TEST BANK
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Essential Health Assessment 2nd Edition
cf cf cf cf
by Janice M Thompson, Chapter 1 - 24
cf cf cf cf cf cf cf
,Table of Contents
cf cf
Chaptercf01cfUnderstandingcfHealthcfAssessment 1
Chaptercf02cfInterviewingcfthecfPatientcfforcfthecfHealthcfHistory 11
Chaptercf03cfTakingcfthecfHealthcfHistory 40
Chaptercf04cfAssessingcfNutritioncfandcfAnthropometriccfMeasurements 61
Chaptercf05cfAssessmentcfTechniques 88
Chaptercf06cfGeneralcfSurveycfandcfAssessingcfVitalcfSigns 99
Chaptercf07cfAssessingcfPain 128
Chaptercf08cfAssessingcfthecfSkin,cfHair,cfandcfNails 149
Chaptercf09cfAssessingcfthecfHead,cfFace,cfMouth,cfandcfNeck 188
Chaptercf10cfAssessingcfthecfEars 229
Chaptercf11cfAssessingcfthecfEyes 250
Chaptercf12cfAssessingcfthecfRespiratorycfSystem 281
Chaptercf13cfAssessingcfthecfCardiovascularcfSystem 308
Chaptercf14cfAssessingcfthecfAbdomen 335
Chaptercf15cfAssessingcfthecfPeripheralcfVascularcfSystemcfandcfRegionalcfLymphaticcfSystem 363
Chaptercf16cfAssessingcfthecfMusculoskeletalcfSystem 391
Chaptercf17cfAssessingcfthecfNeurologicalcfSystem 417
Chaptercf18cfAssessingcfthecfFemalecfBreasts,cfAxillae,cfandcfReproductivecfSystem 451
Chaptercf19cfAssessingcfthecfMalecfBreastscfandcfReproductivecfSystem 477
Chaptercf20cfAssessingcfthecfAnuscfandcfRectum 501
Chaptercf21cfAssessingcfthecfNewborn 517
Chaptercf22cfAssessingcfthecfChildcfandcfAdolescent 555
Chaptercf23cfAssessingcfthecfPregnantcfWoman 583
Chaptercf24cfAssessingcfthecfOldercfAdult 612
,c TestcfBankcf-
f cfEssentialcfHealthcfAssessment,cf2ndcfeditioncf(Thompson,cf2023)cf
Chaptercf1:cfUnderstandingcfHealthcfAssessment
1.cfThecfWorldcfHealthcfOrganizationcf(WHO)cfestablishedcfacfglobalcfstrategycfcalledcf“HealthcfforcfAll.”c f Th
ecfgoalcfforcfthiscfstrategycfis:
1. Allcfindividualscftocfgetcfthecfsamecfhealthcfcarecfthroughoutcftheircflifecfspans.
2. Thecfgovernmentcftocfsupplycfmoneycftocfcarecfforcfallcfthecfpeoplecfincfthecfworld.
3. Resourcescfforcfhealthcfcarecftocfbecfevenlycfdistributedcfandcfaccessible.
4. Health-carecfproviderscfcancfnevercfdenycfpatientscfhealthcfcare.
ANS:cf3
Page:cf1
Feedback
1. Thiscfiscfincorrect.cf“HealthcfforcfAll”cfdoescfnotcfmeancfthatcfallcfindividualscfgetcfthecfsamec f
healthcfcarecfthroughoutcftheircflifecfspans.
2. Thiscfiscfincorrect.cf“HealthcfforcfAll”cfdoescfnotcfmeancfthecfgovernmentcfwillcfsupplycfmoneyc f t
ocfcarecfforcfallcfthecfpeoplecfincfthecfworld.
3. Thiscfiscfcorrect.cf“HealthcfforcfAll”cfmeanscfthatcfresourcescfforcfhealthcfcarecfarecfevenlyc f
distributedcfandcfaccessiblecftocfeveryone.
4. Thiscfiscfincorrect.cf“HealthcfforcfAll”cfdoescfnotcfmeancfthatcfhealth-
carecfproviderscfcancfdenyc f patientscfhealthcfcare.
2.cfHealthcfassessmentcfiscfacffoundationalcfandcfprioritycfnursingcfskill.cfThiscfessentialcfskillcfrequiresc f registere
dcfnursescf(RNs)cfto:
1. Diagnosecfandcftreatcfpatients.
2. Identifycfnormalcfandcfabnormalcffindings.
3. Refercfpatientscfwithcfabnormalcffindings.
4. Counselcfpatientscfwithcfpsychosocialcfneeds.
ANS:cf2
Page:cf5-6
Feedback
1. Thiscfiscfincorrect.cfThecfrolecfofcfthecfRNcfiscfnotcftocfdiagnosecfandcftreatcfpatients.
2. Thiscfiscfcorrect.cfAssessingcfpatientscfandcfbeingcfablecftocfidentifycfnormalcffromcfabnormalc f f
indingscfiscfancfessentialcfrolecfofcfthecfRN.
3. Thiscfiscfincorrect.cfRNscfincfcollaborationcfwithcfthecfhealth-
carecfproviderscfdocfreferc f patients.cfThiscfiscfnotcfthecfessentialcfandcffoundationalcfrole
4. cfincfhealth
This cfassessment.
cfiscfincorrect.cfRNscfdocfcounselcfpatients,cfbutcfitcfiscfnotcfthecfessentialcfandcffoundationalc f
rolecfincfhealthcfassessment.
3cf|cfPcfacfgcfe
, c TestcfBankcf-
f cfEssentialcfHealthcfAssessment,cf2ndcfeditioncf(Thompson,cf2023)cf
3.cfYoucfarecfassessingcfacfpatientcfwithcffivecfgunshotcfwoundscfoncfacftraumacfunit.cfTherecfiscfacfpolicec f presenc
ecfoutsidecfhiscfdoorcfbecausecfthecfpatientcfiscfacfknowncfdrugcfdealercfincfthecfcommunity.cfYoucfknowc f thatcfnurs
escfmustcftreatcfallcfpatientscfascfpersons.cfThiscfiscfcalled:
1. Caring.
2. Holisticcfprocess.
3. Person-centeredcfcarecf(PCC).
4. Standardscfofcfcare.
ANS:cf3
Page:cf2
Feedback
1. Thiscfiscfincorrect.cfCaringcfiscfdisplayingcfacfconcerncfforcfpatients.
2. Thiscfiscfincorrect.cfThecfholisticcfcaringcfprocesscfiscfacfrelationalcfprocess;cfthecfnursec f c
ollaboratescfwithcfthecfindividualcftocfpursuecfgoalscfforcfhealthcfandcfwell-being.
3. Thiscfiscfcorrect.cfThecfnewcfmovementcfincfhealthcfcarecfiscfperson-
centeredcfcarecf(PCC),c f whichcfemphasizescfthecfintrinsiccfvaluecfofcftreatingcfallcfpatientscfa
4. scfpersons.
This cfiscfincorrect.cfStandardscfofcfcarecfidentifycfstandardscfofcfprofessionalcfnursingc f p
ractice.
4.cfThecfscience-
basedcfframeworkcfupdatedcfeverycf10cfyearscfbycfthecfU.S.cfDepartmentcfofcfHealthcfandc f HumancfServicescftha
tcfhascfsetcfnationalcfgoalscfandcfobjectivescfforcfhealthcfpromotioncfandcfdiseasec f preventioncfis:
1. HealthycfPeople.
2. HealthycfPeoplecf2020.
3. U.S.cfPreventivecfTaskcfForce.
4. WorldcfHealthcfOrganization.
ANS:cf2
Page:cf2
Feedback
1. Thiscfiscfincorrect.cfHealthycfPeoplecfiscfthecfgeneralcftitlecfforcfthecfnation’scffederalcfinitiative.
2. Thiscfiscfcorrect.cfHealthycfPeoplecf2020cfspecificallycfidentifiescfscience-
based,cfnationalc f goalscfandcfobjectivescfwithcf10-
yearcftargetscfdesignedcftocfguidecfnationalcfhealthcfpromotionc f andcfdiseasecfpreventioncfeffortsc
ftocfimprovecfthecfhealthcfofcfallcfpeoplecfincfthecfUnitedcfc f c f States.
3. Thiscfiscfincorrect.cfThecfU.S.cfPreventivecfServicescfTaskcfForce’scfgoalcfiscftocfusecfevidence-
c f basedcfmedicinecftocfimprovecfthecfhealthcfofcfallcfAmericanscfbycfmakingcfevidence-
basedc f recommendationscfaboutcfclinicalcfpreventivecfservicescfsuchcfascfscreenings,cfcounseli
ngc f services,cfandcfpreventivecfmedications.
4. Thiscfiscfincorrect.cfThecfWorldcfHealthcfOrganizationcfiscfacfspecializedcfagencycfofcfthec f
UnitedcfNationscfworkingcftocfimprovecfthecfhealthcfofcfthecfworld’scfpeople.
4cf|cfPcfacfgcfe
cf
Essential Health Assessment 2nd Edition
cf cf cf cf
by Janice M Thompson, Chapter 1 - 24
cf cf cf cf cf cf cf
,Table of Contents
cf cf
Chaptercf01cfUnderstandingcfHealthcfAssessment 1
Chaptercf02cfInterviewingcfthecfPatientcfforcfthecfHealthcfHistory 11
Chaptercf03cfTakingcfthecfHealthcfHistory 40
Chaptercf04cfAssessingcfNutritioncfandcfAnthropometriccfMeasurements 61
Chaptercf05cfAssessmentcfTechniques 88
Chaptercf06cfGeneralcfSurveycfandcfAssessingcfVitalcfSigns 99
Chaptercf07cfAssessingcfPain 128
Chaptercf08cfAssessingcfthecfSkin,cfHair,cfandcfNails 149
Chaptercf09cfAssessingcfthecfHead,cfFace,cfMouth,cfandcfNeck 188
Chaptercf10cfAssessingcfthecfEars 229
Chaptercf11cfAssessingcfthecfEyes 250
Chaptercf12cfAssessingcfthecfRespiratorycfSystem 281
Chaptercf13cfAssessingcfthecfCardiovascularcfSystem 308
Chaptercf14cfAssessingcfthecfAbdomen 335
Chaptercf15cfAssessingcfthecfPeripheralcfVascularcfSystemcfandcfRegionalcfLymphaticcfSystem 363
Chaptercf16cfAssessingcfthecfMusculoskeletalcfSystem 391
Chaptercf17cfAssessingcfthecfNeurologicalcfSystem 417
Chaptercf18cfAssessingcfthecfFemalecfBreasts,cfAxillae,cfandcfReproductivecfSystem 451
Chaptercf19cfAssessingcfthecfMalecfBreastscfandcfReproductivecfSystem 477
Chaptercf20cfAssessingcfthecfAnuscfandcfRectum 501
Chaptercf21cfAssessingcfthecfNewborn 517
Chaptercf22cfAssessingcfthecfChildcfandcfAdolescent 555
Chaptercf23cfAssessingcfthecfPregnantcfWoman 583
Chaptercf24cfAssessingcfthecfOldercfAdult 612
,c TestcfBankcf-
f cfEssentialcfHealthcfAssessment,cf2ndcfeditioncf(Thompson,cf2023)cf
Chaptercf1:cfUnderstandingcfHealthcfAssessment
1.cfThecfWorldcfHealthcfOrganizationcf(WHO)cfestablishedcfacfglobalcfstrategycfcalledcf“HealthcfforcfAll.”c f Th
ecfgoalcfforcfthiscfstrategycfis:
1. Allcfindividualscftocfgetcfthecfsamecfhealthcfcarecfthroughoutcftheircflifecfspans.
2. Thecfgovernmentcftocfsupplycfmoneycftocfcarecfforcfallcfthecfpeoplecfincfthecfworld.
3. Resourcescfforcfhealthcfcarecftocfbecfevenlycfdistributedcfandcfaccessible.
4. Health-carecfproviderscfcancfnevercfdenycfpatientscfhealthcfcare.
ANS:cf3
Page:cf1
Feedback
1. Thiscfiscfincorrect.cf“HealthcfforcfAll”cfdoescfnotcfmeancfthatcfallcfindividualscfgetcfthecfsamec f
healthcfcarecfthroughoutcftheircflifecfspans.
2. Thiscfiscfincorrect.cf“HealthcfforcfAll”cfdoescfnotcfmeancfthecfgovernmentcfwillcfsupplycfmoneyc f t
ocfcarecfforcfallcfthecfpeoplecfincfthecfworld.
3. Thiscfiscfcorrect.cf“HealthcfforcfAll”cfmeanscfthatcfresourcescfforcfhealthcfcarecfarecfevenlyc f
distributedcfandcfaccessiblecftocfeveryone.
4. Thiscfiscfincorrect.cf“HealthcfforcfAll”cfdoescfnotcfmeancfthatcfhealth-
carecfproviderscfcancfdenyc f patientscfhealthcfcare.
2.cfHealthcfassessmentcfiscfacffoundationalcfandcfprioritycfnursingcfskill.cfThiscfessentialcfskillcfrequiresc f registere
dcfnursescf(RNs)cfto:
1. Diagnosecfandcftreatcfpatients.
2. Identifycfnormalcfandcfabnormalcffindings.
3. Refercfpatientscfwithcfabnormalcffindings.
4. Counselcfpatientscfwithcfpsychosocialcfneeds.
ANS:cf2
Page:cf5-6
Feedback
1. Thiscfiscfincorrect.cfThecfrolecfofcfthecfRNcfiscfnotcftocfdiagnosecfandcftreatcfpatients.
2. Thiscfiscfcorrect.cfAssessingcfpatientscfandcfbeingcfablecftocfidentifycfnormalcffromcfabnormalc f f
indingscfiscfancfessentialcfrolecfofcfthecfRN.
3. Thiscfiscfincorrect.cfRNscfincfcollaborationcfwithcfthecfhealth-
carecfproviderscfdocfreferc f patients.cfThiscfiscfnotcfthecfessentialcfandcffoundationalcfrole
4. cfincfhealth
This cfassessment.
cfiscfincorrect.cfRNscfdocfcounselcfpatients,cfbutcfitcfiscfnotcfthecfessentialcfandcffoundationalc f
rolecfincfhealthcfassessment.
3cf|cfPcfacfgcfe
, c TestcfBankcf-
f cfEssentialcfHealthcfAssessment,cf2ndcfeditioncf(Thompson,cf2023)cf
3.cfYoucfarecfassessingcfacfpatientcfwithcffivecfgunshotcfwoundscfoncfacftraumacfunit.cfTherecfiscfacfpolicec f presenc
ecfoutsidecfhiscfdoorcfbecausecfthecfpatientcfiscfacfknowncfdrugcfdealercfincfthecfcommunity.cfYoucfknowc f thatcfnurs
escfmustcftreatcfallcfpatientscfascfpersons.cfThiscfiscfcalled:
1. Caring.
2. Holisticcfprocess.
3. Person-centeredcfcarecf(PCC).
4. Standardscfofcfcare.
ANS:cf3
Page:cf2
Feedback
1. Thiscfiscfincorrect.cfCaringcfiscfdisplayingcfacfconcerncfforcfpatients.
2. Thiscfiscfincorrect.cfThecfholisticcfcaringcfprocesscfiscfacfrelationalcfprocess;cfthecfnursec f c
ollaboratescfwithcfthecfindividualcftocfpursuecfgoalscfforcfhealthcfandcfwell-being.
3. Thiscfiscfcorrect.cfThecfnewcfmovementcfincfhealthcfcarecfiscfperson-
centeredcfcarecf(PCC),c f whichcfemphasizescfthecfintrinsiccfvaluecfofcftreatingcfallcfpatientscfa
4. scfpersons.
This cfiscfincorrect.cfStandardscfofcfcarecfidentifycfstandardscfofcfprofessionalcfnursingc f p
ractice.
4.cfThecfscience-
basedcfframeworkcfupdatedcfeverycf10cfyearscfbycfthecfU.S.cfDepartmentcfofcfHealthcfandc f HumancfServicescftha
tcfhascfsetcfnationalcfgoalscfandcfobjectivescfforcfhealthcfpromotioncfandcfdiseasec f preventioncfis:
1. HealthycfPeople.
2. HealthycfPeoplecf2020.
3. U.S.cfPreventivecfTaskcfForce.
4. WorldcfHealthcfOrganization.
ANS:cf2
Page:cf2
Feedback
1. Thiscfiscfincorrect.cfHealthycfPeoplecfiscfthecfgeneralcftitlecfforcfthecfnation’scffederalcfinitiative.
2. Thiscfiscfcorrect.cfHealthycfPeoplecf2020cfspecificallycfidentifiescfscience-
based,cfnationalc f goalscfandcfobjectivescfwithcf10-
yearcftargetscfdesignedcftocfguidecfnationalcfhealthcfpromotionc f andcfdiseasecfpreventioncfeffortsc
ftocfimprovecfthecfhealthcfofcfallcfpeoplecfincfthecfUnitedcfc f c f States.
3. Thiscfiscfincorrect.cfThecfU.S.cfPreventivecfServicescfTaskcfForce’scfgoalcfiscftocfusecfevidence-
c f basedcfmedicinecftocfimprovecfthecfhealthcfofcfallcfAmericanscfbycfmakingcfevidence-
basedc f recommendationscfaboutcfclinicalcfpreventivecfservicescfsuchcfascfscreenings,cfcounseli
ngc f services,cfandcfpreventivecfmedications.
4. Thiscfiscfincorrect.cfThecfWorldcfHealthcfOrganizationcfiscfacfspecializedcfagencycfofcfthec f
UnitedcfNationscfworkingcftocfimprovecfthecfhealthcfofcfthecfworld’scfpeople.
4cf|cfPcfacfgcfe
