Jacqueline Rhoads; Sandra Wiggins
TEST BANK
Advanced Health Assessment and Diagnostic Reasoning
97812841703134th Edition Table of content
Chapter 1 Interview and History-Taking Strategies
Chapter 2 Physical Examination Strategies
Chapter 3 Documentation Strategies
Chapter 4 Cultural and Spiritual Assessment
Chapter 5 Nutritional Assessment
Chapter 6 Mental Health Disorders
Chapter 7 Integumentary Disorders
Chapter 8 Eye Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
Chapter 11 Respiratory Disorders
Chapter 12 Cardiovascular Disorders
Chapter 13 Endocrine Disorders
Chapter 14 Gastrointestinal Disorders
Chapter 15 Neurological Disorders
Chapter 16 Male Genitourinary Disorders
Chapter 17 Female Genitourinary and Breast Disorders
Chapter 18 Musculoskeletal Disorders G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Import Settings: Base Settings: Brownstone Default Information Field: Complexity Information Field: Ahead Information Field: Subject Information Field: Advanced Health Assessment and Diagnostic Reasoning Information Field: Taxonomy Highest Answer Letter: D Multiple Keywords in Same Paragraph: No NAS ISBN13: 9781284171228, add to Ahead, Title tags Chapter: Chapter 01 - Quiz Multiple Choice 1. Which of the following is an example of subjective data that may be collected during a health assessment? A) Height and weight B) A patient’s recall of his or her past health conditions C) Results from an abdominal CT scan D) Complete blood count Ans: B Complexity: Moderate Ahead: Functions of the Interview and Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Application 2. Which of the following is true regarding the data taken in a health history? A) Most health history data are objective and measurable. B) Objective data are error-free, quantifiable data. C) Subjective data, being inherently less accurate, are of less value than objective da ta. D) A successful individualized plan of care must incorporate subjective data. Ans: D Complexity: Difficult Ahead: Functions of the Interview and Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Analysis 3. What do Coulehan and Block define as “listening to the total communication . . . and letting the patient know that you are really hearing”? A) Cultural competence B) Patience C) Empathy D) Top-tier communication WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Ans: C Complexity: Moderate Ahead: Interviewing Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Recall 4. The provider is preparing to take a health history for a new patient. He takes the patient to a priv ate room and asks the patient to don a hospital gown. After stepping outside to give the patient suffic ient time to change, he then comes back in and asks permission to conduct the history. He sits next to t he patient at eye level, discreetly observes the patient for any sensory deficits, and asks the patient if he may take brief notes of the conversation. During the conversation, he gives the patient time to answer questions fully. He makes sure that his questions do not contain technical terms a nd quietly observes the patient’s nonverbal behaviors throughout. Which mistake did the provider make? A) He should have allowed the patient to remain fully clothed in their own clothing for their comfort . B) He should not have omitted technical terminology. Patients like having a chance to learn. C) He should have seated himself slightly above eye level to give the patient nonverbal reassurance of his experience and professionalism. D) He should have asked explicitly about the nonverbal changes he was noticing in order to gain a deeper level of understanding of the patient’s current condition. Ans: A Complexity: Difficult Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Analysis 5. Which of the following is true of both comprehensive and focused health histories? A) They both include identifying data. B) They both include a social history. C) They both include a family history. D) They are both conducted in emergency situations. Ans: A Complexity: Moderate Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Application 6. In the mnemonic devise PQRST, which of the following includes describing the loc ation of the symptoms? A) Precipitating factors B) Quality C) Radiation D) Severity Ans: B Complexity: Difficult Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Taxonomy: Analysis 7. What is the current mnemonic device for taking a health history? A) PQRST B) CLIENT OUTCOMES C) PRACTICE D) GOOD MEDICINE Ans: B Complexity: Easy Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Recall 8. When taking a PMI, which of the following is correct? A) Do not take the statement “I’m allergic to . . . ” at face value. B) Ask the patient for a very brief summary of their current health. C) If a patient states that they have been vaccinated with BCG, make sure to administer a PPD test. D) CAM documentation is no longer a requirement. Ans: A Complexity: Difficult Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Remember 9. Which of the following is a first-degree relative to the patient who has experienced premature onset of CVD? A) Sister at 62 B) Cousin at 62 C) Aunt at 59 D) Grandfather at 44 Ans: A Complexity: Difficult Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Analysis 10. Recording the patient’s occupation falls under which category? A) PHI B) FH C) SH D) ROS Ans: C Complexity: Easy Ahead: Taking a Health History Subject: Chapter 1 WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Title: Interview and History-Taking Strategies Taxonomy: Recall 11. A focused ROS: A) involves a wider range and shallower level of questions than a comprehensive ROS. B) includes questions directed toward the systems most likely to be involved in the patien t’s symptoms. C) includes questions seeking significant positives to narrow down the body systems affecte d. D) covers all body systems. Ans: B Complexity: Moderate Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Application 12. A patient comes to the clinic complaining of repeated headaches and lightheadednes s. As the provider takes a health history, he or she should: A) perform a comprehensive ROS. B) skip the social history in order to focus on the current issue. C) focus her interest and questions on the patient’s neurologic system. D) spend a good deal of time assessing the reliability of the information she is getting. Ans: C Complexity: Difficult Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Analysis True/False 1. True or False? A patient’s recall of his or her current health needs and past health is subject to error and is also a critical component in the caregiving process. Ans: True Complexity: Moderate Ahead: Functions of the Interview and Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Recall 2. True or False? Ethnocentrism, belief in the superiority of one’s own beliefs and values, is a major barrier to establishing effective patient –provider relationships. Ans: True Complexity: Easy Ahead: Interviewing Subject: Chapter 1 Title: Interview and History-Taking Strategies WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Taxonomy: Recall 3. True or False? A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhea lthy diet, is unwilling to follow his provider’s recommendations to modify his routine. Because he has not yet experienced the negative health consequences of his actions, he cannot be classified as resistant. Ans: False Complexity: Moderate Ahead: Interviewing Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Application 4. True or False? When taking a patient’s chief complaint, rephrase the stated reason using standard medical terminology for clarity. Ans: False Complexity: Easy Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Recall 5. True or False? Family history should include both parents and grandparents, if information is known. Ans: True Complexity: Moderate Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Application 6. True or False? Social history includes a detailed diet history, best performed as a record of food and beverage intake by the patient for a typical week, that includes things like use of salt and oil in fo od preparation and methods of cooking. Ans: True Complexity: Moderate Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Application Essay 1. What do es PQRST stand for? Ans: Precipitating factors, quality, radiation, severity, and timing Complexity : Difficult WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Analysis 2. What are 10 body systems that compose a comprehensive review of systems? Ans: 10 of the following: general/constitutional, skin, eyes, ears, nose, mouth/throat, cardiovascul ar, respiratory, gastrointestinal, genitourinary, breast, musculoskeletal, neurologic, mental/psychia tric, lymphatic, hematologic, and endocrine Complexity: Difficult Ahead: Taking a Health History Subject: Chapter 1 Title: Interview and History-Taking Strategies Taxonomy: Analysis WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company Import Settings: Base Settings: Brownstone Default Information Field: Complexity Information Field: Ahead Information Field: Subject Information Field: Advanced Health Assessment and Diagnostic Reasoning Information Field: Taxonomy Highest Answer Letter: D Multiple Keywords in Same Paragraph: No NAS ISBN13: 9781284171228, add to Ahead, Title tags Chapter: Chapter 02 - Quiz Multiple Choice 1. What are the two main general considerations of physical examinations listed in the text? A) Preparation and sequence B) Medical and financial C) Patient interaction and scope D) Inspection and palpation Ans: C Complexity: Moderate Ahead: General Considerations Subject: Chapter 2 Title: Physical Examination Strategies Taxonomy: Application 2. The physician has begun her first physical examination on a new patient who has com e to the clinic for a well-patient visit. Which of the following is true? A) The first thing the physician will do as part of the physical examination is perform t he history. B) This will likely be a head- to-toe examination. C) As a first exam, this will likely be brief and focused. D) The patient, on his first visit, will likely be disoriented and unaware of the physician’s tone and expressions. Ans: B Complexity: Difficult Ahead: General Considerations Subject: Chapter 2 Title: Physical Examination Strategies Taxonomy: Analysis 3. The physician records a sound as “tympanic.” The physician has just performed which assessment technique? A) Palpation B) Auscultation C) Percussion WWW.GRADESMORE.COM
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www.nursylab.com G R A D E S M O R E . C O MAdvanced Health Assessment and Diagnostic Reasoning , Third Edition Test Bank Copyright © 2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company D) Compression Ans: C Complexity: Moderate Ahead: Assessment Techniques Subject: Chapter 2 Title: Physical Examination Strategies Taxonomy: Application 4. A physician is listening to a patient’s heart , but something has negatively impacted the sound. Which of the following has most likely caused this? A) Indirect rather than direct percussion B) A double-lumen stethoscope C) Lack of palpation D) Loose-fitting ear tips Ans: D Complexity: Difficult Ahead: Assessment Techniques Subject: Chapter 2 Title: Physical Examination Strategies Taxonomy: Analysis 5. Which of the following is included on the list of basic equipment needed for a phy sical examination? A) Syringe B) Measuring tape C) Occult blood testing materials D) Culture media Ans: B Complexity: Easy Ahead: Head- to-Toe Examination Subject: Chapter 2 Title: Physical Examination Strategies Taxonomy: Recall 6. What does a physician use the Weber and/or Rinne tests for? A) Assessing the lungs B) Performing an abdominal fluid wave text C) Testing hearing D) Observing posture and balance Ans: C Complexity: Difficult Ahead: Head- to-Toe Examination Subject: Chapter 2 Title: Physical Examination Strategies Taxonomy: Analysis 7. The red reflex is a test of: A) the abdomen. B) the spine. WWW.GRADESMORE.COM
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