TEST BANK
m
Essential Health Assessment
m m
Janice M Thompson
m m
1st Edition
m
,Table of Contents
m m
Chapterm01mUnderstandingmHealthmAssessment 1
Chapterm02mInterviewingmthemPatient mformthemHealthmHistory 11
Chapterm03mTakingmthemHealthmHistory 40
Chapterm04mAssessingmNutritionmand mAnthropometricmMeasurements 61
Chapterm05mAssessment mTechniques 88
Chapterm06mGeneralmSurveymand mAssessingmVitalmSigns 99
Chapterm07mAssessingmPain 128
Chapterm08mAssessingmthemSkin,mHair,mand mNails 149
Chapterm09mAssessingmthemHead,mFace,mMouth,mand mNeck 188
Chapterm10mAssessingmthemEars 229
Chapterm11mAssessingmthemEyes 250
Chapterm12mAssessingmthemRespiratorymSystem 281
Chapterm13mAssessingmthemCardiovascularmSystem 308
Chapterm14mAssessingmthemAbdomen 335
Chapterm15mAssessingmthemPeripheralmVascularmSystemmand mRegionalmLymphaticmSystem 363
Chapterm16mAssessingmthemMusculoskeletalmSystem 391
Chapterm17mAssessingmthemNeurologicalmSystem 417
Chapterm18mAssessingmthemFemale mBreasts,mAxillae,mand mReproductivemSystem 451
Chapterm19mAssessingmthemMalemBreastsmand mReproductivemSystem 477
Chapterm20mAssessingmthemAnusmand mRectum 501
Chapterm21mAssessingmthemNewborn 517
Chapterm22mAssessingmthemChild mand mAdolescent 555
Chapterm23mAssessingmthemPregnant mWoman 583
Chapterm24mAssessingmthemOldermAdult 612
, Test mBank m-
mEssential mHealthmAssessment, m1st meditionm(Thompson, m2018)
Chapterm1:mUnderstandingmHealthmAssessment
1. ThemWorld mHealthmOrganizationm(WHO)mestablished mamglobalmstrategymcalled m“HealthmformAll
.”mThemgoalmformthismstrategymis:
1. Allmindividualsmtomget mthemsamemhealthmcaremthroughout mtheirmlifemspans.
2. Themgovernment mtomsupplymmoneymtomcaremformallmthempeopleminmthemworld.
3. Resourcesmformhealthmcaremtombemevenlymdistributed mand maccessible.
4. Health-caremprovidersmcanmnevermdenympatientsmhealthmcare.
2. Healthmassessment mismamfoundationalmand mprioritymnursingmskill.mThismessential mskillmrequir
esmregistered mnursesm(RNs)mto:
1. Diagnosemand mtreat mpatients.
2. Identifymnormalmand mabnormalmfindings.
3. Refermpatientsmwithmabnormalmfindings.
4. Counselmpatientsmwithmpsychosocialmneeds.
3. Youmaremassessingmampatient mwithmfivemgunshot mwoundsmonmamtraumamunit.mTheremismampolicempr
esencemoutsidemhismdoormbecausemthempatient mismamknownmdrugmdealerminmthemcommunity.mYoumkno
wmthat mnursesmmust mtreat mallmpatientsmasmpersons.mThismismcalled:
1. Caring.
2. Holisticmprocess.
3. Person-centered mcarem(PCC).
4. Standardsmof mcare.
4. Themscience-
based mframeworkmupdated meverym10myearsmbymthemU.S.mDepartment mof mHealthmand mHumanmSer
vicesmthat mhasmset mnationalmgoalsmand mobjectivesmformhealthmpromotionmand mdiseasemprevention
mis:
1. HealthymPeople.
2. HealthymPeoplem2020.
3. U.S.mPreventivemTaskmForce.
4. World mHealthmOrganization.
5. A m38-year-old mmalemhasmamfamilymhistorymof mcolonmcancer.mHismfathermdied mof mcolonmcancermat mage
48.mThemdoctormrecommended mthat mthismpatient mhavemamcolonoscopymthismyear.mThismis manmexamplemof:
1. Primarymhealthmprevention.
1m|mPmamg me
, Test mBank m-
mEssential mHealthmAssessment, m1st meditionm(Thompson, m2018)
2. Secondarymhealthmprevention.
3. Tertiarymhealthmprevention.
6. A mpatient minmthemhospitalmputsmonmhismcallmlight mand mtellsmthempersonmansweringmthat mhem“thinksmh
emismrunningmamfevermand mhasmstomachmdiscomfort.”mYoumaremthemregistered mnurseminm charge.mWhat m
should myoumdo?
1. Askmthemmedicalmassistant mtomgomtomthempatient’smroommand massessmhismcomplaints.
2. Gomcheckmtomseemif mthempatient mhasmanmordermformTylenolmformamfever.
3. Pagemthemresident monmcallmimmediatelymtomassessmthempatient.
4. Gomtomthempatient’smroommand massessmformfevermand mthemepigastricmdiscomfort.
7. Youmaremleadingmanminterdisciplinarymteamm conferencemtomdiscussmhowmtomprovidembettermcaremfo
rmamchallenging mpatient mwhomhasmbehavioralmproblems.m Theremarem severalmareasmthat mneed mtombempr
oblemmsolved mand mnew mideasmformulated mtomcreatemanmimproved mplanmof mcare.mWhat mcognitivemskil
lsmaremyoumusing?
1. Criticalmthinking
2. Clinicalmdecisionmmaking
3. Intuitivemthinking
4. Clinicalmreasoning
8. Best mpracticemassessment mtechniquesmand minstrumentsmhavembeenmvalidated mby:
1. AmericanmNursesmAssociation.
2. CodemofmEthicsmformNursesmWithmInterpretivemStatements.
3. Researchmand mevidence-based mpractice.
4. Patient mProtectionmand mAffordablemCaremAct.
9. Healthmand millnessmaremdetermined mbymmanymfactors.mWhat maremthemdeterminantsmof mhealthmidentifi
ed mbymthemCentersmformDiseasemControlmand mPreventionm(CDC)?mSelectmallmthatmapply.
1. Geneticsmand mbiology
2. Gendermand moccupation
3. Individualmbehavior
4. Socialmenvironment
5. Physicalmenvironment
6. Healthmservices
2m|mPmamg me
m
Essential Health Assessment
m m
Janice M Thompson
m m
1st Edition
m
,Table of Contents
m m
Chapterm01mUnderstandingmHealthmAssessment 1
Chapterm02mInterviewingmthemPatient mformthemHealthmHistory 11
Chapterm03mTakingmthemHealthmHistory 40
Chapterm04mAssessingmNutritionmand mAnthropometricmMeasurements 61
Chapterm05mAssessment mTechniques 88
Chapterm06mGeneralmSurveymand mAssessingmVitalmSigns 99
Chapterm07mAssessingmPain 128
Chapterm08mAssessingmthemSkin,mHair,mand mNails 149
Chapterm09mAssessingmthemHead,mFace,mMouth,mand mNeck 188
Chapterm10mAssessingmthemEars 229
Chapterm11mAssessingmthemEyes 250
Chapterm12mAssessingmthemRespiratorymSystem 281
Chapterm13mAssessingmthemCardiovascularmSystem 308
Chapterm14mAssessingmthemAbdomen 335
Chapterm15mAssessingmthemPeripheralmVascularmSystemmand mRegionalmLymphaticmSystem 363
Chapterm16mAssessingmthemMusculoskeletalmSystem 391
Chapterm17mAssessingmthemNeurologicalmSystem 417
Chapterm18mAssessingmthemFemale mBreasts,mAxillae,mand mReproductivemSystem 451
Chapterm19mAssessingmthemMalemBreastsmand mReproductivemSystem 477
Chapterm20mAssessingmthemAnusmand mRectum 501
Chapterm21mAssessingmthemNewborn 517
Chapterm22mAssessingmthemChild mand mAdolescent 555
Chapterm23mAssessingmthemPregnant mWoman 583
Chapterm24mAssessingmthemOldermAdult 612
, Test mBank m-
mEssential mHealthmAssessment, m1st meditionm(Thompson, m2018)
Chapterm1:mUnderstandingmHealthmAssessment
1. ThemWorld mHealthmOrganizationm(WHO)mestablished mamglobalmstrategymcalled m“HealthmformAll
.”mThemgoalmformthismstrategymis:
1. Allmindividualsmtomget mthemsamemhealthmcaremthroughout mtheirmlifemspans.
2. Themgovernment mtomsupplymmoneymtomcaremformallmthempeopleminmthemworld.
3. Resourcesmformhealthmcaremtombemevenlymdistributed mand maccessible.
4. Health-caremprovidersmcanmnevermdenympatientsmhealthmcare.
2. Healthmassessment mismamfoundationalmand mprioritymnursingmskill.mThismessential mskillmrequir
esmregistered mnursesm(RNs)mto:
1. Diagnosemand mtreat mpatients.
2. Identifymnormalmand mabnormalmfindings.
3. Refermpatientsmwithmabnormalmfindings.
4. Counselmpatientsmwithmpsychosocialmneeds.
3. Youmaremassessingmampatient mwithmfivemgunshot mwoundsmonmamtraumamunit.mTheremismampolicempr
esencemoutsidemhismdoormbecausemthempatient mismamknownmdrugmdealerminmthemcommunity.mYoumkno
wmthat mnursesmmust mtreat mallmpatientsmasmpersons.mThismismcalled:
1. Caring.
2. Holisticmprocess.
3. Person-centered mcarem(PCC).
4. Standardsmof mcare.
4. Themscience-
based mframeworkmupdated meverym10myearsmbymthemU.S.mDepartment mof mHealthmand mHumanmSer
vicesmthat mhasmset mnationalmgoalsmand mobjectivesmformhealthmpromotionmand mdiseasemprevention
mis:
1. HealthymPeople.
2. HealthymPeoplem2020.
3. U.S.mPreventivemTaskmForce.
4. World mHealthmOrganization.
5. A m38-year-old mmalemhasmamfamilymhistorymof mcolonmcancer.mHismfathermdied mof mcolonmcancermat mage
48.mThemdoctormrecommended mthat mthismpatient mhavemamcolonoscopymthismyear.mThismis manmexamplemof:
1. Primarymhealthmprevention.
1m|mPmamg me
, Test mBank m-
mEssential mHealthmAssessment, m1st meditionm(Thompson, m2018)
2. Secondarymhealthmprevention.
3. Tertiarymhealthmprevention.
6. A mpatient minmthemhospitalmputsmonmhismcallmlight mand mtellsmthempersonmansweringmthat mhem“thinksmh
emismrunningmamfevermand mhasmstomachmdiscomfort.”mYoumaremthemregistered mnurseminm charge.mWhat m
should myoumdo?
1. Askmthemmedicalmassistant mtomgomtomthempatient’smroommand massessmhismcomplaints.
2. Gomcheckmtomseemif mthempatient mhasmanmordermformTylenolmformamfever.
3. Pagemthemresident monmcallmimmediatelymtomassessmthempatient.
4. Gomtomthempatient’smroommand massessmformfevermand mthemepigastricmdiscomfort.
7. Youmaremleadingmanminterdisciplinarymteamm conferencemtomdiscussmhowmtomprovidembettermcaremfo
rmamchallenging mpatient mwhomhasmbehavioralmproblems.m Theremarem severalmareasmthat mneed mtombempr
oblemmsolved mand mnew mideasmformulated mtomcreatemanmimproved mplanmof mcare.mWhat mcognitivemskil
lsmaremyoumusing?
1. Criticalmthinking
2. Clinicalmdecisionmmaking
3. Intuitivemthinking
4. Clinicalmreasoning
8. Best mpracticemassessment mtechniquesmand minstrumentsmhavembeenmvalidated mby:
1. AmericanmNursesmAssociation.
2. CodemofmEthicsmformNursesmWithmInterpretivemStatements.
3. Researchmand mevidence-based mpractice.
4. Patient mProtectionmand mAffordablemCaremAct.
9. Healthmand millnessmaremdetermined mbymmanymfactors.mWhat maremthemdeterminantsmof mhealthmidentifi
ed mbymthemCentersmformDiseasemControlmand mPreventionm(CDC)?mSelectmallmthatmapply.
1. Geneticsmand mbiology
2. Gendermand moccupation
3. Individualmbehavior
4. Socialmenvironment
5. Physicalmenvironment
6. Healthmservices
2m|mPmamg me
