nd
Essential Health Assessment 2 Editi
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on Thompson Test Bank
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, Table of Contents l0 l0
Chapter 1: Understanding Health Assessment
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Chapter 2: Interviewing the Patient for the Health History C
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hapter 3: Taking the Health History
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Chapter 4: Assessing Nutrition and Anthropometric Measurements Chap
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ter 5: Assessment Techniques
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Chapter 6: General Survey and Assessing Vital Signs Chapte
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r 7: Assessing Pain
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Chapter 8: Assessing the Skin, Hair, and Nails
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Chapter 9: Assessing the Head, Face, Mouth, and Neck Cha
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pter 10: Assessing the Ears
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Chapter 11: Assessing the Eyes l0 l0 l0 l0
Chapter 12: Assessing the Respiratory System Ch
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apter 13: Assessing the Cardiovascular System Cha
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pter 14: Assessing the Abdomen
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Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System Ch
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apter 16: Assessing the Musculoskeletal System
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Chapter 17: Assessing the Neurological System
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Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System Chapte
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r 19: Assessing the Male Breasts and Reproductive System
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Chapter 20: Assessing the Anus and Rectum Chapt
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er 21: Assessing the Newborn
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Chapter 22: Assessing the Child and Adolescent Ch
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apter 23 Assessing the Pregnant Woman Chapter
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24: Assessing the Older Adult
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,Chapter 1: Understanding Health Assessment l0 l0 l0 l0
1. The World Health Organization (WHO) established a global strategy called ―Health for All.‖
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The goal for this strategy is:
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1. All individuals to get the same health care throughout their life spans.
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2. The government to supply money to care for all the people in the world.
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3. Resources for health care to be evenly distributed and accessible.
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4. Health-care providers can never deny patients health care. l0 l0 l0 l0 l0 l0 l0
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
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registered nurses (RNs) to: l0 l0 l0
1. Diagnose and treat patients. l0 l0 l0
2. Identify normal and abnormal findings. l0 l0 l0 l0
3. Refer patients with abnormal findings.
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4. Counsel patients with psychosocial needs. l0 l0 l0 l0
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
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presence outside his door because the patient is a known drug dealer in the community. You
0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
know that nurses must treat all patients as persons. This is called:
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1. Caring.
2. Holistic process. l0
3. Person-centered care (PCC). l0 l0
4. Standards of care. l0 l0
4. The science- l0
based framework updated every 10 years by the U.S. Department of Health and Human Servic
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
es that has set national goals and objectives for health promotion and disease prevention is:
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1. Healthy People. l0
2. Healthy People 2020. l0 l0
3. U.S. Preventive Task Force.l0 l0 l0
4. World Health Organization. l0 l0
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
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48. The doctor recommended that this patient have a colonoscopy this year. This is an example o
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f:
1. Primary health prevention. l0 l0
, 2. Secondary health prevention. l0 l0
3. Tertiary health prevention. l0 l0
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks he
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
is running a fever and has stomach discomfort.‖ You are the registered nurse in charge. What s
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hould you do? l0 l0
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
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2. Go check to see if the patient has an order for Tylenol for a fever.
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3. Page the resident on call immediately to assess the patient.
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4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
7. You are leading an interdisciplinary team conference to discuss how to provide better care for
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
a challenging patient who has behavioral problems. There are several areas that need to be prob
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
lem solved and new ideas formulated to create an improved plan of care. What cognitive skills
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
are you using?
l0 l0
1. Critical thinking l0
2. Clinical decision making l0 l0
3. Intuitive thinking l0
4. Clinical reasoning l0
8. Best practice assessment techniques and instruments have been validated by:
l0 l0 l0 l0 l0 l0 l0 l0 l0
1. American Nurses Association. l0 l0
2. Code of Ethics for Nurses With Interpretive Statements.
l0 l0 l0 l0 l0 l0 l0
3. Research and evidence-based practice. l0 l0 l0
4. Patient Protection and Affordable Care Act.
l0 l0 l0 l0 l0
9. Health and illness are determined by many factors. What are the determinants of health
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Genetics and biology l0 l0
2. Gender and occupation l0 l0
3. Individual behavior l0
4. Social environment l0
5. Physical environment l0
6. Health services l0
Essential Health Assessment 2 Editi
l0 l0 l0 l0
on Thompson Test Bank
l0 l0 l0
, Table of Contents l0 l0
Chapter 1: Understanding Health Assessment
l0 l0 l0 l0
Chapter 2: Interviewing the Patient for the Health History C
l0 l0 l0 l0 l0 l0 l0 l0 l0
hapter 3: Taking the Health History
l0 l0 l0 l0 l0
Chapter 4: Assessing Nutrition and Anthropometric Measurements Chap
l0 l0 l0 l0 l0 l0 l0
ter 5: Assessment Techniques
l0 l0 l0
Chapter 6: General Survey and Assessing Vital Signs Chapte
l0 l0 l0 l0 l0 l0 l0 l0
r 7: Assessing Pain
l0 l0 l0
Chapter 8: Assessing the Skin, Hair, and Nails
l0 l0 l0 l0 l0 l0 l0
Chapter 9: Assessing the Head, Face, Mouth, and Neck Cha
l0 l0 l0 l0 l0 l0 l0 l0 l0
pter 10: Assessing the Ears
l0 l0 l0 l0
Chapter 11: Assessing the Eyes l0 l0 l0 l0
Chapter 12: Assessing the Respiratory System Ch
l0 l0 l0 l0 l0 l0
apter 13: Assessing the Cardiovascular System Cha
l0 l0 l0 l0 l0 l0
pter 14: Assessing the Abdomen
l0 l0 l0 l0
Chapter 15: Assessing the Peripheral Vascular System and Regional Lymphatic System Ch
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
apter 16: Assessing the Musculoskeletal System
l0 l0 l0 l0 l0
Chapter 17: Assessing the Neurological System
l0 l0 l0 l0 l0
Chapter 18: Assessing the Female Breasts, Axillae, and Reproductive System Chapte
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
r 19: Assessing the Male Breasts and Reproductive System
l0 l0 l0 l0 l0 l0 l0 l0
Chapter 20: Assessing the Anus and Rectum Chapt
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er 21: Assessing the Newborn
l0 l0 l0 l0
Chapter 22: Assessing the Child and Adolescent Ch
l0 l0 l0 l0 l0 l0 l0
apter 23 Assessing the Pregnant Woman Chapter
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24: Assessing the Older Adult
l0 l0 l0 l0
,Chapter 1: Understanding Health Assessment l0 l0 l0 l0
1. The World Health Organization (WHO) established a global strategy called ―Health for All.‖
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
The goal for this strategy is:
l0 l0 l0 l0 l0
1. All individuals to get the same health care throughout their life spans.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
2. The government to supply money to care for all the people in the world.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
3. Resources for health care to be evenly distributed and accessible.
l0 l0 l0 l0 l0 l0 l0 l0 l0
4. Health-care providers can never deny patients health care. l0 l0 l0 l0 l0 l0 l0
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
registered nurses (RNs) to: l0 l0 l0
1. Diagnose and treat patients. l0 l0 l0
2. Identify normal and abnormal findings. l0 l0 l0 l0
3. Refer patients with abnormal findings.
l0 l0 l0 l0
4. Counsel patients with psychosocial needs. l0 l0 l0 l0
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l
presence outside his door because the patient is a known drug dealer in the community. You
0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
know that nurses must treat all patients as persons. This is called:
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Caring.
2. Holistic process. l0
3. Person-centered care (PCC). l0 l0
4. Standards of care. l0 l0
4. The science- l0
based framework updated every 10 years by the U.S. Department of Health and Human Servic
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
es that has set national goals and objectives for health promotion and disease prevention is:
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Healthy People. l0
2. Healthy People 2020. l0 l0
3. U.S. Preventive Task Force.l0 l0 l0
4. World Health Organization. l0 l0
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
48. The doctor recommended that this patient have a colonoscopy this year. This is an example o
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
f:
1. Primary health prevention. l0 l0
, 2. Secondary health prevention. l0 l0
3. Tertiary health prevention. l0 l0
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks he
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
is running a fever and has stomach discomfort.‖ You are the registered nurse in charge. What s
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
hould you do? l0 l0
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
2. Go check to see if the patient has an order for Tylenol for a fever.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
3. Page the resident on call immediately to assess the patient.
l0 l0 l0 l0 l0 l0 l0 l0 l0
4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
7. You are leading an interdisciplinary team conference to discuss how to provide better care for
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
a challenging patient who has behavioral problems. There are several areas that need to be prob
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
lem solved and new ideas formulated to create an improved plan of care. What cognitive skills
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
are you using?
l0 l0
1. Critical thinking l0
2. Clinical decision making l0 l0
3. Intuitive thinking l0
4. Clinical reasoning l0
8. Best practice assessment techniques and instruments have been validated by:
l0 l0 l0 l0 l0 l0 l0 l0 l0
1. American Nurses Association. l0 l0
2. Code of Ethics for Nurses With Interpretive Statements.
l0 l0 l0 l0 l0 l0 l0
3. Research and evidence-based practice. l0 l0 l0
4. Patient Protection and Affordable Care Act.
l0 l0 l0 l0 l0
9. Health and illness are determined by many factors. What are the determinants of health
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
identified by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Genetics and biology l0 l0
2. Gender and occupation l0 l0
3. Individual behavior l0
4. Social environment l0
5. Physical environment l0
6. Health services l0