EssentialIHealthIAssessment
Janice M Thompson
I I
1stIEdition
,TableIofIContents
ChapterI01IUnderstandingIHealthIAssessment 1
ChapterI02IInterviewingItheIPatientIforItheIHealthIHistory 11
ChapterI03ITakingItheIHealthIHistory 40
ChapterI04IAssessingINutritionIandIAnthropometricIMeasurements 61
ChapterI05IAssessmentITechniques 88
ChapterI06IGeneralISurveyIandIAssessingIVitalISigns 99
ChapterI07IAssessingIPain 128
ChapterI08IAssessingItheISkin,IHair,IandINails 149
ChapterI09IAssessingItheIHead,IFace,IMouth,IandINeck 188
ChapterI10IAssessingItheIEars 229
ChapterI11IAssessingItheIEyes 250
ChapterI12IAssessingItheIRespiratoryISystem 281
ChapterI13IAssessingItheICardiovascularISystem 308
ChapterI14IAssessingItheIAbdomen 335
ChapterI15IAssessingItheIPeripheralIVascularISystemIandIRegionalILymphaticISystem 363
ChapterI16IAssessingItheIMusculoskeletalISystem 391
ChapterI17IAssessingItheINeurologicalISystem 417
ChapterI18IAssessingItheIFemaleIBreasts,IAxillae,IandIReproductiveISystem 451
ChapterI19IAssessingItheIMaleIBreastsIandIReproductiveISystem 477
ChapterI20IAssessingItheIAnusIandIRectum 501
ChapterI21IAssessingItheINewborn 517
ChapterI22IAssessingItheIChildIandIAdolescent 555
ChapterI23IAssessingItheIPregnantIWoman 583
ChapterI24IAssessingItheIOlderIAdult 612
, TestIBankI-IEssentialIHealthIAssessment,I1stIeditionI(Thompson,I2025)
ChapterI1:IUnderstandingIHealthIAssessment
1. TheIWorldIHealthIOrganizationI(WHO)IestablishedIaIglobalIstrategyIcalledI“HealthIforIAll.”I
TheIgoalIforIthisIstrategyIis:
1. AllIindividualsItoIgetItheIsameIhealthIcareIthroughoutItheirIlifeIspans.
2. TheIgovernmentItoIsupplyImoneyItoIcareIforIallItheIpeopleIinItheIworld.
3. ResourcesIforIhealthIcareItoIbeIevenlyIdistributedIandIaccessible.
4. Health-careIprovidersIcanIneverIdenyIpatientsIhealthIcare.
2. HealthIassessmentIisIaIfoundationalIandIpriorityInursingIskill.IThisIessentialIskillIrequiresI
registeredInursesI(RNs)Ito:
1. DiagnoseIandItreatIpatients.
2. IdentifyInormalIandIabnormalIfindings.
3. ReferIpatientsIwithIabnormalIfindings.
4. CounselIpatientsIwithIpsychosocialIneeds.
3. YouIareIassessingIaIpatientIwithIfiveIgunshotIwoundsIonIaItraumaIunit.IThereIisIaIpoliceIpresen
ceIoutsideIhisIdoorIbecauseItheIpatientIisIaIknownIdrugIdealerIinItheIcommunity.IYouIknowIthatInu
rsesImustItreatIallIpatientsIasIpersons.IThisIisIcalled:
1. Caring.
2. HolisticIprocess.
3. Person-centeredIcareI(PCC).
4. StandardsIofIcare.
4. TheIscience-
basedIframeworkIupdatedIeveryI10IyearsIbyItheIU.S.IDepartmentIofIHealthIandIHumanIService
sIthatIhasIsetInationalIgoalsIandIobjectivesIforIhealthIpromotionIandIdiseaseIpreventionIis:
1. HealthyIPeople.
2. HealthyIPeopleI2020.
3. U.S.IPreventiveITaskIForce.
4. WorldIHealthIOrganization.
5. AI38-year-oldImaleIhasIaIfamilyIhistoryIofIcolonIcancer.IHisIfatherIdiedIofIcolonIcancerIatIage
48.ITheIdoctorIrecommendedIthatIthisIpatientIhaveIaIcolonoscopyIthisIyear.IThisIisIanIexampleIof:
1. PrimaryIhealthIprevention.
1I|IPIaIgIe
, TestIBankI-IEssentialIHealthIAssessment,I1stIeditionI(Thompson,I2025)
2. SecondaryIhealthIprevention.
3. TertiaryIhealthIprevention.
6. AIpatientIinItheIhospitalIputsIonIhisIcallIlightIandItellsItheIpersonIansweringIthatIheI“thinksIheIisIr
unningIaIfeverIandIhasIstomachIdiscomfort.”IYouIareItheIregisteredInurseIinIcharge.IWhatIshouldIy
ouIdo?
1. AskItheImedicalIassistantItoIgoItoItheIpatient’sIroomIandIassessIhisIcomplaints.
2. GoIcheckItoIseeIifItheIpatientIhasIanIorderIforITylenolIforIaIfever.
3. PageItheIresidentIonIcallIimmediatelyItoIassessItheIpatient.
4. GoItoItheIpatient’sIroomIandIassessIforIfeverIandItheIepigastricIdiscomfort.
7. YouIareIleadingIanIinterdisciplinaryIteamIconferenceItoIdiscussIhowItoIprovideIbetterIcareIforIaI
challengingIpatientIwhoIhasIbehavioralIproblems.IThereIareIseveralIareasIthatIneedItoIbeIproblemIs
olvedIandInewIideasIformulatedItoIcreateIanIimprovedIplanIofIcare.IWhatIcognitiveIskillsIareIyouIu
sing?
1. CriticalIthinking
2. ClinicalIdecisionImaking
3. IntuitiveIthinking
4. ClinicalIreasoning
8. BestIpracticeIassessmentItechniquesIandIinstrumentsIhaveIbeenIvalidatedIby:
1. AmericanINursesIAssociation.
2. CodeIofIEthicsIforINursesIWithIInterpretiveIStatements.
3. ResearchIandIevidence-basedIpractice.
4. PatientIProtectionIandIAffordableICareIAct.
9. HealthIandIillnessIareIdeterminedIbyImanyIfactors.IWhatIareItheIdeterminantsIofIhealthIidentifiedI
byItheICentersIforIDiseaseIControlIandIPreventionI(CDC)?ISelectIallIthatIapply.
1. GeneticsIandIbiology
2. GenderIandIoccupation
3. IndividualIbehavior
4. SocialIenvironment
5. PhysicalIenvironment
6. HealthIservices
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