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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 1st
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Edition Myrick Test Bank
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Table of Contents:
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Chapter1. 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 ofthe 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 ofthe Cardiovascular System
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Chapter 7 Advanced Health Assessment of the RespiratorySystem
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Chapter 8 Advanced Health Assessment ofthe Abdomen, Rectum, and Anus
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Chapter 9 Advanced Health Assessment of the Male GenitourinarySystem
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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 of the Musculoskeletal System
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
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Edition Myrick Test Bank
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Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE v
1. The nurse is preparing to conduct a health history. Which of these statements best describes the
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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 and current
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. health
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ANSWER: D v
The purpose of the health history is to collect subjective datawhat the person says about him or
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herself. 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 statements
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would 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. v v v v v v
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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 v
A reliable person always gives the same answers, even when questions are rephrased or are repeated
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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-old patient tells the nurse that he has ulcerative colitis. He
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v has been having black stools for the last 24 hours. How would the
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v nurse best document his reason for seeking care? v v v v v v v
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
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. the past 24 hours. v v v v v
c J.M. is a 59-year-old man who states that he has ulcerative colitis and
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. wants it checked. v v
d J.M. is a 59-year-old man who states that he has been having
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. black stools for the past 24 hours. v v v v v v v v
ANSWER: D v
The reason for seeking care is a brief spontaneous statement in the persons
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vown words that describes the reason for the visit. It states one (possibly two)
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vsigns or symptoms and their duration. It is enclosed in quotation marks to
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vindicate the persons exact words. v v v v
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
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v week. What would be the nurses best response? v v v v v v v
a Can you point to where it hurts?
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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 v
A final summary of any symptom the person has should include, along with
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seven other critical characteristics, Location: specific. The person is asked to
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vpoint to the location. v v v
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
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v her back. Which would be the nurses appropriate response to the womans
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v statement?
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