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Essential Health Assessment
l0 l0
Janice Thompson
l0
1st Edition
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Table of Contents
l0 l0
Chapter 01 Understanding Health Assessment
l0 l0 l0 l0 1
Chapter 02 Interviewing the Patient for the Health History
l0 l0 l0 l0 l0 l0 l0 l0 11
Chapter 03 Taking the Health History
l0 l0 l0 l0 l0 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
l0 l0 l0 l0 l0 l0 61
Chapter 05 Assessment Techniques
l0 l0 l0 88
Chapter 06 General Survey and Assessing Vital Signs
l0 l0 l0 l0 l0 l0 l0 99
Chapter 07 Assessing Pain
l0 l0 l0 128
Chapter 08 Assessing the Skin, Hair, and Nails
l0 l0 l0 l0 l0 l0 l0 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
l0 l0 l0 l0 l0 l0 l0 l0 188
Chapter 10 Assessing the Ears
l0 l0 l0 l0 229
Chapter 11 Assessing the Eyes
l0 l0 l0 l0 250
Chapter 12 Assessing the Respiratory System
l0 l0 l0 l0 l0 281
Chapter 13 Assessing the Cardiovascular System
l0 l0 l0 l0 l0 308
Chapter 14 Assessing the Abdomen
l0 l0 l0 l0 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 363
Chapter 16 Assessing the Musculoskeletal System
l0 l0 l0 l0 l0 391
Chapter 17 Assessing the Neurological System
l0 l0 l0 l0 l0 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
l0 l0 l0 l0 l0 l0 l0 l0 l0 451
Chapter 19 Assessing the Male Breasts and Reproductive System
l0 l0 l0 l0 l0 l0 l0 l0 477
Chapter 20 Assessing the Anus and Rectum
l0 l0 l0 l0 l0 l0 501
Chapter 21 Assessing the Newborn
l0 l0 l0 l0 517
Chapter 22 Assessing the Child and Adolescent
l0 l0 l0 l0 l0 l0 555
Chapter 23 Assessing the Pregnant Woman
l0 l0 l0 l0 l0 583
Chapter 24 Assessing the Older Adult
l0 l0 l0 l0 l0 612
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, Stuvia.coml0-l0Thel0Marketplacel0tol0Buyl0andl0Selll0yourl0Studyl0Material
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Essential Health Assessment, 1st edition (Thompson, 2018)
Chapter 1: Understanding Health Assessment l0 l0 l0 l0
1. The World Health Organization (WHO) established a global strategy called ―Health for All.‖
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
The goal for this strategy is:
l0 l0 l0 l0 l0
1. All individuals to get the same health care throughout their life spans.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
2. The government to supply money to care for all the people in the world.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
3. Resources for health care to be evenly distributed and accessible.l0 l0 l0 l0 l0 l0 l0 l0 l0
4. Health-care providers can never deny patients health care. l0 l0 l0 l0 l0 l0 l0
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
registered nurses (RNs) to: l0 l0 l0
1. Diagnose and treat patients. l0 l0 l0
2. Identify normal and abnormal findings. l0 l0 l0 l0
3. Refer patients with abnormal findings.
l0 l0 l0 l0
4. Counsel patients with psychosocial needs. l0 l0 l0 l0
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police prese
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
nce outside his door because the patient is a known drug dealer in the community. You know that n
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
urses must treat all patients as persons. This is called:
l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Caring.
2. Holistic process. l0
3. Person-centered care (PCC). l0 l0
4. Standards of care. l0 l0
4. The science- l0
based framework updated every 10 years by the U.S. Department of Health and Human Servic
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
es that has set national goals and objectives for health promotion and disease prevention is:
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Healthy People. l0
2. Healthy People 2020. l0 l0
3. U.S. Preventive Task Force.
l0 l0 l0
4. World Health Organization. l0 l0
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Primary health prevention. l0 l0
1|Page
l0 l0 l0 l0 l0
Downloadedl0by:l0fatoumatabahl0| Wantl0tol0earnl0$1.23
6
Distributionl0ofl0thisl0documentl0isl0illegal
extra per year?
, Stuvia.coml0-l0Thel0Marketplacel0tol0Buyl0andl0Selll0yourl0Studyl0Material
Testl0Bankl0-
Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondary health prevention. l0 l0
3. Tertiary health prevention. l0 l0
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks he is
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
running a fever and has stomach discomfort.‖ You are the registered nurse in charge. What should
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l
0you do? l0
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
2. Go check to see if the patient has an order for Tylenol for a fever.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
3. Page the resident on call immediately to assess the patient.
l0 l0 l0 l0 l0 l0 l0 l0 l0
4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l
challenging patient who has behavioral problems. There are several areas that need to be problem
0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
solved and new ideas formulated to create an improved plan of care. What cognitive skills are you
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
using?
l0
1. Critical thinking l0
2. Clinical decision making l0 l0
3. Intuitive thinking l0
4. Clinical reasoning l0
8. Best practice assessment techniques and instruments have been validated by:
l0 l0 l0 l0 l0 l0 l0 l0 l0
1. American Nurses Association. l0 l0
2. Code of Ethics for Nurses With Interpretive Statements.
l0 l0 l0 l0 l0 l0 l0
3. Research and evidence-based practice. l0 l0 l0
4. Patient Protection and Affordable Care Act.
l0 l0 l0 l0 l0
9. Health and illness are determined by many factors. What are the determinants of health identified
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Genetics and biology l0 l0
2. Gender and occupation l0 l0
3. Individual behavior l0
4. Social environment l0
5. Physical environment l0
6. Health services l0
2|Page
l0 l0 l0 l0 l0
Downloadedl0by:l0fatoumatabahl0| Wantl0tol0earnl0$1.23
6
Distributionl0ofl0thisl0documentl0isl0illegal
extra per year?
The Marketplace to Buy and Sell your Study Material
TEST BANK
l0
Essential Health Assessment
l0 l0
Janice Thompson
l0
1st Edition
l0
Downloadedl0by:l0fatoumatabahl0| Wantl0tol0earnl0$1.23
6
Distributionl0ofl0thisl0documentl0isl0illegal
extra per year?
, Stuvia.coml0-
The Marketplace to Buy and Sell your Study Material
Table of Contents
l0 l0
Chapter 01 Understanding Health Assessment
l0 l0 l0 l0 1
Chapter 02 Interviewing the Patient for the Health History
l0 l0 l0 l0 l0 l0 l0 l0 11
Chapter 03 Taking the Health History
l0 l0 l0 l0 l0 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements
l0 l0 l0 l0 l0 l0 61
Chapter 05 Assessment Techniques
l0 l0 l0 88
Chapter 06 General Survey and Assessing Vital Signs
l0 l0 l0 l0 l0 l0 l0 99
Chapter 07 Assessing Pain
l0 l0 l0 128
Chapter 08 Assessing the Skin, Hair, and Nails
l0 l0 l0 l0 l0 l0 l0 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck
l0 l0 l0 l0 l0 l0 l0 l0 188
Chapter 10 Assessing the Ears
l0 l0 l0 l0 229
Chapter 11 Assessing the Eyes
l0 l0 l0 l0 250
Chapter 12 Assessing the Respiratory System
l0 l0 l0 l0 l0 281
Chapter 13 Assessing the Cardiovascular System
l0 l0 l0 l0 l0 308
Chapter 14 Assessing the Abdomen
l0 l0 l0 l0 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 363
Chapter 16 Assessing the Musculoskeletal System
l0 l0 l0 l0 l0 391
Chapter 17 Assessing the Neurological System
l0 l0 l0 l0 l0 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
l0 l0 l0 l0 l0 l0 l0 l0 l0 451
Chapter 19 Assessing the Male Breasts and Reproductive System
l0 l0 l0 l0 l0 l0 l0 l0 477
Chapter 20 Assessing the Anus and Rectum
l0 l0 l0 l0 l0 l0 501
Chapter 21 Assessing the Newborn
l0 l0 l0 l0 517
Chapter 22 Assessing the Child and Adolescent
l0 l0 l0 l0 l0 l0 555
Chapter 23 Assessing the Pregnant Woman
l0 l0 l0 l0 l0 583
Chapter 24 Assessing the Older Adult
l0 l0 l0 l0 l0 612
Downloadedl0by:l0fatoumatabahl0| Wantl0tol0earnl0$1.23
6
Distributionl0ofl0thisl0documentl0isl0illegal
extra per year?
, Stuvia.coml0-l0Thel0Marketplacel0tol0Buyl0andl0Selll0yourl0Studyl0Material
Testl0Bankl0-
Essential Health Assessment, 1st edition (Thompson, 2018)
Chapter 1: Understanding Health Assessment l0 l0 l0 l0
1. The World Health Organization (WHO) established a global strategy called ―Health for All.‖
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
The goal for this strategy is:
l0 l0 l0 l0 l0
1. All individuals to get the same health care throughout their life spans.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
2. The government to supply money to care for all the people in the world.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
3. Resources for health care to be evenly distributed and accessible.l0 l0 l0 l0 l0 l0 l0 l0 l0
4. Health-care providers can never deny patients health care. l0 l0 l0 l0 l0 l0 l0
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
registered nurses (RNs) to: l0 l0 l0
1. Diagnose and treat patients. l0 l0 l0
2. Identify normal and abnormal findings. l0 l0 l0 l0
3. Refer patients with abnormal findings.
l0 l0 l0 l0
4. Counsel patients with psychosocial needs. l0 l0 l0 l0
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police prese
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
nce outside his door because the patient is a known drug dealer in the community. You know that n
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
urses must treat all patients as persons. This is called:
l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Caring.
2. Holistic process. l0
3. Person-centered care (PCC). l0 l0
4. Standards of care. l0 l0
4. The science- l0
based framework updated every 10 years by the U.S. Department of Health and Human Servic
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
es that has set national goals and objectives for health promotion and disease prevention is:
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Healthy People. l0
2. Healthy People 2020. l0 l0
3. U.S. Preventive Task Force.
l0 l0 l0
4. World Health Organization. l0 l0
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Primary health prevention. l0 l0
1|Page
l0 l0 l0 l0 l0
Downloadedl0by:l0fatoumatabahl0| Wantl0tol0earnl0$1.23
6
Distributionl0ofl0thisl0documentl0isl0illegal
extra per year?
, Stuvia.coml0-l0Thel0Marketplacel0tol0Buyl0andl0Selll0yourl0Studyl0Material
Testl0Bankl0-
Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondary health prevention. l0 l0
3. Tertiary health prevention. l0 l0
6. A patient in the hospital puts on his call light and tells the person answering that he ―thinks he is
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
running a fever and has stomach discomfort.‖ You are the registered nurse in charge. What should
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l
0you do? l0
1. Ask the medical assistant to go to the patient‘s room and assess his complaints.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
2. Go check to see if the patient has an order for Tylenol for a fever.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
3. Page the resident on call immediately to assess the patient.
l0 l0 l0 l0 l0 l0 l0 l0 l0
4. Go to the patient‘s room and assess for fever and the epigastric discomfort.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l
challenging patient who has behavioral problems. There are several areas that need to be problem
0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
solved and new ideas formulated to create an improved plan of care. What cognitive skills are you
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
using?
l0
1. Critical thinking l0
2. Clinical decision making l0 l0
3. Intuitive thinking l0
4. Clinical reasoning l0
8. Best practice assessment techniques and instruments have been validated by:
l0 l0 l0 l0 l0 l0 l0 l0 l0
1. American Nurses Association. l0 l0
2. Code of Ethics for Nurses With Interpretive Statements.
l0 l0 l0 l0 l0 l0 l0
3. Research and evidence-based practice. l0 l0 l0
4. Patient Protection and Affordable Care Act.
l0 l0 l0 l0 l0
9. Health and illness are determined by many factors. What are the determinants of health identified
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0 l0
1. Genetics and biology l0 l0
2. Gender and occupation l0 l0
3. Individual behavior l0
4. Social environment l0
5. Physical environment l0
6. Health services l0
2|Page
l0 l0 l0 l0 l0
Downloadedl0by:l0fatoumatabahl0| Wantl0tol0earnl0$1.23
6
Distributionl0ofl0thisl0documentl0isl0illegal
extra per year?