ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING 4TH EDITION, BY JACQUELINE
RHOADS AND SANDRA WIGGINS PETERSEN ALL CHAPTERS 1-18| VERIFIED ANSWERS WITH RATIONALE
,TABLE OF CONTENTS
PART 1 STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT ..................................................................3
CHAPTER 01: INTERVIEW AND HISTORY-TAKING STRATEGIES ................................................................. 3
CHAPTER 02: PHYSICAL EXAMINATION STRATEGIES .............................................................................. 10
CHAPTER 03: DOCUMENTATION STRATEGIES ........................................................................................ 19
CHAPTER 04: CULTURAL AND SPIRITUAL ASSESSMENTS ........................................................................ 27
CHAPTER 05: NUTRITIONAL ASSESSMENT .............................................................................................. 32
PART 2 ADVANCED ASSESSMENT OF SYSTEMIC DISORDERS .............................................................. 36
CHAPTER 06: MENTAL HEALTH DISORDERS............................................................................................ 36
CHAPTER 07: INTEGUMENTARY DISORDERS .......................................................................................... 45
CHAPTER 08: EYE DISORDERS ................................................................................................................. 54
CHAPTER 09: EAR DISORDERS ................................................................................................................. 62
CHAPTER 10 : NOSE, SINUS, MOUTH, AND THROAT DISORDERS ........................................................... 70
CHAPTER 11: RESPIRATORY DISORDERS ................................................................................................. 79
CHAPTER 12 : CARDIOVASCULAR DISORDERS ........................................................................................ 87
CHAPTER 13 :INTEGUMENTARY FUNCTION............................................................................................ 96
CHAPTER 14 :GASTROINTESTINAL DISORDERS ..................................................................................... 105
CHAPTER 15 : NEUROLOGICAL DISORDERS.......................................................................................... 114
CHAPTER 16 - MALE GENITOURINARY DISORDERS .............................................................................. 122
CHAPTER 17: FEMALE GENITOURINARY AND BREAST DISORDERS ...................................................... 131
CHAPTER 18 : MUSCULOSKELETAL DISORDERS .................................................................................... 139
,PART 1 STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT
CHAPTER 01: INTERVIEW AND HISTORY-TAKING STRATEGIES
MULTIPLE CHOICE
1. WHICH OF THE FOLLOWING IS AN EXAMPLE OF SUBJECTIVE DATA THAT MAY BE COLLECTED
DURING A HEALTH ASSESSMENT?
A) HEIGHT AND WEIGHT
B) A PATIENT’S RECALL OF HIS OR HER PAST HEALTH CONDITIONS
C) RESULTS FROM AN ABDOMINAL CT SCAN
D) COMPLETE BLOOD COUNT
ANSWER :B
COMPLEXITY: MODERATE GRADESLAB.COM
AHEAD: FUNCTIONS OF THE INTERVIEW AND HEALTH HISTORY SUBJECT: CHAPTER 1
TITLE: INTERVIEW AND HISTORY-TAKING STRATEGIES TAXONOMY: APPLICATION
2. WHICH OF THE FOLLOWING IS TRUE REGARDING THE DATA TAKEN IN A HEALTH HISTORY?
A) MOST HEALTH HISTORY DATA ARE OBJECTIVE AND MEASURABLE.
B) OBJECTIVE DATA ARE ERROR-FREE, QUANTIFIABLE DATA.
C) SUBJECTIVE DATA, BEING INHERENTLY LESS ACCURATE, ARE OF LESS VALUE THAN OBJECTIVE
DATA.
D) A SUCCESSFUL INDIVIDUALIZED PLAN OF CARE MUST INCORPORATE SUBJECTIVE DATA.
ANSWER:D
, COMPLEXITY: DIFFICULT
AHEAD: FUNCTIONS OF THE INTERVIEW AND HEALTH HISTORY SUBJECT: CHAPTER 1
TITLE: INTERVIEW AND HISTORY-TAKING STRATEGIES TAXONOMY: ANALYSIS
3. WHAT DO COULEHAN AND BLOCK DEFINE AS “LISTENING TO THE TOTAL COMMUNICATION . . .
AND LETTING THE PATIENT KNOW THAT YOU ARE REALLY HEARING”?
A) CULTURAL COMPETENCE
B) PATIENCE
C) EMPATHY
D) TOP-TIER COMMUNICATION
ANSWER: C
COMPLEXITY: MODERATE AHEAD: INTERVIEWING SUBJECT: CHAPTER 1
TITLE: INTERVIEW AND HISTORY-TAKING STRATEGIES TAXONOMY: RECALL
4. THE PROVIDER IS PREPARING TO TAKE A HEALTH HISTORY FOR A NEW PATIENT. HE TAKES THE
PATIENT TO A PRIVATE ROOM AND ASKS THE PATIENT TO DON A HOSPITAL GOWN. AFTER STEPPING
OUTSIDE TO GIVE THE PATIENT SUFFICIENT TIME TO CHANGE, HE THEN COMES BACK IN AND ASKS
PERMISSION TO CONDUCT THE HISTORY. HE SITS NEXT TO THE PATIENT AT EYE LEVEL, DISCREETLY
OBSERVES THE PATIENT FOR ANY SENSORY DEFICITS, AND ASKS THE PATIENT IF HE MAY TAKE BRIEF
NOTES OF THE CONVERSATION. DURING THE CONVERSATION, HE GIVES THE PATIENT TIME TO ANSWER
QUESTIONS FULLY. HE MAKES SURE THAT HIS QUESTIONS DO NOT CONTAIN TECHNICAL TERMS AND
QUIETLY OBSERVES THE PATIENT’S NONVERBAL BEHAVIORS THROUGHOUT. WHICH MISTAKE DID THE
PROVIDER MAKE?
A) HE SHOULD HAVE ALLOWED THE PATIENT TO REMAIN FULLY CLOTHED IN THEIR OWN
CLOTHING FOR THEIR COMFORT.
B) HE SHOULD NOT HAVE OMITTED TECHNICAL TERMINOLOGY. PATIENTS LIKE HAVING A CHANCE
TO LEARN.
C) HE SHOULD HAVE SEATED HIMSELF SLIGHTLY ABOVE EYE LEVEL TO GIVE THE PATIENT
NONVERBAL REASSURANCE OF HIS EXPERIENCE AND PROFESSIONALISM.