Test Bank Complete_
Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice 1st Edition
By Karen Myrick, Laima Karosas & Suzanne Smeltzer
All Chapters 1-12| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,Chapter 1: Health History, The Patient Interview, And Motivational Interviewing _________ 3
Chapter 2: Advanced Health Assessment Of The Head, Neck, And Lymphatic System ______ 32
Chapter 3: Advanced Health Assessment Of The Nose, Mouth, And Throat ______________ 58
Chapter 4: Advanced Health Assessment Of The Eyes And Ears _______________________ 88
Chapter 5: Advanced Health Assessment Of Skin, Hair, And Nails ____________________ 115
Chapter 6: Advanced Health Assessment Of The Cardiovascular System _______________ 149
Chapter 7: Advanced Health Assessment Of The Respiratory System __________________ 176
Chapter 8: Advanced Health Assessment Of The Abdomen, Rectum, And Anus __________ 204
Chapter 9: Advanced Health Assessment Of The Male Genitourinary System ___________ 230
Chapter 10: Advanced Assessment Of The Female Reproductive System _______________ 253
Chapter 11: Advanced Health Assessment Of The Neurological System ________________ 281
Chapter 12: Advanced Health Assessment Of The Musculoskeletal System _____________ 309
,Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
Karen Myrick: Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice 1st Edition
MULTIPLE CHOICE
1. The Nurse Is Preparing To Conduct A2 Health History. Which Of These Statements
Best Describes The Purpose Of A Health History?
A. To Provide An Opportunity For Interaction Between The Patient And The Nurse
B. To Provide2 A Form For Obtaining The Patients Biographic Information
C. To Document The Normal And Abnormal Findings Of A Physical Assessment
D. To Provide A2 Database Of Subjective Information About The Patients Past And
Current Health
ANSWER: D
The Purpose Of The Health History Is To Collect Subjective Data What The Person Says
About Him Or Herself. The Other Options Are Not Correct.
A: While The Health History Does Involve Interaction, Its Primary Purpose Is Not Just
Interaction But To Gather Health Data.
B: Biographic Information Is Part Of The History But Not The Main Purpose.
C: This Refers To Objective Data Obtained During Physical Assessment, Not The Health
History.
DIF: Cognitive Level: Understanding (Comprehension) Ref: Dm. 49
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
2. When The Nurse Is Evaluating The Reliability Of A Patient’s Responses, Which Of
These Statements Would Be Correct? The Patient:
A. Has A History Of Drug2abuse And Therefore Is Not Reliable.
B. Provided Consistent Information And Therefore Is Reliable.
,C. Smiled Throughout Interview And Therefore Is Assumed Reliable.
D. Would Not Answer Questions Concerning Stress And Therefore Is Not Reliable.
ANSWER: B
A Reliable Person Always Gives The Same2 Answers, Even When Questions2 Are
Rephrased Or Are Repeated D Later In The Interview. The Other Statements Are Not
Correct.
A: A History Of Drug Abuse Does Not Automatically Mean The Patient Is Unreliable.
C: Smiling Or Nonverbal Cues Do Not Indicate Reliability.
D: Not Answering Certain Questions Doesn't Necessarily Make The Patient Unreliable.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 49
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
3. A 59-Year-Old Patient Tells The Nurse That He Has Ulcerative Colitis. He Has Been
Having Black Stools For The Last 24 Hours. How Would The Nurse Best Document His
Reason For Seeking2care?
A. J.M. Is A 59-Year-Old Man Seeking Treatment For Ulcerative Colitis.
B. J.M. Came Into The Clinic Complaining Of Having2 Black Stools For The Past
24hour S.
C. J.M. Is2a259-Year-Old Man Who States That He Has Ulcerative Colitis And Wants It
checked.
D. J.M. Is A 59-Year-Old Man Who States That He Has Been Having Black Stools For
the Past 24 Hours.
ANSWER: D
The Reason For Seeking Care Is A Brief Spontaneous Statement In The Persons Own
Words That describes The Reason For The Visit. It States One (Possibly Two) Signs Or
Symptoms And Their Duration. It Is2enc Losed In Quotation Marks To Indicate The
Persons Exact2words.
,A: The Purpose Of Documenting Is To State Symptoms And Their Duration, Not Just
Mention The Diagnosis.
B: It's Important To Record The Symptom As The Patient's Reason For Seeking Care.
C: This Option Is Not A Direct Quote From The Patient About Their Reason For Seeking
Care.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 50
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
4. A Patient Tells The Nurse That She Has Had Abdominal Pain For The Past Week.
What Would Be The nurses Best Response?
A. Can You Point To Where It Hurts?
B. Well Talk More2about That Later In The Interview.
C. What Have You Had To Eat In The Last 24 Hours?
D. Have You Ever Had Any Surgeries On Your Abdomen?
ANSWER: A
A Final Summary Of Any Symptom The Person Has Should Include, Along2with Seven
Other Critical Characteristics, Location: Specific. The Person Is Asked To Point To The
Location.
B: This Response Defers The Issue, Which Might Not Be Appropriate Given The Current
Concern.
C: This Focuses On The Patient’s Diet Rather Than Their Abdominal Pain.
D: Asking About Previous Surgeries Is Relevant Later But Not Immediately When
Addressing Current Pain.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 50
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
5. A 29-Year-Old Woman Tells The Nurse That She Has Excruciating Pain In Her Back.
Which Wouldbe2the Nurses Appropriate Response To The Womans2statement?
, A. How Does Your Family React To Your Pain?
B. The Pain Must Be Terrible. You Probably Pinched A Nerve.
C. I’ve Had Back Pain Myself, And It Can Be Excruciating.
D. How Would2 You Say The Pain2affects Your Ability To Do Your Daily Activities?
ANSWER: D
The Symptom Of Pain2 Is Difficult To Quantify Because Of Individual Interpretation.
With Pain, Adjectives Should Be Avoided And The Patient Should Be Asked How The
Pain Affects His Or Her Daily activities. The Other Responses Are Not Appropriate.
A: Asking About Family Reactions Doesn't Directly Address The Patient's Experience Of
Pain.
B: Offering A Diagnosis Or Assumption ("Probably Pinched A Nerve") Is Not
Appropriate.
C: Sharing Personal Experience May Seem Dismissive And Detract From The Patient's
Own Experience.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 50
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
6. In Recording2the Childhood Illnesses Of A Patient Who Denies Having Had Any,
Which Note By Then Urse Would2be Most Accurate?
A. Patient Denies Usual Childhood Illnesses.
B. Patient States He Was A Very Healthy Child.
C. Patient States His Sister Had2measles, But2he Didn’t.
D. Patient Denies Measles, Mumps, Rubella, Chickenpox, Pertussis, And Strep Throat.
ANSWER: D
Childhood Illnesses Include Measles, Mumps, Rubella, Chickenpox, Pertussis, And Strep
Throat. Avoid Recording Usual Childhood2 Illnesses Because An Illness Common In
The2 Persons Childhood may Be Unusual Today (E.G., Measles).
Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice 1st Edition
By Karen Myrick, Laima Karosas & Suzanne Smeltzer
All Chapters 1-12| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,Chapter 1: Health History, The Patient Interview, And Motivational Interviewing _________ 3
Chapter 2: Advanced Health Assessment Of The Head, Neck, And Lymphatic System ______ 32
Chapter 3: Advanced Health Assessment Of The Nose, Mouth, And Throat ______________ 58
Chapter 4: Advanced Health Assessment Of The Eyes And Ears _______________________ 88
Chapter 5: Advanced Health Assessment Of Skin, Hair, And Nails ____________________ 115
Chapter 6: Advanced Health Assessment Of The Cardiovascular System _______________ 149
Chapter 7: Advanced Health Assessment Of The Respiratory System __________________ 176
Chapter 8: Advanced Health Assessment Of The Abdomen, Rectum, And Anus __________ 204
Chapter 9: Advanced Health Assessment Of The Male Genitourinary System ___________ 230
Chapter 10: Advanced Assessment Of The Female Reproductive System _______________ 253
Chapter 11: Advanced Health Assessment Of The Neurological System ________________ 281
Chapter 12: Advanced Health Assessment Of The Musculoskeletal System _____________ 309
,Chapter 1: Health History, The Patient Interview, And Motivational Interviewing
Karen Myrick: Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice 1st Edition
MULTIPLE CHOICE
1. The Nurse Is Preparing To Conduct A2 Health History. Which Of These Statements
Best Describes The Purpose Of A Health History?
A. To Provide An Opportunity For Interaction Between The Patient And The Nurse
B. To Provide2 A Form For Obtaining The Patients Biographic Information
C. To Document The Normal And Abnormal Findings Of A Physical Assessment
D. To Provide A2 Database Of Subjective Information About The Patients Past And
Current Health
ANSWER: D
The Purpose Of The Health History Is To Collect Subjective Data What The Person Says
About Him Or Herself. The Other Options Are Not Correct.
A: While The Health History Does Involve Interaction, Its Primary Purpose Is Not Just
Interaction But To Gather Health Data.
B: Biographic Information Is Part Of The History But Not The Main Purpose.
C: This Refers To Objective Data Obtained During Physical Assessment, Not The Health
History.
DIF: Cognitive Level: Understanding (Comprehension) Ref: Dm. 49
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
2. When The Nurse Is Evaluating The Reliability Of A Patient’s Responses, Which Of
These Statements Would Be Correct? The Patient:
A. Has A History Of Drug2abuse And Therefore Is Not Reliable.
B. Provided Consistent Information And Therefore Is Reliable.
,C. Smiled Throughout Interview And Therefore Is Assumed Reliable.
D. Would Not Answer Questions Concerning Stress And Therefore Is Not Reliable.
ANSWER: B
A Reliable Person Always Gives The Same2 Answers, Even When Questions2 Are
Rephrased Or Are Repeated D Later In The Interview. The Other Statements Are Not
Correct.
A: A History Of Drug Abuse Does Not Automatically Mean The Patient Is Unreliable.
C: Smiling Or Nonverbal Cues Do Not Indicate Reliability.
D: Not Answering Certain Questions Doesn't Necessarily Make The Patient Unreliable.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 49
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
3. A 59-Year-Old Patient Tells The Nurse That He Has Ulcerative Colitis. He Has Been
Having Black Stools For The Last 24 Hours. How Would The Nurse Best Document His
Reason For Seeking2care?
A. J.M. Is A 59-Year-Old Man Seeking Treatment For Ulcerative Colitis.
B. J.M. Came Into The Clinic Complaining Of Having2 Black Stools For The Past
24hour S.
C. J.M. Is2a259-Year-Old Man Who States That He Has Ulcerative Colitis And Wants It
checked.
D. J.M. Is A 59-Year-Old Man Who States That He Has Been Having Black Stools For
the Past 24 Hours.
ANSWER: D
The Reason For Seeking Care Is A Brief Spontaneous Statement In The Persons Own
Words That describes The Reason For The Visit. It States One (Possibly Two) Signs Or
Symptoms And Their Duration. It Is2enc Losed In Quotation Marks To Indicate The
Persons Exact2words.
,A: The Purpose Of Documenting Is To State Symptoms And Their Duration, Not Just
Mention The Diagnosis.
B: It's Important To Record The Symptom As The Patient's Reason For Seeking Care.
C: This Option Is Not A Direct Quote From The Patient About Their Reason For Seeking
Care.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 50
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
4. A Patient Tells The Nurse That She Has Had Abdominal Pain For The Past Week.
What Would Be The nurses Best Response?
A. Can You Point To Where It Hurts?
B. Well Talk More2about That Later In The Interview.
C. What Have You Had To Eat In The Last 24 Hours?
D. Have You Ever Had Any Surgeries On Your Abdomen?
ANSWER: A
A Final Summary Of Any Symptom The Person Has Should Include, Along2with Seven
Other Critical Characteristics, Location: Specific. The Person Is Asked To Point To The
Location.
B: This Response Defers The Issue, Which Might Not Be Appropriate Given The Current
Concern.
C: This Focuses On The Patient’s Diet Rather Than Their Abdominal Pain.
D: Asking About Previous Surgeries Is Relevant Later But Not Immediately When
Addressing Current Pain.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 50
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
5. A 29-Year-Old Woman Tells The Nurse That She Has Excruciating Pain In Her Back.
Which Wouldbe2the Nurses Appropriate Response To The Womans2statement?
, A. How Does Your Family React To Your Pain?
B. The Pain Must Be Terrible. You Probably Pinched A Nerve.
C. I’ve Had Back Pain Myself, And It Can Be Excruciating.
D. How Would2 You Say The Pain2affects Your Ability To Do Your Daily Activities?
ANSWER: D
The Symptom Of Pain2 Is Difficult To Quantify Because Of Individual Interpretation.
With Pain, Adjectives Should Be Avoided And The Patient Should Be Asked How The
Pain Affects His Or Her Daily activities. The Other Responses Are Not Appropriate.
A: Asking About Family Reactions Doesn't Directly Address The Patient's Experience Of
Pain.
B: Offering A Diagnosis Or Assumption ("Probably Pinched A Nerve") Is Not
Appropriate.
C: Sharing Personal Experience May Seem Dismissive And Detract From The Patient's
Own Experience.
DIF: Cognitive Level: Applying (Application) Ref: Dm. 50
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
6. In Recording2the Childhood Illnesses Of A Patient Who Denies Having Had Any,
Which Note By Then Urse Would2be Most Accurate?
A. Patient Denies Usual Childhood Illnesses.
B. Patient States He Was A Very Healthy Child.
C. Patient States His Sister Had2measles, But2he Didn’t.
D. Patient Denies Measles, Mumps, Rubella, Chickenpox, Pertussis, And Strep Throat.
ANSWER: D
Childhood Illnesses Include Measles, Mumps, Rubella, Chickenpox, Pertussis, And Strep
Throat. Avoid Recording Usual Childhood2 Illnesses Because An Illness Common In
The2 Persons Childhood may Be Unusual Today (E.G., Measles).
