??
?D?
VIAE
RUOV
PSPT
KA_
AE_
VGIE
MU
ST
, Table of Contents
Chapter 01 Understanding Health Assessment 1
Chapter 02 Interviewing the Patient for the Health History 11
Chapter 03 Taking the Health History 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements 61
Chapter 05 Assessment Techniques 88
Chapter 06 General Survey and Assessing Vital Signs 99
Chapter 07 Assessing Pain 128
ST
Chapter 08 Assessing the Skin, Hair, and Nails 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck 188
MU
Chapter 10 Assessing the Ears 229
Chapter 11 Assessing the Eyes 250
Chapter 12 Assessing the Respiratory System 281
VGIE
Chapter 13 Assessing the Cardiovascular System 308
Chapter 14 Assessing the Abdomen 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System 363
AE_
Chapter 16 Assessing the Musculoskeletal System 391
Chapter 17 Assessing the Neurological System 417
KA_
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System 451
Chapter 19 Assessing the Male Breasts and Reproductive System 477
Chapter 20 Assessing the Anus and Rectum 501
PSPT
Chapter 21 Assessing the Newborn 517
Chapter 22 Assessing the Child and Adolescent 555
Chapter 23 Assessing the Pregnant Woman 583
Chapter 24 Assessing the Older Adult 612
RUOV
VIAE
?D?
??
, Chapter 1: Understanding Health Assessment
1. The World Health Organization (WHO) established a global strategy called “Health for All.” The
goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
ST
ANS: 3
Page: 1
MU
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same
health care throughout their life spans.
VGIE
2. This is incorrect. “Health for All” does not mean the government will supply money to
care for all the people in the world.
3. This is correct. “Health for All” means that resources for health care are evenly
AE_
distributed and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-care providers can deny
patients health care.
KA_
2. Health assessment is a foundational and priority nursing skill. This essential skill requires registered
PSPT
nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
RUOV
ANS: 2
Page: 5-6
Feedback
VIAE
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
2. This is correct. Assessing patients and being able to identify normal from abnormal
findings is an essential role of the RN.
?D?
3. This is incorrect. RNs in collaboration with the health-care providers do refer
patients. This is not the essential and foundational role in health assessment.
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
??
role in health assessment.
2|Page
, 3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police presence
outside his door because the patient is a known drug dealer in the community. You know that nurses
must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
ST
ANS: 3
Page: 2
MU
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse
collaborates with the individual to pursue goals for health and well-being.
VGIE
3. This is correct. The new movement in health care is person-centered care (PCC),
which emphasizes the intrinsic value of treating all patients as persons.
4. This is incorrect. Standards of care identify standards of professional nursing
AE_
practice.
KA_
4. The science-based framework updated every 10 years by the U.S. Department of Health and
Human Services that has set national goals and objectives for health promotion and disease
prevention is:
PSPT
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
RUOV
ANS: 2
Page: 2
Feedback
VIAE
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
2. This is correct. Healthy People 2020 specifically identifies science-based, national goals and
objectives with 10-year targets designed to guide national health promotion and disease
prevention efforts to improve the health of all people in the United States.
?D?
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
based medicine to improve the health of all Americans by making evidence-based
??
recommendations about clinical preventive services such as screenings, counseling
services, and preventive medications.
4. This is incorrect. The World Health Organization is a specialized agency of the
United Nations working to improve the health of the world’s people.
3|Page
?D?
VIAE
RUOV
PSPT
KA_
AE_
VGIE
MU
ST
, Table of Contents
Chapter 01 Understanding Health Assessment 1
Chapter 02 Interviewing the Patient for the Health History 11
Chapter 03 Taking the Health History 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements 61
Chapter 05 Assessment Techniques 88
Chapter 06 General Survey and Assessing Vital Signs 99
Chapter 07 Assessing Pain 128
ST
Chapter 08 Assessing the Skin, Hair, and Nails 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck 188
MU
Chapter 10 Assessing the Ears 229
Chapter 11 Assessing the Eyes 250
Chapter 12 Assessing the Respiratory System 281
VGIE
Chapter 13 Assessing the Cardiovascular System 308
Chapter 14 Assessing the Abdomen 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System 363
AE_
Chapter 16 Assessing the Musculoskeletal System 391
Chapter 17 Assessing the Neurological System 417
KA_
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System 451
Chapter 19 Assessing the Male Breasts and Reproductive System 477
Chapter 20 Assessing the Anus and Rectum 501
PSPT
Chapter 21 Assessing the Newborn 517
Chapter 22 Assessing the Child and Adolescent 555
Chapter 23 Assessing the Pregnant Woman 583
Chapter 24 Assessing the Older Adult 612
RUOV
VIAE
?D?
??
, Chapter 1: Understanding Health Assessment
1. The World Health Organization (WHO) established a global strategy called “Health for All.” The
goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
ST
ANS: 3
Page: 1
MU
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same
health care throughout their life spans.
VGIE
2. This is incorrect. “Health for All” does not mean the government will supply money to
care for all the people in the world.
3. This is correct. “Health for All” means that resources for health care are evenly
AE_
distributed and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-care providers can deny
patients health care.
KA_
2. Health assessment is a foundational and priority nursing skill. This essential skill requires registered
PSPT
nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
RUOV
ANS: 2
Page: 5-6
Feedback
VIAE
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
2. This is correct. Assessing patients and being able to identify normal from abnormal
findings is an essential role of the RN.
?D?
3. This is incorrect. RNs in collaboration with the health-care providers do refer
patients. This is not the essential and foundational role in health assessment.
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
??
role in health assessment.
2|Page
, 3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police presence
outside his door because the patient is a known drug dealer in the community. You know that nurses
must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
ST
ANS: 3
Page: 2
MU
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse
collaborates with the individual to pursue goals for health and well-being.
VGIE
3. This is correct. The new movement in health care is person-centered care (PCC),
which emphasizes the intrinsic value of treating all patients as persons.
4. This is incorrect. Standards of care identify standards of professional nursing
AE_
practice.
KA_
4. The science-based framework updated every 10 years by the U.S. Department of Health and
Human Services that has set national goals and objectives for health promotion and disease
prevention is:
PSPT
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
RUOV
ANS: 2
Page: 2
Feedback
VIAE
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
2. This is correct. Healthy People 2020 specifically identifies science-based, national goals and
objectives with 10-year targets designed to guide national health promotion and disease
prevention efforts to improve the health of all people in the United States.
?D?
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
based medicine to improve the health of all Americans by making evidence-based
??
recommendations about clinical preventive services such as screenings, counseling
services, and preventive medications.
4. This is incorrect. The World Health Organization is a specialized agency of the
United Nations working to improve the health of the world’s people.
3|Page
