M
Essential Health Assessment 2nd Edition
M M M M
by Janice M Thompson, Chapter 1 - 24
M M M M M M M
,Table of Contents
M M
ChapterM01MUnderstandingMHealthMAssessment 1
ChapterM02MInterviewingMtheMPatientMforMtheMHealthMHistory 11
ChapterM03MTakingMtheMHealthMHistory 40
ChapterM04MAssessingMNutritionMandMAnthropometricMMeasurements 61
ChapterM05MAssessmentMTechniques 88
ChapterM06MGeneralMSurveyMandMAssessingMVitalMSigns 99
ChapterM07MAssessingMPain 128
ChapterM08MAssessingMtheMSkin,MHair,MandMNails 149
ChapterM09MAssessingMtheMHead,MFace,MMouth,MandMNeck 188
ChapterM10MAssessingMtheMEars 229
ChapterM11MAssessingMtheMEyes 250
ChapterM12MAssessingMtheMRespiratoryMSystem 281
ChapterM13MAssessingMtheMCardiovascularMSystem 308
ChapterM14MAssessingMtheMAbdomen 335
ChapterM15MAssessingMtheMPeripheralMVascularMSystemMandMRegionalMLymphaticMSystem 363
ChapterM16MAssessingMtheMMusculoskeletalMSystem 391
ChapterM17MAssessingMtheMNeurologicalMSystem 417
ChapterM18MAssessingMtheMFemaleMBreasts,MAxillae,MandMReproductiveMSystem 451
ChapterM19MAssessingMtheMMaleMBreastsMandMReproductiveMSystem 477
ChapterM20MAssessingMtheMAnusMandMRectum 501
ChapterM21MAssessingMtheMNewborn 517
ChapterM22MAssessingMtheMChildMandMAdolescent 555
ChapterM23MAssessingMtheMPregnantMWoman 583
ChapterM24MAssessingMtheMOlderMAdult 612
,M TestMBankM-
MEssentialMHealthMAssessment,M2ndMeditionM(Thompson,M2023)M
ChapterM1:MUnderstandingMHealthMAssessment
1.MTheMWorldMHealthMOrganizationM(WHO)MestablishedMaMglobalMstrategyMcalledM“HealthMforMAll.”M T
heMgoalMforMthisMstrategyMis:
1. AllMindividualsMtoMgetMtheMsameMhealthMcareMthroughoutMtheirMlifeMspans.
2. TheMgovernmentMtoMsupplyMmoneyMtoMcareMforMallMtheMpeopleMinMtheMworld.
3. ResourcesMforMhealthMcareMtoMbeMevenlyMdistributedMandMaccessible.
4. Health-careMprovidersMcanMneverMdenyMpatientsMhealthMcare.
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1. ThisMisMincorrect.M“HealthMforMAll”MdoesMnotMmeanMthatMallMindividualsMgetMtheMsame
M healthMcareMthroughoutMtheirMlifeMspans.
2. ThisMisMincorrect.M“HealthMforMAll”MdoesMnotMmeanMtheMgovernmentMwillMsupplyMmoney
M toMcareMforMallMtheMpeopleMinMtheMworld.
3. ThisMisMcorrect.M“HealthMforMAll”MmeansMthatMresourcesMforMhealthMcareMareMevenly
M distributedMandMaccessibleMtoMeveryone.
4. ThisMisMincorrect.M“HealthMforMAll”MdoesMnotMmeanMthatMhealth-
careMprovidersMcanMdenyM patientsMhealthMcare.
2.MHealthMassessmentMisMaMfoundationalMandMpriorityMnursingMskill.MThisMessentialMskillMrequiresM registe
redMnursesM(RNs)Mto:
1. DiagnoseMandMtreatMpatients.
2. IdentifyMnormalMandMabnormalMfindings.
3. ReferMpatientsMwithMabnormalMfindings.
4. CounselMpatientsMwithMpsychosocialMneeds.
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1. ThisMisMincorrect.MTheMroleMofMtheMRNMisMnotMtoMdiagnoseMandMtreatMpatients.
2. ThisMisMcorrect.MAssessingMpatientsMandMbeingMableMtoMidentifyMnormalMfromMabnormal
M findingsMisManMessentialMroleMofMtheMRN.
3. ThisMisMincorrect.MRNsMinMcollaborationMwithMtheMhealth-
careMprovidersMdoMreferM patients.MThisMisMnotMtheMessentialMandMfoundationalMrol
4. eThis
MinMM
health Massessment.
isMincorrect. MRNsMdoMcounselMpatients,MbutMitMisMnotMtheMessentialMandMfoundational
M roleMinMhealthMassessment.
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M|MPMaMgMe
, M TestMBankM-
MEssentialMHealthMAssessment,M2ndMeditionM(Thompson,M2023)M
3.MYouMareMassessingMaMpatientMwithMfiveMgunshotMwoundsMonMaMtraumaMunit.MThereMisMaMpoliceM prese
nceMoutsideMhisMdoorMbecauseMtheMpatientMisMaMknownMdrugMdealerMinMtheMcommunity.MYouMknowM that
MnursesMmustMtreatMallMpatientsMasMpersons.MThisMisMcalled:
1. Caring.
2. HolisticMprocess.
3. Person-centeredMcareM(PCC).
4. StandardsMofMcare.
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1. ThisMisMincorrect.MCaringMisMdisplayingMaMconcernMforMpatients.
2. ThisMisMincorrect.MTheMholisticMcaringMprocessMisMaMrelationalMprocess;MtheMnurse
M collaboratesMwithMtheMindividualMtoMpursueMgoalsMforMhealthMandMwell-being.
3. ThisMisMcorrect.MTheMnewMmovementMinMhealthMcareMisMperson-
centeredMcareM(PCC),M whichMemphasizesMtheMintrinsicMvalueMofMtreatingMallMpatientsM
4. asMpersons.
This MisMincorrect.MStandardsMofMcareMidentifyMstandardsMofMprofessionalMnursing
M practice.
4.MTheMscience-
basedMframeworkMupdatedMeveryM10MyearsMbyMtheMU.S.MDepartmentMofMHealthMandM HumanMServicesMt
hatMhasMsetMnationalMgoalsMandMobjectivesMforMhealthMpromotionMandMdiseaseM preventionMis:
1. HealthyMPeople.
2. HealthyMPeopleM2020.
3. U.S.MPreventiveMTaskMForce.
4. WorldMHealthMOrganization.
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1. ThisMisMincorrect.MHealthyMPeopleMisMtheMgeneralMtitleMforMtheMnation’sMfederalMinitiative.
2. ThisMisMcorrect.MHealthyMPeopleM2020MspecificallyMidentifiesMscience-
based,MnationalM goalsMandMobjectivesMwithM10-
yearMtargetsMdesignedMtoMguideMnationalMhealthMpromotionM andMdiseaseMpreventionMeffort
sMtoMimproveMtheMhealthMofMallMpeopleMinMtheMUnitedMM M States.
3. ThisMisMincorrect.MTheMU.S.MPreventiveMServicesMTaskMForce’sMgoalMisMtoMuseMevidence-
M basedMmedicineMtoMimproveMtheMhealthMofMallMAmericansMbyMmakingMevidence-
basedM recommendationsMaboutMclinicalMpreventiveMservicesMsuchMasMscreenings,Mcounsel
ingM services,MandMpreventiveMmedications.
4. ThisMisMincorrect.MTheMWorldMHealthMOrganizationMisMaMspecializedMagencyMofMthe
M UnitedMNationsMworkingMtoMimproveMtheMhealthMofMtheMworld’sMpeople.
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M|MPMaMgMe