TEST BANK
l2
Essential Health Assessment
l2 l2
Janice M Thompson
l2 l2
1st Edition
l2
,Table of Contents
l2 l2
Chapter 01 Understanding Health Assessment
l2 l2 l2 l2 1
Chapter 02 Interviewing the Patient for the Health History
l2 l2 l2 l2 l2 l2 l2 l2 11
Chapter 03 Taking the Health History
l2 l2 l2 l2 l2 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
l2 l2 l2 l2 l2 l2 61
Chapter 05 Assessment Techniques
l2 l2 l2 88
Chapter 06 General Survey and Assessing Vital Signs
l2 l2 l2 l2 l2 l2 l2 99
Chapter 07 Assessing Pain
l2 l2 l2 128
Chapter 08 Assessing the Skin, Hair, and Nails
l2 l2 l2 l2 l2 l2 l2 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
l2 l2 l2 l2 l2 l2 l2 l2 188
Chapter 10 Assessing the Ears
l2 l2 l2 l2 229
Chapter 11 Assessing the Eyes
l2 l2 l2 l2 250
Chapter 12 Assessing the Respiratory System
l2 l2 l2 l2 l2 281
Chapter 13 Assessing the Cardiovascular System
l2 l2 l2 l2 l2 308
Chapter 14 Assessing the Abdomen
l2 l2 l2 l2 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 363
Chapter 16 Assessing the Musculoskeletal System
l2 l2 l2 l2 l2 391
Chapter 17 Assessing the Neurological System
l2 l2 l2 l2 l2 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
l2 l2 l2 l2 l2 l2 l2 l2 l2 451
Chapter 19 Assessing the Male Breasts and Reproductive System
l2 l2 l2 l2 l2 l2 l2 l2 477
Chapter 20 Assessing the Anus and Rectum
l2 l2 l2 l2 l2 l2 501
Chapter 21 Assessing the Newborn
l2 l2 l2 l2 517
Chapter 22 Assessing the Child and Adolescent
l2 l2 l2 l2 l2 l2 555
Chapter 23 Assessing the Pregnant Woman
l2 l2 l2 l2 l2 583
Chapter 24 Assessing the Older Adult
l2 l2 l2 l2 l2 612
, Testl2Bankl2-l2Essentiall2Healthl2Assessment,l21stl2editionl2(Thompson,l22025)
Chapter 1: Understanding Health Assessment
l2 l2 l2 l2
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
The goal for this strategy is:
l2 l2 l2 l2 l2
1. All individuals to get the same health care throughout their life spans.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
2. The government to supply money to care for all the people in the world.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
3. Resources for health care to be evenly distributed and accessible.
l2 l2 l2 l2 l2 l2 l2 l2 l2
4. Health-care providers can never deny patients health care. l2 l2 l2 l2 l2 l2 l2
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
registered nurses (RNs) to: l2 l2 l2
1. Diagnose and treat patients. l2 l2 l2
2. Identify normal and abnormal findings. l2 l2 l2 l2
3. Refer patients with abnormal findings.
l2 l2 l2 l2
4. Counsel patients with psychosocial needs. l2 l2 l2 l2
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police prese
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
nce outside his door because the patient is a known drug dealer in the community. You know that n
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
urses must treat all patients as persons. This is called:
l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Caring.
2. Holistic process. l2
3. Person-centered care (PCC). l2 l2
4. Standards of care. l2 l2
4. The science- l2
based framework updated every 10 years by the U.S. Department of Health and Human Service
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
s that has set national goals and objectives for health promotion and disease prevention is:
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Healthy People. l2
2. Healthy People 2020. l2 l2
3. U.S. Preventive Task Force. l2 l2 l2
4. World Health Organization. l2 l2
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Primary health prevention. l2 l2
1|Page l2 l2 l2 l2 l2
, Testl2Bankl2-l2Essentiall2Healthl2Assessment,l21stl2editionl2(Thompson,l22025)
2. Secondary health prevention. l2 l2
3. Tertiary health prevention. l2 l2
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he is
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
running a fever and has stomach discomfort.” You are the registered nurse in charge. What should
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l
2you do? l2
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
2. Go check to see if the patient has an order for Tylenol for a fever.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
3. Page the resident on call immediately to assess the patient.
l2 l2 l2 l2 l2 l2 l2 l2 l2
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l
challenging patient who has behavioral problems. There are several areas that need to be problem
2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
solved and new ideas formulated to create an improved plan of care. What cognitive skills are yo
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
u using?
l2
1. Critical thinking l2
2. Clinical decision making l2 l2
3. Intuitive thinking l2
4. Clinical reasoning l2
8. Best practice assessment techniques and instruments have been validated by:
l2 l2 l2 l2 l2 l2 l2 l2 l2
1. American Nurses Association. l2 l2
2. Code of Ethics for Nurses With Interpretive Statements.
l2 l2 l2 l2 l2 l2 l2
3. Research and evidence-based practice. l2 l2 l2
4. Patient Protection and Affordable Care Act.l2 l2 l2 l2 l2
9. Health and illness are determined by many factors. What are the determinants of health identified
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Genetics and biology l2 l2
2. Gender and occupation l2 l2
3. Individual behavior l2
4. Social environment l2
5. Physical environment l2
6. Health services l2
2|Pagel2 l2 l2 l2 l2
l2
Essential Health Assessment
l2 l2
Janice M Thompson
l2 l2
1st Edition
l2
,Table of Contents
l2 l2
Chapter 01 Understanding Health Assessment
l2 l2 l2 l2 1
Chapter 02 Interviewing the Patient for the Health History
l2 l2 l2 l2 l2 l2 l2 l2 11
Chapter 03 Taking the Health History
l2 l2 l2 l2 l2 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
l2 l2 l2 l2 l2 l2 61
Chapter 05 Assessment Techniques
l2 l2 l2 88
Chapter 06 General Survey and Assessing Vital Signs
l2 l2 l2 l2 l2 l2 l2 99
Chapter 07 Assessing Pain
l2 l2 l2 128
Chapter 08 Assessing the Skin, Hair, and Nails
l2 l2 l2 l2 l2 l2 l2 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
l2 l2 l2 l2 l2 l2 l2 l2 188
Chapter 10 Assessing the Ears
l2 l2 l2 l2 229
Chapter 11 Assessing the Eyes
l2 l2 l2 l2 250
Chapter 12 Assessing the Respiratory System
l2 l2 l2 l2 l2 281
Chapter 13 Assessing the Cardiovascular System
l2 l2 l2 l2 l2 308
Chapter 14 Assessing the Abdomen
l2 l2 l2 l2 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 363
Chapter 16 Assessing the Musculoskeletal System
l2 l2 l2 l2 l2 391
Chapter 17 Assessing the Neurological System
l2 l2 l2 l2 l2 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
l2 l2 l2 l2 l2 l2 l2 l2 l2 451
Chapter 19 Assessing the Male Breasts and Reproductive System
l2 l2 l2 l2 l2 l2 l2 l2 477
Chapter 20 Assessing the Anus and Rectum
l2 l2 l2 l2 l2 l2 501
Chapter 21 Assessing the Newborn
l2 l2 l2 l2 517
Chapter 22 Assessing the Child and Adolescent
l2 l2 l2 l2 l2 l2 555
Chapter 23 Assessing the Pregnant Woman
l2 l2 l2 l2 l2 583
Chapter 24 Assessing the Older Adult
l2 l2 l2 l2 l2 612
, Testl2Bankl2-l2Essentiall2Healthl2Assessment,l21stl2editionl2(Thompson,l22025)
Chapter 1: Understanding Health Assessment
l2 l2 l2 l2
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
The goal for this strategy is:
l2 l2 l2 l2 l2
1. All individuals to get the same health care throughout their life spans.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
2. The government to supply money to care for all the people in the world.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
3. Resources for health care to be evenly distributed and accessible.
l2 l2 l2 l2 l2 l2 l2 l2 l2
4. Health-care providers can never deny patients health care. l2 l2 l2 l2 l2 l2 l2
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
registered nurses (RNs) to: l2 l2 l2
1. Diagnose and treat patients. l2 l2 l2
2. Identify normal and abnormal findings. l2 l2 l2 l2
3. Refer patients with abnormal findings.
l2 l2 l2 l2
4. Counsel patients with psychosocial needs. l2 l2 l2 l2
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police prese
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
nce outside his door because the patient is a known drug dealer in the community. You know that n
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
urses must treat all patients as persons. This is called:
l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Caring.
2. Holistic process. l2
3. Person-centered care (PCC). l2 l2
4. Standards of care. l2 l2
4. The science- l2
based framework updated every 10 years by the U.S. Department of Health and Human Service
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
s that has set national goals and objectives for health promotion and disease prevention is:
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Healthy People. l2
2. Healthy People 2020. l2 l2
3. U.S. Preventive Task Force. l2 l2 l2
4. World Health Organization. l2 l2
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Primary health prevention. l2 l2
1|Page l2 l2 l2 l2 l2
, Testl2Bankl2-l2Essentiall2Healthl2Assessment,l21stl2editionl2(Thompson,l22025)
2. Secondary health prevention. l2 l2
3. Tertiary health prevention. l2 l2
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he is
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
running a fever and has stomach discomfort.” You are the registered nurse in charge. What should
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l
2you do? l2
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
2. Go check to see if the patient has an order for Tylenol for a fever.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
3. Page the resident on call immediately to assess the patient.
l2 l2 l2 l2 l2 l2 l2 l2 l2
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l
challenging patient who has behavioral problems. There are several areas that need to be problem
2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
solved and new ideas formulated to create an improved plan of care. What cognitive skills are yo
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
u using?
l2
1. Critical thinking l2
2. Clinical decision making l2 l2
3. Intuitive thinking l2
4. Clinical reasoning l2
8. Best practice assessment techniques and instruments have been validated by:
l2 l2 l2 l2 l2 l2 l2 l2 l2
1. American Nurses Association. l2 l2
2. Code of Ethics for Nurses With Interpretive Statements.
l2 l2 l2 l2 l2 l2 l2
3. Research and evidence-based practice. l2 l2 l2
4. Patient Protection and Affordable Care Act.l2 l2 l2 l2 l2
9. Health and illness are determined by many factors. What are the determinants of health identified
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2 l2
1. Genetics and biology l2 l2
2. Gender and occupation l2 l2
3. Individual behavior l2
4. Social environment l2
5. Physical environment l2
6. Health services l2
2|Pagel2 l2 l2 l2 l2