Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
Edition Myrick Test Bank
Table of Contents:
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System
Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat
Chapter 4. Advanced Health Assessment of the Eyes and Ears
Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails
Chapter 6. Advanced Health Assessment of the Cardiovascular System
Chapter 7 Advanced Health Assessment of the Respiratory System
Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus
Chapter 9 Advanced Health Assessment of the Male Genitourinary System
Chapter 10 Advanced Assessment of the Female Reproductive System
Chapter 11 Advanced Health Assessment of the Neurological System
Chapter 12 Advanced Health Assessment of the Musculoskeletal System
,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
Edition Myrick Test Bank
Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
MULTIPLE CHOICE
1. The nurse is preparing to conduct a health history. Which of these statements best describes
the purpose of a health history?
a To provide an opportunity for interaction between the patient and the nurse
.
b To provide a form for obtaining the patients biographic information
.
c To document the normal and abnormal findings of a physical assessment
.
d To provide a database of subjective information about the patients past and
. current health
ANSWER: D
The purpose of the health history is to collect subjective datawhat the person says about him or
herself. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. When the nurse is evaluating the reliability of a patients responses, which of these statements
would be correct? The patient:
a Has a history of drug abuse and therefore is not reliable.
.
b Provided consistent information and therefore is reliable.
.
c Smiled throughout interview and therefore is assumed reliable.
.
d Would not answer questions concerning stress and therefore is not reliable.
.
ANSWER: B
A reliable person always gives the same answers, even when questions are rephrased or are
repeated later in the interview. The other statements are not correct.
DIF: Cognitive Level: Applying (Application) REF: dm. 49
, MSC: Client f Needs: f Safe f and f Effective f Care fEnvironment: f Management f of fCare
3. A f 59-year-old f patient f tells fthe f nurse f that f he f has f ulcerative f colitis. f He f has f been
f having f blackfstools ffor f the f last f 24 f hours. f How f would f the f nurse f best f document f his
f reason f for f seeking f care?
a J.M. f is fa f 59-year-old f man fseeking f treatment f for f ulcerative f colitis.
.
b J.M. fcame f into fthe f clinic fcomplaining f of fhaving f black f stools f for fthe f past
. f 24fhours.
c J.M. fis fa f59-year-old fman fwho fstates fthat f he f has fulcerative f colitis fand fwants
. fitfchecked.
d J.M. fis fa f 59-year-old f man fwho fstates fthat f he fhas fbeen f having fblack f stools
. f forfthe fpast f24 fhours.
ANSWER: fD
The freason f for fseeking fcare f is fa f brief fspontaneous fstatement f in fthe f persons fown fwords fthat
fdescribes f the f reason f for f the f visit. f It f states f one f (possibly ftwo) f signs f or f symptoms f and f their
fduration. fIt fis fenclosed fin fquotation fmarks fto findicate f the fpersons fexact fwords.
DIF: f Cognitive f Level: f Applying f (Application) f REF: f dm. f 50
MSC: f Client f Needs: f Safe f and f Effective f Care fEnvironment: f Management f of fCare
4. A fpatient ftells fthe f nurse fthat fshe f has fhad fabdominal f pain ffor fthe f past fweek. fWhat
f would f be f thefnurses fbest fresponse?
a Can f you fpoint fto fwhere fit fhurts?
.
b Well f talk fmore f about fthat flater fin fthe finterview.
.
c What fhave f you fhad fto feat fin fthe flast f24 fhours?
.
d Have f you fever fhad fany fsurgeries fon f your fabdomen?
.
ANSWER: fA
A ffinal f summary fof fany fsymptom f the f person fhas fshould f include, falong fwith f seven f other
f criticalfcharacteristics, fLocation: fspecific. f The fperson fis fasked fto fpoint fto fthe flocation.
DIF: f Cognitive f Level: f Applying f (Application) f REF: f dm. f 50
MSC: f Client f Needs: f Safe f and f Effective f Care fEnvironment: f Management f of fCare
5. A f29-year-old f woman f tells f the f nurse f that fshe f has fexcruciating f pain fin f her f back. f Which
f wouldfbe fthe fnurses fappropriate fresponse fto fthe fwomans fstatement?