Y
Essential Health Assessment
Y Y
Janice M Thompson
Y Y
1st Edition
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,Table of Contents
Y Y
ChapterY01YUnderstandingYHealthYAssessment 1
ChapterY02YInterviewingYtheYPatientYforYtheYHealthYHistory 11
ChapterY03YTakingYtheYHealthYHistory 40
ChapterY04YAssessingYNutritionYandYAnthropometricYMeasurements 61
ChapterY05YAssessmentYTechniques 88
ChapterY06YGeneralYSurveyYandYAssessingYVitalYSigns 99
ChapterY07YAssessingYPain 128
ChapterY08YAssessingYtheYSkin,YHair,YandYNails 149
ChapterY09YAssessingYtheYHead,YFace,YMouth,YandYNeck 188
ChapterY10YAssessingYtheYEars 229
ChapterY11YAssessingYtheYEyes 250
ChapterY12YAssessingYtheYRespiratoryYSystem 281
ChapterY13YAssessingYtheYCardiovascularYSystem 308
ChapterY14YAssessingYtheYAbdomen 335
ChapterY15YAssessingYtheYPeripheralYVascularYSystemYandYRegionalYLymphaticYSystem 363
ChapterY16YAssessingYtheYMusculoskeletalYSystem 391
ChapterY17YAssessingYtheYNeurologicalYSystem 417
ChapterY18YAssessingYtheYFemaleYBreasts,YAxillae,YandYReproductiveYSystem 451
ChapterY19YAssessingYtheYMaleYBreastsYandYReproductiveYSystem 477
ChapterY20YAssessingYtheYAnusYandYRectum 501
ChapterY21YAssessingYtheYNewborn 517
ChapterY22YAssessingYtheYChildYandYAdolescent 555
ChapterY23YAssessingYtheYPregnantYWoman 583
ChapterY24YAssessingYtheYOlderYAdult 612
, TestYBankY-
YEssentialYHealthYAssessment,Y1stYeditionY(Thompson,Y2025)
Chapter 1: Understanding Health Assessment
Y Y Y Y
1.YTheYWorldYHealthYOrganizationY(WHO)YestablishedYaYglobalYstrategyYcalledY“HealthYforYAll.”YT
heYgoalYforYthisYstrategyYis:
1. AllYindividualsYtoYgetYtheYsameYhealthYcareYthroughoutYtheirYlifeYspans.
2. TheYgovernmentYtoYsupplyYmoneyYtoYcareYforYallYtheYpeopleYinYtheYworld.
3. ResourcesYforYhealthYcareYtoYbeYevenlyYdistributedYandYaccessible.
4. Health-careYprovidersYcanYneverYdenyYpatientsYhealthYcare.
2.YHealthYassessmentYisYaYfoundationalYandYpriorityYnursingYskill.YThisYessentialYskillYrequiresYregis
teredYnursesY(RNs)Yto:
1. DiagnoseYandYtreatYpatients.
2. IdentifyYnormalYandYabnormalYfindings.
3. ReferYpatientsYwithYabnormalYfindings.
4. CounselYpatientsYwithYpsychosocialYneeds.
3.YYouYareYassessingYaYpatientYwithYfiveYgunshotYwoundsYonYaYtraumaYunit.YThereYisYaYpoliceYpres
enceYoutsideYhisYdoorYbecauseYtheYpatientYisYaYknownYdrugYdealerYinYtheYcommunity.YYouYknowYtha
tYnursesYmustYtreatYallYpatientsYasYpersons.YThisYisYcalled:
1. Caring.
2. HolisticYprocess.
3. Person-centeredYcareY(PCC).
4. StandardsYofYcare.
4.YTheYscience-
basedYframeworkYupdatedYeveryY10YyearsYbyYtheYU.S.YDepartmentYofYHealthYandYHumanYServicesY
thatYhasYsetYnationalYgoalsYandYobjectivesYforYhealthYpromotionYandYdiseaseYpreventionYis:
1. HealthyYPeople.
2. HealthyYPeopleY2020.
3. U.S.YPreventiveYTaskYForce.
4. WorldYHealthYOrganization.
5. AY38-year-oldYmaleYhasYaYfamilyYhistoryYofYcolonYcancer.YHisYfatherYdiedYofYcolonYcancerYatYage
48.YTheYdoctorYrecommendedYthatYthisYpatientYhaveYaYcolonoscopyYthisYyear.YThisYisYanYexampleYof:
1. PrimaryY healthY prevention.
1Y|YPYaYgYe
, TestYBankY-
YEssentialYHealthYAssessment,Y1stYeditionY(Thompson,Y2025)
2. SecondaryYhealthYprevention.
3. TertiaryYhealthYprevention.
6.YAYpatientYinYtheYhospitalYputsYonYhisYcallYlightYandYtellsYtheYpersonYansweringYthatYheY“thinksYhe
runningYaYfeverYandYhasYstomachYdiscomfort.”YYouYareYtheYregisteredYnurseYinYcharge.YWhatYsh
YisY
ouldYyouYdo?
1. AskYtheYmedicalYassistantYtoYgoYtoYtheYpatient’sYroomYandYassessYhisYcomplaints.
2. GoYcheckYtoYseeYifYtheYpatientYhasYanYorderYforYTylenolYforYaYfever.
3. PageYtheYresidentYonYcallYimmediatelyYtoYassessYtheYpatient.
4. GoYtoYtheYpatient’sYroomYandYassessYforYfeverYandYtheYepigastricYdiscomfort.
7.YYouYareYleadingYanYinterdisciplinaryYteamYconferenceYtoYdiscussYhowYtoYprovideYbetterYcareYfor
YaY
challengingYpatientYwhoYhasYbehavioralYproblems.YThereYareYseveralYareasYthatYneedYtoYbeYprobl
emYsolvedYandYnewYideasYformulatedYtoYcreateYanYimprovedYplanYofYcare.YWhatYcognitiveYskillsYa
reYyouYusing?
1. CriticalYthinking
2. ClinicalYdecisionYmaking
3. IntuitiveYthinking
4. ClinicalYreasoning
8.YBestYpracticeYassessmentYtechniquesYandYinstrumentsYhaveYbeenYvalidatedYby:
1. AmericanYNursesYAssociation.
2. CodeYofYEthicsYforYNursesYWithYInterpretiveYStatements.
3. ResearchYandYevidence-basedYpractice.
4. PatientYProtectionYandYAffordableYCareYAct.
9. HealthYandYillnessYareYdeterminedYbyYmanyYfactors.YWhatYareYtheYdeterminantsYofYhealthYidentifi
edYbyYtheYCentersYforYDiseaseYControlYandYPreventionY(CDC)?YSelectYallYthatYapply.
1. GeneticsYandYbiology
2. GenderYandYoccupation
3. IndividualYbehavior
4. SocialYenvironment
5. PhysicalYenvironment
6. HealthYservices
2Y|YPYaYgYe