,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 1
Table of Contents
Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessment 64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessment Techniques and Safety in the Clinical Setting 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman 458
Chapter 32: Functional Assessment of the Older Adult 471
,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 6
11. The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
ANS: A
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes
for which the nurse is accountable. The other items do not contribute to the development of appropriate nursing
interventions.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
ANS: D
The nursing process is a method of problem solving that includes assessment, diagnosis, outcome
identification, planning, implementation, and evaluation.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
, Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 7
d. Sleep, pain, and breathing
ANS: A
First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing, and
circulation), followed by second-level problems, and then third-level problems.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
14. Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic assessment
ANS: C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the nursing process calls for a
nursing diagnosis.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
15. Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
b. Lack of significant research studies.
c. Insufficient clinical skills of nurses.
d. Inadequate physical assessment skills.
ANS: A
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated from other
colleagues who are knowledgeable in research, and often lack the time to visit the library to read research. The
other responses are not considered barriers.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
16. What step of the nursing process includes data collection by health history, physical examination, and
interview?
Table of Contents
Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessment 64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessment Techniques and Safety in the Clinical Setting 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman 458
Chapter 32: Functional Assessment of the Older Adult 471
,Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 6
11. The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
ANS: A
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes
for which the nurse is accountable. The other items do not contribute to the development of appropriate nursing
interventions.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
ANS: D
The nursing process is a method of problem solving that includes assessment, diagnosis, outcome
identification, planning, implementation, and evaluation.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
, Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 7
d. Sleep, pain, and breathing
ANS: A
First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing, and
circulation), followed by second-level problems, and then third-level problems.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
14. Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic assessment
ANS: C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the nursing process calls for a
nursing diagnosis.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
15. Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
b. Lack of significant research studies.
c. Insufficient clinical skills of nurses.
d. Inadequate physical assessment skills.
ANS: A
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated from other
colleagues who are knowledgeable in research, and often lack the time to visit the library to read research. The
other responses are not considered barriers.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
16. What step of the nursing process includes data collection by health history, physical examination, and
interview?
