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Table of Contents
KI KI
ChapterKI 01 Understanding Health Assessment
KI KI KI 1
ChapterKI 02 Interviewing the Patient for the Health History
KI KI KI KI KI KI KI 11
ChapterKI 03 Taking the Health History
KI KI KI KI 40
ChapterKI 04 Assessing Nutrition and Anthropometric Measurements
KI KI KI KI KI 61
ChapterKI 05 Assessment Techniques
KI KI 88
ChapterKI 06 General Survey and Assessing Vital Signs
KI KI KI KI KI KI 99
ChapterKI 07 Assessing Pain
KI KI 128
ChapterKI 08 Assessing the Skin, Hair, and Nails
KI KI KI KI KI KI 149
ChapterKI 09 Assessing the Head, Face, Mouth, and Neck
KI KI KI KI KI KI KI 188
ChapterKI 10 Assessing the Ears
KI KI KI 229
ChapterKI 11 KI Assessing KI the KI Eyes 250
ChapterKI 12 KI Assessing KI the KI Respiratory System KI 281
ChapterKI 13 KI Assessing KI the KI Cardiovascular System KI 308
ChapterKI 14 KI Assessing KI the KI Abdomen 335
Chapter 15
KI KIAssessing the Peripheral Vascular System and Regional Lymphatic System
KI KI KI KI KI KI KI KI 363
Chapter 16
KI KIAssessing the Musculoskeletal System
KI KI KI 391
Chapter 17
KI KIAssessing the Neurological System
KI KI KI 417
Chapter 18
KI KIAssessing the Female Breasts, Axillae, and Reproductive System
KI KI KI KI KI KI KI 451
Chapter 19
KI KIAssessing the Male Breasts and Reproductive System
KI KI KI KI KI KI 477
ChapterKI 20 KI Assessing the Anus and Rectum
KI KI KI KI 501
ChapterKI 21 KI Assessing the Newborn
KI KI 517
ChapterKI 22 KI Assessing the Child and Adolescent
KI KI KI KI 555
ChapterKI 23 KI Assessing the Pregnant Woman
KI KI KI 583
ChapterKI 24 KI Assessing the Older Adult
KI KI KI 612
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KI EssentialKIHealthKIAssessment,KI1stKIeditionKI(Thompson,KI2018)
Chapter 1: Understanding Health Assessment
KI KI KI KI
1. The World Health Organization (WHO) established a global strategy called “Health for Al
KI KI KI KI KI KI KI KI KI KI KI KI
l.” The goal for this strategy is:
KI KI KI KI KI KI
1. All individuals to get the same health care throughout their life spans.
KI KI KI KI KI KI KI KI KI KI KI
2. The government to supply money to care for all the people in the world.
KI KI KI KI KI KI KI KI KI KI KI KI KI
3. Resources for health care to be evenly distributed and accessible.
KI KI KI KI KI KI KI KI KI
4. Health-care providers can never deny patients health care.
KI KI KI KI KI KI KI
2. Health assessment is a foundational and priority nursing skill. This essential skill requir
KI KI KI KI KI KI KI KI KI KI KI KI
es registered nurses (RNs) to:
KI KI KI KI
1. Diagnose and treat patients. KI KI KI
2. Identify normal and abnormal findings.
KI KI KI KI
3. Refer patients with abnormal findings.
KI KI KI KI
4. Counsel patients with psychosocial needs.
KI KI KI KI
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police p
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
resence outside his door because the patient is a known drug dealer in the community. You kno
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
w that nurses must treat all patients as persons. This is called:
KI KI KI KI KI KI KI KI KI KI KI
1. Caring.
2. Holistic process. KI
3. Person-centered care (PCC). KI KI
4. Standards of care. KI KI
4. The science- KI
based framework updated every 10 years by the U.S. Department of Health and Human Ser
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
vices that has set national goals and objectives for health promotion and disease preventio
KI KI KI KI KI KI KI KI KI KI KI KI KI
n is:
KI
1. Healthy People. KI
2. Healthy People 2020. KI KI
3. U.S. Preventive Task Force.
KI KI KI
4. World Health Organization. KI KI
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
1. Primary health prevention. KI KI
1|Page
KI KI KI KI KI
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KI EssentialKIHealthKIAssessment,KI1stKIeditionKI(Thompson,KI2018)
2. Secondary health prevention. KI KI
3. Tertiary health prevention. KI KI
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks h
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
e is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
should you do?
KI KI KI
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
KI KI KI KI KI KI KI KI KI KI KI KI KI
2. Go check to see if the patient has an order for Tylenol for a fever.
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
3. Page the resident on call immediately to assess the patient.
KI KI KI KI KI KI KI KI KI
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
KI KI KI KI KI KI KI KI KI KI KI KI
7. You are leading an interdisciplinary team conference to discuss how to provide better care f
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
or a challenging patient who has behavioral problems. There are several areas that need to be
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
problem solved and new ideas formulated to create an improved plan of care. What cognitive s
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
kills are you using?KI KI KI
1. Critical thinking KI
2. Clinical decision making KI KI
3. Intuitive thinking KI
4. Clinical reasoning KI
8. Best practice assessment techniques and instruments have been validated by:
KI KI KI KI KI KI KI KI KI
1. American Nurses Association. KI KI
2. Code of Ethics for Nurses With Interpretive Statements.
KI KI KI KI KI KI KI
3. Research and evidence-based practice. KI KI KI
4. Patient Protection and Affordable Care Act.
KI KI KI KI KI
9. Health and illness are determined by many factors. What are the determinants of health identif
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ied by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
KI KI KI KI KI KI KI KI KI KI KI KI KI
1. Genetics and biology KI KI
2. Gender and occupation KI KI
3. Individual behavior KI
4. Social environment KI
5. Physical environment KI
6. Health services KI
2|Page
KI KI KI KI KI
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KITheKIMarketplaceKItoKIBuyKIandKISellKIyourKIStudyKIMaterial
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m 6
DistributionKIofKIthisKIdocumentKIisKIillegal extraKIperKIyear?
, Stuvia.comKI-
KITheKIMarketplaceKItoKIBuyKIandKISellKIyourKIStudyKIMaterial
Table of Contents
KI KI
ChapterKI 01 Understanding Health Assessment
KI KI KI 1
ChapterKI 02 Interviewing the Patient for the Health History
KI KI KI KI KI KI KI 11
ChapterKI 03 Taking the Health History
KI KI KI KI 40
ChapterKI 04 Assessing Nutrition and Anthropometric Measurements
KI KI KI KI KI 61
ChapterKI 05 Assessment Techniques
KI KI 88
ChapterKI 06 General Survey and Assessing Vital Signs
KI KI KI KI KI KI 99
ChapterKI 07 Assessing Pain
KI KI 128
ChapterKI 08 Assessing the Skin, Hair, and Nails
KI KI KI KI KI KI 149
ChapterKI 09 Assessing the Head, Face, Mouth, and Neck
KI KI KI KI KI KI KI 188
ChapterKI 10 Assessing the Ears
KI KI KI 229
ChapterKI 11 KI Assessing KI the KI Eyes 250
ChapterKI 12 KI Assessing KI the KI Respiratory System KI 281
ChapterKI 13 KI Assessing KI the KI Cardiovascular System KI 308
ChapterKI 14 KI Assessing KI the KI Abdomen 335
Chapter 15
KI KIAssessing the Peripheral Vascular System and Regional Lymphatic System
KI KI KI KI KI KI KI KI 363
Chapter 16
KI KIAssessing the Musculoskeletal System
KI KI KI 391
Chapter 17
KI KIAssessing the Neurological System
KI KI KI 417
Chapter 18
KI KIAssessing the Female Breasts, Axillae, and Reproductive System
KI KI KI KI KI KI KI 451
Chapter 19
KI KIAssessing the Male Breasts and Reproductive System
KI KI KI KI KI KI 477
ChapterKI 20 KI Assessing the Anus and Rectum
KI KI KI KI 501
ChapterKI 21 KI Assessing the Newborn
KI KI 517
ChapterKI 22 KI Assessing the Child and Adolescent
KI KI KI KI 555
ChapterKI 23 KI Assessing the Pregnant Woman
KI KI KI 583
ChapterKI 24 KI Assessing the Older Adult
KI KI KI 612
DownloadedKIby:KIfatoumatabahKI| WantKItoKIearnKI$1.23
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, Stuvia.comKI-KITheKIMarketplaceKItoKIBuyKIandKISellKIyourKIStudyKIMaterial
TestKIBankKI-
KI EssentialKIHealthKIAssessment,KI1stKIeditionKI(Thompson,KI2018)
Chapter 1: Understanding Health Assessment
KI KI KI KI
1. The World Health Organization (WHO) established a global strategy called “Health for Al
KI KI KI KI KI KI KI KI KI KI KI KI
l.” The goal for this strategy is:
KI KI KI KI KI KI
1. All individuals to get the same health care throughout their life spans.
KI KI KI KI KI KI KI KI KI KI KI
2. The government to supply money to care for all the people in the world.
KI KI KI KI KI KI KI KI KI KI KI KI KI
3. Resources for health care to be evenly distributed and accessible.
KI KI KI KI KI KI KI KI KI
4. Health-care providers can never deny patients health care.
KI KI KI KI KI KI KI
2. Health assessment is a foundational and priority nursing skill. This essential skill requir
KI KI KI KI KI KI KI KI KI KI KI KI
es registered nurses (RNs) to:
KI KI KI KI
1. Diagnose and treat patients. KI KI KI
2. Identify normal and abnormal findings.
KI KI KI KI
3. Refer patients with abnormal findings.
KI KI KI KI
4. Counsel patients with psychosocial needs.
KI KI KI KI
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police p
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
resence outside his door because the patient is a known drug dealer in the community. You kno
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
w that nurses must treat all patients as persons. This is called:
KI KI KI KI KI KI KI KI KI KI KI
1. Caring.
2. Holistic process. KI
3. Person-centered care (PCC). KI KI
4. Standards of care. KI KI
4. The science- KI
based framework updated every 10 years by the U.S. Department of Health and Human Ser
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
vices that has set national goals and objectives for health promotion and disease preventio
KI KI KI KI KI KI KI KI KI KI KI KI KI
n is:
KI
1. Healthy People. KI
2. Healthy People 2020. KI KI
3. U.S. Preventive Task Force.
KI KI KI
4. World Health Organization. KI KI
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
1. Primary health prevention. KI KI
1|Page
KI KI KI KI KI
DownloadedKIby:KIfatoumatabahKI| WantKItoKIearnKI$1.23
m 6
DistributionKIofKIthisKIdocumentKIisKIillegal extraKIperKIyear?
, Stuvia.comKI-KITheKIMarketplaceKItoKIBuyKIandKISellKIyourKIStudyKIMaterial
TestKIBankKI-
KI EssentialKIHealthKIAssessment,KI1stKIeditionKI(Thompson,KI2018)
2. Secondary health prevention. KI KI
3. Tertiary health prevention. KI KI
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks h
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
e is running a fever and has stomach discomfort.” You are the registered nurse in charge. What
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
should you do?
KI KI KI
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
KI KI KI KI KI KI KI KI KI KI KI KI KI
2. Go check to see if the patient has an order for Tylenol for a fever.
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
3. Page the resident on call immediately to assess the patient.
KI KI KI KI KI KI KI KI KI
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
KI KI KI KI KI KI KI KI KI KI KI KI
7. You are leading an interdisciplinary team conference to discuss how to provide better care f
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
or a challenging patient who has behavioral problems. There are several areas that need to be
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
problem solved and new ideas formulated to create an improved plan of care. What cognitive s
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
kills are you using?KI KI KI
1. Critical thinking KI
2. Clinical decision making KI KI
3. Intuitive thinking KI
4. Clinical reasoning KI
8. Best practice assessment techniques and instruments have been validated by:
KI KI KI KI KI KI KI KI KI
1. American Nurses Association. KI KI
2. Code of Ethics for Nurses With Interpretive Statements.
KI KI KI KI KI KI KI
3. Research and evidence-based practice. KI KI KI
4. Patient Protection and Affordable Care Act.
KI KI KI KI KI
9. Health and illness are determined by many factors. What are the determinants of health identif
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ied by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
KI KI KI KI KI KI KI KI KI KI KI KI KI
1. Genetics and biology KI KI
2. Gender and occupation KI KI
3. Individual behavior KI
4. Social environment KI
5. Physical environment KI
6. Health services KI
2|Page
KI KI KI KI KI
DownloadedKIby:KIfatoumatabahKI| WantKItoKIearnKI$1.23
m 6
DistributionKIofKIthisKIdocumentKIisKIillegal extraKIperKIyear?
