TEST BANK Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice Karen Myrick, and Laima Karosas

TEST BANK Advanced Health Assessment and Differential
Diagnosis: Essentials for Clinical Practice Karen Myrick, and
Laima Karosas
1stEdition

,TableofContents

Chapter1.HealthHistory,ThePatientInterview,AndMotivationalInterviewing 1
Chapter2.AdvancedHealthAssessmentoftheHead,Neck,andLymphaticSystem 13
Chapter3.AdvancedHealthAssessmentoftheNose,Mouth,andThroat 24
Chapter4.AdvancedHealthAssessmentoftheEyesandEars 36
Chapter5.AdvancedHealthAssessmentofSkin,Hair,andNails 42
Chapter6.AdvancedHealthAssessmentoftheCardiovascularSystem 48
Chapter7.AdvancedHealthAssessmentoftheRespiratorySystem 60
Chapter8.AdvancedHealthAssessmentoftheAbdomen,Rectum,andAnus 72
Chapter9.AdvancedHealthAssessmentoftheMaleGenitourinarySystem 83
Chapter10.AdvancedAssessmentoftheFemaleReproductiveSystem 93
Chapter11.AdvancedHealthAssessmentoftheNeurologicalSystem 105
Chapter12.AdvancedHealthAssessmentoftheMusculoskeletalSystem 117

, TestBank-
AdvancedHealthAssessmentandDifferentialDiagnosis,1stEdition(Myrick,2020)
Chapter1.HealthHistory,ThePatientInterview,AndMotivationalInterviewing


MULTIPLECHOICE

1. Thenurseispreparingtoconductahealthhistory.Whichofthesestatementsbestdescribesthepurpose
ofahealthhistory?
a. Toprovideanopportunityforinteractionbetweenthepatientandthenurse
b. Toprovideaformforobtainingthepatientsbiographicinformation
c. Todocumentthenormalandabnormalfindingsofaphysicalassessment
d. Toprovideadatabaseofsubjectiveinformationaboutthepatientspastandcurrenthealth
ANS:D
Thepurposeofthehealthhistoryistocollectsubjectivedatawhatthepersonsaysabouthimorherself.Theothe
roptionsarenotcorrect.

DIF: CognitiveLevel:Understanding(Comprehension)

REF:dm.49MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managemento
fCare

2. Whenthenurseisevaluatingthereliabilityofapatientsresponses,whichofthesestatementswouldbe
correct?Thepatient:
a. Hasahistoryofdrugabuseandthereforeisnotreliable.
b. Providedconsistentinformationandthereforeisreliable.
c. Smiledthroughoutinterviewandthereforeisassumedreliable.
d. Wouldnotanswerquestionsconcerningstressandthereforeisnotreliable.
ANS:B
Areliablepersonalwaysgivesthesameanswers,evenwhenquestionsarerephrasedorarerepeatedlaterintheinte
rview.Theotherstat WemWenWts.aTreBnoStcMo r.r eWc t .S

DIF: CognitiveLevel:Applying(Application)

REF:dm.49MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managemento
fCare

3. A59-year-
oldpatienttellsthenursethathehasulcerativecolitis.Hehasbeenhavingblackstoolsforthelast24hours.How
wouldthenursebestdocumenthisreasonforseekingcare?
a. J.M.isa59-year-oldmanseekingtreatmentforulcerativecolitis.
b. J.M.cameintothecliniccomplainingofhavingblackstoolsforthepast24hours.
c. J.M.isa59-year-oldmanwhostatesthathehasulcerativecolitisandwantsitchecked.
d. J.M.isa59-year-oldmanwhostatesthathehasbeenhavingblackstoolsforthepast24hours.
ANS:D
Thereasonforseekingcareisabriefspontaneousstatementinthepersonsownwordsthatdescribesthereasonfo
rthevisit.Itstatesone(possiblytwo)signsorsymptomsandtheirduration.Itisenclosedinquotationmarkstoind
icatethepersonsexactwords.

DIF: CognitiveLevel:Applying(Application)

REF:dm.50MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managemento
fCare

4. Apatienttellsthenursethatshehashadabdominalpainforthepastweek.Whatwouldbethenursesbestrespon
se?
a. Canyoupointtowhereithurts?
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, TestBank-
AdvancedHealthAssessmentandDifferentialDiagnosis,1stEdition(Myrick,2020)
b. Welltalkmoreaboutthatlaterintheinterview.
c. Whathaveyouhadtoeatinthelast24hours?
d. Haveyoueverhadanysurgeriesonyourabdomen?
ANS:A
Afinalsummaryofanysymptomthepersonhasshouldinclude,alongwithsevenothercritical
characteristics,Location:specific.Thepersonisaskedtopointtothelocation.

DIF: CognitiveLevel:Applying(Application)

REF:dm.50MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managemento
fCare

5. A29-year-
oldwomantellsthenursethatshehasexcruciatingpaininherback.Whichwouldbethenursesappropriatere
sponsetothewomansstatement?
a. Howdoesyourfamilyreacttoyourpain?
b. Thepainmustbeterrible.Youprobablypinchedanerve.
c. Ivehadbackpainmyself,anditcanbeexcruciating.
d. Howwouldyousaythepainaffectsyourabilitytodoyourdailyactivities?
ANS:D
Thesymptomofpainisdifficulttoquantifybecauseofindividualinterpretation.Withpain,adjectivesshouldb
eavoidedandthepatientshouldbeaskedhowthepainaffectshisorherdailyactivities.Theotherresponsesaren
otappropriate.

DIF: CognitiveLevel:Applying(Application)

REF:dm.50MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managemento
fCare

6. Inrecordingthechildhoodillnessesofapatientwhodenieshavinghadany,whichnotebythenursewouldbe
mostaccurate?
a. Patientdeniesusualchildhoodillnesses.
b. Patientstateshewasaveryhealthychild.
c. Patientstateshissisterhadmeasles,buthedidnt.
d. Patientdeniesmeasles,mumps,WruWb eWl l.a , TchBickSenMp.oxW,pSertussis,andstrepthroat.
ANS:D
Childhoodillnessesincludemeasles,mumps,rubella,chickenpox,pertussis,andstrepthroat.Avoidrecordi
ngusualchildhoodillnessesbecauseanillnesscommoninthepersonschildhoodmaybeunusualtoday(e.g.,
measles).

DIF: CognitiveLevel:Remembering(Knowledge)

REF:dm.51MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managemento
fCare

7. Afemalepatienttellsthenursethatshehashadsixpregnancies,withfourlivebirthsattermandtwospontaneous
abortions.Herfourchildrenarestillliving.Howwouldthenurserecordthisinformation?
a. P-6,B-4,(S)Ab-2
b. Grav6,Term4,(S)Ab-2,Living4
c. Patienthashadfourlivingbabies.
d. Patienthasbeenpregnantsixtimes.
ANS:B
Obstetrichistoryincludesthenumberofpregnancies(gravidity),numberofdeliveriesinwhichthefetusrea
chedterm(term),numberofpretermpregnancies(preterm),numberofincompletepregnancies(abortions)
,andnumberofchildrenliving(living).Thisisrecorded:Grav Term Preterm Ab
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