FULL TEST BANK
PHYSICAL EXAMINATION AND HEALTH
ASSESSMENT, 4TH CANADIAN EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%VERIFIED
ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Table Of Contents
Chapter 01 Critical Thinking And Evidence-Informed Assessment 1
Chapter 02 Health Promotion In The Context Of Health Assessment 11
Chapter 03 A Relational Approach To Cultural And Social Considerations In Health 18
Chapter 04 The Interview 29
Chapter 05 The Complete Health History 44
Chapter 06 Mental Health Assessment 57
Chapter 07 Substance Use And Health Assessment 66
Chapter 08 Interpersonal Violence And Health Assessment 73
Chapter 09 Assessment Techniques And The Clinical Setting 80
Chapter 10 General Survey, Measurement, And Vital Signs 94
Chapter 11 Pain Assessment 111
Chapter 12 Nutritional Assessment And Nursing Practice 118
Chapter 13 Skin, Hair, And Nails 132
Chapter 14 Head, Face, And Neck, Including Regional Lymphatic System 151
Chapter 15 Eyes 165
Chapter 16 Ears 178
Chapter 17 Nose, Mouth, And Throat 191
Chapter 18 Breasts And Regional Lymphatic System 205
Chapter 19 Thorax And Lungs 221
Chapter 20 Heart And Neck Vessels 236
Chapter 21 Peripheral Vascular System And Lymphatic System 251
Chapter 22 The Abdomen 264
Chapter 23 Anus, Rectum, And Prostate 277
Chapter 24 Muscular-Skeletal System 288
Chapter 25 Neurological System 304
Chapter 26 Male Genitourinary System 324
Chapter 27 Female Genitourinary System 338
Chapter 28 The Complete Health Assessment-Putting It All Together 355
Chapter 29 Bedside Assessment And Reporting 366
Chapter 30 Pregnancy 371
Chapter 31 Assessment Of The Older Adult 382
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Chapter 01: Critical Thinking And Evidence-Informed Assessment
Jarvis: Physical Examination And Health Assessment, 4th Canadian Edition
Multiple Choice
1. Which Type Of Data Is Collected By Obtaining Vital Signs?
a. Objective
b. Reflecting
c. Subjective
d. Introspective
Answer: A
Objective Data Are What The Health Professional Observes By Inspecting, Percussing,
Palpating, And Auscultating During The Physical Examination. Subjective Data Are What
The Person Says About Themselves 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. During An Assessment, A Patient Describes Feeling Warm, Nauseated, And Nervous.
Which Type Of Data Is Collected?
a.Objective
b.Reflective
c.Subjective
d.Introspective
Answer: C
Subjective Data Are What The Person Says About Themselves 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. Which Part Of A Patient’s Health Record Is Created When Combining Laboratory
Studies, Objective Data, And Subjective Data?
a. Database
b. Admitting Data
c. Triage Form
d. Discharge Summary
Answer: A
Together With The Patient’s Record And Laboratory Studies, The Objective And Subjective
Data Form The Database. The Other Items Are Not Part Of The Patient’s Record, Laboratory
Studies, Or Data.
Dif: Cognitive Level: Remembering (Knowledge)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
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4. Which Action Will The Nurse Complete If While Listening To A Patient’s Breath Sounds,
They Are Unsure Of A Sound Heard?
a. Immediately Notify The Patient’s Most Responsible Practitioner.
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.
Answer: C
When Unsure Of A Sound Heard While Listening To A Patient’s Breath Sounds, The Nurse
Validates The Data To Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then
They Would Ask An Expert To Listen.
Dif: Cognitive Level: Analyzing (Analysis)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
5. Which Approach Do Novice Nurses Utilize When Making Decisions?
a. Intuition
b. Clear-Cut Rules
c. Articles In Journals
d. Advice From Supervisors
Answer: B
Novice Nurses Operate From A Set Of Defined, Structured Rules. Expert Practitioners Use
Critical Thinking And Their Substantial Background Of Experience.
Dif: Cognitive Level: Understanding (Comprehension) Msc: Client Needs: General
6. Which Method Moves A Nurse From Novice To Expert?
a. Critical Thinking
b. The Nursing Process
c. Clinical Knowledge
d. Diagnostic Reasoning
Answer: A
Critical Thinking Is A Multidimensional, Dynamic, And Interactive Thinking Process By
Which Expert Nurses Assess And Make Decisions In The Clinical Area.
Dif: Cognitive Level: Understanding (Comprehension) Msc: Client Needs: General
7. Which Statement Reflects The Meaning Of Evidence-Informed Practice (Eip)?
a. Best Practice Techniques To Treat Patients. Taking Note Solely From
Registered Nurses Association Of Ontario (Rnao)
b. Clinician Experience And Expertise To Guide Practice. Sometimes Reflecting
On The Patient Perspective
c. Life-Long Problem-Solving Approach To Clinical Decision Making Using
Best Available Evidence
d. The Patient’s Own Preferences Are Not Important In Eip
Answer: C
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Eip Is More Than The Use Of Best Practice Techniques To Treat Patients; It Can Be Defined
As A Paradigm And Lifelong Problem-Solving Approach To Clinical Decision Making That
Involves The Conscientious Use Of The Best Available Evidence (Including A Systematic
Search For And Critical Appraisal Of The Most Relevant Evidence To Answer A Clinical
Question) With One’s Own Clinical Expertise And Patient Values And Preferences To
Improve Outcomes For Individuals, Groups, Communities, And Systems. Eip Is More Than
Simply Using The Best Practice Techniques To Treat Patients, And Questioning Tradition Is
Important When No Compelling And Supportive Research Evidence Exists.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
8. Which Example Illustrates A First-Level Priority Problem?
a. Postoperative Pain
b. Newly Diagnosed Diabetes Needing Diabetic Teaching
c. Small Laceration On The Sole Of The Foot
d. Shortness Of Breath And Respiratory Distress
Answer: D
First-Level Priority Problems Are Those That Are Emergent, Life-Threatening, And
Immediate (E.G., Establishing An Airway, Supporting Breathing, Maintaining Circulation,
Monitoring Abnormal Vital Signs) (See Table 1.1 – Identifying Immediate Priorities).
Dif: Cognitive Level: Understanding (Comprehension)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
9. Which Critical Thinking Skill Recognizes Relationships Among The Data?
a. Validation
b. Clustering Related Cues
c. Identifying Gaps In Data
d. Distinguishing Relevant Data From Irrelevant Data
Answer: B
Clustering Related Cues Helps The Nurse See Relationships Among The Data.
Dif: Cognitive Level: Understanding (Comprehension)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
10. Which Diagnosis Is Critical To Develop Appropriate Nursing Interventions For A Patient?
a. Nursing
b. Medical
c. Admission
d. Collaborative
Answer: 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: Remembering
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
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11. Which Steps Are Included In The Nursing Process?
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
Answer: D
The Nursing Process Is A Method Of Problem Solving That Includes Assessment, Diagnosis,
Outcome Identification, Planning, Implementation, And Evaluation.
Dif: Cognitive Level: Remembering
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
12. A Newly Admitted Patient Is In Acute Pain, Not Sleeping Well, And Is Having Difficulty
Breathing. In Which Sequence Will The Nurse Prioritize The Assessment?
a. Breathing, Pain, And Sleep
b. Breathing, Sleep, And Pain
c. Sleep, Breathing, And Pain
d. Sleep, Pain, And Breathing
Answer: A
First-Level Priority Problems Are Immediate Priorities Focused On Airway And Breathing,
Followed By Second-Level Problems, And Then Third-Level Problems.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
13. Which Step Of The Nursing Process Involves Data Collection Through Health History,
Physical Examination, And Interview?
a. Planning
b. Diagnosis
c. Evaluation
d. Assessment
Answer: D
Data Collection, Including Performing The Health History, Physical Examination, And
Interview, Is The Assessment Step Of The Nursing Process (See Figure 1.2).
Dif: Cognitive Level: Remembering (Knowledge) Msc: Client Needs: General
14. Which Concept Is Considered When Undertaking A Life-Cycle Approach To Health Assessment?
a. Consideration Of The Patient’s Cultural View Of Health
b. Being Responsive To The Patient’s Gestures To Build A Relationship
c. Acknowledgement Of The Effect Of Poverty On Health
d. Awareness Of Age-Specific Developmental Factors
Answer: D
A Life-Cycle Approach Requires Familiarity With The Usual And Expected Developmental
Tasks For Various Age Groups. Being Aware Of Age-Specific Data Can Be Helpful In
Determining Normal And Abnormal Findings.
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Dif: Cognitive Level: Understanding (Comprehension)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
15. Which Statement Outlines The Purpose For A Nurse Identifying Priorities And
Assessing Risk Factors In Patients?
a. Identify Patterns To Discover Missing Information.
b. Determine Areas For Health Promotion And Disease Prevention.
c. Distinguish Normal From Abnormal Findings.
d. Determine Treatment For A Medical Diagnosis.
Answer: B
Identifying And Working With Patients To Manage Known Risk Factors For Their Age Group
And Social Context Supports Disease Prevention And Health Promotion.
Dif: Cognitive Level: Understanding (Comprehension) Msc: Client Needs: General
16. Which Information Is An Example Of Objective Data?
a. Patient’s History Of Allergies
b. Patient’s Use Of Medications At Home
c. Last Menstrual Period 1 Month Ago
d. 2.5 Cm Scar On The Right Lower Forearm
Answer: D
Objective Data Are The Patient’s 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)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
17. Which Type Of Database Is Appropriate For A Visiting Nurse To Use When Making An
Initial Home Visit With A Patient Who Has Many Chronic Medical Problems?
a. A Follow-Up Database To Evaluate Changes At Appropriate Intervals
b. An Episodic Database Because Of The Continuing, Complex Medical Problems
Of This Patient
c. A Complete Health Database Because Of The Nurse’s Primary
Responsibility For Monitoring The Patient’s Health
d. An Emergency Database Because Of The Need To Collect Information And
Make Accurate Diagnoses Rapidly
Answer: C
The Complete Database Is Collected In A Primary Care Setting, Such As A Pediatric Or
Family Practice Clinic, Independent Or Group Private Practice, College Health Service,
Women’s Health Care Agency, Visiting Nurse Agency, Or Community Health Agency. In
These Settings, The Nurse Is The First Health Care Professional To See The Patient And Has
The Primary Responsibility For Monitoring The Person’s Health Care.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
18. Which Situation Is Most Appropriate For The Collection Of Episodic Or Problem-Centred Data?
a. Admission To A Long-Term Care Facility
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b. Sudden And Severe Shortness Of Breath
c. Admission To The Hospital For Surgery The Next Day
d. An Outpatient Clinic Where Patients Have Cold And Influenza-Like Symptoms
Answer: D
In Compiling The Episodic Or Problem-Centered Database, The Nurse Collects A “Mini-
Database,” Which Is Smaller In Scope Compared With The Complete Database. This Mini
Database 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
19. A Patient Is At The Clinic To Have Their Blood Pressure Checked. They Have Been
Coming To The Clinic Weekly Since Changing Medications Two Months Ago. Which
Action Will The Nurse Perform?
a. Collect A Follow-Up Database And Then Check Blood Pressure.
b. Ask Patient To Read Health Record And Indicate Any Changes Since Last Visit.
c. Check Only Blood Pressure Because The Complete Health History Was
Documented Two Months Ago.
d. Obtain A Complete Health History Before Checking Blood Pressure Because
Much Of The History Information May Have Changed.
Answer: A
A Follow-Up Database Is Used In All Settings To Monitor Short-Term Or Chronic Health
Problems. The Other Responses Are Not Appropriate For The Situation.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
20. Which Method Will The Nurse Take To Collect Data For A Patient Brought To The
Emergency Department By Ambulance With Multiple Injuries After An Automobile
Accident? The Patient Is Alert, Cooperative, With Severe Injuries.
a. Collect History Information First And Then Perform The Physical Examination
And Institute Life-Saving Measures.
b. Simultaneously Ask History Questions While Performing The Examination
And Initiating Life-Saving Measures.
c. Collect All Information On The History Form, Including Social Support
Patterns, Strengths, And Coping Patterns.
d. Perform Life-Saving Measures And Delay Asking Any History Questions
Until The Patient Is Transferred To The Intensive Care Unit.
Answer: B
The Emergency Database Calls For A Rapid Collection Of The Database, And Often Data
Are Compiled Concurrently With Administration Of Life-Saving Measures. The Other
Responses Are Not Appropriate For The Situation.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
21. Which Example Illustrates The New National And Provincial Guidelines Developed For
Particular Populations?
a. Pain Assessments
PHYSICAL EXAMINATION AND HEALTH
ASSESSMENT, 4TH CANADIAN EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%VERIFIED
ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Table Of Contents
Chapter 01 Critical Thinking And Evidence-Informed Assessment 1
Chapter 02 Health Promotion In The Context Of Health Assessment 11
Chapter 03 A Relational Approach To Cultural And Social Considerations In Health 18
Chapter 04 The Interview 29
Chapter 05 The Complete Health History 44
Chapter 06 Mental Health Assessment 57
Chapter 07 Substance Use And Health Assessment 66
Chapter 08 Interpersonal Violence And Health Assessment 73
Chapter 09 Assessment Techniques And The Clinical Setting 80
Chapter 10 General Survey, Measurement, And Vital Signs 94
Chapter 11 Pain Assessment 111
Chapter 12 Nutritional Assessment And Nursing Practice 118
Chapter 13 Skin, Hair, And Nails 132
Chapter 14 Head, Face, And Neck, Including Regional Lymphatic System 151
Chapter 15 Eyes 165
Chapter 16 Ears 178
Chapter 17 Nose, Mouth, And Throat 191
Chapter 18 Breasts And Regional Lymphatic System 205
Chapter 19 Thorax And Lungs 221
Chapter 20 Heart And Neck Vessels 236
Chapter 21 Peripheral Vascular System And Lymphatic System 251
Chapter 22 The Abdomen 264
Chapter 23 Anus, Rectum, And Prostate 277
Chapter 24 Muscular-Skeletal System 288
Chapter 25 Neurological System 304
Chapter 26 Male Genitourinary System 324
Chapter 27 Female Genitourinary System 338
Chapter 28 The Complete Health Assessment-Putting It All Together 355
Chapter 29 Bedside Assessment And Reporting 366
Chapter 30 Pregnancy 371
Chapter 31 Assessment Of The Older Adult 382
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SellyourStudy Material
Te
Chapter 01: Critical Thinking And Evidence-Informed Assessment
Jarvis: Physical Examination And Health Assessment, 4th Canadian Edition
Multiple Choice
1. Which Type Of Data Is Collected By Obtaining Vital Signs?
a. Objective
b. Reflecting
c. Subjective
d. Introspective
Answer: A
Objective Data Are What The Health Professional Observes By Inspecting, Percussing,
Palpating, And Auscultating During The Physical Examination. Subjective Data Are What
The Person Says About Themselves 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. During An Assessment, A Patient Describes Feeling Warm, Nauseated, And Nervous.
Which Type Of Data Is Collected?
a.Objective
b.Reflective
c.Subjective
d.Introspective
Answer: C
Subjective Data Are What The Person Says About Themselves 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. Which Part Of A Patient’s Health Record Is Created When Combining Laboratory
Studies, Objective Data, And Subjective Data?
a. Database
b. Admitting Data
c. Triage Form
d. Discharge Summary
Answer: A
Together With The Patient’s Record And Laboratory Studies, The Objective And Subjective
Data Form The Database. The Other Items Are Not Part Of The Patient’s Record, Laboratory
Studies, Or Data.
Dif: Cognitive Level: Remembering (Knowledge)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
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Te
4. Which Action Will The Nurse Complete If While Listening To A Patient’s Breath Sounds,
They Are Unsure Of A Sound Heard?
a. Immediately Notify The Patient’s Most Responsible Practitioner.
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.
Answer: C
When Unsure Of A Sound Heard While Listening To A Patient’s Breath Sounds, The Nurse
Validates The Data To Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then
They Would Ask An Expert To Listen.
Dif: Cognitive Level: Analyzing (Analysis)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
5. Which Approach Do Novice Nurses Utilize When Making Decisions?
a. Intuition
b. Clear-Cut Rules
c. Articles In Journals
d. Advice From Supervisors
Answer: B
Novice Nurses Operate From A Set Of Defined, Structured Rules. Expert Practitioners Use
Critical Thinking And Their Substantial Background Of Experience.
Dif: Cognitive Level: Understanding (Comprehension) Msc: Client Needs: General
6. Which Method Moves A Nurse From Novice To Expert?
a. Critical Thinking
b. The Nursing Process
c. Clinical Knowledge
d. Diagnostic Reasoning
Answer: A
Critical Thinking Is A Multidimensional, Dynamic, And Interactive Thinking Process By
Which Expert Nurses Assess And Make Decisions In The Clinical Area.
Dif: Cognitive Level: Understanding (Comprehension) Msc: Client Needs: General
7. Which Statement Reflects The Meaning Of Evidence-Informed Practice (Eip)?
a. Best Practice Techniques To Treat Patients. Taking Note Solely From
Registered Nurses Association Of Ontario (Rnao)
b. Clinician Experience And Expertise To Guide Practice. Sometimes Reflecting
On The Patient Perspective
c. Life-Long Problem-Solving Approach To Clinical Decision Making Using
Best Available Evidence
d. The Patient’s Own Preferences Are Not Important In Eip
Answer: C
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Te
Eip Is More Than The Use Of Best Practice Techniques To Treat Patients; It Can Be Defined
As A Paradigm And Lifelong Problem-Solving Approach To Clinical Decision Making That
Involves The Conscientious Use Of The Best Available Evidence (Including A Systematic
Search For And Critical Appraisal Of The Most Relevant Evidence To Answer A Clinical
Question) With One’s Own Clinical Expertise And Patient Values And Preferences To
Improve Outcomes For Individuals, Groups, Communities, And Systems. Eip Is More Than
Simply Using The Best Practice Techniques To Treat Patients, And Questioning Tradition Is
Important When No Compelling And Supportive Research Evidence Exists.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
8. Which Example Illustrates A First-Level Priority Problem?
a. Postoperative Pain
b. Newly Diagnosed Diabetes Needing Diabetic Teaching
c. Small Laceration On The Sole Of The Foot
d. Shortness Of Breath And Respiratory Distress
Answer: D
First-Level Priority Problems Are Those That Are Emergent, Life-Threatening, And
Immediate (E.G., Establishing An Airway, Supporting Breathing, Maintaining Circulation,
Monitoring Abnormal Vital Signs) (See Table 1.1 – Identifying Immediate Priorities).
Dif: Cognitive Level: Understanding (Comprehension)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
9. Which Critical Thinking Skill Recognizes Relationships Among The Data?
a. Validation
b. Clustering Related Cues
c. Identifying Gaps In Data
d. Distinguishing Relevant Data From Irrelevant Data
Answer: B
Clustering Related Cues Helps The Nurse See Relationships Among The Data.
Dif: Cognitive Level: Understanding (Comprehension)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
10. Which Diagnosis Is Critical To Develop Appropriate Nursing Interventions For A Patient?
a. Nursing
b. Medical
c. Admission
d. Collaborative
Answer: 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: Remembering
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
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Te
11. Which Steps Are Included In The Nursing Process?
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
Answer: D
The Nursing Process Is A Method Of Problem Solving That Includes Assessment, Diagnosis,
Outcome Identification, Planning, Implementation, And Evaluation.
Dif: Cognitive Level: Remembering
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
12. A Newly Admitted Patient Is In Acute Pain, Not Sleeping Well, And Is Having Difficulty
Breathing. In Which Sequence Will The Nurse Prioritize The Assessment?
a. Breathing, Pain, And Sleep
b. Breathing, Sleep, And Pain
c. Sleep, Breathing, And Pain
d. Sleep, Pain, And Breathing
Answer: A
First-Level Priority Problems Are Immediate Priorities Focused On Airway And Breathing,
Followed By Second-Level Problems, And Then Third-Level Problems.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
13. Which Step Of The Nursing Process Involves Data Collection Through Health History,
Physical Examination, And Interview?
a. Planning
b. Diagnosis
c. Evaluation
d. Assessment
Answer: D
Data Collection, Including Performing The Health History, Physical Examination, And
Interview, Is The Assessment Step Of The Nursing Process (See Figure 1.2).
Dif: Cognitive Level: Remembering (Knowledge) Msc: Client Needs: General
14. Which Concept Is Considered When Undertaking A Life-Cycle Approach To Health Assessment?
a. Consideration Of The Patient’s Cultural View Of Health
b. Being Responsive To The Patient’s Gestures To Build A Relationship
c. Acknowledgement Of The Effect Of Poverty On Health
d. Awareness Of Age-Specific Developmental Factors
Answer: D
A Life-Cycle Approach Requires Familiarity With The Usual And Expected Developmental
Tasks For Various Age Groups. Being Aware Of Age-Specific Data Can Be Helpful In
Determining Normal And Abnormal Findings.
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SellyourStudy Material
Te
Dif: Cognitive Level: Understanding (Comprehension)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
15. Which Statement Outlines The Purpose For A Nurse Identifying Priorities And
Assessing Risk Factors In Patients?
a. Identify Patterns To Discover Missing Information.
b. Determine Areas For Health Promotion And Disease Prevention.
c. Distinguish Normal From Abnormal Findings.
d. Determine Treatment For A Medical Diagnosis.
Answer: B
Identifying And Working With Patients To Manage Known Risk Factors For Their Age Group
And Social Context Supports Disease Prevention And Health Promotion.
Dif: Cognitive Level: Understanding (Comprehension) Msc: Client Needs: General
16. Which Information Is An Example Of Objective Data?
a. Patient’s History Of Allergies
b. Patient’s Use Of Medications At Home
c. Last Menstrual Period 1 Month Ago
d. 2.5 Cm Scar On The Right Lower Forearm
Answer: D
Objective Data Are The Patient’s 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)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
17. Which Type Of Database Is Appropriate For A Visiting Nurse To Use When Making An
Initial Home Visit With A Patient Who Has Many Chronic Medical Problems?
a. A Follow-Up Database To Evaluate Changes At Appropriate Intervals
b. An Episodic Database Because Of The Continuing, Complex Medical Problems
Of This Patient
c. A Complete Health Database Because Of The Nurse’s Primary
Responsibility For Monitoring The Patient’s Health
d. An Emergency Database Because Of The Need To Collect Information And
Make Accurate Diagnoses Rapidly
Answer: C
The Complete Database Is Collected In A Primary Care Setting, Such As A Pediatric Or
Family Practice Clinic, Independent Or Group Private Practice, College Health Service,
Women’s Health Care Agency, Visiting Nurse Agency, Or Community Health Agency. In
These Settings, The Nurse Is The First Health Care Professional To See The Patient And Has
The Primary Responsibility For Monitoring The Person’s Health Care.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
18. Which Situation Is Most Appropriate For The Collection Of Episodic Or Problem-Centred Data?
a. Admission To A Long-Term Care Facility
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Te
b. Sudden And Severe Shortness Of Breath
c. Admission To The Hospital For Surgery The Next Day
d. An Outpatient Clinic Where Patients Have Cold And Influenza-Like Symptoms
Answer: D
In Compiling The Episodic Or Problem-Centered Database, The Nurse Collects A “Mini-
Database,” Which Is Smaller In Scope Compared With The Complete Database. This Mini
Database 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
19. A Patient Is At The Clinic To Have Their Blood Pressure Checked. They Have Been
Coming To The Clinic Weekly Since Changing Medications Two Months Ago. Which
Action Will The Nurse Perform?
a. Collect A Follow-Up Database And Then Check Blood Pressure.
b. Ask Patient To Read Health Record And Indicate Any Changes Since Last Visit.
c. Check Only Blood Pressure Because The Complete Health History Was
Documented Two Months Ago.
d. Obtain A Complete Health History Before Checking Blood Pressure Because
Much Of The History Information May Have Changed.
Answer: A
A Follow-Up Database Is Used In All Settings To Monitor Short-Term Or Chronic Health
Problems. The Other Responses Are Not Appropriate For The Situation.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
20. Which Method Will The Nurse Take To Collect Data For A Patient Brought To The
Emergency Department By Ambulance With Multiple Injuries After An Automobile
Accident? The Patient Is Alert, Cooperative, With Severe Injuries.
a. Collect History Information First And Then Perform The Physical Examination
And Institute Life-Saving Measures.
b. Simultaneously Ask History Questions While Performing The Examination
And Initiating Life-Saving Measures.
c. Collect All Information On The History Form, Including Social Support
Patterns, Strengths, And Coping Patterns.
d. Perform Life-Saving Measures And Delay Asking Any History Questions
Until The Patient Is Transferred To The Intensive Care Unit.
Answer: B
The Emergency Database Calls For A Rapid Collection Of The Database, And Often Data
Are Compiled Concurrently With Administration Of Life-Saving Measures. The Other
Responses Are Not Appropriate For The Situation.
Dif: Cognitive Level: Applying (Application)
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
21. Which Example Illustrates The New National And Provincial Guidelines Developed For
Particular Populations?
a. Pain Assessments
