NURSING HEALTH ASSESSMENT A CLINICAL JUDGMENT APPROACH 5 TH EDITION
BY SHARON JENSEN & DEBRA SERVELLO
TEST BANK
,Table of Contents:
Chapter 1: The Nurse’s Role in Health Assessment
Chapter 2: The Health History and Interview
Chapter 3: Techniques, Safety, and Infection Control
Chapter 4: Documentation and Interprofessional Communication
Chapter 5: Vital Signs and General Survey
Chapter 6: Pain Assessment
Chapter 7: Nutritional Assessment
Chapter 8: Mental Health, Abuse, and Substance Use Disorders
Chapter 9: Cultural Assessment
Chapter 10: Skin, Hair, and Nails Assessment
Chapter 11: Head and Neck Assessment, With Vision and Hearing Basics
Chapter 12: Eye and Ear Assessment for Advanced and Specialty Practice
Chapter 13: Nose, Sinuses, Mouth, and Throat Assessment
Chapter 14: Thorax and Lung Assessment
Chapter 15: Heart and Neck Vessels Assessment
Chapter 16: Peripheral Vascular and Lymphatic Assessment
Chapter 17: Breast and Axillae Assessment
Chapter 18: Abdominal Assessment
Chapter 19: Musculoskeletal Assessment
Chapter 20: Neurological and Mental Status Assessment
Chapter 21: Male Genitalia and Rectal Assessment
Chapter 22: Female Genitalia and Rectal Assessment
Chapter 23: Pregnancy
,Chapter 24: Infants, Children, and Adolescents
Chapter 25: Older Adults
Chapter 26: Assessment of the Hospitalized Adult
Chapter 27: Head-to-Toe Assessment of the Adult
, Nursing Health Assessment A Clinical Judgment Approach 5th Edition Jensen & Servello
Chapter 1. The Nurse’s Role in Health Assessment
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 would be:
a. Objective.
b. Reflective.
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 is what the person says about
him or herself during history taking. The terms reflective and introspective are not used to
describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
Subjective data are what the 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.
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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
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