TEST BANK
st
Advanced Health Assessment and Differential Diagnosis: Essentials f
st st st st st st st
or Clinical Practice
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Karen Myrick, and Laima Karosas
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1st Edition
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www.PlusBay.Plus
,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
st st st st st st st st 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
st st st st st st st st 117
www.PlusBay.Plus
, 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 st
1. The nurse is preparing to conduct a health history. Which of these statements best describes the pu
st st st st st st st st st st st st st st st st
rpose of a health history? st st st st
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 s t
The purpose of the health history is to collect subjective data what the person says about him or herself. T
st st st st st st st st st st st st st st st st st st st
he other options are not correct.
st st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
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: st st
a. Has a history of drug abuse and therefore is not reliable.
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b. Provided consistent information and therefore is reliable. st st st st st st
c. Smiled throughout interview and therefore is assumed reliable. st st st st st st st
d. Would not answer questions concerning stress and therefore is not reliable. st st st st st st st st st st
ANS: B s t
A reliable person always gives the same answers, even when questions are rephrased or are repeated later
st st st st st st st st st st st st st st st st st
in the interview. The other s t a t W
st st e mWe nWt s.a T
reB
noS
t cMor.reW
ctS
. st st st ts st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
3. A 59-year-
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old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 hou
st st st st st st st st st st st st st st st st st st st st
rs. How would the nurse best document his reason for seeking care?
st st st st st st st st st st st
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.
st st st st st st st st st st st st st st
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
st st st st st st st st st st st st st st st
d. J.M. is a 59-year- st st st
old man who states that he has been having black stools for the past 24 hours.
st st st st st st st st st st st st st st st
ANS: D s t
The reason for seeking care is a brief spontaneous statement in the persons own words that describes the r
st st st st st st st st st st st st st st st st st st
eason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in quota
st st st st st st st st st st st st st st st st st st st
tion marks to indicate the persons exact words.
st st st st st st st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses bes
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t response?
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a. Can you point to where it hurts? st st st st st st
b. Well talk more about that later in the interview. st st st st st st st st
c. What have you had to eat in the last 24 hours? st st st st st st st st st st
1|Page
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www.PlusBay.Plus
, 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 st st st st st st st st st
NS: A s t
A final summary of any symptom the person has should include, along with seven other critical characteristi
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cs, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
5. A 29-year-
st
old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses approp
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riate response to the womans statement?
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a. How does your family react to your pain? st st st st st st st
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.
st st st st st st st st st
d. How would you say the pain affects your ability to do your daily activities?
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ANS: D s t
The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives shoul
st st st st st st st st st st st st st st st
d be avoided and the patient should be asked how the pain affects his or her daily activities. The other respo
st st st st st st st st st st st st st st st st st st st st
nses are not appropriate. st st st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse wo
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uld be most accurate?
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a. Patient denies usual childhood illnesses. st st st st
b. Patient states he was a very healthy child. st st st st st st st
c. Patient states his sister had measles, but he didnt. st st st st st st st st
d. Patient denies measles, mumps,Wr uWbeWll .a, T
chB
ickSenMp.
oxW
, pSertussis, and strep throat.
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ANS: D s t
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid rec
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ording usual childhood illnesses because an illness common in the persons childhood may be unusual to
st st st st st st st st st st st st st st st
day (e.g., measles).
st st
DIF: Cognitive Level: Remembering (Knowledge) st st st
REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spo
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ntaneous 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 st st
b. Grav 6, Term 4, (S)Ab-2, Living 4 st st st st st st
c. Patient has had four living babies. st st st st st
d. Patient has been pregnant six times. st st st st st
ANS: B s t
Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which the fe
st st st st st st st st st st st st st st
tus reached term (term), number of preterm pregnancies (preterm), number of incomplete pregnancie
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s (abortions), and number of children living (living). This is recorded: Grav
st Term st st st st st st st st st st st st st
Preterm Ab Living st st st
. For any incomplete pregnancies, the duration is recorded and whether the preg st st st st st st st st st st st st
nancy resulted in a spontaneous (S) or an induced (I) abortion.
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DIF: Cognitive Level: Applying (Application) st st st REF: dm. 51 s t s t st
2|Page
st st st st st
www.PlusBay.Plus
st
Advanced Health Assessment and Differential Diagnosis: Essentials f
st st st st st st st
or Clinical Practice
st st
Karen Myrick, and Laima Karosas
st st st st
1st Edition
st
www.PlusBay.Plus
,Table of Contents
st st
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
st st st st st st st st st 1
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
st st st st st st st st st st st 13
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
st st st st st st st st st st 24
Chapter 4. Advanced Health Assessment of the Eyes and Ears
st st st st st st st st st 36
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
st st st st st st st st st 42
Chapter 6. Advanced Health Assessment of the Cardiovascular System
st st st st st st st st 48
Chapter 7. Advanced Health Assessment of the Respiratory System
st st st st st st st st 60
Chapter 8. Advanced Health Assessment of the Abdomen, Rectum, and Anus
st st st st st st st st st st 72
Chapter 9. Advanced Health Assessment of the Male Genitourinary System
st st st st st st st st st 83
Chapter 10. Advanced Assessment of the Female Reproductive System
st st st st st st st st 93
Chapter 11. Advanced Health Assessment of the Neurological System
st st st st st st st st 105
Chapter 12. Advanced Health Assessment of the Musculoskeletal System
st st st st st st st st 117
www.PlusBay.Plus
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
st st st st st st st st st st st st
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
st st st st st st st st st
MULTIPLE CHOICE st
1. The nurse is preparing to conduct a health history. Which of these statements best describes the pu
st st st st st st st st st st st st st st st st
rpose of a health history? st st st st
a. To provide an opportunity for interaction between the patient and the nurse
st st st st st st st st st st st
b. To provide a form for obtaining the patients biographic information
st st st st st st st st st
c. To document the normal and abnormal findings of a physical assessment
st st st st st st st st st st
d. To provide a database of subjective information about the patients past and current health
st st st st st st st st st st st st st
ANS: D s t
The purpose of the health history is to collect subjective data what the person says about him or herself. T
st st st st st st st st st st st st st st st st st st st
he other options are not correct.
st st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
2. When the nurse is evaluating the reliability of a patients responses, which of these statements would be
st st st st st st st st st st st st st st st st
correct? The patient: st st
a. Has a history of drug abuse and therefore is not reliable.
st st st st st st st st st st
b. Provided consistent information and therefore is reliable. st st st st st st
c. Smiled throughout interview and therefore is assumed reliable. st st st st st st st
d. Would not answer questions concerning stress and therefore is not reliable. st st st st st st st st st st
ANS: B s t
A reliable person always gives the same answers, even when questions are rephrased or are repeated later
st st st st st st st st st st st st st st st st st
in the interview. The other s t a t W
st st e mWe nWt s.a T
reB
noS
t cMor.reW
ctS
. st st st ts st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 49 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
3. A 59-year-
st
old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 hou
st st st st st st st st st st st st st st st st st st st st
rs. How would the nurse best document his reason for seeking care?
st st st st st st st st st st st
a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
st st st st st st st st st
b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
st st st st st st st st st st st st st st
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
st st st st st st st st st st st st st st st
d. J.M. is a 59-year- st st st
old man who states that he has been having black stools for the past 24 hours.
st st st st st st st st st st st st st st st
ANS: D s t
The reason for seeking care is a brief spontaneous statement in the persons own words that describes the r
st st st st st st st st st st st st st st st st st st
eason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in quota
st st st st st st st st st st st st st st st st st st st
tion marks to indicate the persons exact words.
st st st st st st st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses bes
st st st st st st st st st st st st st st st st st st st st
t response?
st
a. Can you point to where it hurts? st st st st st st
b. Well talk more about that later in the interview. st st st st st st st st
c. What have you had to eat in the last 24 hours? st st st st st st st st st st
1|Page
st st st st st
www.PlusBay.Plus
, Test Bank - Advanced Health Assessment and Differential Diagnosis, 1st Edition (Myrick, 2020)
st st st st st st st st st st st st
d. Have you ever had any surgeries on your abdomen? A st st st st st st st st st
NS: A s t
A final summary of any symptom the person has should include, along with seven other critical characteristi
st st st st st st st st st st st st st st st st
cs, Location: specific. The person is asked to point to the location.
st st st st st st st st st st st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
5. A 29-year-
st
old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses approp
st st st st st st st st st st st st st st st st st st
riate response to the womans statement?
st st st st st
a. How does your family react to your pain? st st st st st st st
b. The pain must be terrible. You probably pinched a nerve.
st st st st st st st st st
c. Ive had back pain myself, and it can be excruciating.
st st st st st st st st st
d. How would you say the pain affects your ability to do your daily activities?
st st st st st st st st st st st st st
ANS: D s t
The symptom of pain is difficult to quantify because of individual interpretation. With pain, adjectives shoul
st st st st st st st st st st st st st st st
d be avoided and the patient should be asked how the pain affects his or her daily activities. The other respo
st st st st st st st st st st st st st st st st st st st st
nses are not appropriate. st st st
DIF: Cognitive Level: Applying (Application) st st st
REF: dm. 50 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse wo
st st st st st st st st st st st st st st st st st st
uld be most accurate?
st st st
a. Patient denies usual childhood illnesses. st st st st
b. Patient states he was a very healthy child. st st st st st st st
c. Patient states his sister had measles, but he didnt. st st st st st st st st
d. Patient denies measles, mumps,Wr uWbeWll .a, T
chB
ickSenMp.
oxW
, pSertussis, and strep throat.
st st st st st st st st
ANS: D s t
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid rec
st st st st st st st st st st st st
ording usual childhood illnesses because an illness common in the persons childhood may be unusual to
st st st st st st st st st st st st st st st
day (e.g., measles).
st st
DIF: Cognitive Level: Remembering (Knowledge) st st st
REF: dm. 51 MSC: Client Needs: Safe and Effective Care Environment: s t st st s t st st st st st st st
Management of Care st st
7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spo
st st st st st st st st st st st st st st st st st st st st
ntaneous abortions. Her four children are still living. How would the nurse record this information?
st st st st st st st st st st st st st st
a. P-6, B-4, (S)Ab-2 st st
b. Grav 6, Term 4, (S)Ab-2, Living 4 st st st st st st
c. Patient has had four living babies. st st st st st
d. Patient has been pregnant six times. st st st st st
ANS: B s t
Obstetric history includes the number of pregnancies (gravidity), number of deliveries in which the fe
st st st st st st st st st st st st st st
tus reached term (term), number of preterm pregnancies (preterm), number of incomplete pregnancie
st st st st st st st st st st st st
s (abortions), and number of children living (living). This is recorded: Grav
st Term st st st st st st st st st st st st st
Preterm Ab Living st st st
. For any incomplete pregnancies, the duration is recorded and whether the preg st st st st st st st st st st st st
nancy resulted in a spontaneous (S) or an induced (I) abortion.
st st st st st st st st st st
DIF: Cognitive Level: Applying (Application) st st st REF: dm. 51 s t s t st
2|Page
st st st st st
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