TEST BANK j
ADVANCED HEALTH ASSESSMENT AND
j j j j
DIFFERENTIAL DIAGNOSIS j
EssentialsforClinicalPractice
j j j
1st Edition Myric
j j
k
TEST BANK j
,AdvancedjHealthjAssessmentjandjDifferentialjDiagnosisjEssentialsjforjClinicaljPracticej1stjE
ditionjMyrickjTestjBank
TablejofjContents:
Chapterj1.jHealthjHistory,jThejPatientjInterview,jAndjMotivationaljInterviewing
Chapterj2.jAdvancedjHealthjAssessmentjofjthejHead,jNeck,jandjLymphaticjSystem
Chapterj3.jAdvancedjHealthjAssessmentjofjthejNose,jMouth,jandjThroat
Chapterj4.jAdvancedjHealthjAssessmentjofjthejEyesjandjEars
Chapterj5.jAdvancedjHealthjAssessmentjofjSkin,jHair,jandjNails
Chapterj6.jAdvancedjHealthjAssessmentjofjthejCardiovascularjSystem
Chapterj7jAdvancedjHealthjAssessmentjofjthejRespiratoryjSystem
Chapterj8jAdvancedjHealthjAssessmentjofjthejAbdomen,jRectum,jandjAnus
Chapterj9jAdvancedjHealthjAssessmentjofjthejMalejGenitourinaryjSystem
Chapterj10jAdvancedjAssessmentjofjthejFemalejReproductivejSystem
Chapterj11jAdvancedjHealthjAssessmentjofjthejNeurologicaljSystem
Chapterj12jAdvancedjHealthjAssessmentjofjthejMusculoskeletaljSystem
,AdvancedjHealthjAssessmentjandjDifferentialjDiagnosisjEssentialsjforjClinicaljPracticej1stj
EditionjMyrickjTestjBank
Chapterj1:j Healthj History,j Thej Patientj Interview,j Andj Motivationalj Interviewing
MULTIPLEjCHOICE
1. Thejnursejisjpreparingjtojconductjajhealthjhistory.jWhichjofjthesejstatementsjbestjdescribesjthej
purposejofjajhealthjhistory?
a Tojprovidej anjopportunityjforj interactionj betweenjthej patientj andj thej nurse
.
b Tojprovidej aj formj forj obtainingjthej patientsj biographicj information
.
c Tojdocumentj thej normaljandj abnormalj findingsj ofj aj physicalj assessment
.
d Tojprovidejajdatabasejofjsubjectivejinformationjaboutjthejpatientsjpastjandjcurren
. tjhealth
ANS:jD
Thejpurposejofjthejhealthjhistoryjisjtojcollectjsubjectivejdatawhatjthejpersonjsaysjaboutjhimjorjherse
lf.jThejotherjoptionsjarejnotjcorrect.
DIF:j Cognitivej Level:j Understandingj (Comprehension)j REF:j dm.j 49
MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
2. Whenjthejnursejisjevaluatingjthejreliabilityjofjajpatientsjresponses,jwhichjofjthesejstatementsjwo
uldjbejcorrect?jThejpatient:
a Hasjaj historyjofjdrugjabusej andjthereforej isjnotj reliable.
.
b Providedj consistentj informationj andj thereforej isj reliable.
.
c Smiledj throughoutj interviewj andj thereforej isjassumedj reliable.
.
d Wouldjnotj answerj questionsj concerningj stressj andj thereforej isj notj reliable.
.
ANS:jB
Ajreliablejpersonjalwaysjgivesjthejsamejanswers,jevenjwhenjquestionsjarejrephrasedjorjarejrepeated
jlaterjinjthejinterview.jThejotherjstatementsjarejnotjcorrect.
DIF:jCognitivej Level:j Applyingj(Application)j REF:jdm.j 49
, MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
3. Aj59-year-
oldjpatientjtellsjthejnursejthatjhejhasjulcerativejcolitis.jHejhasjbeenjhavingjblackjstoolsjforjthejlastj
24jhours.jHowjwouldjthejnursejbestjdocumentjhisjreasonjforjseekingjcare?
a J.M.jisjaj 59-year-oldjmanjseekingjtreatmentj forj ulcerativej colitis.
.
b J.M.jcamejintojthejclinicjcomplainingjofjhavingjblackjstoolsjforjthejpastj24jhours.
.
c J.M.jisjaj59-year-oldjmanjwhojstatesjthatjhejhasjulcerativejcolitisjandjwantsjitjchecked.
.
d J.M.jisjaj59-year-
. oldjmanjwhojstatesjthatjhejhasjbeenjhavingjblackjstoolsjforjthejpastj24jhours.
ANS:jD
Thejreasonjforjseekingjcarejisjajbriefjspontaneousjstatementjinjthejpersonsjownjwordsjthatjdescribes
jthejreasonjforjthejvisit.jItjstatesjonej(possiblyjtwo)jsignsjorjsymptomsjandjtheirjduration.jItjisjenclos
edjinjquotationjmarksjtojindicatejthejpersonsjexactjwords.
DIF:jCognitivej Level:j Applyingj(Application)j REF:j dm.j 50
MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
4. Ajpatientjtellsjthejnursejthatjshejhasjhadjabdominaljpainjforjthejpastjweek.jWhatjwouldjbejthejnurs
esjbestjresponse?
a Canjyoujpointjtojwherejitjhurts?
.
b Welljtalkjmorejaboutjthatjlaterjinjthejinterview.
.
c Whatjhavej youjhadjtojeatjinjthejlastj24jhours?
.
d Havej youjeverjhadjanyjsurgeriesjonj yourjabdomen?
.
ANS:jA
Ajfinaljsummaryjofjanyjsymptomjthejpersonjhasjshouldjinclude,jalongjwithjsevenjotherjcriticaljchar
acteristics,jLocation:jspecific.jThejpersonjisjaskedjtojpointjtojthejlocation.
DIF:jCognitivej Level:j Applyingj(Application)j REF:j dm.j 50
MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
5. Aj29-year-
oldjwomanjtellsjthejnursejthatjshejhasjexcruciatingjpainjinjherjback.jWhichjwouldjbejthejnursesjappr
opriatejresponsejtojthejwomansjstatement?
ADVANCED HEALTH ASSESSMENT AND
j j j j
DIFFERENTIAL DIAGNOSIS j
EssentialsforClinicalPractice
j j j
1st Edition Myric
j j
k
TEST BANK j
,AdvancedjHealthjAssessmentjandjDifferentialjDiagnosisjEssentialsjforjClinicaljPracticej1stjE
ditionjMyrickjTestjBank
TablejofjContents:
Chapterj1.jHealthjHistory,jThejPatientjInterview,jAndjMotivationaljInterviewing
Chapterj2.jAdvancedjHealthjAssessmentjofjthejHead,jNeck,jandjLymphaticjSystem
Chapterj3.jAdvancedjHealthjAssessmentjofjthejNose,jMouth,jandjThroat
Chapterj4.jAdvancedjHealthjAssessmentjofjthejEyesjandjEars
Chapterj5.jAdvancedjHealthjAssessmentjofjSkin,jHair,jandjNails
Chapterj6.jAdvancedjHealthjAssessmentjofjthejCardiovascularjSystem
Chapterj7jAdvancedjHealthjAssessmentjofjthejRespiratoryjSystem
Chapterj8jAdvancedjHealthjAssessmentjofjthejAbdomen,jRectum,jandjAnus
Chapterj9jAdvancedjHealthjAssessmentjofjthejMalejGenitourinaryjSystem
Chapterj10jAdvancedjAssessmentjofjthejFemalejReproductivejSystem
Chapterj11jAdvancedjHealthjAssessmentjofjthejNeurologicaljSystem
Chapterj12jAdvancedjHealthjAssessmentjofjthejMusculoskeletaljSystem
,AdvancedjHealthjAssessmentjandjDifferentialjDiagnosisjEssentialsjforjClinicaljPracticej1stj
EditionjMyrickjTestjBank
Chapterj1:j Healthj History,j Thej Patientj Interview,j Andj Motivationalj Interviewing
MULTIPLEjCHOICE
1. Thejnursejisjpreparingjtojconductjajhealthjhistory.jWhichjofjthesejstatementsjbestjdescribesjthej
purposejofjajhealthjhistory?
a Tojprovidej anjopportunityjforj interactionj betweenjthej patientj andj thej nurse
.
b Tojprovidej aj formj forj obtainingjthej patientsj biographicj information
.
c Tojdocumentj thej normaljandj abnormalj findingsj ofj aj physicalj assessment
.
d Tojprovidejajdatabasejofjsubjectivejinformationjaboutjthejpatientsjpastjandjcurren
. tjhealth
ANS:jD
Thejpurposejofjthejhealthjhistoryjisjtojcollectjsubjectivejdatawhatjthejpersonjsaysjaboutjhimjorjherse
lf.jThejotherjoptionsjarejnotjcorrect.
DIF:j Cognitivej Level:j Understandingj (Comprehension)j REF:j dm.j 49
MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
2. Whenjthejnursejisjevaluatingjthejreliabilityjofjajpatientsjresponses,jwhichjofjthesejstatementsjwo
uldjbejcorrect?jThejpatient:
a Hasjaj historyjofjdrugjabusej andjthereforej isjnotj reliable.
.
b Providedj consistentj informationj andj thereforej isj reliable.
.
c Smiledj throughoutj interviewj andj thereforej isjassumedj reliable.
.
d Wouldjnotj answerj questionsj concerningj stressj andj thereforej isj notj reliable.
.
ANS:jB
Ajreliablejpersonjalwaysjgivesjthejsamejanswers,jevenjwhenjquestionsjarejrephrasedjorjarejrepeated
jlaterjinjthejinterview.jThejotherjstatementsjarejnotjcorrect.
DIF:jCognitivej Level:j Applyingj(Application)j REF:jdm.j 49
, MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
3. Aj59-year-
oldjpatientjtellsjthejnursejthatjhejhasjulcerativejcolitis.jHejhasjbeenjhavingjblackjstoolsjforjthejlastj
24jhours.jHowjwouldjthejnursejbestjdocumentjhisjreasonjforjseekingjcare?
a J.M.jisjaj 59-year-oldjmanjseekingjtreatmentj forj ulcerativej colitis.
.
b J.M.jcamejintojthejclinicjcomplainingjofjhavingjblackjstoolsjforjthejpastj24jhours.
.
c J.M.jisjaj59-year-oldjmanjwhojstatesjthatjhejhasjulcerativejcolitisjandjwantsjitjchecked.
.
d J.M.jisjaj59-year-
. oldjmanjwhojstatesjthatjhejhasjbeenjhavingjblackjstoolsjforjthejpastj24jhours.
ANS:jD
Thejreasonjforjseekingjcarejisjajbriefjspontaneousjstatementjinjthejpersonsjownjwordsjthatjdescribes
jthejreasonjforjthejvisit.jItjstatesjonej(possiblyjtwo)jsignsjorjsymptomsjandjtheirjduration.jItjisjenclos
edjinjquotationjmarksjtojindicatejthejpersonsjexactjwords.
DIF:jCognitivej Level:j Applyingj(Application)j REF:j dm.j 50
MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
4. Ajpatientjtellsjthejnursejthatjshejhasjhadjabdominaljpainjforjthejpastjweek.jWhatjwouldjbejthejnurs
esjbestjresponse?
a Canjyoujpointjtojwherejitjhurts?
.
b Welljtalkjmorejaboutjthatjlaterjinjthejinterview.
.
c Whatjhavej youjhadjtojeatjinjthejlastj24jhours?
.
d Havej youjeverjhadjanyjsurgeriesjonj yourjabdomen?
.
ANS:jA
Ajfinaljsummaryjofjanyjsymptomjthejpersonjhasjshouldjinclude,jalongjwithjsevenjotherjcriticaljchar
acteristics,jLocation:jspecific.jThejpersonjisjaskedjtojpointjtojthejlocation.
DIF:jCognitivej Level:j Applyingj(Application)j REF:j dm.j 50
MSC:jClientj Needs:j SafejandjEffectivej CarejEnvironment:j Managementj ofjCare
5. Aj29-year-
oldjwomanjtellsjthejnursejthatjshejhasjexcruciatingjpainjinjherjback.jWhichjwouldjbejthejnursesjappr
opriatejresponsejtojthejwomansjstatement?
