TEST BANK
g
Essential Health Assessment
g g
Janice M Thompson
g g
1stgEdition
,TablegofgContents
Chapterg01gUnderstandinggHealthgAssessment 1
Chapterg02gInterviewinggthegPatientgforgthegHealthgHistory 11
Chapterg03gTakinggthegHealthgHistory 40
Chapterg04gAssessinggNutritiongandgAnthropometricgMeasurements 61
Chapterg05gAssessmentgTechniques 88
Chapterg06gGeneralgSurveygandgAssessinggVitalgSigns 99
Chapterg07gAssessinggPain 128
Chapterg08gAssessinggthegSkin,gHair,gandgNails 149
Chapterg09gAssessinggthegHead,gFace,gMouth,gandgNeck 188
Chapterg10gAssessinggthegEars 229
Chapterg11gAssessinggthegEyes 250
Chapterg12gAssessinggthegRespiratorygSystem 281
Chapterg13gAssessinggthegCardiovasculargSystem 308
Chapterg14gAssessinggthegAbdomen 335
Chapterg15gAssessinggthegPeripheralgVasculargSystemgandgRegionalgLymphaticgSystem 363
Chapterg16gAssessinggthegMusculoskeletalgSystem 391
Chapterg17gAssessinggthegNeurologicalgSystem 417
Chapterg18gAssessinggthegFemalegBreasts,gAxillae,gandgReproductivegSystem 451
Chapterg19gAssessinggthegMalegBreastsgandgReproductivegSystem 477
Chapterg20gAssessinggthegAnusgandgRectum 501
Chapterg21gAssessinggthegNewborn 517
Chapterg22gAssessinggthegChildgandgAdolescent 555
Chapterg23gAssessinggthegPregnantgWoman 583
Chapterg24gAssessinggthegOldergAdult 612
, TestgBankg-
gEssentialgHealthgAssessment,g1stgeditiong(Thompson,g2025)
Chapterg1:gUnderstandinggHealthgAssessment
1. ThegWorldgHealthgOrganizationg(WHO)gestablishedgagglobalgstrategygcalledg“HealthgforgAll.
”gTheggoalgforgthisgstrategygis:
1. Allgindividualsgtoggetgthegsameghealthgcaregthroughoutgtheirglifegspans.
2. Theggovernmentgtogsupplygmoneygtogcaregforgallgthegpeoplegingthegworld.
3. Resourcesgforghealthgcaregtogbegevenlygdistributedgandgaccessible.
4. Health-caregprovidersgcangnevergdenygpatientsghealthgcare.
2. Healthgassessmentgisgagfoundationalgandgprioritygnursinggskill.gThisgessentialgskillgrequire
sgregisteredgnursesg(RNs)gto:
1. Diagnosegandgtreatgpatients.
2. Identifygnormalgandgabnormalgfindings.
3. Refergpatientsgwithgabnormalgfindings.
4. Counselgpatientsgwithgpsychosocialgneeds.
3. Yougaregassessinggagpatientgwithgfiveggunshotgwoundsgongagtraumagunit.gTheregisgagpolicegpres
encegoutsideghisgdoorgbecausegthegpatientgisgagknowngdruggdealergingthegcommunity.gYougknowgth
atgnursesgmustgtreatgallgpatientsgasgpersons.gThisgisgcalled:
1. Caring.
2. Holisticgprocess.
3. Person-centeredgcareg(PCC).
4. Standardsgofgcare.
4. Thegscience-
basedgframeworkgupdatedgeveryg10gyearsgbygthegU.S.gDepartmentgofgHealthgandgHumangServi
cesgthatghasgsetgnationalggoalsgandgobjectivesgforghealthgpromotiongandgdiseasegpreventiongis:
1. HealthygPeople.
2. HealthygPeopleg2020.
3. U.S.gPreventivegTaskgForce.
4. WorldgHealthgOrganization.
5. Ag38-year-oldgmaleghasgagfamilyghistorygofgcolongcancer.gHisgfathergdiedgofgcolongcancergatgage
48.gThegdoctorgrecommendedgthatgthisgpatientghavegagcolonoscopygthisgyear.gThisgisgangexamplegof:
1. Primaryghealthgprevention.
1
g|gPgaggge
, TestgBankg-
gEssentialgHealthgAssessment,g1stgeditiong(Thompson,g2025)
2. Secondaryghealthgprevention.
3. Tertiaryghealthgprevention.
6. Agpatientgingtheghospitalgputsgonghisgcallglightgandgtellsgthegpersongansweringgthatgheg“thinksgheg
isgrunninggagfevergandghasgstomachgdiscomfort.”gYougaregthegregisteredgnursegingcharge.gWhatgsh
ouldgyougdo?
1. Askgthegmedicalgassistantgtoggogtogthegpatient’sgroomgandgassessghisgcomplaints.
2. GogcheckgtogseegifgthegpatientghasgangordergforgTylenolgforgagfever.
3. Pagegthegresidentgongcallgimmediatelygtogassessgthegpatient.
4. Gogtogthegpatient’sgroomgandgassessgforgfevergandgthegepigastricgdiscomfort.
7. Yougaregleadingganginterdisciplinarygteamgconferencegtogdiscussghowgtogprovidegbettergcaregforg
agchallenginggpatientgwhoghasgbehavioralgproblems.gTheregaregseveralgareasgthatgneedgtogbegprobl
emgsolvedgandgnewgideasgformulatedgtogcreategangimprovedgplangofgcare.gWhatgcognitivegskillsgar
egyougusing?
1. Criticalgthinking
2. Clinicalgdecisiongmaking
3. Intuitivegthinking
4. Clinicalgreasoning
8. Bestgpracticegassessmentgtechniquesgandginstrumentsghavegbeengvalidatedgby:
1. AmericangNursesgAssociation.
2. CodegofgEthicsgforgNursesgWithgInterpretivegStatements.
3. Researchgandgevidence-basedgpractice.
4. PatientgProtectiongandgAffordablegCaregAct.
9. Healthgandgillnessgaregdeterminedgbygmanygfactors.gWhatgaregthegdeterminantsgofghealthgidentifie
dgbygthegCentersgforgDiseasegControlgandgPreventiong(CDC)?gSelectgallgthatgapply.
1. Geneticsgandgbiology
2. Gendergandgoccupation
3. Individualgbehavior
4. Socialgenvironment
5. Physicalgenvironment
6. Healthgservices
2
g|gPgaggge
g
Essential Health Assessment
g g
Janice M Thompson
g g
1stgEdition
,TablegofgContents
Chapterg01gUnderstandinggHealthgAssessment 1
Chapterg02gInterviewinggthegPatientgforgthegHealthgHistory 11
Chapterg03gTakinggthegHealthgHistory 40
Chapterg04gAssessinggNutritiongandgAnthropometricgMeasurements 61
Chapterg05gAssessmentgTechniques 88
Chapterg06gGeneralgSurveygandgAssessinggVitalgSigns 99
Chapterg07gAssessinggPain 128
Chapterg08gAssessinggthegSkin,gHair,gandgNails 149
Chapterg09gAssessinggthegHead,gFace,gMouth,gandgNeck 188
Chapterg10gAssessinggthegEars 229
Chapterg11gAssessinggthegEyes 250
Chapterg12gAssessinggthegRespiratorygSystem 281
Chapterg13gAssessinggthegCardiovasculargSystem 308
Chapterg14gAssessinggthegAbdomen 335
Chapterg15gAssessinggthegPeripheralgVasculargSystemgandgRegionalgLymphaticgSystem 363
Chapterg16gAssessinggthegMusculoskeletalgSystem 391
Chapterg17gAssessinggthegNeurologicalgSystem 417
Chapterg18gAssessinggthegFemalegBreasts,gAxillae,gandgReproductivegSystem 451
Chapterg19gAssessinggthegMalegBreastsgandgReproductivegSystem 477
Chapterg20gAssessinggthegAnusgandgRectum 501
Chapterg21gAssessinggthegNewborn 517
Chapterg22gAssessinggthegChildgandgAdolescent 555
Chapterg23gAssessinggthegPregnantgWoman 583
Chapterg24gAssessinggthegOldergAdult 612
, TestgBankg-
gEssentialgHealthgAssessment,g1stgeditiong(Thompson,g2025)
Chapterg1:gUnderstandinggHealthgAssessment
1. ThegWorldgHealthgOrganizationg(WHO)gestablishedgagglobalgstrategygcalledg“HealthgforgAll.
”gTheggoalgforgthisgstrategygis:
1. Allgindividualsgtoggetgthegsameghealthgcaregthroughoutgtheirglifegspans.
2. Theggovernmentgtogsupplygmoneygtogcaregforgallgthegpeoplegingthegworld.
3. Resourcesgforghealthgcaregtogbegevenlygdistributedgandgaccessible.
4. Health-caregprovidersgcangnevergdenygpatientsghealthgcare.
2. Healthgassessmentgisgagfoundationalgandgprioritygnursinggskill.gThisgessentialgskillgrequire
sgregisteredgnursesg(RNs)gto:
1. Diagnosegandgtreatgpatients.
2. Identifygnormalgandgabnormalgfindings.
3. Refergpatientsgwithgabnormalgfindings.
4. Counselgpatientsgwithgpsychosocialgneeds.
3. Yougaregassessinggagpatientgwithgfiveggunshotgwoundsgongagtraumagunit.gTheregisgagpolicegpres
encegoutsideghisgdoorgbecausegthegpatientgisgagknowngdruggdealergingthegcommunity.gYougknowgth
atgnursesgmustgtreatgallgpatientsgasgpersons.gThisgisgcalled:
1. Caring.
2. Holisticgprocess.
3. Person-centeredgcareg(PCC).
4. Standardsgofgcare.
4. Thegscience-
basedgframeworkgupdatedgeveryg10gyearsgbygthegU.S.gDepartmentgofgHealthgandgHumangServi
cesgthatghasgsetgnationalggoalsgandgobjectivesgforghealthgpromotiongandgdiseasegpreventiongis:
1. HealthygPeople.
2. HealthygPeopleg2020.
3. U.S.gPreventivegTaskgForce.
4. WorldgHealthgOrganization.
5. Ag38-year-oldgmaleghasgagfamilyghistorygofgcolongcancer.gHisgfathergdiedgofgcolongcancergatgage
48.gThegdoctorgrecommendedgthatgthisgpatientghavegagcolonoscopygthisgyear.gThisgisgangexamplegof:
1. Primaryghealthgprevention.
1
g|gPgaggge
, TestgBankg-
gEssentialgHealthgAssessment,g1stgeditiong(Thompson,g2025)
2. Secondaryghealthgprevention.
3. Tertiaryghealthgprevention.
6. Agpatientgingtheghospitalgputsgonghisgcallglightgandgtellsgthegpersongansweringgthatgheg“thinksgheg
isgrunninggagfevergandghasgstomachgdiscomfort.”gYougaregthegregisteredgnursegingcharge.gWhatgsh
ouldgyougdo?
1. Askgthegmedicalgassistantgtoggogtogthegpatient’sgroomgandgassessghisgcomplaints.
2. GogcheckgtogseegifgthegpatientghasgangordergforgTylenolgforgagfever.
3. Pagegthegresidentgongcallgimmediatelygtogassessgthegpatient.
4. Gogtogthegpatient’sgroomgandgassessgforgfevergandgthegepigastricgdiscomfort.
7. Yougaregleadingganginterdisciplinarygteamgconferencegtogdiscussghowgtogprovidegbettergcaregforg
agchallenginggpatientgwhoghasgbehavioralgproblems.gTheregaregseveralgareasgthatgneedgtogbegprobl
emgsolvedgandgnewgideasgformulatedgtogcreategangimprovedgplangofgcare.gWhatgcognitivegskillsgar
egyougusing?
1. Criticalgthinking
2. Clinicalgdecisiongmaking
3. Intuitivegthinking
4. Clinicalgreasoning
8. Bestgpracticegassessmentgtechniquesgandginstrumentsghavegbeengvalidatedgby:
1. AmericangNursesgAssociation.
2. CodegofgEthicsgforgNursesgWithgInterpretivegStatements.
3. Researchgandgevidence-basedgpractice.
4. PatientgProtectiongandgAffordablegCaregAct.
9. Healthgandgillnessgaregdeterminedgbygmanygfactors.gWhatgaregthegdeterminantsgofghealthgidentifie
dgbygthegCentersgforgDiseasegControlgandgPreventiong(CDC)?gSelectgallgthatgapply.
1. Geneticsgandgbiology
2. Gendergandgoccupation
3. Individualgbehavior
4. Socialgenvironment
5. Physicalgenvironment
6. Healthgservices
2
g|gPgaggge
