TEST BANK
Physical Examination and Health Assessment 4th Canadian Edition by
Carolyn Jarvis, Annette J. Browne, June MacDonald-Jenkins and Marian Luctkar-Flude
,TABLE OF CONTENT
Chapter 01: Critical Thinking and Evidence-Informed Assessment ..................................................................... 3
Chapter 02: Health Promotion in the Context of Health Assessment .................................................................. 13
Chapter 03: A Relational Approach to Cultural and Social Considerations in Health Assessment .................... 20
Chapter 04: The Interview ................................................................................................................................... 31
Chapter 05: The Complete Health History .......................................................................................................... 46
Chapter 06: Mental Health Assessment ............................................................................................................... 59
Chapter 07: Substance Use and Health Assessment ............................................................................................ 68
Chapter 08: Interpersonal Violence and Health Assessment ............................................................................... 75
Chapter 09: Assessment Techniques and the Clinical Setting ............................................................................. 82
Chapter 10: General Survey, Measurement, and Vital Signs .............................................................................. 96
Chapter 11: Pain Assessment ............................................................................................................................. 113
Chapter 12: Nutritional Assessment and Nursing Practice ................................................................................ 120
Chapter 13: Skin, Hair, and Nails ...................................................................................................................... 134
Chapter 15: Eyes ................................................................................................................................................ 153
Chapter 16: Ears ................................................................................................................................................. 166
Chapter 17: Nose, Mouth, and Throat ............................................................................................................... 179
Chapter 18: Breasts and Regional Lymphatic System ....................................................................................... 193
Chapter 19: Thorax and Lungs .......................................................................................................................... 209
Chapter 20: Heart and Neck Vessels ................................................................................................................. 224
Chapter 21: Peripheral Vascular System and Lymphatic System ..................................................................... 239
Chapter 22: The Abdomen ................................................................................................................................. 252
Chapter 23: Anus, Rectum, and Prostate ........................................................................................................... 265
Chapter 24: Musculo-Skeletal System ............................................................................................................... 276
Chapter 25: Neurological System ...................................................................................................................... 292
Chapter 26: Male Genitourinary System ........................................................................................................... 312
Chapter 27: Female Genitourinary System ........................................................................................................ 326
Chapter 28: The Complete Health Assessment: Putting It All Together .......................................................... 343
Chapter 29: Bedside Assessment and Reporting ............................................................................................... 354
Chapter 30: Pregnancy ....................................................................................................................................... 359
Chapter 31: Assessment of the Older Adult ...................................................................................................... 370
,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
ANS: 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
ANS: 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
ANS: 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
, 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.
ANS: 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
ANS: 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
ANS: 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
ANS: C
Physical Examination and Health Assessment 4th Canadian Edition by
Carolyn Jarvis, Annette J. Browne, June MacDonald-Jenkins and Marian Luctkar-Flude
,TABLE OF CONTENT
Chapter 01: Critical Thinking and Evidence-Informed Assessment ..................................................................... 3
Chapter 02: Health Promotion in the Context of Health Assessment .................................................................. 13
Chapter 03: A Relational Approach to Cultural and Social Considerations in Health Assessment .................... 20
Chapter 04: The Interview ................................................................................................................................... 31
Chapter 05: The Complete Health History .......................................................................................................... 46
Chapter 06: Mental Health Assessment ............................................................................................................... 59
Chapter 07: Substance Use and Health Assessment ............................................................................................ 68
Chapter 08: Interpersonal Violence and Health Assessment ............................................................................... 75
Chapter 09: Assessment Techniques and the Clinical Setting ............................................................................. 82
Chapter 10: General Survey, Measurement, and Vital Signs .............................................................................. 96
Chapter 11: Pain Assessment ............................................................................................................................. 113
Chapter 12: Nutritional Assessment and Nursing Practice ................................................................................ 120
Chapter 13: Skin, Hair, and Nails ...................................................................................................................... 134
Chapter 15: Eyes ................................................................................................................................................ 153
Chapter 16: Ears ................................................................................................................................................. 166
Chapter 17: Nose, Mouth, and Throat ............................................................................................................... 179
Chapter 18: Breasts and Regional Lymphatic System ....................................................................................... 193
Chapter 19: Thorax and Lungs .......................................................................................................................... 209
Chapter 20: Heart and Neck Vessels ................................................................................................................. 224
Chapter 21: Peripheral Vascular System and Lymphatic System ..................................................................... 239
Chapter 22: The Abdomen ................................................................................................................................. 252
Chapter 23: Anus, Rectum, and Prostate ........................................................................................................... 265
Chapter 24: Musculo-Skeletal System ............................................................................................................... 276
Chapter 25: Neurological System ...................................................................................................................... 292
Chapter 26: Male Genitourinary System ........................................................................................................... 312
Chapter 27: Female Genitourinary System ........................................................................................................ 326
Chapter 28: The Complete Health Assessment: Putting It All Together .......................................................... 343
Chapter 29: Bedside Assessment and Reporting ............................................................................................... 354
Chapter 30: Pregnancy ....................................................................................................................................... 359
Chapter 31: Assessment of the Older Adult ...................................................................................................... 370
,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
ANS: 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
ANS: 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
ANS: 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
, 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.
ANS: 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
ANS: 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
ANS: 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
ANS: C
