Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick Test Bank

Advanced Health Assessment and Differential
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Diagnosis Essentials for Clinical Practice 1st Edi
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tion Myrick
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TEST BANK f f

, Advanced Health Assessment and Differential Diagnosis Essentials forCl
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inical Practice 1st Edition Myrick Test Bank
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Chapterf 1.f Healthf History,f Thef Patientf Interview,f Andf Motivationalf InterviewingfMULTIPLEfC

HOICE
1. Thef nursef isf preparingf tof conductf af healthf history.f Whichf off thesef statementsf bestf describes
thef purposef off af healthf history?


a Tof providef anf opportunityf forf interactionf betweenf thef patientf andf thef nurse
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b Tof providef af formf forf obtainingf thef patientsf biographicf information
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c Tof documentf thef normalf andf abnormalf findingsf off af physicalf assessment
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d Tof providef af databasef off subjectivef informationf aboutf thef patientsf pastf andfcu
. rrentfhealth

ANS:fD
Thef purposef off thef healthf historyf isf tof collectf subjectivef datawhatf thef personf saysf aboutf himf orfherself.f
Thefotherfoptionsfarefnotfcorrect.

DIF:f Cognitivef Level:f Understandingf (Comprehension)f REF:f dm.f 49
MSC:f Clientf Needs:f Safef andf Effectivef Caref Environment:f Managementf off Care
2. Whenf thef nursef isf evaluatingf thef reliabilityf off af patientsf responses,f whichf off thesef statementsfwo
uldfbefcorrect?fThefpatient:


a Hasf af historyf off drugf abusef andf thereforef isf notf reliable.
.
b Providedf consistentf informationf andf thereforef isf reliable.
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c Smiledf throughoutf interviewf andf thereforef isf assumedf reliable.
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d Wouldf notf answerf questionsf concerningf stressf andf thereforef isf notf reliable.
.

ANS:fB
Af reliablef personf alwaysf givesf thef samef answers,f evenf whenf questionsf aref rephrasedf orf arefrep
eatedflaterfinfthefinterview.fThefotherfstatementsfarefnotfcorrect.

DIF:f Cognitivef Level:f Applyingf (Application)f REF:f dm.f 49

,MSC:f Clientf Needs:f Safef andf Effectivef Caref Environment:f Managementf off Care
3. Af 59-year-
oldf patientf tellsf thef nursef thatf hef hasf ulcerativef colitis.f Hef hasf beenf havingf blackfstoolsf forf thef lastf
24f hours.f Howf wouldf thef nursef bestf documentf hisf reasonf forf seekingf care?


a J.M.f isf af 59-year-oldf manf seekingf treatmentf forf ulcerativef colitis.
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b J.M.f camef intof thef clinicf complainingf off havingf blackf stoolsf forf thef pastf24fho
. urs.
c J.M.f isf af 59-year-oldf manf whof statesf thatf hef hasf ulcerativef colitisf andf wantsf itfchecked.
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d J.M.f isf af 59-year-
. oldf manf whof statesf thatf hef hasf beenf havingf blackf stoolsf forfthefpastf24fhours.

ANS:fD
Thef reasonf forf seekingf caref isf af brieff spontaneousf statementf inf thef personsf ownf wordsf thatfdescri
besf thef reasonf forf thef visit.f Itf statesf onef (possiblyf two)f signsf orf symptomsf andf theirfduration.fItfisf
enclosedfinfquotationfmarksftofindicatefthefpersonsfexactfwords.

DIF:f Cognitivef Level:f Applyingf (Application)f REF:f dm.f 50
MSC:f Clientf Needs:f Safef andf Effectivef Caref Environment:f Managementf off Care
4. Af patientf tellsf thef nursef thatf shef hasf hadf abdominalf painf forf thef pastf week.f Whatf wouldf bef thefnurs
esfbestfresponse?


a Canf youfpointftofwheref itfhurts?
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b Wellf talkf moref aboutf thatf laterf inf thef interview.
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c Whatfhavef youfhadftofeatfinftheflastf24fhours?
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d Havef youf everf hadf anyf surgeriesf onf yourf abdomen?
.

ANS:fA
Af finalf summaryf off anyf symptomf thef personf hasf shouldf include,f alongf withf sevenf otherf criticalfcharact
eristics,fLocation:fspecific.fThefpersonfisfaskedftofpointftoftheflocation.

DIF:f Cognitivef Level:f Applyingf (Application)f REF:f dm.f 50
MSC:f Clientf Needs:f Safef andf Effectivef Caref Environment:f Managementf off Care
5. Af 29-year-
oldf womanf tellsf thef nursef thatf shef hasf excruciatingf painf inf herf back.f Whichf wouldfbefthefnursesfappr
opriatefresponseftofthefwomansfstatement?

, a Howf doesf yourf familyf reactf tof yourf pain?
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b Thef painf mustf bef terrible.f Youf probablyf pinchedf af nerve.
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c Ivef hadf backf painf myself,f andf itf canf bef excruciating.
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d Howf wouldf youf sayf thef painf affectsf yourf abilityf tof dof yourf dailyf activities?
.

ANS:fD
Thefsymptomfoffpainf isfdifficultftof quantifyfbecausefoff individualfinterpretation.fWithf pain,fadjectivesf
shouldf bef avoidedf andf thef patientf shouldf bef askedf howf thef painf affectsf hisf orf herf dailyfactivities.fThefot
herfresponsesfarefnotfappropriate.

DIF:f Cognitivef Level:f Applyingf (Application)f REF:f dm.f 50
MSC:f Clientf Needs:f Safef andf Effectivef Caref Environment:f Managementf off Care
6. Inf recordingf thef childhoodf illnessesf off af patientf whof deniesf havingf hadf any,f whichf notef byf thefnurs
efwouldfbefmostfaccurate?


a Patientf deniesf usualf childhoodf illnesses.
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b Patientfstatesfhef wasfaf veryf healthyfchild.
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c Patientfstatesf hisf sisterfhadf measles,f butf hefdidnt.
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d Patientf deniesf measles,f mumps,f rubella,f chickenpox,f pertussis,f andf strepf throat.
.

ANS:fD
Childhoodf illnessesf includef measles,f mumps,f rubella,f chickenpox,f pertussis,f andf strepf throat.fAvo
idf recordingf usualf childhoodf illnessesf becausef anf illnessf commonf inf thef personsf childhoodfmayfbef
unusualftodayf(e.g.,fmeasles).

DIF:f Cognitivef Level:f Rememberingf (Knowledge)f REF:f dm.f 51
MSC:f Clientf Needs:f Safef andf Effectivef Caref Environment:f Managementf off Care
7. Af femalef patientf tellsf thef nursef thatf shef hasf hadf sixf pregnancies,f withf fourf livef birthsf atf termfandf
twof spontaneousf abortions.f Herf fourf childrenf aref stillf living.f Howf wouldf thef nursef recordfthisfinfor
mation?


a P-6,f B-4,f (S)Ab-2
.