Test Bank for Advanced Health Assessment and Differential Diagnosis Essentials For Clinical Practice 1st Edition Myrick, Chapters 1 - 12

Test Bank for Advanced Health Assessment and Differential
Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12

,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice
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Qg 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
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Practice 1stEdition Myrick Test Bank
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Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
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MULTIPLE CHOICE Qg


1. The nurse is preparing to conduct a health history. Which of these statements
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best describesthe purpose of a health history?
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a To provide an opportunity for interaction between the patient and the
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. 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 Qg


The purpose of the health history is to collect subjective datawhat the person says about
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him 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 Qg


A reliable person always gives the same answers, even when questions are rephrased
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or 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
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having blackstools for the last 24 hours. How would the nurse best document his
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reason for 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
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. Qgpast 24hours. Qg Q
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c J.M. is a 59-year-old man who states that he has ulcerative colitis and
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. wants itchecked.
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d J.M. is a 59-year-old man who states that he has been having black
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. Qgstools forthe past 24 hours.
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ANSWER: D Qg


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
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and their duration. It is enclosed in quotation marks to indicate the persons exact
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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
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would 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 Qg


A final summary of any symptom the person has should include, along with seven
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other criticalcharacteristics, Location: specific. The person is asked to point to the
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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.
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Which wouldbe the nurses appropriate response to the womans statement?
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