,Physical Examination and Health Assessment 9th Edition Jarvis
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1. Evidence-Based Assessment cn
2. Cultural Assessment cn
3. The Interview
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4. The Complete Health History
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5. Mental Status Assessmentcn cn
6. Substance Use Assessment cn cn
7. Family Violence and Human Trafficking
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8. Assessment Techniques and Safety in the Clinical Setting
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9. General Survey and Measurement
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10. Vital Signs cn
11. Pain Assessment
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12. Nutrition Assessment cn
13. Skin, Hair, and Nails
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14. Head, Face, Neck, and Regional Lymphatics
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15. Eyes
16. Ears
17. Nose, Mouth, and Throat
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18. Breasts, Axillae, and Regional Lymphatics
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19. Thorax and Lungs cn cn
20. Heart and Neck Vessels
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21. Peripheral Vascular System and Lymphatic System cn cn cn cn cn
22. Abdomen
23. Musculoskeletal System cn
24. Neurologic System cn
25. Male Genitourinary System
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26. Anus, Rectum, and Prostate
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27. Female Genitourinary System cn cn
28. The Complete Health Assessment: Adult
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29. The Complete Physical Assessment: Infant, Young Child, and Adolescent
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30. Bedside Assessment and Electronic Documentation
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31. Pregnancy
32. Functional Assessment of the Older Adult cn cn cn cn cn
,Chapter 01: Evidence-Based Assessment
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Jarvis: Physical Examination & Health Assessment, 9th Edition
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MULTIPLE CHOICE cn
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
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are eupneic and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A c n
Objective data are what the health professional observes by inspecting, percussing, palpating, a
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nd auscultating during the physical examination. Subjective data is what the person says about
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him or herself during history taking. The terms reflective and introspective are not used to desc
n cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ribe data. cn
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
data would be: cn cn
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C c n
Subjective data are what the person says about him or herself during history taking. Objective d
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ata are what the health professional observes by inspecting, percussing, palpating, and auscult
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ating during the physical examination. The terms reflective and introspective are not used to d
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escribe data. cn
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form t
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he:
a. Data base. cn
b. Admitting data. cn
c. Financial statement. cn
d. Discharge summary. cn
ANS: A c n
Together with the patient’s record and laboratory studies, the objective and subjective data for
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m the data base. The other items are not part of the patient’s record, laboratory studies, or data.
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4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
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nurse’s next action should be to: cn cn cn cn cn
a. Immediately notify the patient’s physician. cn cn cn cn
b. Document the sound exactly as it was heard. cn cn cn cn cn cn cn
, c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C c n
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates t
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he data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an e
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xpert to listen. cn cn
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nu
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rse should keep in mind that novice nurses, without a background of skills and experience fro
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m which to draw, are more likely to make their decisions using:
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a. Intuition.
b. A set of rules. cn cn cn
c. Articles in journals. cn cn
d. Advice from supervisors. cn cn
ANS: B c n
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuit
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ive links. cn
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously l
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abeling it. These responses are referred to as:
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a. Intuition.
b... The nursing process. cn cn
c. Clinical knowledge. cn
d. Diagnostic reasoning. cn
ANS: A c n
Intuition is characterized by pattern recognition— cn cn cn cn cn
expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e other options are not correct.
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7. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for support of best practices.
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b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinician’s experience.
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d... The patient’s own preferences are not important with EBP.
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ANS: C c n
EBP is a systematic approach to practice that emphasizes the use of best evidence in combinat
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ion with the clinician’s experience, as well as patient preferences and values, when making dec
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isions about care and treatment. EBP is more than simply using the best practice techniques to
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
treat patients, and questioning tradition is important when no compelling and supportive resea
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rch evidence exists.
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
s an example of a first-level priority problem?
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a. Patient with postoperative pain cn cn cn
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1. Evidence-Based Assessment cn
2. Cultural Assessment cn
3. The Interview
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4. The Complete Health History
cn cn cn
5. Mental Status Assessmentcn cn
6. Substance Use Assessment cn cn
7. Family Violence and Human Trafficking
cn cn cn cn
8. Assessment Techniques and Safety in the Clinical Setting
cn cn cn cn cn cn cn
9. General Survey and Measurement
cn cn cn
10. Vital Signs cn
11. Pain Assessment
cn
12. Nutrition Assessment cn
13. Skin, Hair, and Nails
cn cn cn
14. Head, Face, Neck, and Regional Lymphatics
cn cn cn cn cn
15. Eyes
16. Ears
17. Nose, Mouth, and Throat
cn cn cn
18. Breasts, Axillae, and Regional Lymphatics
cn cn cn cn
19. Thorax and Lungs cn cn
20. Heart and Neck Vessels
cn cn cn
21. Peripheral Vascular System and Lymphatic System cn cn cn cn cn
22. Abdomen
23. Musculoskeletal System cn
24. Neurologic System cn
25. Male Genitourinary System
cn cn
26. Anus, Rectum, and Prostate
cn cn cn
27. Female Genitourinary System cn cn
28. The Complete Health Assessment: Adult
cn cn cn cn
29. The Complete Physical Assessment: Infant, Young Child, and Adolescent
cn cn cn cn cn cn cn cn
30. Bedside Assessment and Electronic Documentation
cn cn cn cn
31. Pregnancy
32. Functional Assessment of the Older Adult cn cn cn cn cn
,Chapter 01: Evidence-Based Assessment
cn cn cn
Jarvis: Physical Examination & Health Assessment, 9th Edition
cn cn cn cn cn cn cn
MULTIPLE CHOICE cn
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
are eupneic and his pulse is 58 beats per minute. These types of data would be:
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A c n
Objective data are what the health professional observes by inspecting, percussing, palpating, a
cn cn cn cn cn cn cn cn cn cn cn cn
nd auscultating during the physical examination. Subjective data is what the person says about
cn cn cn cn cn cn cn cn cn cn cn cn cn c
him or herself during history taking. The terms reflective and introspective are not used to desc
n cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ribe data. cn
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
data would be: cn cn
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C c n
Subjective data are what the person says about him or herself during history taking. Objective d
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ata are what the health professional observes by inspecting, percussing, palpating, and auscult
cn cn cn cn cn cn cn cn cn cn cn cn
ating during the physical examination. The terms reflective and introspective are not used to d
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
escribe data. cn
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form t
cn cn cn cn cn cn cn cn cn cn cn cn cn
he:
a. Data base. cn
b. Admitting data. cn
c. Financial statement. cn
d. Discharge summary. cn
ANS: A c n
Together with the patient’s record and laboratory studies, the objective and subjective data for
cn cn cn cn cn cn cn cn cn cn cn cn cn
m the data base. The other items are not part of the patient’s record, laboratory studies, or data.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nurse’s next action should be to: cn cn cn cn cn
a. Immediately notify the patient’s physician. cn cn cn cn
b. Document the sound exactly as it was heard. cn cn cn cn cn cn cn
, c. Validate the data by asking a coworker to listen to the breath sounds.
cn cn cn cn cn cn cn cn cn cn cn cn
d. Assess again in 20 minutes to note whether the sound is still present.
cn cn cn cn cn cn cn cn cn cn cn cn
ANS: C c n
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
he data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an e
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
xpert to listen. cn cn
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nu
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rse should keep in mind that novice nurses, without a background of skills and experience fro
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
m which to draw, are more likely to make their decisions using:
cn cn cn cn cn cn cn cn cn cn cn
a. Intuition.
b. A set of rules. cn cn cn
c. Articles in journals. cn cn
d. Advice from supervisors. cn cn
ANS: B c n
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuit
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ive links. cn
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously l
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
abeling it. These responses are referred to as:
cn cn cn cn cn cn cn
a. Intuition.
b... The nursing process. cn cn
c. Clinical knowledge. cn
d. Diagnostic reasoning. cn
ANS: A c n
Intuition is characterized by pattern recognition— cn cn cn cn cn
expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e other options are not correct.
cn cn cn cn cn
7. The nurse is reviewing information about evidence-
cn cn cn cn cn cn
based practice (EBP). Which statement best reflects EBP?
cn cn cn cn cn cn cn
a. EBP relies on tradition for support of best practices.
cn cn cn cn cn cn cn cn
b. EBP is simply the use of best practice techniques for the treatment of patients.
cn cn cn cn cn cn cn cn cn cn cn cn cn
c. EBP emphasizes the use of best evidence with the clinician’s experience.
cn cn cn cn cn cn cn cn cn cn
d... The patient’s own preferences are not important with EBP.
cn cn cn cn cn cn cn cn
ANS: C c n
EBP is a systematic approach to practice that emphasizes the use of best evidence in combinat
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ion with the clinician’s experience, as well as patient preferences and values, when making dec
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
isions about care and treatment. EBP is more than simply using the best practice techniques to
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
treat patients, and questioning tradition is important when no compelling and supportive resea
cn cn cn cn cn cn cn cn cn cn cn cn
rch evidence exists.
cn cn
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
s an example of a first-level priority problem?
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a. Patient with postoperative pain cn cn cn
