D
Essential Health Assessment
D D
Janice M Thompson
D D
1st Edition
D
,Table of Contents
D D
ChapterD01DUnderstandingDHealthDAssessment 1
ChapterD02DInterviewingDtheDPatientDforDtheDHealthDHistory 11
ChapterD03DTakingDtheDHealthDHistory 40
ChapterD04DAssessingDNutritionDandDAnthropometricDMeasurements 61
ChapterD05DAssessmentDTechniques 88
ChapterD06DGeneralDSurveyDandDAssessingDVitalDSigns 99
ChapterD07DAssessingDPain 128
ChapterD08DAssessingDtheDSkin,DHair,DandDNails 149
ChapterD09DAssessingDtheDHead,DFace,DMouth,DandDNeck 188
ChapterD10DAssessingDtheDEars 229
ChapterD11DAssessingDtheDEyes 250
ChapterD12DAssessingDtheDRespiratoryDSystem 281
ChapterD13DAssessingDtheDCardiovascularDSystem 308
ChapterD14DAssessingDtheDAbdomen 335
ChapterD15DAssessingDtheDPeripheralDVascularDSystemDandDRegionalDLymphaticDSystem 363
ChapterD16DAssessingDtheDMusculoskeletalDSystem 391
ChapterD17DAssessingDtheDNeurologicalDSystem 417
ChapterD18DAssessingDtheDFemaleDBreasts,DAxillae,DandDReproductiveDSystem 451
ChapterD19DAssessingDtheDMaleDBreastsDandDReproductiveDSystem 477
ChapterD20DAssessingDtheDAnusDandDRectum 501
ChapterD21DAssessingDtheDNewborn 517
ChapterD22DAssessingDtheDChildDandDAdolescent 555
ChapterD23DAssessingDtheDPregnantDWoman 583
ChapterD24DAssessingDtheDOlderDAdult 612
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DEssentialDHealthDAssessment,D1stDeditionD(Thompson,D2025)
Chapter 1: Understanding Health Assessment
D D D D
1.DTheDWorldDHealthDOrganizationD(WHO)DestablishedDaDglobalDstrategyDcalledD“HealthDforDAll.”DT
heDgoalDforDthisDstrategyDis:
1. AllDindividualsDtoDgetDtheDsameDhealthDcareDthroughoutDtheirDlifeDspans.
2. TheDgovernmentDtoDsupplyDmoneyDtoDcareDforDallDtheDpeopleDinDtheDworld.
3. ResourcesDforDhealthDcareDtoDbeDevenlyDdistributedDandDaccessible.
4. Health-careDprovidersDcanDneverDdenyDpatientsDhealthDcare.
2.DHealthDassessmentDisDaDfoundationalDandDpriorityDnursingDskill.DThisDessentialDskillDrequiresDregis
teredDnursesD(RNs)Dto:
1. DiagnoseDandDtreatDpatients.
2. IdentifyDnormalDandDabnormalDfindings.
3. ReferDpatientsDwithDabnormalDfindings.
4. CounselDpatientsDwithDpsychosocialDneeds.
3.DYouDareDassessingDaDpatientDwithDfiveDgunshotDwoundsDonDaDtraumaDunit.DThereDisDaDpoliceDpres
enceDoutsideDhisDdoorDbecauseDtheDpatientDisDaDknownDdrugDdealerDinDtheDcommunity.DYouDknowDtha
tDnursesDmustDtreatDallDpatientsDasDpersons.DThisDisDcalled:
1. Caring.
2. HolisticDprocess.
3. Person-centeredDcareD(PCC).
4. StandardsDofDcare.
4.DTheDscience-
basedDframeworkDupdatedDeveryD10DyearsDbyDtheDU.S.DDepartmentDofDHealthDandDHumanDServicesD
thatDhasDsetDnationalDgoalsDandDobjectivesDforDhealthDpromotionDandDdiseaseDpreventionDis:
1. HealthyDPeople.
2. HealthyDPeopleD2020.
3. U.S.DPreventiveDTaskDForce.
4. WorldDHealthDOrganization.
5. AD38-year-oldDmaleDhasDaDfamilyDhistoryDofDcolonDcancer.DHisDfatherDdiedDofDcolonDcancerDatDage
48.DTheDdoctorDrecommendedDthatDthisDpatientDhaveDaDcolonoscopyDthisDyear.DThisDisDanDexampleDof:
1. PrimaryD healthD prevention.
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DEssentialDHealthDAssessment,D1stDeditionD(Thompson,D2025)
2. SecondaryDhealthDprevention.
3. TertiaryDhealthDprevention.
6.DADpatientDinDtheDhospitalDputsDonDhisDcallDlightDandDtellsDtheDpersonDansweringDthatDheD“thinksDhe
runningDaDfeverDandDhasDstomachDdiscomfort.”DYouDareDtheDregisteredDnurseDinDcharge.DWhatDsh
DisD
ouldDyouDdo?
1. AskDtheDmedicalDassistantDtoDgoDtoDtheDpatient’sDroomDandDassessDhisDcomplaints.
2. GoDcheckDtoDseeDifDtheDpatientDhasDanDorderDforDTylenolDforDaDfever.
3. PageDtheDresidentDonDcallDimmediatelyDtoDassessDtheDpatient.
4. GoDtoDtheDpatient’sDroomDandDassessDforDfeverDandDtheDepigastricDdiscomfort.
7.DYouDareDleadingDanDinterdisciplinaryDteamDconferenceDtoDdiscussDhowDtoDprovideDbetterDcareDfor
DaD
challengingDpatientDwhoDhasDbehavioralDproblems.DThereDareDseveralDareasDthatDneedDtoDbeDprobl
emDsolvedDandDnewDideasDformulatedDtoDcreateDanDimprovedDplanDofDcare.DWhatDcognitiveDskillsDa
reDyouDusing?
1. CriticalDthinking
2. ClinicalDdecisionDmaking
3. IntuitiveDthinking
4. ClinicalDreasoning
8.DBestDpracticeDassessmentDtechniquesDandDinstrumentsDhaveDbeenDvalidatedDby:
1. AmericanDNursesDAssociation.
2. CodeDofDEthicsDforDNursesDWithDInterpretiveDStatements.
3. ResearchDandDevidence-basedDpractice.
4. PatientDProtectionDandDAffordableDCareDAct.
9. HealthDandDillnessDareDdeterminedDbyDmanyDfactors.DWhatDareDtheDdeterminantsDofDhealthDidentifi
edDbyDtheDCentersDforDDiseaseDControlDandDPreventionD(CDC)?DSelectDallDthatDapply.
1. GeneticsDandDbiology
2. GenderDandDoccupation
3. IndividualDbehavior
4. SocialDenvironment
5. PhysicalDenvironment
6. HealthDservices
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