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