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