Test Bank for Physical Examination and Health Assessment 9th Edition
by Carolyn Jarvis, Ann Eckhardt
All Chapters (1-32) | Q&A Verified | Graded A+
ISBN 9780323809849
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TABLE OF CONTENTS
Chapter 01: Evidence-Based Assessment ......................................................................................................................................................................... 3
Chapter 02: Cultural Assessment ........................................................................................................................................................................................ 17
Chapter 03: The Interview ..................................................................................................................................................................................................... 40
Chapter 04: The Complete Health History ...................................................................................................................................................................... 67
Chapter 05: Mental Status Assessment ............................................................................................................................................................................ 89
Chapter 06: Substance Use Assessment........................................................................................................................................................................ 115
Chapter 07: Domestic and Family Violence Assessment ...................................................................................................................................... 124
Chapter 08: Assessment Techniques and Safety in the Clinical Setting ........................................................................................................ 133
Chapter 09: General Survey and Measurement ........................................................................................................................................................ 162
Chapter 10: Vital Signs .......................................................................................................................................................................................................... 173
Chapter 11: Pain Assessment ............................................................................................................................................................................................. 195
Chapter 12: Nutrition Assessment .................................................................................................................................................................................. 207
Chapter 13: Skin, Hair, and Nails ...................................................................................................................................................................................... 228
Chapter 14: Head, Face, Neck, and Regional Lymphatics ..................................................................................................................................... 260
Chapter 15: Eyes ...................................................................................................................................................................................................................... 288
Chapter 16: Ears ....................................................................................................................................................................................................................... 314
Chapter 17: Nose, Mouth, and Throat ............................................................................................................................................................................ 339
Chapter 18: Breasts, Axillae, and Regional Lymphatics ........................................................................................................................................ 367
Chapter 19: Thorax and Lungs .......................................................................................................................................................................................... 397
Chapter 20: Heart and Neck Vessels ............................................................................................................................................................................... 424
Chapter 21: Peripheral Vascular System and Lymphatic System .................................................................................................................... 453
Chapter 22: Abdomen ............................................................................................................................................................................................................ 479
Chapter 23: Musculoskeletal System ............................................................................................................................................................................. 504
Chapter 24: Neurologic System......................................................................................................................................................................................... 538
Chapter 25: Male Genitourinary System ...................................................................................................................................................................... 576
Chapter 26: Anus, Rectum, and Prostate ...................................................................................................................................................................... 603
Chapter 27: Female Genitourinary System ................................................................................................................................................................. 623
Chapter 28: The Complete Health Assessment: Adult ........................................................................................................................................... 656
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent ...................................................................................... 676
Chapter 30: Bedside Assessment and Electronic Documentation ................................................................................................................... 680
Chapter 31: The Pregnant Woman .................................................................................................................................................................................. 688
Chapter 32: Functional Assessment of the Older Adult ........................................................................................................................................ 708
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Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him or
herself during history taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM, and feels hot. These
types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe
data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to form
the:
a. Data base.
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c. Financial statement.
d. Discharge summary.
CORRECT ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
CORRECT ANSWER: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience from
which to draw, are more likely to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
CORRECT ANSWER: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
links. DIF: Cognitive Level: Understanding (Comprehension)
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