Test Bank for Advanced Health Assessment and Differential
Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advancedva Healthva Assessmentva andva Differentialva Diagnosisva EssentialsvaforvaClinicalvaPracticeva1s
tvaEditionvaMyrickvaTestvaBank
TablevaofvaContents:
Chapterva1.vaHealthvaHistory,vaThevaPatientvaInterview,vaAndvaMotivationalvaInterviewing
Chapterva2.vaAdvancedvaHealthvaAssessmentvaofvathevaHead,vaNeck,vaandvaLymphaticvaSystem
Chapterva3.vaAdvancedvaHealthvaAssessmentvaofvathevaNose,vaMouth,vaandvaThroat
Chapterva4.vaAdvancedvaHealthvaAssessmentvaofvathevaEyesvaandvaEars
Chapterva5.vaAdvancedvaHealthvaAssessmentvaofvaSkin,vaHair,vaandvaNails
Chapterva6.vaAdvancedvaHealthvaAssessmentvaofvathevaCardiovascularvaSystem
Chapterva7vaAdvancedvaHealthvaAssessmentvaofvathevaRespiratoryvaSystem
Chapterva8vaAdvancedvaHealthvaAssessmentvaofvathevaAbdomen,vaRectum,vaandvaAnus
Chapterva9vaAdvancedvaHealthvaAssessmentvaofvathevaMalevaGenitourinaryvaSystem
Chapterva10vaAdvancedvaAssessmentvaofvathevaFemalevaReproductivevaSystem
Chapterva11vaAdvancedvaHealthvaAssessmentvaofvathevaNeurologicalvaSystem
Chapterva12vaAdvancedvaHealthvaAssessmentvaofvathevaMusculoskeletalvaSystem
,Advancedva Healthva Assessmentva andva Differentialva Diagnosisva EssentialsvaforvaClinicalvaPracti
ceva1stvaEditionvaMyrickvaTestvaBank
Chapterva 1:va Healthva History,va Theva Patientv a Interview,v a Andv a Motivationalv a Interviewing
MULTIPLEvaCHOICE
1. Thevanursevaisva preparingva tovaconductvaava healthva history.va Whichva ofvatheseva statementsva bestv
a describesvt
a heva purposeva ofva ava healthva history?
a Tova provideva anva opportunityva forva interactionva betweenva theva patientva andva theva nurse
.
b Tova provideva ava formva forva obtainingva theva patientsva biographicva information
.
c Tova documentva theva normalva andva abnormalva findingsva ofva ava physicalva assessment
.
d Tova provideva ava databaseva ofva subjectiveva informationva aboutva theva patientsva pastva
. andvca urrentvahealth
ANSWER:vaD
Theva purposeva ofvatheva healthva historyvaisva tovacollectva subjectivev a datawhatvatheva personva saysvaaboutva hi
mva orvaherself.vaThevaothervaoptionsvaarevanotvacorrect.
DIF:va Cognitiveva Level:va Understandingva (Comprehension)va REF:v a dm.va 49
MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
2. Whenva theva nurseva isvaevaluatingva theva reliabilityvaofvaava patientsva responses,va whichva ofvatheseva
statementsvw
a ouldvabevacorrect?vaThevapatient:
a Hasvaava historyvaofvadrugvaabuseva andva thereforeva isva notva reliable.
.
b Providedva consistentva informationva andva thereforev a isva reliable.
.
c Smiledva throughoutva interviewva andv a thereforev a isva assumedv a reliable.
.
d Wouldva notva answerva questionsva concerningva stressva andva thereforeva isva notva reliable.
.
ANSWER:vaB
Ava reliableva personvaalwaysva givesva theva sameva answers,va evenva whenva questionsva areva rephrasedva orv
a arevarepeatedvalatervainvathevainterview.va Thevaothervastatementsvaareva notvacorrect.
DIF:va Cognitiveva Level:va Applyingva (Application)va REF:va dm.va 49
, MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
3. Ava 59-year-
oldva patientva tellsvatheva nurseva thatva heva hasva ulcerativeva colitis.va Heva hasva beenva havingvablackvasto
olsvaforvatheva lastva24vahours.vaHowvawouldva thevanurseva bestva documentvahisvareasonva forvaseeking
va care?
a J.M.va isvaava 59-year-oldva manvaseekingva treatmentva forva ulcerativeva colitis.
.
b J.M.vacameva intova theva clinicvacomplainingva ofvahavingva blackva stoolsva forvatheva pa
. stva24vha ours.
c J.M.vaisvaava59-year-
. oldvamanvawhova statesvathatva heva hasvaulcerativeva colitisvaandva wantsvaitvachecked.
d J.M.vaisvaava 59-year-
. oldva manvawhovastatesvathatva hevahasvabeenva havingvablackva stoolsva forvta hevapastva24v
ahours.
ANSWER:vaD
Thevareasonva forva seekingva careva isvaava briefvaspontaneousvastatementva invatheva personsvaownva wordsva
thatvadescribesvathevareasonva forvatheva visit.va Itvastatesva oneva(possiblyvatwo)vasignsvaorvasymptomsvaand
va theirvaduration.va Itva isva enclosedva invaquotationva marksva tovaindicateva theva personsva exactva words.
DIF:va Cognitiveva Level:va Applyingva (Application)va REF:va dm.va 50
MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
4. Avapatientvatellsvatheva nursevathatvasheva hasvahadvaabdominalva painvaforvatheva pastva week.va Whatva w
ouldvabeva thevna ursesvabestvaresponse?
a Canva youvapointvatovawherevaitvahurts?
.
b Wellva talkvamoreva aboutvathatvalatervainvatheva interview.
.
c Whatvahaveva youvahadvatovaeatvainvathevalastva 24vahours?
.
d Haveva youvaevervahadvaanyvasurgeriesvaonva yourvaabdomen?
.
ANSWER:vaA
Avafinalva summaryvaofvaanyvasymptomva theva personva hasvashouldva include,va alongvawithva sevenva othe
rva criticalvacharacteristics,vaLocation:vaspecific.vaThevapersonvaisvaaskedvatovapointvatovathevalocation.
DIF:va Cognitiveva Level:va Applyingva (Application)va REF:va dm.va 50
MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
5. Ava29-year-
oldva womanva tellsva theva nurseva thatvasheva hasvaexcruciatingva painvainva herva back.va Whichva wouldvabeva
thevanursesvaappropriatevaresponsevatovathevawomansvastatement?
Diagnosis Essentials For Clinical Practice
1st Edition Myrick, Chapters 1 - 12
,Advancedva Healthva Assessmentva andva Differentialva Diagnosisva EssentialsvaforvaClinicalvaPracticeva1s
tvaEditionvaMyrickvaTestvaBank
TablevaofvaContents:
Chapterva1.vaHealthvaHistory,vaThevaPatientvaInterview,vaAndvaMotivationalvaInterviewing
Chapterva2.vaAdvancedvaHealthvaAssessmentvaofvathevaHead,vaNeck,vaandvaLymphaticvaSystem
Chapterva3.vaAdvancedvaHealthvaAssessmentvaofvathevaNose,vaMouth,vaandvaThroat
Chapterva4.vaAdvancedvaHealthvaAssessmentvaofvathevaEyesvaandvaEars
Chapterva5.vaAdvancedvaHealthvaAssessmentvaofvaSkin,vaHair,vaandvaNails
Chapterva6.vaAdvancedvaHealthvaAssessmentvaofvathevaCardiovascularvaSystem
Chapterva7vaAdvancedvaHealthvaAssessmentvaofvathevaRespiratoryvaSystem
Chapterva8vaAdvancedvaHealthvaAssessmentvaofvathevaAbdomen,vaRectum,vaandvaAnus
Chapterva9vaAdvancedvaHealthvaAssessmentvaofvathevaMalevaGenitourinaryvaSystem
Chapterva10vaAdvancedvaAssessmentvaofvathevaFemalevaReproductivevaSystem
Chapterva11vaAdvancedvaHealthvaAssessmentvaofvathevaNeurologicalvaSystem
Chapterva12vaAdvancedvaHealthvaAssessmentvaofvathevaMusculoskeletalvaSystem
,Advancedva Healthva Assessmentva andva Differentialva Diagnosisva EssentialsvaforvaClinicalvaPracti
ceva1stvaEditionvaMyrickvaTestvaBank
Chapterva 1:va Healthva History,va Theva Patientv a Interview,v a Andv a Motivationalv a Interviewing
MULTIPLEvaCHOICE
1. Thevanursevaisva preparingva tovaconductvaava healthva history.va Whichva ofvatheseva statementsva bestv
a describesvt
a heva purposeva ofva ava healthva history?
a Tova provideva anva opportunityva forva interactionva betweenva theva patientva andva theva nurse
.
b Tova provideva ava formva forva obtainingva theva patientsva biographicva information
.
c Tova documentva theva normalva andva abnormalva findingsva ofva ava physicalva assessment
.
d Tova provideva ava databaseva ofva subjectiveva informationva aboutva theva patientsva pastva
. andvca urrentvahealth
ANSWER:vaD
Theva purposeva ofvatheva healthva historyvaisva tovacollectva subjectivev a datawhatvatheva personva saysvaaboutva hi
mva orvaherself.vaThevaothervaoptionsvaarevanotvacorrect.
DIF:va Cognitiveva Level:va Understandingva (Comprehension)va REF:v a dm.va 49
MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
2. Whenva theva nurseva isvaevaluatingva theva reliabilityvaofvaava patientsva responses,va whichva ofvatheseva
statementsvw
a ouldvabevacorrect?vaThevapatient:
a Hasvaava historyvaofvadrugvaabuseva andva thereforeva isva notva reliable.
.
b Providedva consistentva informationva andva thereforev a isva reliable.
.
c Smiledva throughoutva interviewva andv a thereforev a isva assumedv a reliable.
.
d Wouldva notva answerva questionsva concerningva stressva andva thereforeva isva notva reliable.
.
ANSWER:vaB
Ava reliableva personvaalwaysva givesva theva sameva answers,va evenva whenva questionsva areva rephrasedva orv
a arevarepeatedvalatervainvathevainterview.va Thevaothervastatementsvaareva notvacorrect.
DIF:va Cognitiveva Level:va Applyingva (Application)va REF:va dm.va 49
, MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
3. Ava 59-year-
oldva patientva tellsvatheva nurseva thatva heva hasva ulcerativeva colitis.va Heva hasva beenva havingvablackvasto
olsvaforvatheva lastva24vahours.vaHowvawouldva thevanurseva bestva documentvahisvareasonva forvaseeking
va care?
a J.M.va isvaava 59-year-oldva manvaseekingva treatmentva forva ulcerativeva colitis.
.
b J.M.vacameva intova theva clinicvacomplainingva ofvahavingva blackva stoolsva forvatheva pa
. stva24vha ours.
c J.M.vaisvaava59-year-
. oldvamanvawhova statesvathatva heva hasvaulcerativeva colitisvaandva wantsvaitvachecked.
d J.M.vaisvaava 59-year-
. oldva manvawhovastatesvathatva hevahasvabeenva havingvablackva stoolsva forvta hevapastva24v
ahours.
ANSWER:vaD
Thevareasonva forva seekingva careva isvaava briefvaspontaneousvastatementva invatheva personsvaownva wordsva
thatvadescribesvathevareasonva forvatheva visit.va Itvastatesva oneva(possiblyvatwo)vasignsvaorvasymptomsvaand
va theirvaduration.va Itva isva enclosedva invaquotationva marksva tovaindicateva theva personsva exactva words.
DIF:va Cognitiveva Level:va Applyingva (Application)va REF:va dm.va 50
MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
4. Avapatientvatellsvatheva nursevathatvasheva hasvahadvaabdominalva painvaforvatheva pastva week.va Whatva w
ouldvabeva thevna ursesvabestvaresponse?
a Canva youvapointvatovawherevaitvahurts?
.
b Wellva talkvamoreva aboutvathatvalatervainvatheva interview.
.
c Whatvahaveva youvahadvatovaeatvainvathevalastva 24vahours?
.
d Haveva youvaevervahadvaanyvasurgeriesvaonva yourvaabdomen?
.
ANSWER:vaA
Avafinalva summaryvaofvaanyvasymptomva theva personva hasvashouldva include,va alongvawithva sevenva othe
rva criticalvacharacteristics,vaLocation:vaspecific.vaThevapersonvaisvaaskedvatovapointvatovathevalocation.
DIF:va Cognitiveva Level:va Applyingva (Application)va REF:va dm.va 50
MSC:va Clientva Needs:va Safeva andva Effectiveva Careva Environment:va Managementva ofvaCare
5. Ava29-year-
oldva womanva tellsva theva nurseva thatvasheva hasvaexcruciatingva painvainva herva back.va Whichva wouldvabeva
thevanursesvaappropriatevaresponsevatovathevawomansvastatement?