Advanced Health Assessment and Differential
m m m m m
Diagnosis Essentials for Clinical Practice 1st E
m m m m m m
dition Myrick
m m
TEST BANK m m
, Advanced Health Assessment and Differential Diagnosis Essentials fo
m m m m m m m
r Clinical Practice 1st Edition Myrick Test Bank
m m m m m m m
Chapterm 1.m Health m History,m Them Patientm Interview,m And m Motivationalm InterviewingmMULTIP
LEmCHOICE
1. Them nurse m ism preparingm to m conductm am health m history.m Which m of m thesem statementsm bestm describes
them purpose m of m am health m history?
a To m provide m an m opportunity m form interaction m between m them patientm and m them nurse
.
b To m provide m am formm form obtainingm them patientsm biographic m information
.
c To m documentm them normalm and m abnormalm findingsm of m am physicalm assessment
.
d To m provide m am database m ofm subjective minformation m aboutm them patientsm pastm a
. nd mcurrentmhealth
ANS:mD
Them purpose m of m themhealth m history mism to m collectm subjectivem datawhatm them person m saysm aboutm himm orm
herself.mThemothermoptionsmaremnotmcorrect.
DIF:m Cognitive m Level:m Understandingm (Comprehension)m REF:m dm.m 49
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
2. When m them nursem ism evaluatingm them reliability m of m am patientsm responses,m which m ofm thesem stateme
ntsmwould mbemcorrect?mThempatient:
a Hasm am history m of m drugm abusem and m therefore m ism notm reliable.
.
b Provided m consistentm information m and m therefore m ism reliable.
.
c Smiled m throughoutm interviewm and m therefore m ism assumed m reliable.
.
d Would m notm answerm questionsm concerningm stressm and m therefore m ism notm reliable.
.
ANS:mB
Am reliablem person m alwaysm givesm them samem answers,m evenm when m questionsm arem rephrased m orm
aremrepeated mlatermin mtheminterview.mThemothermstatementsmaremnotmcorrect.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 49
,MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
3. Am 59-year-
old m patientm tellsm them nursem thatm hem hasm ulcerative m colitis.m Hem hasm beenm havingm blackmstoolsm for
m the m lastm 24 m hours. m How m would m the m nurse m bestm documentm hism reason m form seekingm care?
a J.M.m ism am 59-year-old m man m seekingm treatmentm form ulcerative m colitis.
.
b J.M.m camem into m them clinicm complainingm of m havingm black m stoolsm form them past
. m 24 m
hours.
c J.M.m ism am 59-year-
. old m man m who m statesm thatm hem hasm ulcerative m colitism and m wantsm itmchecked.
d J.M.m ism am 59-year-
. old m man m who m statesm thatm hem hasm been m havingm black m stoolsm formthempastm24 mhou
rs.
ANS:mD
Them reason m form seekingm carem ism am briefm spontaneousmstatementm in m thempersonsm own m wordsm th
atmdescribesm them reason m formthem visit.m Itm statesm onem (possibly m two)m signsm orm symptomsm and mthe
irmduration.mItmismenclosed min mquotation mmarksmto mindicatemthempersonsmexactmwords.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 50
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
4. Am patientm tellsm them nursem thatm shem hasm had m abdominalm pain m form them pastm week.mWhatm would mbe
m the m
nursesmbestmresponse?
a Can m you m pointm to m wherem itm hurts?
.
b Wellm talk m morem aboutm thatm laterm in m them interview.
.
c Whatm havem you m had m to m eatm in m them lastm 24 m hours?
.
d Havem you m everm had m any m surgeriesm on m yourm abdomen?
.
ANS:mA
Am finalm summary m of m any m symptom m them person m hasmshould m include,m alongm with m seven m otherm criticalm
characteristics,mLocation:mspecific.mThemperson mismasked mto mpointmto mthemlocation.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 50
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
5. Am 29-year-
old m woman m tellsm them nursem thatm shem hasm excruciatingm pain m in m herm back.m Which m would mbemthemnu
rsesmappropriate mresponse mto mthemwomansmstatement?
, a Howm doesm yourm family m reactm to m yourm pain?
.
b Them pain m mustm bem terrible.m You m probably m pinched m am nerve.
.
c Ivem had m back m pain m myself,m and m itm can m bem excruciating.
.
d Howm would m you m say m them pain m affectsm yourm ability m to m do m yourm daily m activities?
.
ANS:mD
Them symptom m of m pain m ism difficultm to m quantify m becausem of m individualm interpretation.m With m pain,madj
ectivesm should m bem avoidedm andm them patientm should m bemaskedm howm them pain maffectsm hism orm herm daily m
activities.mThemothermresponsesmaremnotmappropriate.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 50
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
6. In m recordingm them childhood m illnessesm ofm am patientm who m deniesm havingm had many,m which m notem by
m the m
nursemwould mbemmostmaccurate?
a Patientm deniesm usualm childhood m illnesses.
.
b Patientm statesm hem wasm am very m healthy m child.
.
c Patientm statesm hism sisterm had m measles,m butm hem didnt.
.
d Patientm deniesm measles,m mumps,m rubella,m chickenpox, m pertussis,m and m strep m throat.
.
ANS:mD
Childhood m illnessesm includem measles,m mumps,m rubella,m chickenpox,m pertussis,m and m strep m throat.
mAvoid m recordingm usualm childhood m illnesses m because m anm illness m commonm in m the m persons m childh
ood mmay mbemunusualmtoday m(e.g.,mmeasles).
DIF:m Cognitive m Level:m Rememberingm (Knowledge)m REF:m dm.m 51
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
7. Am female m patientm tellsm them nursem thatm shemhasm had m six mpregnancies, mwith m fourm livem birthsm atm t
ermmand m two m spontaneousm abortions.m Herm fourm children m arem stillm living.m Howm would m them nursemr
ecord mthisminformation?
a P-6,m B-4,m (S)Ab-2
.
m m m m m
Diagnosis Essentials for Clinical Practice 1st E
m m m m m m
dition Myrick
m m
TEST BANK m m
, Advanced Health Assessment and Differential Diagnosis Essentials fo
m m m m m m m
r Clinical Practice 1st Edition Myrick Test Bank
m m m m m m m
Chapterm 1.m Health m History,m Them Patientm Interview,m And m Motivationalm InterviewingmMULTIP
LEmCHOICE
1. Them nurse m ism preparingm to m conductm am health m history.m Which m of m thesem statementsm bestm describes
them purpose m of m am health m history?
a To m provide m an m opportunity m form interaction m between m them patientm and m them nurse
.
b To m provide m am formm form obtainingm them patientsm biographic m information
.
c To m documentm them normalm and m abnormalm findingsm of m am physicalm assessment
.
d To m provide m am database m ofm subjective minformation m aboutm them patientsm pastm a
. nd mcurrentmhealth
ANS:mD
Them purpose m of m themhealth m history mism to m collectm subjectivem datawhatm them person m saysm aboutm himm orm
herself.mThemothermoptionsmaremnotmcorrect.
DIF:m Cognitive m Level:m Understandingm (Comprehension)m REF:m dm.m 49
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
2. When m them nursem ism evaluatingm them reliability m of m am patientsm responses,m which m ofm thesem stateme
ntsmwould mbemcorrect?mThempatient:
a Hasm am history m of m drugm abusem and m therefore m ism notm reliable.
.
b Provided m consistentm information m and m therefore m ism reliable.
.
c Smiled m throughoutm interviewm and m therefore m ism assumed m reliable.
.
d Would m notm answerm questionsm concerningm stressm and m therefore m ism notm reliable.
.
ANS:mB
Am reliablem person m alwaysm givesm them samem answers,m evenm when m questionsm arem rephrased m orm
aremrepeated mlatermin mtheminterview.mThemothermstatementsmaremnotmcorrect.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 49
,MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
3. Am 59-year-
old m patientm tellsm them nursem thatm hem hasm ulcerative m colitis.m Hem hasm beenm havingm blackmstoolsm for
m the m lastm 24 m hours. m How m would m the m nurse m bestm documentm hism reason m form seekingm care?
a J.M.m ism am 59-year-old m man m seekingm treatmentm form ulcerative m colitis.
.
b J.M.m camem into m them clinicm complainingm of m havingm black m stoolsm form them past
. m 24 m
hours.
c J.M.m ism am 59-year-
. old m man m who m statesm thatm hem hasm ulcerative m colitism and m wantsm itmchecked.
d J.M.m ism am 59-year-
. old m man m who m statesm thatm hem hasm been m havingm black m stoolsm formthempastm24 mhou
rs.
ANS:mD
Them reason m form seekingm carem ism am briefm spontaneousmstatementm in m thempersonsm own m wordsm th
atmdescribesm them reason m formthem visit.m Itm statesm onem (possibly m two)m signsm orm symptomsm and mthe
irmduration.mItmismenclosed min mquotation mmarksmto mindicatemthempersonsmexactmwords.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 50
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
4. Am patientm tellsm them nursem thatm shem hasm had m abdominalm pain m form them pastm week.mWhatm would mbe
m the m
nursesmbestmresponse?
a Can m you m pointm to m wherem itm hurts?
.
b Wellm talk m morem aboutm thatm laterm in m them interview.
.
c Whatm havem you m had m to m eatm in m them lastm 24 m hours?
.
d Havem you m everm had m any m surgeriesm on m yourm abdomen?
.
ANS:mA
Am finalm summary m of m any m symptom m them person m hasmshould m include,m alongm with m seven m otherm criticalm
characteristics,mLocation:mspecific.mThemperson mismasked mto mpointmto mthemlocation.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 50
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
5. Am 29-year-
old m woman m tellsm them nursem thatm shem hasm excruciatingm pain m in m herm back.m Which m would mbemthemnu
rsesmappropriate mresponse mto mthemwomansmstatement?
, a Howm doesm yourm family m reactm to m yourm pain?
.
b Them pain m mustm bem terrible.m You m probably m pinched m am nerve.
.
c Ivem had m back m pain m myself,m and m itm can m bem excruciating.
.
d Howm would m you m say m them pain m affectsm yourm ability m to m do m yourm daily m activities?
.
ANS:mD
Them symptom m of m pain m ism difficultm to m quantify m becausem of m individualm interpretation.m With m pain,madj
ectivesm should m bem avoidedm andm them patientm should m bemaskedm howm them pain maffectsm hism orm herm daily m
activities.mThemothermresponsesmaremnotmappropriate.
DIF:m Cognitive m Level:m Applyingm (Application)m REF:m dm.m 50
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
6. In m recordingm them childhood m illnessesm ofm am patientm who m deniesm havingm had many,m which m notem by
m the m
nursemwould mbemmostmaccurate?
a Patientm deniesm usualm childhood m illnesses.
.
b Patientm statesm hem wasm am very m healthy m child.
.
c Patientm statesm hism sisterm had m measles,m butm hem didnt.
.
d Patientm deniesm measles,m mumps,m rubella,m chickenpox, m pertussis,m and m strep m throat.
.
ANS:mD
Childhood m illnessesm includem measles,m mumps,m rubella,m chickenpox,m pertussis,m and m strep m throat.
mAvoid m recordingm usualm childhood m illnesses m because m anm illness m commonm in m the m persons m childh
ood mmay mbemunusualmtoday m(e.g.,mmeasles).
DIF:m Cognitive m Level:m Rememberingm (Knowledge)m REF:m dm.m 51
MSC:m Clientm Needs:m Safem and m Effective m Carem Environment:m Managementm of m Care
7. Am female m patientm tellsm them nursem thatm shemhasm had m six mpregnancies, mwith m fourm livem birthsm atm t
ermmand m two m spontaneousm abortions.m Herm fourm children m arem stillm living.m Howm would m them nursemr
ecord mthisminformation?
a P-6,m B-4,m (S)Ab-2
.
