Physical Examination and Health Assessment
by Carolyn Jarvis
9th Edition
FULL TEST BANK!!!
,Test Bank for Physical Examination and Health Assessment 9th Edition
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
, Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
his pulse is 58 beats per minute. These types of data wouldbe:
작은a. 시골 Objective.
마을에 민준이라는 청년이 살고 있었습니다. 그는 오래된
피아노를 수리하는 일을 했습니다. 그의 작업실에는 부서진 건반과
낡은 악보들이 가득했습니다.
b. Reflective.
c. Subjective.
어느 날 한 여학생이 할머니의 오래된 피아노를 가져왔습니다. 소리가
거의d. 나지 Introspective.
않았지만, 그 피아노에는 가족의 추억이 담겨 있었습니다.
민준은 조심스럽게 줄을 조율하고 먼지를 닦아냈습니다.
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
며칠during
후,the피아노는 다시Subjective
physical examination. 아름다운 소리를
data is what the person냈습니다.
says about him or여학생은 감동하여
herself during history
눈물을 흘렸고, 작은 집 안에는 따뜻한 음악이 울려 퍼졌습니다.
taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
민준은 깨달았습니다. 그는 단순히 악기를 고치는 것이 아니라,
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
사람들의
2. A patient기억과
tells the nurse감정을 되살리고
that he is very 있다는
nervous, is nauseated, 것을.
and feels hot. These types of data would be:
a. Objective.
كان. اشتهر بصناعة الفخار اليدوي، كان يعيش شاب يُدعى سامر،سط الصحراء
.جميلة
b. ٍأوانReflective.
ت طويلة يشكّل الطين بيديه ويضعه في الفرن حتى يتحول إلى
c. Subjective.
أرادت إناءً متينًا. جاءت امرأة مسنّة تطلب منه صنع إناء خاص لحفظ ماء البئر،
.وصبرd. بدقة استمع سامر بعناية لطلبها وبدأ العمل.خفيفًا في الوقت نفسه
Introspective.
المرأة
ANS:أعجبت
C .ّم لها الإناء بزخارف بسيطة مستوحاة من نقوش قديمة في القرية
.الجميع أمامdataوشكرته
Subjective are what the بعمله
person says about him or herself 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.
يخدم لاCognitive
DIF: أن فنه وأدرك
Level: .القرية
Understanding أصبحت أواني سامر جزءًا من بيوت كثيرة في،ت
(Comprehension)
.وروحه
MSC:المكان تراث
Client Needs: Safe على أيضًا
and Effective Careيحافظ بل
Environment: ، فقطofعملية
Management Care حاجة
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
, c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
action should be to:
a. Immediately notify the patients physician.
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.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)