COMPLETE TEST BANK: For Advanced Health Assessment And Differential Diagnosis: Essentials For Clinical Practice 1st Edition By Suzanne Smeltzer ISBN 978-0826162496 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED !!! Latest Update!!!!!

TEST BANK
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Advanced Health Assessment and Differential Diagnosis: Essentials f
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or Clinical Practice
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Karen Myrick, and Laima Karosas
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1st Edition
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,Table of Contents
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
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Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
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Chapter 4. Advanced Health Assessment of the Eyes and Ears
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Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
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Chapter 6. Advanced Health Assessment of the Cardiovascular System
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Chapter 7. Advanced Health Assessment of the Respiratory System
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Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
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Chapter 9. Advanced Health Assessment of the Male Genitourinary System
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Chapter 10. Advanced Assessment of the Female Reproductive System
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Chapter 11. Advanced Health Assessment of the Neurological System
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Chapter 12. Advanced Health Assessment of the Musculoskeletal System
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, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
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Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE N




1. The nurse is preparing to conduct a health history. Which of these statements best describes the purp
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ose of a health history?
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a. To provide an opportunity for interaction between the patient and the nurse
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b. To provide a form for obtaining the patients biographic information
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c. To document the normal and abnormal findings of a physical assessment
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d. To provide a database of subjective information about the patients past and current health
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ANS: D N




The purpose of the health history is to collect subjective data what the person says about him or herself. Th
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e other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) N N N




REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: M N N N N N N N N N N N




anagement of Care N N




2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
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correct? The patient: N N




a. Has a history of drug abuse and therefore is not reliable.
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b. Provided consistent information and therefore is reliable. N N N N N N




c. Smiled throughout interview and therefore is assumed reliable. N N N N N N N




d. Would not answer questions concerning stress and therefore is not reliable.
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ANS: B N




A reliable person always gives the same answers, even when questions are rephrased or are repeated later in
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the interview. The other s t a t W
N e mWe nWt s.a T
reB
noS
t cMor.reW
ct.S N N N N N




DIF: Cognitive Level: Applying (Application) N N N




REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: M N N N N N N N N N N N




anagement of Care N N




3. A 59-year-N




old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 hours
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. How would the nurse best document his reason for seeking care?
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a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
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b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
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c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
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d. J.M. is a 59-year- N N N




old man who states that he has been having black stools for the past 24 hours.
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ANS: D N




The reason for seeking care is a brief spontaneous statement in the persons own words that describes the rea
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son for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in quotation
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marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) N N N




REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: M N N N N N N N N N N N




anagement of Care N N




4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses best r
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esponse?
a. Can you point to where it hurts? N N N N N N




b. Well talk more about that later in the interview.
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c. What have you had to eat in the last 24 hours? N N N N N N N N N N




1|Page
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, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
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d. Have you ever had any surgeries on your abdomen? A N N N N N N N N N




NS: A N




A final summary of any symptom the person has should include, along with seven other critical characteristics
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, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) N N N




REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: M N N N N N N N N N N N




anagement of Care N N




5. A 29-year-
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old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses appropri
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ate response to the womans statement?
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a. How does your family react to your pain? N N N N N N N




b. The pain must be terrible. You probably pinched a nerve.
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c. Ive had back pain myself, and it can be excruciating.
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d. How would you say the pain affects your ability to do your daily activities?
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ANS: D N




The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives should
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be avoided and the patient should be asked how the pain affects his or her daily activities. The other responses
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are not appropriate.
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DIF: Cognitive Level: Applying (Application) N N N




REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: M N N N N N N N N N N N




anagement of Care N N




6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse woul
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d be most accurate?
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a. Patient denies usual childhood illnesses. N N N N




b. Patient states he was a very healthy child. N N N N N N N




c. Patient states his sister had measles, but he didnt. N N N N N N N N




d. Patient denies measles, m umps,WruWbeWll .a, T
chB
ickSenMp.
oxW
, pSertussis, and strep throat.
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ANS: D N




Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid reco
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rding usual childhood illnesses because an illness common in the persons childhood may be unusual toda
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y (e.g., measles).
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DIF: Cognitive Level: Remembering (Knowledge) N N N




REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environment: M N N N N N N N N N N N




anagement of Care N N




7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two sponta
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neous abortions. Her four children are still living. How would the nurse record this information?
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a. P-6, B-4, (S)Ab-2 N N




b. Grav 6, Term 4, (S)Ab-2, Living 4 N N N N N N




c. Patient has had four living babies. N N N N N




d. Patient has been pregnant six times. N N N N N




ANS: B N




Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which the fetu
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s reached term (term), number of preterm pregnancies (preterm), number of incomplete pregnancies (a
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bortions), and number of children living (living). This is recorded: Grav
N Term N N N N N N N N N N N N




Preterm Ab Living N N N




. For any incomplete pregnancies, the duration is recorded and whether the pregn N N N N N N N N N N N N




ancy resulted in a spontaneous (S) or an induced (I) abortion.
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DIF: Cognitive Level: Applying (Application) N N N REF: dm. 51 N N N




2|Page
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