TEST BANK sd
Advanced Health Assessment and Differential Diagnosis: Essentia
sd sd sd sd sd sd
ls for Clinical Practice
sd sd sd
Karen Myrick, and Laima Karosas
sd sd sd sd
1st Edition
sd
,Table of Contents
sd sd
Chaptersd1.sdHealthsdHistory,sdThesdPatientsdInterview,sdAndsdMotivationalsdInterviewing 1
Chaptersd2.sdAdvancedsdHealthsdAssessmentsdofsdthesdHead,sdNeck,sdandsdLymphaticsdSystem 13
Chaptersd3.sdAdvancedsdHealthsdAssessmentsdofsdthesdNose,sdMouth,sdandsdThroat 24
Chaptersd4.sdAdvancedsdHealthsdAssessmentsdofsdthesdEyessdandsdEars 36
Chaptersd5.sdAdvancedsdHealthsdAssessmentsdofsdSkin,sdHair,sdandsdNails 42
Chaptersd6.sdAdvancedsdHealthsdAssessmentsdofsdthesdCardiovascularsdSystem 48
Chaptersd7.sdAdvancedsdHealthsdAssessmentsdofsdthesdRespiratorysdSystem 60
Chaptersd8.sdAdvancedsdHealthsdAssessmentsdofsdthesdAbdomen,sdRectum,sdandsdAnus 72
Chaptersd9.sdAdvancedsdHealthsdAssessmentsdofsdthesdMalesdGenitourinarysdSystem 83
Chaptersd10.sdAdvancedsdAssessmentsdofsdthesdFemalesdReproductivesdSystem 93
Chaptersd11.sdAdvancedsdHealthsdAssessmentsdofsdthesdNeurologicalsdSystem 105
Chaptersd12.sdAdvancedsdHealthsdAssessmentsdofsdthesdMusculoskeletalsdSystem 117
, TestsdBanksd-
sdAdvancedsdHealthsdAssessmentsdandsdDifferentialsdDiagnosis,sd1stsdEditionsd(Myrick,sd2020)
Chaptersd1.sdHealthsdHistory,sdThesdPatientsdInterview,sdAndsdMotivationalsdInterviewing
MULTIPLEsdCHOICE
1. Thesdnursesdissdpreparingsdtosdconductsdasdhealthsdhistory.sdWhichsdofsdthesesdstatementssdbestsddescr
ibessdthesdpurposesdofsdasdhealthsdhistory?
a. Tosdprovidesdansdopportunitysdforsdinteractionsdbetweensdthesdpatientsdandsdthesdnurse
b. Tosdprovidesdasdformsdforsdobtainingsdthesdpatientssdbiographicsdinformation
c. Tosddocumentsdthesdnormalsdandsdabnormalsdfindingssdofsdasdphysicalsdassessment
d. Tosdprovidesdasddatabasesdofsdsubjectivesdinformationsdaboutsdthesdpatientssdpastsdandsdcurrentsdhealth
ANS:s d D
Thesdpurposesdofsdthesdhealthsdhistorysdissdtosdcollectsdsubjectivesddatasdwhatsdthesdpersonsdsayssdaboutsdhims
dorsdherself.sdThesdothersdoptionssdaresdnotsdcorrect.
DIF: CognitivesdLevel:sdUnderstandingsd(Comprehension)
REF:s d dm.sd49sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
2. Whensdthesdnursesdissdevaluatingsdthesdreliabilitysdofsdasdpatientssdresponses,sdwhichsdofsdthesesdstatementssdwoulds
dbe
correct?sdThesdpatient:
a. Hassdasdhistorysdofsddrugsdabusesdandsdthereforesdissdnotsdreliable.
b. Providedsdconsistentsdinformationsdandsdthereforesdissdreliable.
c. Smiledsdthroughoutsdinterviewsdandsdthereforesdissdassumedsdreliable.
d. Wouldsdnotsdanswersdquestionssdconcerningsdstresssdandsdthereforesdissdnotsdreliable.
ANS:s d B
Asdreliablesdpersonsdalwayssdgivessdthesdsamesdanswers,sdevensdwhensdquestionssdaresdrephrasedsdorsdaresdre
peatedsdlatersdinsdthesdinterview.sdThesdothersdssdtsdasdt We sdmWesdnWtsds.asdT
rsdesdB
noStsd cMo r.r eWc t .S
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd49sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
3. Asd59-year-
oldsdpatientsdtellssdthesdnursesdthatsdhesdhassdulcerativesdcolitis.sdHesdhassdbeensdhavingsdblacksdstoolssdforsdt
hesdlastsd24sdhours.sdHowsdwouldsdthesdnursesdbestsddocumentsdhissdreasonsdforsdseekingsdcare?
a. J.M.sdissdasd59-year-oldsdmansdseekingsdtreatmentsdforsdulcerativesdcolitis.
b. J.M.sdcamesdintosdthesdclinicsdcomplainingsdofsdhavingsdblacksdstoolssdforsdthesdpastsd24sdhours.
c. J.M.sdissdasd59-year-oldsdmansdwhosdstatessdthatsdhesdhassdulcerativesdcolitissdandsdwantssditsdchecked.
d. J.M.sdissdasd59-year-
oldsdmansdwhosdstatessdthatsdhesdhassdbeensdhavingsdblacksdstoolssdforsdthesdpastsd24sdhours.
ANS:s d D
Thesdreasonsdforsdseekingsdcaresdissdasdbriefsdspontaneoussdstatementsdinsdthesdpersonssdownsdwordssdthatsdde
scribessdthesdreasonsdforsdthesdvisit.sdItsdstatessdonesd(possiblysdtwo)sdsignssdorsdsymptomssdandsdtheirsdduratio
n.sdItsdissdenclosedsdinsdquotationsdmarkssdtosdindicatesdthesdpersonssdexactsdwords.
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd50sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
4. Asdpatientsdtellssdthesdnursesdthatsdshesdhassdhadsdabdominalsdpainsdforsdthesdpastsdweek.sdWhatsdwouldsdbesd
thesdnursessdbestsdresponse?
a. Cansdyousdpointsdtosdwheresditsdhurts?
b. Wellsdtalksdmoresdaboutsdthatsdlatersdinsdthesdinterview.
c. Whatsdhavesdyousdhadsdtosdeatsdinsdthesdlastsd24sdhours?
1
| Psdasdg
sd sd
sd e
, TestsdBanksd-
sdAdvancedsdHealthsdAssessmentsdandsdDifferentialsdDiagnosis,sd1stsdEditionsd(Myrick,sd2020)
d. Havesdyousdeversdhadsdanysdsurgeriessdonsdyoursdabdom
en?sdANS:s d A
Asdfinalsdsummarysdofsdanysdsymptomsdthesdpersonsdhassdshouldsdinclude,sdalongsdwithsdsevensdothersdcritical
characteristics,sdLocation:sdspecific.sdThesdpersonsdissdaskedsdtosdpointsdtosdthesdlocation.
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd50sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
5. Asd29-year-
oldsdwomansdtellssdthesdnursesdthatsdshesdhassdexcruciatingsdpainsdinsdhersdback.sdWhichsdwouldsdbesdthesdn
ursessdappropriatesdresponsesdtosdthesdwomanssdstatement?
a. Howsddoessdyoursdfamilysdreactsdtosdyoursdpain?
b. Thesdpainsdmustsdbesdterrible.sdYousdprobablysdpinchedsdasdnerve.
c. Ivesdhadsdbacksdpainsdmyself,sdandsditsdcansdbesdexcruciating.
d. Howsdwouldsdyousdsaysdthesdpainsdaffectssdyoursdabilitysdtosddosdyoursddailysdactivities?
ANS:s d D
Thesdsymptomsdofsdpainsdissddifficultsdtosdquantifysdbecausesdofsdindividualsdinterpretation.sdWithsdpain,sdad
jectivessdshouldsdbesdavoidedsdandsdthesdpatientsdshouldsdbesdaskedsdhowsdthesdpainsdaffectssdhissdorsdhersdda
ilysdactivities.sdThesdothersdresponsessdaresdnotsdappropriate.
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd50sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
6. Insdrecordingsdthesdchildhoodsdillnessessdofsdasdpatientsdwhosddeniessdhavingsdhadsdany,sdwhichsdnotesdbysdt
hesdnursesdwouldsdbesdmostsdaccurate?
a. Patientsddeniessdusualsdchildhoodsdillnesses.
b. Patientsdstatessdhesdwassdasdverysdhealthysdchild.
c. Patientsdstatessdhissdsistersdhadsdmeasles,sdbutsdhesddidnt.
d. Patientsddeniessdmeasles,sdmumps,WrsduWb eWl sdlsd.
a , sdT
chB
ickSenMp.
oxW
,sd pSertussis,s d andsdstrepsdthroat.
ANS:s d D
Childhoodsdillnessessdincludesdmeasles,sdmumps,sdrubella,sdchickenpox,sdpertussis,sdandsdstrepsdthroat.sdA
voidsdrecordingsdusualsdchildhoodsdillnessessdbecausesdansdillnesssdcommonsdinsdthesdpersonssdchildhoods
dmaysdbesdunusualsdtodaysd(e.g.,sdmeasles).
DIF: CognitivesdLevel:sdRememberingsd(Knowledge)
REF:s d dm.sd51sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
7. Asdfemalesdpatientsdtellssdthesdnursesdthatsdshesdhassdhadsdsixsdpregnancies,sdwithsdfoursdlivesdbirthssdatsdterm
sdandsdtwosdspontaneoussdabortions.sdHersdfoursdchildrensdaresdstillsdliving.sdHowsdwouldsdthesdnursesdrecords
dthissdinformation?
a. P-6,sdB-4,sd(S)Ab-2
b. Gravsd6,sdTermsd4,sd(S)Ab-2,sdLivingsd4
c. Patientsdhassdhadsdfoursdlivingsdbabies.
d. Patientsdhassdbeensdpregnantsdsixsdtimes.
ANS:s d B
Obstetricsdhistorysdincludessdthesdnumbersdofsdpregnanciessd(gravidity),sdnumbersdofsddeliveriessdinsdwh
ichsdthesdfetussdreachedsdtermsd(term),sdnumbersdofsdpretermsdpregnanciessd(preterm),sdnumbersdofsdinco
mpletesdpregnanciessd(abortions),sdandsdnumbersdofsdchildrensdlivingsd(living).sdThissdissdrecorded:sdGr
avsd sdTermsd Pretermsd Absd Livingsd
.sdForsdanysdincompletesdpregnancies,sdthesddurationsdissdrecordedsdandsdwhethersd
thesdpregnancysdresultedsdinsdasdspontaneoussd(S)sdorsdansdinducedsd(I)sdabortion.
2
| Psdasdg
sd sd
sd e
Advanced Health Assessment and Differential Diagnosis: Essentia
sd sd sd sd sd sd
ls for Clinical Practice
sd sd sd
Karen Myrick, and Laima Karosas
sd sd sd sd
1st Edition
sd
,Table of Contents
sd sd
Chaptersd1.sdHealthsdHistory,sdThesdPatientsdInterview,sdAndsdMotivationalsdInterviewing 1
Chaptersd2.sdAdvancedsdHealthsdAssessmentsdofsdthesdHead,sdNeck,sdandsdLymphaticsdSystem 13
Chaptersd3.sdAdvancedsdHealthsdAssessmentsdofsdthesdNose,sdMouth,sdandsdThroat 24
Chaptersd4.sdAdvancedsdHealthsdAssessmentsdofsdthesdEyessdandsdEars 36
Chaptersd5.sdAdvancedsdHealthsdAssessmentsdofsdSkin,sdHair,sdandsdNails 42
Chaptersd6.sdAdvancedsdHealthsdAssessmentsdofsdthesdCardiovascularsdSystem 48
Chaptersd7.sdAdvancedsdHealthsdAssessmentsdofsdthesdRespiratorysdSystem 60
Chaptersd8.sdAdvancedsdHealthsdAssessmentsdofsdthesdAbdomen,sdRectum,sdandsdAnus 72
Chaptersd9.sdAdvancedsdHealthsdAssessmentsdofsdthesdMalesdGenitourinarysdSystem 83
Chaptersd10.sdAdvancedsdAssessmentsdofsdthesdFemalesdReproductivesdSystem 93
Chaptersd11.sdAdvancedsdHealthsdAssessmentsdofsdthesdNeurologicalsdSystem 105
Chaptersd12.sdAdvancedsdHealthsdAssessmentsdofsdthesdMusculoskeletalsdSystem 117
, TestsdBanksd-
sdAdvancedsdHealthsdAssessmentsdandsdDifferentialsdDiagnosis,sd1stsdEditionsd(Myrick,sd2020)
Chaptersd1.sdHealthsdHistory,sdThesdPatientsdInterview,sdAndsdMotivationalsdInterviewing
MULTIPLEsdCHOICE
1. Thesdnursesdissdpreparingsdtosdconductsdasdhealthsdhistory.sdWhichsdofsdthesesdstatementssdbestsddescr
ibessdthesdpurposesdofsdasdhealthsdhistory?
a. Tosdprovidesdansdopportunitysdforsdinteractionsdbetweensdthesdpatientsdandsdthesdnurse
b. Tosdprovidesdasdformsdforsdobtainingsdthesdpatientssdbiographicsdinformation
c. Tosddocumentsdthesdnormalsdandsdabnormalsdfindingssdofsdasdphysicalsdassessment
d. Tosdprovidesdasddatabasesdofsdsubjectivesdinformationsdaboutsdthesdpatientssdpastsdandsdcurrentsdhealth
ANS:s d D
Thesdpurposesdofsdthesdhealthsdhistorysdissdtosdcollectsdsubjectivesddatasdwhatsdthesdpersonsdsayssdaboutsdhims
dorsdherself.sdThesdothersdoptionssdaresdnotsdcorrect.
DIF: CognitivesdLevel:sdUnderstandingsd(Comprehension)
REF:s d dm.sd49sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
2. Whensdthesdnursesdissdevaluatingsdthesdreliabilitysdofsdasdpatientssdresponses,sdwhichsdofsdthesesdstatementssdwoulds
dbe
correct?sdThesdpatient:
a. Hassdasdhistorysdofsddrugsdabusesdandsdthereforesdissdnotsdreliable.
b. Providedsdconsistentsdinformationsdandsdthereforesdissdreliable.
c. Smiledsdthroughoutsdinterviewsdandsdthereforesdissdassumedsdreliable.
d. Wouldsdnotsdanswersdquestionssdconcerningsdstresssdandsdthereforesdissdnotsdreliable.
ANS:s d B
Asdreliablesdpersonsdalwayssdgivessdthesdsamesdanswers,sdevensdwhensdquestionssdaresdrephrasedsdorsdaresdre
peatedsdlatersdinsdthesdinterview.sdThesdothersdssdtsdasdt We sdmWesdnWtsds.asdT
rsdesdB
noStsd cMo r.r eWc t .S
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd49sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
3. Asd59-year-
oldsdpatientsdtellssdthesdnursesdthatsdhesdhassdulcerativesdcolitis.sdHesdhassdbeensdhavingsdblacksdstoolssdforsdt
hesdlastsd24sdhours.sdHowsdwouldsdthesdnursesdbestsddocumentsdhissdreasonsdforsdseekingsdcare?
a. J.M.sdissdasd59-year-oldsdmansdseekingsdtreatmentsdforsdulcerativesdcolitis.
b. J.M.sdcamesdintosdthesdclinicsdcomplainingsdofsdhavingsdblacksdstoolssdforsdthesdpastsd24sdhours.
c. J.M.sdissdasd59-year-oldsdmansdwhosdstatessdthatsdhesdhassdulcerativesdcolitissdandsdwantssditsdchecked.
d. J.M.sdissdasd59-year-
oldsdmansdwhosdstatessdthatsdhesdhassdbeensdhavingsdblacksdstoolssdforsdthesdpastsd24sdhours.
ANS:s d D
Thesdreasonsdforsdseekingsdcaresdissdasdbriefsdspontaneoussdstatementsdinsdthesdpersonssdownsdwordssdthatsdde
scribessdthesdreasonsdforsdthesdvisit.sdItsdstatessdonesd(possiblysdtwo)sdsignssdorsdsymptomssdandsdtheirsdduratio
n.sdItsdissdenclosedsdinsdquotationsdmarkssdtosdindicatesdthesdpersonssdexactsdwords.
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd50sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
4. Asdpatientsdtellssdthesdnursesdthatsdshesdhassdhadsdabdominalsdpainsdforsdthesdpastsdweek.sdWhatsdwouldsdbesd
thesdnursessdbestsdresponse?
a. Cansdyousdpointsdtosdwheresditsdhurts?
b. Wellsdtalksdmoresdaboutsdthatsdlatersdinsdthesdinterview.
c. Whatsdhavesdyousdhadsdtosdeatsdinsdthesdlastsd24sdhours?
1
| Psdasdg
sd sd
sd e
, TestsdBanksd-
sdAdvancedsdHealthsdAssessmentsdandsdDifferentialsdDiagnosis,sd1stsdEditionsd(Myrick,sd2020)
d. Havesdyousdeversdhadsdanysdsurgeriessdonsdyoursdabdom
en?sdANS:s d A
Asdfinalsdsummarysdofsdanysdsymptomsdthesdpersonsdhassdshouldsdinclude,sdalongsdwithsdsevensdothersdcritical
characteristics,sdLocation:sdspecific.sdThesdpersonsdissdaskedsdtosdpointsdtosdthesdlocation.
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd50sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
5. Asd29-year-
oldsdwomansdtellssdthesdnursesdthatsdshesdhassdexcruciatingsdpainsdinsdhersdback.sdWhichsdwouldsdbesdthesdn
ursessdappropriatesdresponsesdtosdthesdwomanssdstatement?
a. Howsddoessdyoursdfamilysdreactsdtosdyoursdpain?
b. Thesdpainsdmustsdbesdterrible.sdYousdprobablysdpinchedsdasdnerve.
c. Ivesdhadsdbacksdpainsdmyself,sdandsditsdcansdbesdexcruciating.
d. Howsdwouldsdyousdsaysdthesdpainsdaffectssdyoursdabilitysdtosddosdyoursddailysdactivities?
ANS:s d D
Thesdsymptomsdofsdpainsdissddifficultsdtosdquantifysdbecausesdofsdindividualsdinterpretation.sdWithsdpain,sdad
jectivessdshouldsdbesdavoidedsdandsdthesdpatientsdshouldsdbesdaskedsdhowsdthesdpainsdaffectssdhissdorsdhersdda
ilysdactivities.sdThesdothersdresponsessdaresdnotsdappropriate.
DIF: CognitivesdLevel:sdApplyingsd(Application)
REF:s d dm.sd50sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
6. Insdrecordingsdthesdchildhoodsdillnessessdofsdasdpatientsdwhosddeniessdhavingsdhadsdany,sdwhichsdnotesdbysdt
hesdnursesdwouldsdbesdmostsdaccurate?
a. Patientsddeniessdusualsdchildhoodsdillnesses.
b. Patientsdstatessdhesdwassdasdverysdhealthysdchild.
c. Patientsdstatessdhissdsistersdhadsdmeasles,sdbutsdhesddidnt.
d. Patientsddeniessdmeasles,sdmumps,WrsduWb eWl sdlsd.
a , sdT
chB
ickSenMp.
oxW
,sd pSertussis,s d andsdstrepsdthroat.
ANS:s d D
Childhoodsdillnessessdincludesdmeasles,sdmumps,sdrubella,sdchickenpox,sdpertussis,sdandsdstrepsdthroat.sdA
voidsdrecordingsdusualsdchildhoodsdillnessessdbecausesdansdillnesssdcommonsdinsdthesdpersonssdchildhoods
dmaysdbesdunusualsdtodaysd(e.g.,sdmeasles).
DIF: CognitivesdLevel:sdRememberingsd(Knowledge)
REF:s d dm.sd51sdMSC:s d ClientsdNeeds:sdSafesdandsdEffectivesdCaresdEnviron
ment:sdManagementsdofsdCare
7. Asdfemalesdpatientsdtellssdthesdnursesdthatsdshesdhassdhadsdsixsdpregnancies,sdwithsdfoursdlivesdbirthssdatsdterm
sdandsdtwosdspontaneoussdabortions.sdHersdfoursdchildrensdaresdstillsdliving.sdHowsdwouldsdthesdnursesdrecords
dthissdinformation?
a. P-6,sdB-4,sd(S)Ab-2
b. Gravsd6,sdTermsd4,sd(S)Ab-2,sdLivingsd4
c. Patientsdhassdhadsdfoursdlivingsdbabies.
d. Patientsdhassdbeensdpregnantsdsixsdtimes.
ANS:s d B
Obstetricsdhistorysdincludessdthesdnumbersdofsdpregnanciessd(gravidity),sdnumbersdofsddeliveriessdinsdwh
ichsdthesdfetussdreachedsdtermsd(term),sdnumbersdofsdpretermsdpregnanciessd(preterm),sdnumbersdofsdinco
mpletesdpregnanciessd(abortions),sdandsdnumbersdofsdchildrensdlivingsd(living).sdThissdissdrecorded:sdGr
avsd sdTermsd Pretermsd Absd Livingsd
.sdForsdanysdincompletesdpregnancies,sdthesddurationsdissdrecordedsdandsdwhethersd
thesdpregnancysdresultedsdinsdasdspontaneoussd(S)sdorsdansdinducedsd(I)sdabortion.
2
| Psdasdg
sd sd
sd e
