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Essential Health Assessment
zx zx
Janice Thompson
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1st Edition
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Table of Contents
zx zx
Chapter 01 Understanding Health Assessment
zx zx zx zx 1
Chapter 02 Interviewing the Patient for the Health History
zx zx zx zx zx zx zx zx 11
Chapter 03 Taking the Health History
zx zx zx zx zx 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
zx zx zx zx zx zx 61
Chapter 05 Assessment Techniques
zx zx zx 88
Chapter 06 General Survey and Assessing Vital Signs
zx zx zx zx zx zx zx 99
Chapter 07 Assessing Pain
zx zx zx 128
Chapter 08 Assessing the Skin, Hair, and Nails
zx zx zx zx zx zx zx 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
zx zx zx zx zx zx zx zx 188
Chapter 10 Assessing the Ears
zx zx zx zx 229
Chapter 11 Assessing the Eyes
zx zx zx zx 250
Chapter 12 Assessing the Respiratory System
zx zx zx zx zx 281
Chapter 13 Assessing the Cardiovascular System
zx zx zx zx zx 308
Chapter 14 Assessing the Abdomen
zx zx zx zx 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
zx zx zx zx zx zx zx zx zx zx 363
Chapter 16 Assessing the Musculoskeletal System
zx zx zx zx zx 391
Chapter 17 Assessing the Neurological System
zx zx zx zx zx 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
zx zx zx zx zx zx zx zx zx 451
Chapter 19 Assessing the Male Breasts and Reproductive System
zx zx zx zx zx zx zx zx 477
Chapter 20 Assessing the Anus and Rectum
zx zx zx zx zx zx 501
Chapter 21 Assessing the Newborn
zx zx zx zx 517
Chapter 22 Assessing the Child and Adolescent
zx zx zx zx zx zx 555
Chapter 23 Assessing the Pregnant Woman
zx zx zx zx zx 583
Chapter 24 Assessing the Older Adult
zx zx zx zx zx 612
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Essential Health Assessment, 1st edition (Thompson, 2018)
Chapter 1: Understanding Health Assessment
zx zx zx zx
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.
zx zx zx zx zx zx zx zx zx zx zx
2. The government to supply money to care for all the people in the world.
zx zx zx zx zx zx zx zx zx zx zx zx zx
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.
zx zx zx zx zx zx zx
2. Health assessment is a foundational and priority nursing skill. This essential skill require
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s registered nurses (RNs) to:
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1. Diagnose and treat patients. zx zx zx
2. Identify normal and abnormal findings.
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3. Refer patients with abnormal findings.
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4. Counsel patients with psychosocial needs.
zx zx zx zx
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police pre
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
sence outside his door because the patient is a known drug dealer in the community. You know t
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hat nurses must treat all patients as persons. This is called:
zx zx zx zx zx zx zx zx zx zx
1. Caring.
2. Holistic process. zx
3. Person-centered care (PCC). zx zx
4. Standards of care. zx zx
4. The science- zx
based framework updated every 10 years by the U.S. Department of Health and Human Servi
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ces that has set national goals and objectives for health promotion and disease prevention is
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:
1. Healthy People. zx
2. Healthy People 2020. zx zx
3. U.S. Preventive Task Force.
zx zx zx
4. World Health Organization. zx zx
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
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1. Primary health prevention. zx zx
1| P a ge
zx zx zx zx zx
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Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondary health prevention. zx zx
3. Tertiary health prevention. zx zx
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks he
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is running a fever and has stomach discomfort.‖ You are the registered nurse in charge. What sh
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ould you do? zx zx
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.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
3. Page the resident on call immediately to assess the patient.
zx zx zx zx zx zx zx zx zx
4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
zx zx zx zx zx zx zx zx zx zx zx zx
7. You are leading an interdisciplinary team conference to discuss how to provide better care for
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a challenging patient who has behavioral problems. There are several areas that need to be pro
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blem solved and new ideas formulated to create an improved plan of care. What cognitive skills
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
are you using?zx zx
1. Critical thinking zx
2. Clinical decision making zx zx
3. Intuitive thinking zx
4. Clinical reasoning zx
8. Best practice assessment techniques and instruments have been validated by:
zx zx zx zx zx zx zx zx zx
1. American Nurses Association. zx zx
2. Code of Ethics for Nurses With Interpretive Statements.
zx zx zx zx zx zx zx
3. Research and evidence-based practice. zx zx zx
4. Patient Protection and Affordable Care Act.zx zx zx zx zx
9. Health and illness are determined by many factors. What are the determinants of health identifie
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
d by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
zx zx zx zx zx zx zx zx zx zx zx zx zx
1. Genetics and biology zx zx
2. Gender and occupation zx zx
3. Individual behavior zx
4. Social environment zx
5. Physical environment zx
6. Health services zx
2| P a ge
zx zx zx zx zx
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m 6
Distribution of this document is illegal extra per year?
The Marketplace to Buy and Sell your Study Material
TEST BANK
zx
Essential Health Assessment
zx zx
Janice Thompson
zx
1st Edition
zx
Downloadedzxby:zxfatoumatabahzx| Wantzxtozxearnzx$1.23
m 6
Distribution of this document is illegal extra per year?
, Stuvia.comzx-
The Marketplace to Buy and Sell your Study Material
Table of Contents
zx zx
Chapter 01 Understanding Health Assessment
zx zx zx zx 1
Chapter 02 Interviewing the Patient for the Health History
zx zx zx zx zx zx zx zx 11
Chapter 03 Taking the Health History
zx zx zx zx zx 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
zx zx zx zx zx zx 61
Chapter 05 Assessment Techniques
zx zx zx 88
Chapter 06 General Survey and Assessing Vital Signs
zx zx zx zx zx zx zx 99
Chapter 07 Assessing Pain
zx zx zx 128
Chapter 08 Assessing the Skin, Hair, and Nails
zx zx zx zx zx zx zx 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
zx zx zx zx zx zx zx zx 188
Chapter 10 Assessing the Ears
zx zx zx zx 229
Chapter 11 Assessing the Eyes
zx zx zx zx 250
Chapter 12 Assessing the Respiratory System
zx zx zx zx zx 281
Chapter 13 Assessing the Cardiovascular System
zx zx zx zx zx 308
Chapter 14 Assessing the Abdomen
zx zx zx zx 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
zx zx zx zx zx zx zx zx zx zx 363
Chapter 16 Assessing the Musculoskeletal System
zx zx zx zx zx 391
Chapter 17 Assessing the Neurological System
zx zx zx zx zx 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
zx zx zx zx zx zx zx zx zx 451
Chapter 19 Assessing the Male Breasts and Reproductive System
zx zx zx zx zx zx zx zx 477
Chapter 20 Assessing the Anus and Rectum
zx zx zx zx zx zx 501
Chapter 21 Assessing the Newborn
zx zx zx zx 517
Chapter 22 Assessing the Child and Adolescent
zx zx zx zx zx zx 555
Chapter 23 Assessing the Pregnant Woman
zx zx zx zx zx 583
Chapter 24 Assessing the Older Adult
zx zx zx zx zx 612
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m 6
Distribution of this document is illegal extra per year?
, Stuvia.comzx-zxThezxMarketplacezxtozxBuyzxandzxSellzxyourzxStudyzxMaterial
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Essential Health Assessment, 1st edition (Thompson, 2018)
Chapter 1: Understanding Health Assessment
zx zx zx zx
1. The World Health Organization (WHO) established a global strategy called ―Health for All.
zx zx zx zx zx zx zx zx zx zx zx zx
‖ The goal for this strategy is:
zx zx zx zx zx zx
1. All individuals to get the same health care throughout their life spans.
zx zx zx zx zx zx zx zx zx zx zx
2. The government to supply money to care for all the people in the world.
zx zx zx zx zx zx zx zx zx zx zx zx zx
3. Resources for health care to be evenly distributed and accessible.
zx zx zx zx zx zx zx zx zx
4. Health-care providers can never deny patients health care.
zx zx zx zx zx zx zx
2. Health assessment is a foundational and priority nursing skill. This essential skill require
zx zx zx zx zx zx zx zx zx zx zx zx
s registered nurses (RNs) to:
zx zx zx zx
1. Diagnose and treat patients. zx zx zx
2. Identify normal and abnormal findings.
zx zx zx zx
3. Refer patients with abnormal findings.
zx zx zx zx
4. Counsel patients with psychosocial needs.
zx zx zx zx
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police pre
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
sence outside his door because the patient is a known drug dealer in the community. You know t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
hat nurses must treat all patients as persons. This is called:
zx zx zx zx zx zx zx zx zx zx
1. Caring.
2. Holistic process. zx
3. Person-centered care (PCC). zx zx
4. Standards of care. zx zx
4. The science- zx
based framework updated every 10 years by the U.S. Department of Health and Human Servi
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ces that has set national goals and objectives for health promotion and disease prevention is
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
:
1. Healthy People. zx
2. Healthy People 2020. zx zx
3. U.S. Preventive Task Force.
zx zx zx
4. World Health Organization. zx zx
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
1. Primary health prevention. zx zx
1| P a ge
zx zx zx zx zx
Downloadedzxby:zxfatoumatabahzx| Wantzxtozxearnzx$1.23
m 6
Distribution of this document is illegal extra per year?
, Stuvia.comzx-zxThezxMarketplacezxtozxBuyzxandzxSellzxyourzxStudyzxMaterial
TestzxBankzx-
Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondary health prevention. zx zx
3. Tertiary health prevention. zx zx
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks he
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
is running a fever and has stomach discomfort.‖ You are the registered nurse in charge. What sh
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ould you do? zx zx
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
zx zx zx zx zx zx zx zx zx zx zx zx zx
2. Go check to see if the patient has an order for Tylenol for a fever.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
3. Page the resident on call immediately to assess the patient.
zx zx zx zx zx zx zx zx zx
4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
zx zx zx zx zx zx zx zx zx zx zx zx
7. You are leading an interdisciplinary team conference to discuss how to provide better care for
zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
a challenging patient who has behavioral problems. There are several areas that need to be pro
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
blem solved and new ideas formulated to create an improved plan of care. What cognitive skills
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
are you using?zx zx
1. Critical thinking zx
2. Clinical decision making zx zx
3. Intuitive thinking zx
4. Clinical reasoning zx
8. Best practice assessment techniques and instruments have been validated by:
zx zx zx zx zx zx zx zx zx
1. American Nurses Association. zx zx
2. Code of Ethics for Nurses With Interpretive Statements.
zx zx zx zx zx zx zx
3. Research and evidence-based practice. zx zx zx
4. Patient Protection and Affordable Care Act.zx zx zx zx zx
9. Health and illness are determined by many factors. What are the determinants of health identifie
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
d by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
zx zx zx zx zx zx zx zx zx zx zx zx zx
1. Genetics and biology zx zx
2. Gender and occupation zx zx
3. Individual behavior zx
4. Social environment zx
5. Physical environment zx
6. Health services zx
2| P a ge
zx zx zx zx zx
Downloadedzxby:zxfatoumatabahzx| Wantzxtozxearnzx$1.23
m 6
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