TEST BANK
n
Essential Health Assessment
n n
Janice M Thompson
n n
1st Edition
n
,Table of Contents
n n
Chaptern 01n Understandingn HealthnAssessment 1
Chaptern 02nInterviewingnthenPatientn fornthenHealthnHistory 11
Chaptern 03n Takingn then Healthn History 40
Chaptern 04nAssessingn Nutritionn andn Anthropometricn Measurements 61
Chaptern 05nAssessment n Techniques 88
Chaptern 06n Generaln Surveyn and nAssessingn Vitaln Signs 99
Chaptern 07n Assessingn Pain 128
Chaptern 08n Assessingn then Skin,nHair,n andnNails 149
Chaptern 09n Assessingn then Head,n Face,n Mouth,n andn Neck 188
Chaptern 10n Assessingn then Ears 229
Chaptern 11n Assessingn then Eyes 250
Chaptern 12n Assessingn then Respiratoryn System 281
Chaptern 13n Assessingn then Cardiovascularn System 308
Chaptern 14n Assessingn then Abdomen 335
Chaptern15n Assessingn then Peripheraln Vascularn Systemn andn Regionaln Lymphaticn System 363
Chaptern16nAssessingn then Musculoskeletaln System 391
Chaptern 17nAssessingn then Neurologicaln System 417
Chaptern 18nAssessingn then Femalen Breasts,nAxillae,n andn ReproductivenSystem 451
Chaptern19n Assessingn then Malen Breastsn andn Reproductiven System 477
Chaptern 20n Assessingn then Anusn andn Rectum 501
Chaptern 21n Assessingn then Newborn 517
Chaptern 22n Assessingn then Childn and nAdolescent 555
Chaptern 23nAssessingn then Pregnant nWoman 583
Chaptern 24n Assessingn then OldernAdult 612
, Test nBank n-nEssentialnHealthnAssessment,n1stneditionn(Thompson, n2025)
Chapter 1: Understanding Health Assessment
n n n n
1. ThenWorld nHealthn Organizationn (WHO)nestablished nanglobalnstrategyncalled n “Healthn fornAll.”n
Then goaln forn thisn strategyn is:
1. Allnindividualsntonget n thensamenhealthn carenthroughout n theirnlifenspans.
2. Thengovernment n ton supplyn moneynton carenforn alln thenpeoplen inn then world.
3. Resourcesnfornhealthncaren tonbenevenlyndistributed nand naccessible.
4. Health-carenprovidersncannneverndenynpatientsnhealthn care.
2. Healthnassessment nisnanfoundationaln and nprioritynnursingn skill.nThisnessentialnskilln requiresn r
egistered n nursesn (RNs)n to:
1. Diagnosenand ntreat npatients.
2. Identifynnormalnand nabnormaln findings.
3. Refernpatientsnwithnabnormalnfindings.
4. Counselnpatientsnwithnpsychosocialnneeds.
3. Youn aren assessingn an patient n withn fiven gunshot nwoundsnonn antrauman unit.n Theren isn an policen presenc
enoutsidenhisndoorn becausenthenpatient nisnanknownndrugndealerninnthencommunity.n Younknow n that n nurs
esn must n treat n alln patientsn asn persons.n Thisn isn called:
1. Caring.
2. Holisticnprocess.
3. Person-centered n caren (PCC).
4. Standardsnof ncare.
4. Thenscience-
based n frameworknupdatedneveryn10nyearsn bynthenU.S.nDepartment nof nHealthnand n Humann Service
sn that n hasn set n nationaln goalsn and n objectivesn forn healthn promotionn and n diseasen preventionn is:
1. Healthyn People.
2. HealthynPeoplen2020.
3. U.S.nPreventivenTasknForce.
4. World nHealthnOrganization.
5. A n38-year-old n malenhasn an familynhistorynof ncolonncancer.n Hisn fatherndied nof ncolonn cancernat n age
48.nThendoctorn recommended n that nthisnpatient n havenancolonoscopynthisn year.nThisnisnannexamplenof:
1. Primarynhealthnprevention.
1n|nPnang ne
, Test nBank n-nEssentialnHealthnAssessment,n1stneditionn(Thompson, n2025)
2. Secondarynhealthnprevention.
3. Tertiarynhealthnprevention.
6. A n patientn innthen hospitaln putsn onn hisn calln light n andn tellsn then personn answeringn thatn hen “thinksn hen isn r
unningn anfevern andn hasn stomachndiscomfort.”n Youn aren then registeredn nursen inn charge.n Whatn shouldn y
oun do?
1. Asknthenmedicaln assistant n tongonton thenpatient’sn roomn and nassessnhisn complaints.
2. Goncheckn ton seen if n then patient n hasn ann ordern forn Tylenoln forn anfever.
3. Pagenthenresident n onn calln immediatelynton assessnthenpatient.
4. Gonton thenpatient’sn roomn and nassessn fornfevern and nthenepigastricndiscomfort.
7. Youn aren leadingn ann interdisciplinaryn teamn conferencentondiscussn hown ton providen bettern carenforn an c
hallengingn patient nwhon hasn behavioraln problems.n Theren aren severaln areasn that n needn ton ben problemn sol
vedn and n newn ideasn formulatednton createn ann improved n plann ofn care.n Whatn cognitiven skillsn aren youn usin
g?
1. Criticalnthinking
2. Clinicalndecisionnmaking
3. Intuitiven thinking
4. Clinicalnreasoning
8. Best npracticenassessment n techniquesnand ninstrumentsn havenbeennvalidated nby:
1. Americann Nursesn Association.
2. CodenofnEthicsnfornNursesn WithnInterpretivenStatements.
3. Researchn and n evidence-based n practice.
4. Patient nProtectionnand nAffordablenCarenAct.
9. Healthn and n illnessn aren determined nbynmanynfactors.n What narenthendeterminantsn ofnhealthn identifiednb
yn then Centersn forn Diseasen Controln and n Preventionn (CDC)?n Selectn alln thatn apply.
1. Geneticsnand nbiology
2. Gendernand noccupation
3. Individualn behavior
4. Socialnenvironment
5. Physicaln environment
6. Healthn services
2n|nPnang ne
n
Essential Health Assessment
n n
Janice M Thompson
n n
1st Edition
n
,Table of Contents
n n
Chaptern 01n Understandingn HealthnAssessment 1
Chaptern 02nInterviewingnthenPatientn fornthenHealthnHistory 11
Chaptern 03n Takingn then Healthn History 40
Chaptern 04nAssessingn Nutritionn andn Anthropometricn Measurements 61
Chaptern 05nAssessment n Techniques 88
Chaptern 06n Generaln Surveyn and nAssessingn Vitaln Signs 99
Chaptern 07n Assessingn Pain 128
Chaptern 08n Assessingn then Skin,nHair,n andnNails 149
Chaptern 09n Assessingn then Head,n Face,n Mouth,n andn Neck 188
Chaptern 10n Assessingn then Ears 229
Chaptern 11n Assessingn then Eyes 250
Chaptern 12n Assessingn then Respiratoryn System 281
Chaptern 13n Assessingn then Cardiovascularn System 308
Chaptern 14n Assessingn then Abdomen 335
Chaptern15n Assessingn then Peripheraln Vascularn Systemn andn Regionaln Lymphaticn System 363
Chaptern16nAssessingn then Musculoskeletaln System 391
Chaptern 17nAssessingn then Neurologicaln System 417
Chaptern 18nAssessingn then Femalen Breasts,nAxillae,n andn ReproductivenSystem 451
Chaptern19n Assessingn then Malen Breastsn andn Reproductiven System 477
Chaptern 20n Assessingn then Anusn andn Rectum 501
Chaptern 21n Assessingn then Newborn 517
Chaptern 22n Assessingn then Childn and nAdolescent 555
Chaptern 23nAssessingn then Pregnant nWoman 583
Chaptern 24n Assessingn then OldernAdult 612
, Test nBank n-nEssentialnHealthnAssessment,n1stneditionn(Thompson, n2025)
Chapter 1: Understanding Health Assessment
n n n n
1. ThenWorld nHealthn Organizationn (WHO)nestablished nanglobalnstrategyncalled n “Healthn fornAll.”n
Then goaln forn thisn strategyn is:
1. Allnindividualsntonget n thensamenhealthn carenthroughout n theirnlifenspans.
2. Thengovernment n ton supplyn moneynton carenforn alln thenpeoplen inn then world.
3. Resourcesnfornhealthncaren tonbenevenlyndistributed nand naccessible.
4. Health-carenprovidersncannneverndenynpatientsnhealthn care.
2. Healthnassessment nisnanfoundationaln and nprioritynnursingn skill.nThisnessentialnskilln requiresn r
egistered n nursesn (RNs)n to:
1. Diagnosenand ntreat npatients.
2. Identifynnormalnand nabnormaln findings.
3. Refernpatientsnwithnabnormalnfindings.
4. Counselnpatientsnwithnpsychosocialnneeds.
3. Youn aren assessingn an patient n withn fiven gunshot nwoundsnonn antrauman unit.n Theren isn an policen presenc
enoutsidenhisndoorn becausenthenpatient nisnanknownndrugndealerninnthencommunity.n Younknow n that n nurs
esn must n treat n alln patientsn asn persons.n Thisn isn called:
1. Caring.
2. Holisticnprocess.
3. Person-centered n caren (PCC).
4. Standardsnof ncare.
4. Thenscience-
based n frameworknupdatedneveryn10nyearsn bynthenU.S.nDepartment nof nHealthnand n Humann Service
sn that n hasn set n nationaln goalsn and n objectivesn forn healthn promotionn and n diseasen preventionn is:
1. Healthyn People.
2. HealthynPeoplen2020.
3. U.S.nPreventivenTasknForce.
4. World nHealthnOrganization.
5. A n38-year-old n malenhasn an familynhistorynof ncolonncancer.n Hisn fatherndied nof ncolonn cancernat n age
48.nThendoctorn recommended n that nthisnpatient n havenancolonoscopynthisn year.nThisnisnannexamplenof:
1. Primarynhealthnprevention.
1n|nPnang ne
, Test nBank n-nEssentialnHealthnAssessment,n1stneditionn(Thompson, n2025)
2. Secondarynhealthnprevention.
3. Tertiarynhealthnprevention.
6. A n patientn innthen hospitaln putsn onn hisn calln light n andn tellsn then personn answeringn thatn hen “thinksn hen isn r
unningn anfevern andn hasn stomachndiscomfort.”n Youn aren then registeredn nursen inn charge.n Whatn shouldn y
oun do?
1. Asknthenmedicaln assistant n tongonton thenpatient’sn roomn and nassessnhisn complaints.
2. Goncheckn ton seen if n then patient n hasn ann ordern forn Tylenoln forn anfever.
3. Pagenthenresident n onn calln immediatelynton assessnthenpatient.
4. Gonton thenpatient’sn roomn and nassessn fornfevern and nthenepigastricndiscomfort.
7. Youn aren leadingn ann interdisciplinaryn teamn conferencentondiscussn hown ton providen bettern carenforn an c
hallengingn patient nwhon hasn behavioraln problems.n Theren aren severaln areasn that n needn ton ben problemn sol
vedn and n newn ideasn formulatednton createn ann improved n plann ofn care.n Whatn cognitiven skillsn aren youn usin
g?
1. Criticalnthinking
2. Clinicalndecisionnmaking
3. Intuitiven thinking
4. Clinicalnreasoning
8. Best npracticenassessment n techniquesnand ninstrumentsn havenbeennvalidated nby:
1. Americann Nursesn Association.
2. CodenofnEthicsnfornNursesn WithnInterpretivenStatements.
3. Researchn and n evidence-based n practice.
4. Patient nProtectionnand nAffordablenCarenAct.
9. Healthn and n illnessn aren determined nbynmanynfactors.n What narenthendeterminantsn ofnhealthn identifiednb
yn then Centersn forn Diseasen Controln and n Preventionn (CDC)?n Selectn alln thatn apply.
1. Geneticsnand nbiology
2. Gendernand noccupation
3. Individualn behavior
4. Socialnenvironment
5. Physicaln environment
6. Healthn services
2n|nPnang ne
