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Physical Examination and Health Assessment Canadian Test Bank for Physical Examination and Health Assessment Canadian 4th Edition – 2026 Updated – Jarvis

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Master clinical assessment skills with the Physical Examination and Health Assessment Canadian 4th Edition Test Bank (2026 Updated) by Jarvis. Includes chapter-aligned questions and detailed answers for effective exam preparation and practice.

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Institution
Physical And Health Assessment
Module
Physical and health assessment

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Chapter 05: The Complete Health History
Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition


MULTIPLE CHOICE

The nurse is preparing to conduct a health history. Which of these statements best
describes the purpose of a health history?
To provide an opportunity for interaction between the patient and the nurse
To provide a form for obtaining the patient’s biographic information
To document the normal and abnormal findings of a physical assessment
To provide a database of subjective information about the patient’s
past and current health
ANS: D
The purpose of the health history is to collect subjective data—what the
person says about himself or herself. The other options are not correct.

DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

2. When the nurse is evaluating the reliability of a patient’s responses, which of
these statements would be correct? The patient:
a. Has a history of drug abuse and therefore is not reliable.
b. Provided consistent information and therefore is reliable.
c. Smiled throughout interview and therefore is assumed reliable.
d. Would not answer questions concerning stress and therefore is not reliable.

ANS: B
A reliable person always gives the same answers, even when questions are
rephrased or are repeated later in the interview. The other statements are not
correct.

DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having “black
stools” for the past 24 hours. How would the nurse best document his reason for seeking care?
J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
J.M. came into the clinic complaining of having black stools for the past 24 hours.
J.M. is a 59-year-old man who states that he has ulcerative colitis and
wants it checked.
J.M. is a 59-year-old man who states that he has been having “black
stools” for the past 24 hours.

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, ANS: D
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The reason for seeking care is a brief spontaneous statement in the person’s own words that
describes the reason for the visit. It states one (possibly two) signs or symptoms and their
duration. The symptom description is enclosed in quotation marks to indicate the
person’s
exact words.

DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care




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Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test
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A patient tells the nurse that she has had abdominal pain for the past week. What
would be the nurse’s best response?
“Can you point to where it hurts?”
“We’ll talk more about that later in the interview.”
“What have you had to eat in the past 24 hours?”
“Have you ever had any surgeries on your abdomen?”
ANS: A
A final summary of any symptom the person has should include, along with seven other
critical characteristics, “Location: Be specific.” The person is asked to point to the location.

DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

A 29-year-old woman tells the nurse that she has “excruciating pain” in her
back. Which would be the nurse’s appropriate response to the woman’s
statement?
“How does your family react to your pain?”
“The pain must be terrible. You probably pinched a nerve.”
“I’ve had back pain myself, and it can be excruciating.”
“How would you say the pain affects your ability to do your daily activities?”
ANS: D
The symptom of pain is difficult to quantify because of individual interpretation.
With pain, adjectives should be avoided, and the patient should be asked how
the pain affects his or her daily activities. The other responses are not
appropriate.

DIF: Cognitive Level: Applying NU(Application)RSINGTB.COM
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

In recording the childhood illnesses of a patient who denies having had any, which
note by the nurse would be most accurate?
Patient denies usual childhood illnesses.
Patient states he was a “very healthy” child.
Patient states his sister had measles, but he did not.
Patient denies having had measles, mumps, rubella, chickenpox,
pertussis, and strep throat.
ANS: D
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and
strep throat. Avoid recording “usual childhood illnesses” because an illness
common in the person’s childhood may be unusual today (e.g., measles).
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DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

A female patient tells the nurse that she has had six pregnancies, with four live
births at term and two spontaneous abortions. Her four children are still living.
How would the nurse record this information?
P-6, B-4, (S)Ab-2
Grav 6, Term 4, (S)Ab-2, Living 4
Patient has had four living babies



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Institution
Physical and health assessment
Module
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