TEST BANK For Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick, Verified Chapters 1 - 12

Test Bank for Advanced Health Assessment and Differential
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Diagnosis Essentials For Clinical Practice
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1st Edition Myrick, Chapters 1 - 12
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
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b 1stEdition Myrick Test Bank
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Table of Contents:
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
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Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
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Chapter 4. Advanced Health Assessment of the Eyes and Ears
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Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
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Chapter 6. Advanced Health Assessment of the Cardiovascular System
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Chapter 7 Advanced Health Assessment of the Respiratory System
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Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
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Chapter 9 Advanced Health Assessment of the Male Genitourinary System
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Chapter 10 Advanced Assessment of the Female Reproductive System
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Chapter 11 Advanced Health Assessment of the Neurological System
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Chapter 12 Advanced Health Assessment of the Musculoskeletal System
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
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1stEdition Myrick Test Bank
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Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE b


1. The nurse is preparing to conduct a health history. Which of these statements best
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describesthe 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
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. andcurrent health
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ANSWER: D b


The purpose of the health history is to collect subjective datawhat the person says about him
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orherself. The 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
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statementswould 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.
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c Smiled throughout interview and therefore is assumed reliable.
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d Would not answer questions concerning stress and therefore is not reliable.
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ANSWER: B b


A reliable person always gives the same answers, even when questions are rephrased or
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arerepeated 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-old patient tells the nurse that he has ulcerative colitis. He has been having
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blackstools for the last 24 hours. How would the nurse best document his reason for seeking
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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
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. b24hours. b




c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants
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. itchecked.
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d J.M. is a 59-year-old man who states that he has been having black stools
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. bforthe past 24 hours. b b b b




ANSWER: D b


The reason for seeking care is a brief spontaneous statement in the persons own words
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thatdescribes the reason for the visit. It states one (possibly two) signs or symptoms and their
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duration. It is enclosed 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
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thenurses best response?
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a Can you point to where it hurts?b b b b b b


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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?
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d Have you ever had any surgeries on your abdomen?
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ANSWER: A b


A final summary of any symptom the person has should include, along with seven other
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criticalcharacteristics, Location: specific. The person is asked to point to the location.
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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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5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which
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wouldbe the nurses appropriate response to the womans statement?
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