TEST BANK
p
Advanced Health Assessment and Differential Diagnosis: Essentials
p p p p p p p
for Clinical Practice
p p
Karen Myrick, and Laima Karosas
p p p p
1st Edition
p
www.PlusBay.Plus
,Table of Contents
p p
Chapterp1.pHealthpHistory,pThepPatientpInterview,pAndpMotivationalpInterviewing 1
Chapterp2.pAdvancedpHealthpAssessmentpofpthepHead,pNeck,pandpLymphaticpSystem 13
Chapterp3.pAdvancedpHealthpAssessmentpofpthepNose,pMouth,pandpThroat 24
Chapterp4.pAdvancedpHealthpAssessmentpofpthepEyespandpEars 36
Chapterp5.pAdvancedpHealthpAssessmentpofpSkin,pHair,pandpNails 42
Chapterp6.pAdvancedpHealthpAssessmentpofpthepCardiovascularpSystem 48
Chapterp7.pAdvancedpHealthpAssessmentpofpthepRespiratorypSystem 60
Chapterp8.pAdvancedpHealthpAssessmentpofpthepAbdomen,pRectum,pandpAnus 72
Chapterp9.pAdvancedpHealthpAssessmentpofpthepMalepGenitourinarypSystem 83
Chapterp10.pAdvancedpAssessmentpofpthepFemalepReproductivepSystem 93
Chapterp11.pAdvancedpHealthpAssessmentpofpthepNeurologicalpSystem 105
Chapterp12.pAdvancedpHealthpAssessmentpofpthepMusculoskeletalpSystem 117
www.PlusBay.Plus
, TestpBankp-
pAdvancedpHealthpAssessmentpandpDifferentialpDiagnosis,p1stpEditionp(Myrick,p2020)
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
p p p p p p p p p
MULTIPLEpCHOICE
1. Thepnursepisppreparingptopconductpaphealthphistory.pWhichpofpthesepstatementspbestpdescribespthep
purposepofpaphealthphistory?
a. Topprovidepanpopportunitypforpinteractionpbetweenptheppatientpandpthepnurse
b. Topprovidepapformpforpobtainingptheppatientspbiographicpinformation
c. Topdocumentpthepnormalpandpabnormalpfindingspofpapphysicalpassessment
d. Topprovidepapdatabasepofpsubjectivepinformationpaboutptheppatientsppastpandpcurrentphealth
ANS:p D
Theppurposepofpthephealthphistorypisptopcollectpsubjectivepdatapwhatptheppersonpsayspaboutphimporpherself
.pThepotherpoptionsparepnotpcorrect.
DIF: CognitivepLevel:pUnderstandingp(Comprehension)
REF:p dm.p49pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
2. Whenpthepnursepispevaluatingpthepreliabilitypofpappatientspresponses,pwhichpofpthesepstatementspwouldpbe
correct?pTheppatient:
a. Haspaphistorypofpdrugpabusepandpthereforepispnotpreliable.
b. Providedpconsistentpinformationpandpthereforepispreliable.
c. Smiledpthroughoutpinterviewpandpthereforepispassumedpreliable.
d. Wouldpnotpanswerpquestionspconcerningpstresspandpthereforepispnotpreliable.
ANS:p B
Apreliableppersonpalwayspgivespthepsamepanswers,pevenpwhenpquestionspareprephrasedporpareprepeatedplat
erpinpthepinterview.pThepotherps t a t W
e mWe nWt s.a T
r e pB
noS
tpcMor.reW
ctS
.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p49pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
3. Ap59-year-
oldppatientptellspthepnursepthatphephaspulcerativepcolitis.pHephaspbeenphavingpblackpstoolspforptheplastp24p
hours.pHowpwouldpthepnursepbestpdocumentphispreasonpforpseekingpcare?
a. J.M.pispap59-year-oldpmanpseekingptreatmentpforpulcerativepcolitis.
b. J.M.pcamepintopthepclinicpcomplainingpofphavingpblackpstoolspforptheppastp24phours.
c. J.M.pispap59-year-oldpmanpwhopstatespthatphephaspulcerativepcolitispandpwantspitpchecked.
d. J.M.pispap59-year-
oldpmanpwhopstatespthatphephaspbeenphavingpblackpstoolspforptheppastp24phours.
ANS:p D
Thepreasonpforpseekingpcarepispapbriefpspontaneouspstatementpinptheppersonspownpwordspthatpdescribespth
epreasonpforpthepvisit.pItpstatesponep(possiblyptwo)psignsporpsymptomspandptheirpduration.pItpispenclosedpinp
quotationpmarksptopindicateptheppersonspexactpwords.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p50pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
4. Appatientptellspthepnursepthatpshephasphadpabdominalppainpforptheppastpweek.pWhatpwouldpbepthepnursesp
bestpresponse?
a. Canpyouppointptopwherepitphurts?
b. Wellptalkpmorepaboutpthatplaterpinpthepinterview.
c. Whatphavepyouphadptopeatpinptheplastp24phours?
1p|pPpapgpe
www.PlusBay.Plus
, TestpBankp-
pAdvancedpHealthpAssessmentpandpDifferentialpDiagnosis,p1stpEditionp(Myrick,p2020)
d. Havepyoupeverphadpanypsurgeriesponpyourpabdomen?p
ANS:p A
Apfinalpsummarypofpanypsymptomptheppersonphaspshouldpinclude,palongpwithpsevenpotherpcriticalpcharacteri
stics,pLocation:pspecific.pTheppersonpispaskedptoppointptoptheplocation.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p50pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
5. Ap29-year-
oldpwomanptellspthepnursepthatpshephaspexcruciatingppainpinpherpback.pWhichpwouldpbepthepnursespappr
opriatepresponseptopthepwomanspstatement?
a. Howpdoespyourpfamilypreactptopyourppain?
b. Theppainpmustpbepterrible.pYoupprobablyppinchedpapnerve.
c. Ivephadpbackppainpmyself,pandpitpcanpbepexcruciating.
d. Howpwouldpyoupsayptheppainpaffectspyourpabilityptopdopyourpdailypactivities?
ANS:p D
Thepsymptompofppainpispdifficultptopquantifypbecausepofpindividualpinterpretation.pWithppain,padjectivespsho
uldpbepavoidedpandptheppatientpshouldpbepaskedphowptheppainpaffectsphisporpherpdailypactivities.pThepotherpre
sponsesparepnotpappropriate.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p50pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
6. Inprecordingpthepchildhoodpillnessespofpappatientpwhopdeniesphavingphadpany,pwhichpnotepbypthepnursep
wouldpbepmostpaccurate?
a. Patientpdeniespusualpchildhoodpillnesses.
b. Patientpstatesphepwaspapveryphealthypchild.
c. Patientpstatesphispsisterphadpmeasles,pbutphepdidnt.
d. Patientpdeniespmeasles,pmumps,Wr uWbeWll .
a, pT
chB
ickSenMp.
oxW
,ppSertussis,pandpstreppthroat.
ANS:p D
Childhoodpillnessespincludepmeasles,pmumps,prubella,pchickenpox,ppertussis,pandpstreppthroat.pAvoidpre
cordingpusualpchildhoodpillnessespbecausepanpillnesspcommonpinptheppersonspchildhoodpmaypbepunusua
lptodayp(e.g.,pmeasles).
DIF: CognitivepLevel:pRememberingp(Knowledge)
REF:p dm.p51pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
7. Apfemaleppatientptellspthepnursepthatpshephasphadpsixppregnancies,pwithpfourplivepbirthspatptermpandptwopsp
ontaneouspabortions.pHerpfourpchildrenparepstillpliving.pHowpwouldpthepnurseprecordpthispinformation?
a. P-6,pB-4,p(S)Ab-2
b. Gravp6,pTermp4,p(S)Ab-2,pLivingp4
c. Patientphasphadpfourplivingpbabies.
d. Patientphaspbeenppregnantpsixptimes.
ANS:p B
Obstetricphistorypincludespthepnumberpofppregnanciesp(gravidity),pnumberpofpdeliveriespinpwhichpthep
fetuspreachedptermp(term),pnumberpofppretermppregnanciesp(preterm),pnumberpofpincompleteppregnan
ciesp(abortions),pandpnumberpofpchildrenplivingp(living).pThispisprecorded:pGravp
pTermp Pretermp Abp Livingp
.pForpanypincompleteppregnancies,pthepdurationpisprecordedpandpwhetherptheppre
gnancypresultedpinpapspontaneousp(S)porpanpinducedp(I)pabortion.
DIF: CognitivepLevel:pApplyingp(Application) REF:p p dm.p51
2p|pPpapgpe
www.PlusBay.Plus
p
Advanced Health Assessment and Differential Diagnosis: Essentials
p p p p p p p
for Clinical Practice
p p
Karen Myrick, and Laima Karosas
p p p p
1st Edition
p
www.PlusBay.Plus
,Table of Contents
p p
Chapterp1.pHealthpHistory,pThepPatientpInterview,pAndpMotivationalpInterviewing 1
Chapterp2.pAdvancedpHealthpAssessmentpofpthepHead,pNeck,pandpLymphaticpSystem 13
Chapterp3.pAdvancedpHealthpAssessmentpofpthepNose,pMouth,pandpThroat 24
Chapterp4.pAdvancedpHealthpAssessmentpofpthepEyespandpEars 36
Chapterp5.pAdvancedpHealthpAssessmentpofpSkin,pHair,pandpNails 42
Chapterp6.pAdvancedpHealthpAssessmentpofpthepCardiovascularpSystem 48
Chapterp7.pAdvancedpHealthpAssessmentpofpthepRespiratorypSystem 60
Chapterp8.pAdvancedpHealthpAssessmentpofpthepAbdomen,pRectum,pandpAnus 72
Chapterp9.pAdvancedpHealthpAssessmentpofpthepMalepGenitourinarypSystem 83
Chapterp10.pAdvancedpAssessmentpofpthepFemalepReproductivepSystem 93
Chapterp11.pAdvancedpHealthpAssessmentpofpthepNeurologicalpSystem 105
Chapterp12.pAdvancedpHealthpAssessmentpofpthepMusculoskeletalpSystem 117
www.PlusBay.Plus
, TestpBankp-
pAdvancedpHealthpAssessmentpandpDifferentialpDiagnosis,p1stpEditionp(Myrick,p2020)
Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
p p p p p p p p p
MULTIPLEpCHOICE
1. Thepnursepisppreparingptopconductpaphealthphistory.pWhichpofpthesepstatementspbestpdescribespthep
purposepofpaphealthphistory?
a. Topprovidepanpopportunitypforpinteractionpbetweenptheppatientpandpthepnurse
b. Topprovidepapformpforpobtainingptheppatientspbiographicpinformation
c. Topdocumentpthepnormalpandpabnormalpfindingspofpapphysicalpassessment
d. Topprovidepapdatabasepofpsubjectivepinformationpaboutptheppatientsppastpandpcurrentphealth
ANS:p D
Theppurposepofpthephealthphistorypisptopcollectpsubjectivepdatapwhatptheppersonpsayspaboutphimporpherself
.pThepotherpoptionsparepnotpcorrect.
DIF: CognitivepLevel:pUnderstandingp(Comprehension)
REF:p dm.p49pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
2. Whenpthepnursepispevaluatingpthepreliabilitypofpappatientspresponses,pwhichpofpthesepstatementspwouldpbe
correct?pTheppatient:
a. Haspaphistorypofpdrugpabusepandpthereforepispnotpreliable.
b. Providedpconsistentpinformationpandpthereforepispreliable.
c. Smiledpthroughoutpinterviewpandpthereforepispassumedpreliable.
d. Wouldpnotpanswerpquestionspconcerningpstresspandpthereforepispnotpreliable.
ANS:p B
Apreliableppersonpalwayspgivespthepsamepanswers,pevenpwhenpquestionspareprephrasedporpareprepeatedplat
erpinpthepinterview.pThepotherps t a t W
e mWe nWt s.a T
r e pB
noS
tpcMor.reW
ctS
.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p49pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
3. Ap59-year-
oldppatientptellspthepnursepthatphephaspulcerativepcolitis.pHephaspbeenphavingpblackpstoolspforptheplastp24p
hours.pHowpwouldpthepnursepbestpdocumentphispreasonpforpseekingpcare?
a. J.M.pispap59-year-oldpmanpseekingptreatmentpforpulcerativepcolitis.
b. J.M.pcamepintopthepclinicpcomplainingpofphavingpblackpstoolspforptheppastp24phours.
c. J.M.pispap59-year-oldpmanpwhopstatespthatphephaspulcerativepcolitispandpwantspitpchecked.
d. J.M.pispap59-year-
oldpmanpwhopstatespthatphephaspbeenphavingpblackpstoolspforptheppastp24phours.
ANS:p D
Thepreasonpforpseekingpcarepispapbriefpspontaneouspstatementpinptheppersonspownpwordspthatpdescribespth
epreasonpforpthepvisit.pItpstatesponep(possiblyptwo)psignsporpsymptomspandptheirpduration.pItpispenclosedpinp
quotationpmarksptopindicateptheppersonspexactpwords.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p50pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
4. Appatientptellspthepnursepthatpshephasphadpabdominalppainpforptheppastpweek.pWhatpwouldpbepthepnursesp
bestpresponse?
a. Canpyouppointptopwherepitphurts?
b. Wellptalkpmorepaboutpthatplaterpinpthepinterview.
c. Whatphavepyouphadptopeatpinptheplastp24phours?
1p|pPpapgpe
www.PlusBay.Plus
, TestpBankp-
pAdvancedpHealthpAssessmentpandpDifferentialpDiagnosis,p1stpEditionp(Myrick,p2020)
d. Havepyoupeverphadpanypsurgeriesponpyourpabdomen?p
ANS:p A
Apfinalpsummarypofpanypsymptomptheppersonphaspshouldpinclude,palongpwithpsevenpotherpcriticalpcharacteri
stics,pLocation:pspecific.pTheppersonpispaskedptoppointptoptheplocation.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p50pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
5. Ap29-year-
oldpwomanptellspthepnursepthatpshephaspexcruciatingppainpinpherpback.pWhichpwouldpbepthepnursespappr
opriatepresponseptopthepwomanspstatement?
a. Howpdoespyourpfamilypreactptopyourppain?
b. Theppainpmustpbepterrible.pYoupprobablyppinchedpapnerve.
c. Ivephadpbackppainpmyself,pandpitpcanpbepexcruciating.
d. Howpwouldpyoupsayptheppainpaffectspyourpabilityptopdopyourpdailypactivities?
ANS:p D
Thepsymptompofppainpispdifficultptopquantifypbecausepofpindividualpinterpretation.pWithppain,padjectivespsho
uldpbepavoidedpandptheppatientpshouldpbepaskedphowptheppainpaffectsphisporpherpdailypactivities.pThepotherpre
sponsesparepnotpappropriate.
DIF: CognitivepLevel:pApplyingp(Application)
REF:p dm.p50pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
6. Inprecordingpthepchildhoodpillnessespofpappatientpwhopdeniesphavingphadpany,pwhichpnotepbypthepnursep
wouldpbepmostpaccurate?
a. Patientpdeniespusualpchildhoodpillnesses.
b. Patientpstatesphepwaspapveryphealthypchild.
c. Patientpstatesphispsisterphadpmeasles,pbutphepdidnt.
d. Patientpdeniespmeasles,pmumps,Wr uWbeWll .
a, pT
chB
ickSenMp.
oxW
,ppSertussis,pandpstreppthroat.
ANS:p D
Childhoodpillnessespincludepmeasles,pmumps,prubella,pchickenpox,ppertussis,pandpstreppthroat.pAvoidpre
cordingpusualpchildhoodpillnessespbecausepanpillnesspcommonpinptheppersonspchildhoodpmaypbepunusua
lptodayp(e.g.,pmeasles).
DIF: CognitivepLevel:pRememberingp(Knowledge)
REF:p dm.p51pMSC:p ClientpNeeds:pSafepandpEffectivepCarepEnvironment:p
ManagementpofpCare
7. Apfemaleppatientptellspthepnursepthatpshephasphadpsixppregnancies,pwithpfourplivepbirthspatptermpandptwopsp
ontaneouspabortions.pHerpfourpchildrenparepstillpliving.pHowpwouldpthepnurseprecordpthispinformation?
a. P-6,pB-4,p(S)Ab-2
b. Gravp6,pTermp4,p(S)Ab-2,pLivingp4
c. Patientphasphadpfourplivingpbabies.
d. Patientphaspbeenppregnantpsixptimes.
ANS:p B
Obstetricphistorypincludespthepnumberpofppregnanciesp(gravidity),pnumberpofpdeliveriespinpwhichpthep
fetuspreachedptermp(term),pnumberpofppretermppregnanciesp(preterm),pnumberpofpincompleteppregnan
ciesp(abortions),pandpnumberpofpchildrenplivingp(living).pThispisprecorded:pGravp
pTermp Pretermp Abp Livingp
.pForpanypincompleteppregnancies,pthepdurationpisprecordedpandpwhetherptheppre
gnancypresultedpinpapspontaneousp(S)porpanpinducedp(I)pabortion.
DIF: CognitivepLevel:pApplyingp(Application) REF:p p dm.p51
2p|pPpapgpe
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