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Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick Test Bank

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Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick Test Bank Chapter 1: Health History, The Patient Interview, And Motivational Interviewing MULTIPLE CHOICE 1. The nurse is preparing to conduct a 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 provide a form for obtaining the patients biographic information c . To document the normal and abnormal findings of a physical assessment d To provide a database of subjective information about the patients past and . current health ANSWER: D The purpose of the health history is to collect subjective datawhat the person says about him or herself. The other options are not correct. 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 patients responses, which of these statements would be correct? The patient: a . Has a history of drug abuse 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 same answers, even when questions are rephrased or are repeated later in the interview. The other statements are not correct. 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 seeking care? a . J.M. is a 59-year-old man seeking treatment for ulcerative colitis. b J.M. came into the clinic complaining of having black stools for the past 24 . hours. c J.M. is a 59-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 is enclosed in quotation marks to indicate the persons exact words.

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Test Bank for
Advanced Health
Assessment and
Differential Diagnosis
Essentials For Clinical
Practice Chapters 1 - 12

,Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
Edition Myrick Test Bank




Table of Contents:


Chapter 1. Health History, The Patient Interview, And Motivational Interviewing


Chapter 2. Advanced Health Assessment of the Head, Neck, and Lymphatic System


Chapter 3. Advanced Health Assessment of the Nose, Mouth, and Throat


Chapter 4. Advanced Health Assessment of the Eyes and Ears


Chapter 5. Advanced Health Assessment of Skin, Hair, and Nails


Chapter 6. Advanced Health Assessment of the Cardiovascular System


Chapter 7 Advanced Health Assessment of the Respiratory System


Chapter 8 Advanced Health Assessment of the Abdomen, Rectum, and Anus


Chapter 9 Advanced Health Assessment of the Male Genitourinary System


Chapter 10 Advanced Assessment of the Female Reproductive System


Chapter 11 Advanced Health Assessment of the Neurological System

,Chapter 12 Advanced Health Assessment of the Musculoskeletal System



Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st
Edition Myrick Test Bank

Chapter 1: Health History, The Patient Interview, And Motivational Interviewing




MULTIPLE CHOICE
1. The nurse is preparing to conduct a 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 provide a form for obtaining the patients biographic information
.

c To document the normal and abnormal findings of a physical assessment
.

d To provide a database of subjective information about the patients past and

. current health


ANSWER: D
The purpose of the health history is to collect subjective datawhat the person says about him or
herself. The other options are not correct.

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 patients responses, which of these statements
would be correct? The patient:


a Has a history of drug abuse 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 same answers, even when questions are rephrased or are repeated
later in the interview. The other statements are not correct.

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 seeking care?

a J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
.

b J.M. came into the clinic complaining of having black stools for the past 24

. hours.

c J.M. is a 59-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 is enclosed in quotation marks to indicate the persons exact words.

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?

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