TEST BANK
g
Advanced Health Assessment and Differential Diagnosis: Essentials
g g g g g g
for Clinical Practice
g g g
Karen Myrick, and Laima Karosas
g g g g
1stgEdition
www.PlusBay.Plus
,TablegofgContents
Chapterg1.gHealthgHistory,gThegPatientgInterview,gAndgMotivationalgInterviewing 1
Chapterg2.gAdvancedgHealthgAssessmentgofgthegHead,gNeck,gandgLymphaticgSystem 13
Chapterg3.gAdvancedgHealthgAssessmentgofgthegNose,gMouth,gandgThroat 24
Chapterg4.gAdvancedgHealthgAssessmentgofgthegEyesgandgEars 36
Chapterg5.gAdvancedgHealthgAssessmentgofgSkin,gHair,gandgNails 42
Chapterg6.gAdvancedgHealthgAssessmentgofgthegCardiovasculargSystem 48
Chapterg7.gAdvancedgHealthgAssessmentgofgthegRespiratorygSystem 60
Chapterg8.gAdvancedgHealthgAssessmentgofgthegAbdomen,gRectum,gandgAnus 72
Chapterg9.gAdvancedgHealthgAssessmentgofgthegMalegGenitourinarygSystem 83
Chapterg10.gAdvancedgAssessmentgofgthegFemalegReproductivegSystem 93
Chapterg11.gAdvancedgHealthgAssessmentgofgthegNeurologicalgSystem 105
Chapterg12.gAdvancedgHealthgAssessmentgofgthegMusculoskeletalgSystem 117
www.PlusBay.Plus
, TestgBankg-
gAdvancedgHealthgAssessmentgandgDifferentialgDiagnosis,g1stgEditiong(Myrick,g2020)
Chapterg1.gHealthgHistory,gThegPatientgInterview,gAndgMotivationalgInterviewing
MULTIPLEgCHOICE
1. Thegnursegisgpreparinggtogconductgaghealthghistory.gWhichgofgthesegstatementsgbestgdescribesgt
hegpurposegofgaghealthghistory?
a. Togprovidegangopportunitygforginteractiongbetweengthegpatientgandgthegnurse
b. Togprovidegagformgforgobtaininggthegpatientsgbiographicginformation
c. Togdocumentgthegnormalgandgabnormalgfindingsgofgagphysicalgassessment
d. Togprovidegagdatabasegofgsubjectiveginformationgaboutgthegpatientsgpastgandgcurrentghealth
ANS:g D
Thegpurposegofgtheghealthghistorygisgtogcollectgsubjectivegdatagwhatgthegpersongsaysgaboutghimgorghe
rself.gThegothergoptionsgaregnotgcorrect.
DIF: CognitivegLevel:gUnderstandingg(Comprehension)
REF:g dm.g49gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
2. Whengthegnursegisgevaluatinggthegreliabilitygofgagpatientsgresponses,gwhichgofgthesegstatementsgwouldgbe
correct?gThegpatient:
a. Hasgaghistorygofgdruggabusegandgthereforegisgnotgreliable.
b. Providedgconsistentginformationgandgthereforegisgreliable.
c. Smiledgthroughoutginterviewgandgthereforegisgassumedgreliable.
d. Wouldgnotganswergquestionsgconcerninggstressgandgthereforegisgnotgreliable.
ANS:g B
Agreliablegpersongalwaysggivesgthegsameganswers,gevengwhengquestionsgaregrephrasedgorgaregrepeate
dglatergingtheginterview.gThegothergs t a t W
e mWe nWt s.a T
r e gB
noS
tgcMor.reW
ctS
.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g49gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
3. Ag59-year-
oldgpatientgtellsgthegnursegthatgheghasgulcerativegcolitis.gHeghasgbeenghavinggblackgstoolsgforgtheglast
g24ghours.gHowgwouldgthegnursegbestgdocumentghisgreasongforgseekinggcare?
a. J.M.gisgag59-year-oldgmangseekinggtreatmentgforgulcerativegcolitis.
b. J.M.gcamegintogthegclinicgcomplaininggofghavinggblackgstoolsgforgthegpastg24ghours.
c. J.M.gisgag59-year-oldgmangwhogstatesgthatgheghasgulcerativegcolitisgandgwantsgitgchecked.
d. J.M.gisgag59-year-
oldgmangwhogstatesgthatgheghasgbeenghavinggblackgstoolsgforgthegpastg24ghours.
ANS:g D
Thegreasongforgseekinggcaregisgagbriefgspontaneousgstatementgingthegpersonsgowngwordsgthatgdescribe
sgthegreasongforgthegvisit.gItgstatesgoneg(possiblygtwo)gsignsgorgsymptomsgandgtheirgduration.gItgisgencl
osedgingquotationgmarksgtogindicategthegpersonsgexactgwords.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g50gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
4. Agpatientgtellsgthegnursegthatgsheghasghadgabdominalgpaingforgthegpastgweek.gWhatgwouldgbegthegnur
sesgbestgresponse?
a. Cangyougpointgtogwheregitghurts?
b. Wellgtalkgmoregaboutgthatglatergingtheginterview.
c. Whatghavegyoughadgtogeatgingtheglastg24ghours?
1g|gPgaggge
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, TestgBankg-
gAdvancedgHealthgAssessmentgandgDifferentialgDiagnosis,g1stgEditiong(Myrick,g2020)
d. Havegyougeverghadganygsurgeriesgongyourgabdomen
?gANS:g A
Agfinalgsummarygofganygsymptomgthegpersonghasgshouldginclude,galonggwithgsevengothergcriticalgcharac
teristics,gLocation:gspecific.gThegpersongisgaskedgtogpointgtogtheglocation.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g50gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
5. Ag29-year-
oldgwomangtellsgthegnursegthatgsheghasgexcruciatinggpainginghergback.gWhichgwouldgbegthegnursesg
appropriategresponsegtogthegwomansgstatement?
a. Howgdoesgyourgfamilygreactgtogyourgpain?
b. Thegpaingmustgbegterrible.gYougprobablygpinchedgagnerve.
c. Iveghadgbackgpaingmyself,gandgitgcangbegexcruciating.
d. Howgwouldgyougsaygthegpaingaffectsgyourgabilitygtogdogyourgdailygactivities?
ANS:g D
Thegsymptomgofgpaingisgdifficultgtogquantifygbecausegofgindividualginterpretation.gWithgpain,gadjectivesg
shouldgbegavoidedgandgthegpatientgshouldgbegaskedghowgthegpaingaffectsghisgorghergdailygactivities.gTheg
othergresponsesgaregnotgappropriate.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g50gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
6. Ingrecordinggthegchildhoodgillnessesgofgagpatientgwhogdeniesghavingghadgany,gwhichgnotegbygthegnu
rsegwouldgbegmostgaccurate?
a. Patientgdeniesgusualgchildhoodgillnesses.
b. Patientgstatesghegwasgagveryghealthygchild.
c. Patientgstatesghisgsisterghadgmeasles,gbutghegdidnt.
d. Patientgdeniesgmeasles,gmumps,Wr uWbeWll .
a, gT
chB
ickSenMp.
oxW
,gpSertussis,gandgstrepgthroat.
ANS:g D
Childhoodgillnessesgincludegmeasles,gmumps,grubella,gchickenpox,gpertussis,gandgstrepgthroat.gAvoid
grecordinggusualgchildhoodgillnessesgbecausegangillnessgcommongingthegpersonsgchildhoodgmaygbegu
nusualgtodayg(e.g.,gmeasles).
DIF: CognitivegLevel:gRememberingg(Knowledge)
REF:g dm.g51gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
7. Agfemalegpatientgtellsgthegnursegthatgsheghasghadgsixgpregnancies,gwithgfourglivegbirthsgatgtermgandgt
wogspontaneousgabortions.gHergfourgchildrengaregstillgliving.gHowgwouldgthegnursegrecordgthisginform
ation?
a. P-6,gB-4,g(S)Ab-2
b. Gravg6,gTermg4,g(S)Ab-2,gLivingg4
c. Patientghasghadgfourglivinggbabies.
d. Patientghasgbeengpregnantgsixgtimes.
ANS:g B
Obstetricghistorygincludesgthegnumbergofgpregnanciesg(gravidity),gnumbergofgdeliveriesgingwhichgt
hegfetusgreachedgtermg(term),gnumbergofgpretermgpregnanciesg(preterm),gnumbergofgincompletegpr
egnanciesg(abortions),gandgnumbergofgchildrenglivingg(living).gThisgisgrecorded:gGravg
gTermg Pretermg Abg Livingg
.gForganygincompletegpregnancies,gthegdurationgisgrecordedgandgwhethergtheg
pregnancygresultedgingagspontaneousg(S)gorganginducedg(I)gabortion.
2g|gPgaggge
www.PlusBay.Plus
g
Advanced Health Assessment and Differential Diagnosis: Essentials
g g g g g g
for Clinical Practice
g g g
Karen Myrick, and Laima Karosas
g g g g
1stgEdition
www.PlusBay.Plus
,TablegofgContents
Chapterg1.gHealthgHistory,gThegPatientgInterview,gAndgMotivationalgInterviewing 1
Chapterg2.gAdvancedgHealthgAssessmentgofgthegHead,gNeck,gandgLymphaticgSystem 13
Chapterg3.gAdvancedgHealthgAssessmentgofgthegNose,gMouth,gandgThroat 24
Chapterg4.gAdvancedgHealthgAssessmentgofgthegEyesgandgEars 36
Chapterg5.gAdvancedgHealthgAssessmentgofgSkin,gHair,gandgNails 42
Chapterg6.gAdvancedgHealthgAssessmentgofgthegCardiovasculargSystem 48
Chapterg7.gAdvancedgHealthgAssessmentgofgthegRespiratorygSystem 60
Chapterg8.gAdvancedgHealthgAssessmentgofgthegAbdomen,gRectum,gandgAnus 72
Chapterg9.gAdvancedgHealthgAssessmentgofgthegMalegGenitourinarygSystem 83
Chapterg10.gAdvancedgAssessmentgofgthegFemalegReproductivegSystem 93
Chapterg11.gAdvancedgHealthgAssessmentgofgthegNeurologicalgSystem 105
Chapterg12.gAdvancedgHealthgAssessmentgofgthegMusculoskeletalgSystem 117
www.PlusBay.Plus
, TestgBankg-
gAdvancedgHealthgAssessmentgandgDifferentialgDiagnosis,g1stgEditiong(Myrick,g2020)
Chapterg1.gHealthgHistory,gThegPatientgInterview,gAndgMotivationalgInterviewing
MULTIPLEgCHOICE
1. Thegnursegisgpreparinggtogconductgaghealthghistory.gWhichgofgthesegstatementsgbestgdescribesgt
hegpurposegofgaghealthghistory?
a. Togprovidegangopportunitygforginteractiongbetweengthegpatientgandgthegnurse
b. Togprovidegagformgforgobtaininggthegpatientsgbiographicginformation
c. Togdocumentgthegnormalgandgabnormalgfindingsgofgagphysicalgassessment
d. Togprovidegagdatabasegofgsubjectiveginformationgaboutgthegpatientsgpastgandgcurrentghealth
ANS:g D
Thegpurposegofgtheghealthghistorygisgtogcollectgsubjectivegdatagwhatgthegpersongsaysgaboutghimgorghe
rself.gThegothergoptionsgaregnotgcorrect.
DIF: CognitivegLevel:gUnderstandingg(Comprehension)
REF:g dm.g49gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
2. Whengthegnursegisgevaluatinggthegreliabilitygofgagpatientsgresponses,gwhichgofgthesegstatementsgwouldgbe
correct?gThegpatient:
a. Hasgaghistorygofgdruggabusegandgthereforegisgnotgreliable.
b. Providedgconsistentginformationgandgthereforegisgreliable.
c. Smiledgthroughoutginterviewgandgthereforegisgassumedgreliable.
d. Wouldgnotganswergquestionsgconcerninggstressgandgthereforegisgnotgreliable.
ANS:g B
Agreliablegpersongalwaysggivesgthegsameganswers,gevengwhengquestionsgaregrephrasedgorgaregrepeate
dglatergingtheginterview.gThegothergs t a t W
e mWe nWt s.a T
r e gB
noS
tgcMor.reW
ctS
.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g49gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
3. Ag59-year-
oldgpatientgtellsgthegnursegthatgheghasgulcerativegcolitis.gHeghasgbeenghavinggblackgstoolsgforgtheglast
g24ghours.gHowgwouldgthegnursegbestgdocumentghisgreasongforgseekinggcare?
a. J.M.gisgag59-year-oldgmangseekinggtreatmentgforgulcerativegcolitis.
b. J.M.gcamegintogthegclinicgcomplaininggofghavinggblackgstoolsgforgthegpastg24ghours.
c. J.M.gisgag59-year-oldgmangwhogstatesgthatgheghasgulcerativegcolitisgandgwantsgitgchecked.
d. J.M.gisgag59-year-
oldgmangwhogstatesgthatgheghasgbeenghavinggblackgstoolsgforgthegpastg24ghours.
ANS:g D
Thegreasongforgseekinggcaregisgagbriefgspontaneousgstatementgingthegpersonsgowngwordsgthatgdescribe
sgthegreasongforgthegvisit.gItgstatesgoneg(possiblygtwo)gsignsgorgsymptomsgandgtheirgduration.gItgisgencl
osedgingquotationgmarksgtogindicategthegpersonsgexactgwords.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g50gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
4. Agpatientgtellsgthegnursegthatgsheghasghadgabdominalgpaingforgthegpastgweek.gWhatgwouldgbegthegnur
sesgbestgresponse?
a. Cangyougpointgtogwheregitghurts?
b. Wellgtalkgmoregaboutgthatglatergingtheginterview.
c. Whatghavegyoughadgtogeatgingtheglastg24ghours?
1g|gPgaggge
www.PlusBay.Plus
, TestgBankg-
gAdvancedgHealthgAssessmentgandgDifferentialgDiagnosis,g1stgEditiong(Myrick,g2020)
d. Havegyougeverghadganygsurgeriesgongyourgabdomen
?gANS:g A
Agfinalgsummarygofganygsymptomgthegpersonghasgshouldginclude,galonggwithgsevengothergcriticalgcharac
teristics,gLocation:gspecific.gThegpersongisgaskedgtogpointgtogtheglocation.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g50gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
5. Ag29-year-
oldgwomangtellsgthegnursegthatgsheghasgexcruciatinggpainginghergback.gWhichgwouldgbegthegnursesg
appropriategresponsegtogthegwomansgstatement?
a. Howgdoesgyourgfamilygreactgtogyourgpain?
b. Thegpaingmustgbegterrible.gYougprobablygpinchedgagnerve.
c. Iveghadgbackgpaingmyself,gandgitgcangbegexcruciating.
d. Howgwouldgyougsaygthegpaingaffectsgyourgabilitygtogdogyourgdailygactivities?
ANS:g D
Thegsymptomgofgpaingisgdifficultgtogquantifygbecausegofgindividualginterpretation.gWithgpain,gadjectivesg
shouldgbegavoidedgandgthegpatientgshouldgbegaskedghowgthegpaingaffectsghisgorghergdailygactivities.gTheg
othergresponsesgaregnotgappropriate.
DIF: CognitivegLevel:gApplyingg(Application)
REF:g dm.g50gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
6. Ingrecordinggthegchildhoodgillnessesgofgagpatientgwhogdeniesghavingghadgany,gwhichgnotegbygthegnu
rsegwouldgbegmostgaccurate?
a. Patientgdeniesgusualgchildhoodgillnesses.
b. Patientgstatesghegwasgagveryghealthygchild.
c. Patientgstatesghisgsisterghadgmeasles,gbutghegdidnt.
d. Patientgdeniesgmeasles,gmumps,Wr uWbeWll .
a, gT
chB
ickSenMp.
oxW
,gpSertussis,gandgstrepgthroat.
ANS:g D
Childhoodgillnessesgincludegmeasles,gmumps,grubella,gchickenpox,gpertussis,gandgstrepgthroat.gAvoid
grecordinggusualgchildhoodgillnessesgbecausegangillnessgcommongingthegpersonsgchildhoodgmaygbegu
nusualgtodayg(e.g.,gmeasles).
DIF: CognitivegLevel:gRememberingg(Knowledge)
REF:g dm.g51gMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironmen
t:gManagementgofgCare
7. Agfemalegpatientgtellsgthegnursegthatgsheghasghadgsixgpregnancies,gwithgfourglivegbirthsgatgtermgandgt
wogspontaneousgabortions.gHergfourgchildrengaregstillgliving.gHowgwouldgthegnursegrecordgthisginform
ation?
a. P-6,gB-4,g(S)Ab-2
b. Gravg6,gTermg4,g(S)Ab-2,gLivingg4
c. Patientghasghadgfourglivinggbabies.
d. Patientghasgbeengpregnantgsixgtimes.
ANS:g B
Obstetricghistorygincludesgthegnumbergofgpregnanciesg(gravidity),gnumbergofgdeliveriesgingwhichgt
hegfetusgreachedgtermg(term),gnumbergofgpretermgpregnanciesg(preterm),gnumbergofgincompletegpr
egnanciesg(abortions),gandgnumbergofgchildrenglivingg(living).gThisgisgrecorded:gGravg
gTermg Pretermg Abg Livingg
.gForganygincompletegpregnancies,gthegdurationgisgrecordedgandgwhethergtheg
pregnancygresultedgingagspontaneousg(S)gorganginducedg(I)gabortion.
2g|gPgaggge
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