Test Bank for Advanced Health Assessment and Differential
Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advanced2 Health2 Assessment2 and2 Differential2 Diagnosis2 Essentials2for2Clinical2Practice21st2Editio
n2Myrick2Test2Bank
Table2of2Contents:
Chapter21.2Health2History,2The2Patient2Interview,2And2Motivational2Interviewing
Chapter22.2Advanced2Health2Assessment2of2the2Head,2Neck,2and2Lymphatic2System
Chapter23.2Advanced2Health2Assessment2of2the2Nose,2Mouth,2and2Throat
Chapter24.2Advanced2Health2Assessment2of2the2Eyes2and2Ears
Chapter25.2Advanced2Health2Assessment2of2Skin,2Hair,2and2Nails
Chapter26.2Advanced2Health2Assessment2of2the2Cardiovascular2System
Chapter272Advanced2Health2Assessment2of2the2Respiratory2System
Chapter282Advanced2Health2Assessment2of2the2Abdomen,2Rectum,2and2Anus
Chapter292Advanced2Health2Assessment2of2the2Male2Genitourinary2System
Chapter2102Advanced2Assessment2of2the2Female2Reproductive2System
Chapter2112Advanced2Health2Assessment2of2the2Neurological2System
Chapter2122Advanced2Health2Assessment2of2the2Musculoskeletal2System
,Advanced2 Health2 Assessment2 and2 Differential2 Diagnosis2 Essentials2for2Clinical2Practice21st2
Edition2Myrick2Test2Bank
Chapter2 1:2 Health2 History,2 The2 Patient2 Interview,2 And2 Motivational2 Interviewing
MULTIPLE2CHOICE
1. The2 nurse2 is2 preparing2 to2 conduct2 a2 health2 history.2 Which2 of2 these2 statements2 best2 describes2t
he2 purpose2 of2 a2 health2 history?
a To2 provide2 an2 opportunity2 for2 interaction2 between2 the2 patient2 and2 the2 nurse
.
b To2 provide2 a2 form2 for2 obtaining2 the2 patients2 biographic2 information
.
c To2 document2 the2 normal2 and2 abnormal2 findings2 of2 a2 physical2 assessment
.
d To2 provide2 a2 database2 of2 subjective2 information2 about2 the2 patients2 past2 and2curre
. nt2health
ANSWER:2 D
The2 purpose2 of2the2 health2 history2is2 to2 collect2 subjective2 datawhat2the2 person2 says2 about2 him2 or2herself.2
The2other2options2are2not2correct.
DIF:2 Cognitive2 Level:2 Understanding2 (Comprehension)2 REF:2 dm.2 49
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
2. When2 the2 nurse2 is2 evaluating2 the2 reliability2 of2 a2 patients2 responses,2 which2 of2 these2 statements2
would2be2correct?2The2patient:
a Has2 a2 history2of2 drug2 abuse2 and2 therefore2 is2 not2 reliable.
.
b Provided2 consistent2 information2 and2 therefore2 is2 reliable.
.
c Smiled2 throughout2 interview2 and2 therefore2 is2 assumed2 reliable.
.
d Would2 not2 answer2 questions2 concerning2 stress2 and2 therefore2 is2 not2 reliable.
.
ANSWER:2 B
A2 reliable2 person2always2 gives2 the2 same2 answers,2 even2 when2 questions2 are2 rephrased2 or2are2repeate
d2later2in2the2interview.2The2other2statements2are2not2correct.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 49
, MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
3. A2 59-year-
old2 patient2 tells2 the2 nurse2 that2 he2 has2 ulcerative2 colitis.2 He2 has2 been2 having2 black2stools2for2 the2 l
ast2 242 hours.2 How2 would2 the2 nurse2best2 document2 his2 reason2 for2 seeking2 care?
a J.M.2 is2 a2 59-year-old2 man2seeking2 treatment2 for2 ulcerative2 colitis.
.
b J.M.2 came2 into2 the2 clinic2complaining2 of2 having2 black2 stools2 for2 the2 past2 242hour
. s.
c J.M.2 is2a2 59-year-
. old2 man2 who2 states2 that2 he2 has2 ulcerative2 colitis2 and2wants2it2checked.
d J.M.2 is2a2 59-year-
. old2 man2 who2 states2 that2 he2 has2 been2 having2 black2 stools2 for2the2past2242hours.
ANSWER:2 D
The2 reason2 for2 seeking2 care2 is2a2 brief2spontaneous2 statement2 in2the2 persons2 own2 words2 that2describe
s2 the2 reason2 for2 the2 visit.2 It2 states2 one2 (possibly2two)2 signs2 or2 symptoms2 and2 their2duration.2It2is2enc
losed2in2quotation2marks2to2indicate2 the2persons2exact2words.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 50
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
4. A2 patient2 tells2 the2 nurse2 that2 she2 has2 had2 abdominal2 pain2 for2 the2 past2 week.2 What2 would2 be2 the2n
urses2best2response?
a Can2 you2 point2 to2 where2 it2hurts?
.
b Well2 talk2 more2 about2 that2later2 in2the2 interview.
.
c What2 have2 you2 had2to2 eat2in2 the2last2242 hours?
.
d Have2 you2 ever2 had2 any2surgeries2 on2 your2 abdomen?
.
ANSWER:2 A
A2 final2 summary2of2 any2symptom2 the2 person2 has2 should2 include,2 along2 with2 seven2 other2 critical2ch
aracteristics,2Location:2specific.2The2person2is2asked2to2point2to2the2location.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 50
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
5. A2 29-year-
old2 woman2 tells2 the2 nurse2 that2 she2 has2excruciating2 pain2 in2 her2 back.2 Which2 would2be2the2nurses2a
ppropriate2response2to2the2womans2statement?
Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advanced2 Health2 Assessment2 and2 Differential2 Diagnosis2 Essentials2for2Clinical2Practice21st2Editio
n2Myrick2Test2Bank
Table2of2Contents:
Chapter21.2Health2History,2The2Patient2Interview,2And2Motivational2Interviewing
Chapter22.2Advanced2Health2Assessment2of2the2Head,2Neck,2and2Lymphatic2System
Chapter23.2Advanced2Health2Assessment2of2the2Nose,2Mouth,2and2Throat
Chapter24.2Advanced2Health2Assessment2of2the2Eyes2and2Ears
Chapter25.2Advanced2Health2Assessment2of2Skin,2Hair,2and2Nails
Chapter26.2Advanced2Health2Assessment2of2the2Cardiovascular2System
Chapter272Advanced2Health2Assessment2of2the2Respiratory2System
Chapter282Advanced2Health2Assessment2of2the2Abdomen,2Rectum,2and2Anus
Chapter292Advanced2Health2Assessment2of2the2Male2Genitourinary2System
Chapter2102Advanced2Assessment2of2the2Female2Reproductive2System
Chapter2112Advanced2Health2Assessment2of2the2Neurological2System
Chapter2122Advanced2Health2Assessment2of2the2Musculoskeletal2System
,Advanced2 Health2 Assessment2 and2 Differential2 Diagnosis2 Essentials2for2Clinical2Practice21st2
Edition2Myrick2Test2Bank
Chapter2 1:2 Health2 History,2 The2 Patient2 Interview,2 And2 Motivational2 Interviewing
MULTIPLE2CHOICE
1. The2 nurse2 is2 preparing2 to2 conduct2 a2 health2 history.2 Which2 of2 these2 statements2 best2 describes2t
he2 purpose2 of2 a2 health2 history?
a To2 provide2 an2 opportunity2 for2 interaction2 between2 the2 patient2 and2 the2 nurse
.
b To2 provide2 a2 form2 for2 obtaining2 the2 patients2 biographic2 information
.
c To2 document2 the2 normal2 and2 abnormal2 findings2 of2 a2 physical2 assessment
.
d To2 provide2 a2 database2 of2 subjective2 information2 about2 the2 patients2 past2 and2curre
. nt2health
ANSWER:2 D
The2 purpose2 of2the2 health2 history2is2 to2 collect2 subjective2 datawhat2the2 person2 says2 about2 him2 or2herself.2
The2other2options2are2not2correct.
DIF:2 Cognitive2 Level:2 Understanding2 (Comprehension)2 REF:2 dm.2 49
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
2. When2 the2 nurse2 is2 evaluating2 the2 reliability2 of2 a2 patients2 responses,2 which2 of2 these2 statements2
would2be2correct?2The2patient:
a Has2 a2 history2of2 drug2 abuse2 and2 therefore2 is2 not2 reliable.
.
b Provided2 consistent2 information2 and2 therefore2 is2 reliable.
.
c Smiled2 throughout2 interview2 and2 therefore2 is2 assumed2 reliable.
.
d Would2 not2 answer2 questions2 concerning2 stress2 and2 therefore2 is2 not2 reliable.
.
ANSWER:2 B
A2 reliable2 person2always2 gives2 the2 same2 answers,2 even2 when2 questions2 are2 rephrased2 or2are2repeate
d2later2in2the2interview.2The2other2statements2are2not2correct.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 49
, MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
3. A2 59-year-
old2 patient2 tells2 the2 nurse2 that2 he2 has2 ulcerative2 colitis.2 He2 has2 been2 having2 black2stools2for2 the2 l
ast2 242 hours.2 How2 would2 the2 nurse2best2 document2 his2 reason2 for2 seeking2 care?
a J.M.2 is2 a2 59-year-old2 man2seeking2 treatment2 for2 ulcerative2 colitis.
.
b J.M.2 came2 into2 the2 clinic2complaining2 of2 having2 black2 stools2 for2 the2 past2 242hour
. s.
c J.M.2 is2a2 59-year-
. old2 man2 who2 states2 that2 he2 has2 ulcerative2 colitis2 and2wants2it2checked.
d J.M.2 is2a2 59-year-
. old2 man2 who2 states2 that2 he2 has2 been2 having2 black2 stools2 for2the2past2242hours.
ANSWER:2 D
The2 reason2 for2 seeking2 care2 is2a2 brief2spontaneous2 statement2 in2the2 persons2 own2 words2 that2describe
s2 the2 reason2 for2 the2 visit.2 It2 states2 one2 (possibly2two)2 signs2 or2 symptoms2 and2 their2duration.2It2is2enc
losed2in2quotation2marks2to2indicate2 the2persons2exact2words.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 50
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
4. A2 patient2 tells2 the2 nurse2 that2 she2 has2 had2 abdominal2 pain2 for2 the2 past2 week.2 What2 would2 be2 the2n
urses2best2response?
a Can2 you2 point2 to2 where2 it2hurts?
.
b Well2 talk2 more2 about2 that2later2 in2the2 interview.
.
c What2 have2 you2 had2to2 eat2in2 the2last2242 hours?
.
d Have2 you2 ever2 had2 any2surgeries2 on2 your2 abdomen?
.
ANSWER:2 A
A2 final2 summary2of2 any2symptom2 the2 person2 has2 should2 include,2 along2 with2 seven2 other2 critical2ch
aracteristics,2Location:2specific.2The2person2is2asked2to2point2to2the2location.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 50
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
5. A2 29-year-
old2 woman2 tells2 the2 nurse2 that2 she2 has2excruciating2 pain2 in2 her2 back.2 Which2 would2be2the2nurses2a
ppropriate2response2to2the2womans2statement?
