about the patients past andcurren
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. t health rfv
ANSWER: D rfv
The purpose of the health history is to collect subjective datawhat the person says about him orherself. T
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he other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. When the nurse is evaluating the reliability of a patients responses, which of these statementswo
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uld be correct? The patient:
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a Has a history of drug abuse and therefore is not reliable.
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b Provided consistent information and therefore is reliable. r f v r f v r f v r f v r f v r f v
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c Smiled throughout interview and therefore is assumed reliable. r f v r f v r f v r f v r f v r f v r f v
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d Would not answer questions concerning stress and therefore is not reliable. r f v r f v r f v r f v r f v r f v r f v r f v r f v r f v
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ANSWER: B rfv
A reliable person always gives the same answers, even when questions are rephrased or arerepeated
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later in the interview. The other statements are not correct.
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DIF: Cognitive Level: Applying (Application) REF: dm. 49
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, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A 59-year- r f v
old patient tells the nurse that he has ulcerative colitis. He has been having blackstools for the last
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24 hours. How would the nurse best document his reason for seeking care?
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a J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
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b J.M. came into the clinic complaining of having black stools for the past 24hours.
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c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants itchecked.
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d J.M. is a 59-year- rfv rfv r f v
. old man who states that he has been having black stools forthe past 24 hours.
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ANSWER: D rfv
The reason for seeking care is a brief spontaneous statement in the persons own words thatdescribes t
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he reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed
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in quotation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. A patient tells the nurse that she has had abdominal pain for the past week. What would be thenurs
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es best response?
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a Can you point to where it hurts?rfv rfv rfv rfv rfv rfv
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b Well talk more about that later in the interview.
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c What have you had to eat in the last 24 hours? rfv r f v rfv rfv rfv rfv rfv rfv rfv rfv
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d Have you ever had any surgeries on your abdomen? r f v r fv rf v r fv rfv rfv r f v rfv
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ANSWER: A rfv
A final summary of any symptom the person has should include, along with seven other criticalchar
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acteristics, Location: specific. The person is asked to point to the location. rfv rf v rfv rfv rf v rf v rfv rf v rf v rf v rfv
DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. A 29-year- rf v
old woman tells the nurse that she has excruciating pain in her back. Which wouldbe the nurses app
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ropriate response to the womans statement? rf v rf v rf v rf v rfv