TEST BANK
Essential Health Assessment
Janice M Thompson
1st Edition
,TabletyoftyContents
Chapterty01tyUnderstandingtyHealthtyAssessment 1
Chapterty02tyInterviewingtythetyPatienttyfortythetyHealthtyHistory 11
Chapterty03tyTakingtythetyHealthtyHistory 40
Chapterty04tyAssessingtyNutritiontyandtyAnthropometrictyMeasurements 61
Chapterty05tyAssessmenttyTechniques 88
Chapterty06tyGeneraltySurveytyandtyAssessingtyVitaltySigns 99
Chapterty07tyAssessingtyPain 128
Chapterty08tyAssessingtythetySkin,tyHair,tyandtyNails 149
Chapterty09tyAssessingtythetyHead,tyFace,tyMouth,tyandtyNeck 188
Chapterty10tyAssessingtythetyEars 229
Chapterty11tyAssessingtythetyEyes 250
Chapterty12tyAssessingtythetyRespiratorytySystem 281
Chapterty13tyAssessingtythetyCardiovasculartySystem 308
Chapterty14tyAssessingtythetyAbdomen 335
Chapterty15tyAssessingtythetyPeripheraltyVasculartySystemtyandtyRegionaltyLymphatictySystem 363
Chapterty16tyAssessingtythetyMusculoskeletaltySystem 391
Chapterty17tyAssessingtythetyNeurologicaltySystem 417
Chapterty18tyAssessingtythetyFemaletyBreasts,tyAxillae,tyandtyReproductivetySystem 451
Chapterty19tyAssessingtythetyMaletyBreaststyandtyReproductivetySystem 477
Chapterty20tyAssessingtythetyAnustyandtyRectum 501
Chapterty21tyAssessingtythetyNewborn 517
Chapterty22tyAssessingtythetyChildtyandtyAdolescent 555
Chapterty23tyAssessingtythetyPregnanttyWoman 583
Chapterty24tyAssessingtythetyOldertyAdult 612
, TesttyBankty-
tyEssentialtyHealthtyAssessment,ty1sttyeditionty(Thompson,ty2018)
Chapterty1:tyUnderstandingtyHealthtyAssessment
1. ThetyWorldtyHealthtyOrganizationty(WHO)tyestablishedtyatyglobaltystrategytycalledty“Healthtyfo
rtyAll.”tyThetygoaltyfortythistystrategytyis:
1. Alltyindividualstytotygettythetysametyhealthtycaretythroughouttytheirtylifetyspans.
2. Thetygovernmenttytotysupplytymoneytytotycaretyfortyalltythetypeopletyintythetyworld.
3. Resourcestyfortyhealthtycaretytotybetyevenlytydistributedtyandtyaccessible.
4. Health-caretyproviderstycantynevertydenytypatientstyhealthtycare.
2. Healthtyassessmenttyistyatyfoundationaltyandtyprioritytynursingtyskill.tyThistyessentialtyskilltyr
equirestyregisteredtynursesty(RNs)tyto:
1. Diagnosetyandtytreattypatients.
2. Identifytynormaltyandtyabnormaltyfindings.
3. Refertypatientstywithtyabnormaltyfindings.
4. Counseltypatientstywithtypsychosocialtyneeds.
3. Youtyaretyassessingtyatypatienttywithtyfivetygunshottywoundstyontyatytraumatyunit.tyTheretyistyatyp
olicetypresencetyoutsidetyhistydoortybecausetythetypatienttyistyatyknowntydrugtydealertyintythetycommun
ity.tyYoutyknowtythattynursestymusttytreattyalltypatientstyastypersons.tyThistyistycalled:
1. Caring.
2. Holistictyprocess.
3. Person-centeredtycarety(PCC).
4. Standardstyoftycare.
4. Thetyscience-
basedtyframeworktyupdatedtyeveryty10tyyearstybytythetyU.S.tyDepartmenttyoftyHealthtyandtyHuma
ntyServicestythattyhastysettynationaltygoalstyandtyobjectivestyfortyhealthtypromotiontyandtydiseaset
ypreventiontyis:
1. HealthytyPeople.
2. HealthytyPeoplety2020.
3. U.S.tyPreventivetyTasktyForce.
4. WorldtyHealthtyOrganization.
5. Aty38-year-oldtymaletyhastyatyfamilytyhistorytyoftycolontycancer.tyHistyfathertydiedtyoftycolontycancertyattyage
48.tyThetydoctortyrecommendedtythattythistypatienttyhavetyatycolonoscopytythistyyear.tyThistyistyantyexampletyof
:
1. Primarytyhealthtyprevention.
1ty|tyPtyatygty
e
, TesttyBankty-
tyEssentialtyHealthtyAssessment,ty1sttyeditionty(Thompson,ty2018)
2. Secondarytyhealthtyprevention.
3. Tertiarytyhealthtyprevention.
6. Atypatienttyintythetyhospitaltyputstyontyhistycalltylighttyandtytellstythetypersontyansweringtythattyhety“t
hinkstyhetyistyrunningtyatyfevertyandtyhastystomachtydiscomfort.”tyYoutyaretythetyregisteredtynursetyint
ycharge.tyWhattyshouldtyyoutydo?
1. Asktythetymedicaltyassistanttytotygotytotythetypatient’styroomtyandtyassesstyhistycomplaints.
2. GotychecktytotyseetyiftythetypatienttyhastyantyordertyfortyTylenoltyfortyatyfever.
3. Pagetythetyresidenttyontycalltyimmediatelytytotyassesstythetypatient.
4. Gotytotythetypatient’styroomtyandtyassesstyfortyfevertyandtythetyepigastrictydiscomfort.
7. Youtyaretyleadingtyantyinterdisciplinarytyteamtyconferencetytotydiscusstyhowtytotyprovidetybettertyc
aretyfortyatychallengingtypatienttywhotyhastybehavioraltyproblems.tyTheretyaretyseveraltyareastythattyn
eedtytotybetyproblemtysolvedtyandtynewtyideastyformulatedtytotycreatetyantyimprovedtyplantyoftycare.ty
Whattycognitivetyskillstyaretyyoutyusing?
1. Criticaltythinking
2. Clinicaltydecisiontymaking
3. Intuitivetythinking
4. Clinicaltyreasoning
8. Besttypracticetyassessmenttytechniquestyandtyinstrumentstyhavetybeentyvalidatedtyby:
1. AmericantyNursestyAssociation.
2. CodetyoftyEthicstyfortyNursestyWithtyInterpretivetyStatements.
3. Researchtyandtyevidence-basedtypractice.
4. PatienttyProtectiontyandtyAffordabletyCaretyAct.
9. Healthtyandtyillnesstyaretydeterminedtybytymanytyfactors.tyWhattyaretythetydeterminantstyoftyhealthtyi
dentifiedtybytythetyCenterstyfortyDiseasetyControltyandtyPreventionty(CDC)?tySelecttyalltythattyapply.
1. Geneticstyandtybiology
2. Gendertyandtyoccupation
3. Individualtybehavior
4. Socialtyenvironment
5. Physicaltyenvironment
6. Healthtyservices
2ty|tyPtyatygty
e
Essential Health Assessment
Janice M Thompson
1st Edition
,TabletyoftyContents
Chapterty01tyUnderstandingtyHealthtyAssessment 1
Chapterty02tyInterviewingtythetyPatienttyfortythetyHealthtyHistory 11
Chapterty03tyTakingtythetyHealthtyHistory 40
Chapterty04tyAssessingtyNutritiontyandtyAnthropometrictyMeasurements 61
Chapterty05tyAssessmenttyTechniques 88
Chapterty06tyGeneraltySurveytyandtyAssessingtyVitaltySigns 99
Chapterty07tyAssessingtyPain 128
Chapterty08tyAssessingtythetySkin,tyHair,tyandtyNails 149
Chapterty09tyAssessingtythetyHead,tyFace,tyMouth,tyandtyNeck 188
Chapterty10tyAssessingtythetyEars 229
Chapterty11tyAssessingtythetyEyes 250
Chapterty12tyAssessingtythetyRespiratorytySystem 281
Chapterty13tyAssessingtythetyCardiovasculartySystem 308
Chapterty14tyAssessingtythetyAbdomen 335
Chapterty15tyAssessingtythetyPeripheraltyVasculartySystemtyandtyRegionaltyLymphatictySystem 363
Chapterty16tyAssessingtythetyMusculoskeletaltySystem 391
Chapterty17tyAssessingtythetyNeurologicaltySystem 417
Chapterty18tyAssessingtythetyFemaletyBreasts,tyAxillae,tyandtyReproductivetySystem 451
Chapterty19tyAssessingtythetyMaletyBreaststyandtyReproductivetySystem 477
Chapterty20tyAssessingtythetyAnustyandtyRectum 501
Chapterty21tyAssessingtythetyNewborn 517
Chapterty22tyAssessingtythetyChildtyandtyAdolescent 555
Chapterty23tyAssessingtythetyPregnanttyWoman 583
Chapterty24tyAssessingtythetyOldertyAdult 612
, TesttyBankty-
tyEssentialtyHealthtyAssessment,ty1sttyeditionty(Thompson,ty2018)
Chapterty1:tyUnderstandingtyHealthtyAssessment
1. ThetyWorldtyHealthtyOrganizationty(WHO)tyestablishedtyatyglobaltystrategytycalledty“Healthtyfo
rtyAll.”tyThetygoaltyfortythistystrategytyis:
1. Alltyindividualstytotygettythetysametyhealthtycaretythroughouttytheirtylifetyspans.
2. Thetygovernmenttytotysupplytymoneytytotycaretyfortyalltythetypeopletyintythetyworld.
3. Resourcestyfortyhealthtycaretytotybetyevenlytydistributedtyandtyaccessible.
4. Health-caretyproviderstycantynevertydenytypatientstyhealthtycare.
2. Healthtyassessmenttyistyatyfoundationaltyandtyprioritytynursingtyskill.tyThistyessentialtyskilltyr
equirestyregisteredtynursesty(RNs)tyto:
1. Diagnosetyandtytreattypatients.
2. Identifytynormaltyandtyabnormaltyfindings.
3. Refertypatientstywithtyabnormaltyfindings.
4. Counseltypatientstywithtypsychosocialtyneeds.
3. Youtyaretyassessingtyatypatienttywithtyfivetygunshottywoundstyontyatytraumatyunit.tyTheretyistyatyp
olicetypresencetyoutsidetyhistydoortybecausetythetypatienttyistyatyknowntydrugtydealertyintythetycommun
ity.tyYoutyknowtythattynursestymusttytreattyalltypatientstyastypersons.tyThistyistycalled:
1. Caring.
2. Holistictyprocess.
3. Person-centeredtycarety(PCC).
4. Standardstyoftycare.
4. Thetyscience-
basedtyframeworktyupdatedtyeveryty10tyyearstybytythetyU.S.tyDepartmenttyoftyHealthtyandtyHuma
ntyServicestythattyhastysettynationaltygoalstyandtyobjectivestyfortyhealthtypromotiontyandtydiseaset
ypreventiontyis:
1. HealthytyPeople.
2. HealthytyPeoplety2020.
3. U.S.tyPreventivetyTasktyForce.
4. WorldtyHealthtyOrganization.
5. Aty38-year-oldtymaletyhastyatyfamilytyhistorytyoftycolontycancer.tyHistyfathertydiedtyoftycolontycancertyattyage
48.tyThetydoctortyrecommendedtythattythistypatienttyhavetyatycolonoscopytythistyyear.tyThistyistyantyexampletyof
:
1. Primarytyhealthtyprevention.
1ty|tyPtyatygty
e
, TesttyBankty-
tyEssentialtyHealthtyAssessment,ty1sttyeditionty(Thompson,ty2018)
2. Secondarytyhealthtyprevention.
3. Tertiarytyhealthtyprevention.
6. Atypatienttyintythetyhospitaltyputstyontyhistycalltylighttyandtytellstythetypersontyansweringtythattyhety“t
hinkstyhetyistyrunningtyatyfevertyandtyhastystomachtydiscomfort.”tyYoutyaretythetyregisteredtynursetyint
ycharge.tyWhattyshouldtyyoutydo?
1. Asktythetymedicaltyassistanttytotygotytotythetypatient’styroomtyandtyassesstyhistycomplaints.
2. GotychecktytotyseetyiftythetypatienttyhastyantyordertyfortyTylenoltyfortyatyfever.
3. Pagetythetyresidenttyontycalltyimmediatelytytotyassesstythetypatient.
4. Gotytotythetypatient’styroomtyandtyassesstyfortyfevertyandtythetyepigastrictydiscomfort.
7. Youtyaretyleadingtyantyinterdisciplinarytyteamtyconferencetytotydiscusstyhowtytotyprovidetybettertyc
aretyfortyatychallengingtypatienttywhotyhastybehavioraltyproblems.tyTheretyaretyseveraltyareastythattyn
eedtytotybetyproblemtysolvedtyandtynewtyideastyformulatedtytotycreatetyantyimprovedtyplantyoftycare.ty
Whattycognitivetyskillstyaretyyoutyusing?
1. Criticaltythinking
2. Clinicaltydecisiontymaking
3. Intuitivetythinking
4. Clinicaltyreasoning
8. Besttypracticetyassessmenttytechniquestyandtyinstrumentstyhavetybeentyvalidatedtyby:
1. AmericantyNursestyAssociation.
2. CodetyoftyEthicstyfortyNursestyWithtyInterpretivetyStatements.
3. Researchtyandtyevidence-basedtypractice.
4. PatienttyProtectiontyandtyAffordabletyCaretyAct.
9. Healthtyandtyillnesstyaretydeterminedtybytymanytyfactors.tyWhattyaretythetydeterminantstyoftyhealthtyi
dentifiedtybytythetyCenterstyfortyDiseasetyControltyandtyPreventionty(CDC)?tySelecttyalltythattyapply.
1. Geneticstyandtybiology
2. Gendertyandtyoccupation
3. Individualtybehavior
4. Socialtyenvironment
5. Physicaltyenvironment
6. Healthtyservices
2ty|tyPtyatygty
e
