Test Bank for Advanced Health Assessment and Differential
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bb Diagnosis Essentials For Clinical Practice
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1st Edition Myrick, Chapters 1 - 12
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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
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bb 1stEdition Myrick Test Bank
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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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,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
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1stEdition Myrick Test Bank
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Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE bb
1. The nurse is preparing to conduct a health history. Which of these statements best
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describesthe purpose 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
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. andcurrent health
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ANSWER: D bb
The purpose of the health history is to collect subjective datawhat the person says about him
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orherself. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. When the nurse is evaluating the reliability of a patients responses, which of these
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statementswould be correct? The patient:
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a Has a history of drug abuse and therefore is not reliable.
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.
b Provided consistent information and therefore is reliable.
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.
c Smiled throughout interview and therefore is assumed reliable.
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.
d Would not answer questions concerning stress and therefore is not reliable.
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.
ANSWER: B bb
A reliable person always gives the same answers, even when questions are rephrased or
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arerepeated later in the interview. The other statements are not correct.
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DIF: Cognitive Level: Applying (Application) REF: dm. 49
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, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having
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blackstools for the last 24 hours. How would the nurse best document his reason for
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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
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. 24hours.
bb b
c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants
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. itchecked.
bb b
d J.M. is a 59-year-old man who states that he has been having black stools
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. forthe past 24 hours.
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ANSWER: D bb
The reason for seeking care is a brief spontaneous statement in the persons own words
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thatdescribes the reason for the visit. It states one (possibly two) signs or symptoms and
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their duration. It is enclosed in quotation marks to indicate the persons exact words.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. A patient tells the nurse that she has had abdominal pain for the past week. What would
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be thenurses best response?
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a Can you point to where it hurts?
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.
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?
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.
d Have you ever had any surgeries on your abdomen?
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.
ANSWER: A bb
A final summary of any symptom the person has should include, along with seven other
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criticalcharacteristics, Location: specific. The person is asked to point to the location.
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DIF: Cognitive Level: Applying (Application) REF: dm. 50
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which
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wouldbe the nurses appropriate response to the womans statement?
bb b bb bb bb bb bb bb bb bb
bb bb bb bb bb bb bb
bb Diagnosis Essentials For Clinical Practice
bb bb bb bb bb
1st Edition Myrick, Chapters 1 - 12
bb bb bb bb bb bb
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
bb bb bb bb bb bb bb bb bb
bb 1stEdition Myrick Test Bank
b bb bb bb
Table of Contents:
bb bb
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
bb bb bb bb bb bb bb bb bb
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
bb bb bb bb bb bb bb bb bb bb bb
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
bb bb bb bb bb bb bb bb bb bb
Chapter 4. Advanced Health Assessment of the Eyes and Ears
bb bb bb bb bb bb bb bb bb
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
bb bb bb bb bb bb bb bb bb
Chapter 6. Advanced Health Assessment of the Cardiovascular System
bb bb bb bb bb bb bb bb
Chapter 7 Advanced Health Assessment of the Respiratory System
bb bb bb bb bb bb bb bb
Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
bb bb bb bb bb bb bb bb bb bb
Chapter 9 Advanced Health Assessment of the Male Genitourinary System
bb bb bb bb bb bb bb bb bb
Chapter 10 Advanced Assessment of the Female Reproductive System
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Chapter 11 Advanced Health Assessment of the Neurological System
bb bb bb bb bb bb bb bb
Chapter 12 Advanced Health Assessment of the Musculoskeletal System
bb bb bb bb bb bb bb bb
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
bb bb bb bb bb bb bb bb bb
1stEdition Myrick Test Bank
bb b bb bb bb
Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
bb bb bb bb bb bb bb bb bb
MULTIPLE CHOICE bb
1. The nurse is preparing to conduct a health history. Which of these statements best
bb bb bb bb bb bb bb bb bb bb bb bb bb
describesthe purpose of a health history?
bb b bb bb bb bb bb
a To provide an opportunity for interaction between the patient and the nurse
bb bb bb bb bb bb bb bb bb bb bb
.
b To provide a form for obtaining the patients biographic information
bb bb bb bb bb bb bb bb bb
.
c To document the normal and abnormal findings of a physical assessment
bb bb bb bb bb bb bb bb bb bb
.
d To provide a database of subjective information about the patients past
bb bb bb bb bb bb bb bb bb bb
. andcurrent health
bb b bb
ANSWER: D bb
The purpose of the health history is to collect subjective datawhat the person says about him
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
orherself. The other options are not correct.
bb b bb bb bb bb bb bb
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
bb bb bb bb bb bb bb
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
bb bb bb bb bb bb bb bb bb bb
2. When the nurse is evaluating the reliability of a patients responses, which of these
bb bb bb bb bb bb bb bb bb bb bb bb bb
statementswould be correct? The patient:
bb b bb bb bb bb
a Has a history of drug abuse and therefore is not reliable.
bb bb bb bb bb bb bb bb bb bb
.
b Provided consistent information and therefore is reliable.
bb bb bb bb bb bb
.
c Smiled throughout interview and therefore is assumed reliable.
bb bb bb bb bb bb bb
.
d Would not answer questions concerning stress and therefore is not reliable.
bb bb bb bb bb bb bb bb bb bb
.
ANSWER: B bb
A reliable person always gives the same answers, even when questions are rephrased or
bb bb bb bb bb bb bb bb bb bb bb bb bb
arerepeated later in the interview. The other statements are not correct.
bb b bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Applying (Application) REF: dm. 49
bb bb bb bb bb bb bb
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
bb bb bb bb bb bb bb bb bb bb
3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
blackstools for the last 24 hours. How would the nurse best document his reason for
bb b bb bb bb bb bb bb bb bb bb bb bb bb bb bb
seeking care?
bb bb
a J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
bb bb bb bb bb bb bb bb bb
.
b J.M. came into the clinic complaining of having black stools for the past
bb bb bb bb bb bb bb bb bb bb bb bb
. 24hours.
bb b
c J.M. is a 59-year-old man who states that he has ulcerative colitis and wants
bb bb bb bb bb bb bb bb bb bb bb bb bb
. itchecked.
bb b
d J.M. is a 59-year-old man who states that he has been having black stools
bb bb bb bb bb bb bb bb bb bb bb bb bb
. forthe past 24 hours.
bb b bb bb bb
ANSWER: D bb
The reason for seeking care is a brief spontaneous statement in the persons own words
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
thatdescribes the reason for the visit. It states one (possibly two) signs or symptoms and
bb b bb bb bb bb bb bb bb bb bb bb bb bb bb bb
their duration. It is enclosed in quotation marks to indicate the persons exact words.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Applying (Application) REF: dm. 50
bb bb bb bb bb bb bb
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
bb bb bb bb bb bb bb bb bb bb
4. A patient tells the nurse that she has had abdominal pain for the past week. What would
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
be thenurses best response?
bb bb b bb bb
a Can you point to where it hurts?
bb bb bb bb bb bb
.
b Well talk more about that later in the interview.
bb bb bb bb bb bb bb bb
.
c What have you had to eat in the last 24 hours?
bb bb bb bb bb bb bb bb bb bb
.
d Have you ever had any surgeries on your abdomen?
bb bb bb bb bb bb bb bb
.
ANSWER: A bb
A final summary of any symptom the person has should include, along with seven other
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
criticalcharacteristics, Location: specific. The person is asked to point to the location.
bb b bb bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Applying (Application) REF: dm. 50
bb bb bb bb bb bb bb
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
bb bb bb bb bb bb bb bb bb bb
5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
wouldbe the nurses appropriate response to the womans statement?
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