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Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. When reviewing the concepts of health, the nurse recalls that the components of holistic health include
which of these?
a. Disease originates from the external environment.
b. The individual human is a closed system.
c. Nurses are responsible for a patients health state.
,Physical Exam & Health Assessment 8th Edition – Test Bank by Carolyn Jarvis New 2025 Update
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d. Holistic health views the mind, body, and spirit as interdependent.
ANS: D
Consideration of the whole person is the essence of holistic health, which views the mind, body, and spirit as
interdependent. The basis of disease originates from both the external environment and from within the person.
Both the individual human and the external environment are open systems, continually changing and adapting,
and each person is responsible for his or her own personal health state.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The nurse recognizes that the concept of prevention in describing health is essential because:
a. Disease can be prevented by treating the external environment.
b. The majority of deaths among Americans under age 65 years are not preventable.
c. Prevention places the emphasis on the link between health and personal behavior.
d. The means to prevention is through treatment provided by primary health care practitioners.
ANS: C
A natural progression to prevention rounds o uNt U
thR
e SpIrNesGeTnB
t .cCo On cMe p t of health. Guidelines to prevention place
the emphasis on the link between health and personal behavior.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
3. The nurse is performing a physical assessment on a newly admitted patient. An example of objective
information obtained during the physical assessment includes the:
a. Patients history of allergies.
b. Patients use of medications at home.
c. Last menstrual period 1 month ago.
d. 2 5 cm scar on the right lower forearm.
ANS: D
Objective data are the patients record, laboratory studies, and condition that the health professional observes by
inspecting, percussing, palpating, and auscultating during the physical examination. The other responses reflect
subjective data.
DIF: Cognitive Level: Applying (Application)
, Physical Exam & Health Assessment 8th Edition – Test Bank by Carolyn Jarvis New 2025 Update
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A visiting nurse is making an initial home visit for a patient who has many chronic medical problems.
Which type of data base is most appropriate to collect in this setting?
a. A follow-up data base to evaluate changes at appropriate intervals
b. An episodic data base because of the continuing, complex medical problems of this patient
c. A complete health data base because of the nurses primary responsibility for monitoring the
patients health
d. An emergency data base because of the need to collect information and make accurate diagnoses
rapidly
ANS: C
The complete data base is collected in a primary care setting, such as a pediatric or family practice clinic,
independent or group private practice, college health service, womens health care agency, visiting nurse
agency, or community health agency. In these settings, the nurse is the first health professional to see the
patient and has the primary responsibility for monitoring the persons health care.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Which situation is most appropriate du ringN w
U hRiSc IhNtGheT B
n u. CrsOeMperfo rms a focused or problem-centered
history?
a. Patient is admitted to a long-term care facility.
b. Patient has a sudden and severe shortness of breath.
c. Patient is admitted to the hospital for surgery the following day.
d. Patient in an outpatient clinic has cold and influenza-like symptoms.
ANS: D
In a focused or problem-centered data base, the nurse collects a mini data base, which is smaller in scope than
the completed data base. This mini data base primarily concerns one problem, one cue complex, or one body
system.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly
since she changed medications 2 months ago. The nurse should:
a. Collect a follow-up data base and then check her blood pressure.