TEST BANK c
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
c c c c c c
Authors: Carolyn Jarvis And Ann L. Eckhardt
c c c c c c
TEST BANK c
,TABLE OF CONTENT
c c
Chapterc01:cEvidence-BasedcAssessment ..................................................................................................... 3
Chapterc02:cCulturalcAssessment................................................................................................................ 12
Chapterc03:cThecInterview .......................................................................................................................... 23
Chapterc04:cThecCompletecHealthcHistory .................................................................................................. 39
Chapterc05:cMentalcStatuscAssessment ....................................................................................................... 51
Chapterc06:cSubstancecUsecAssessment...................................................................................................... 66
Chapterc07:cFamilycViolencecandcHumancTrafficking ................................................................................ 72
Chapterc08:cAssessmentcTechniquescandcSafetycincthecClinicalcSetting ...................................................... 78
Chapterc09:cGeneralcSurveycandcMeasurement........................................................................................... 93
Chapterc10:cVitalcSigns ............................................................................................................................... 98
Chapterc11:cPaincAssessment.................................................................................................................... 112
Chapterc12:cNutritioncAssessment ............................................................................................................ 119
Chapterc13:cSkin,cHair,candcNails ............................................................................................................. 131
Chapterc14:cHead,cFace,candcNeck,candcRegionalcLymphatics ................................................................. 149
Chapterc15:cEyes....................................................................................................................................... 163
Chapterc16:cEars ....................................................................................................................................... 177
Chapterc17:cNose,cMouth,candcThroat ....................................................................................................... 192
Chapterc18:cBreasts,cAxillae,candcRegionalcLymphatics ........................................................................... 207
Chapterc19:cThoraxcandcLungs ................................................................................................................. 223
Chapterc20:cHeartcandcNeckcVessels ......................................................................................................... 239
Chapterc21:cPeripheralcVascularcSystemcandcLymphaticcSystem ............................................................. 254
Chapterc22:cAbdomen............................................................................................................................... 268
Chapterc23:cMusculoskeletalcSystem........................................................................................................ 280
Chapterc24:cNeurologiccSystem ................................................................................................................ 297
Chapterc25:cMalecGenitourinarycSystem .................................................................................................. 318
Chapterc26:cAnus,cRectum,candcProstate................................................................................................... 332
Chapterc27:cFemalecGenitourinarycSystem ............................................................................................... 343
Chapterc28:cThecCompletecHealthcAssessment:cAdult .............................................................................. 361
Chapterc29:cThecCompletecPhysicalcAssessment:cInfant,cYoungcChild,candcAdolescent .......................... 366
Chapterc30:cBedsidecAssessmentcandcElectroniccDocumentation ............................................................. 368
Chapterc31:cPregnancy ............................................................................................................................. 373
Chapterc32:cFunctionalcAssessmentcofcthecOldercAdult ............................................................................ 384
,Chapter 01: Evidence-Based Assessment
c c c
Jarvis: Physical Examination and Health Assessment, 9th Edition
c c c c c c c
MULTIPLEcCHOICE
1. Afterccompletingcancinitialcassessmentcofcacpatient,cthecnursechascchartedcthatchiscrespirationscar
eceupneiccandchiscpulsecisc58cbeatscpercminute.cWhatctypecofcassessmentcdataciscthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:c A
Objectivecdataciscwhatcthechealthcprofessionalcobservescbycinspecting,cpercussing,cpalpating,can
dcauscultatingcduringcthecphysicalcexamination.cSubjectivecdataciscwhatcthecpersoncsayscaboutchi
mcorcherselfcduringchistoryctaking.cThectermscreflectivecandcintrospectivecarecnotcusedctocdescrib
ecdata.
DIF: CognitivecLevel:cUnderstandingc(Comprehension)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
2. Acpatientctellscthecnursecthatcheciscverycnervous,cnauseous,candc“feelschot.”cWhatctypecofcas
sessmentcdataciscthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:cC
Subjectivecdataciscwhatcthecpersoncsayscaboutchimcorcherselfcduringchistoryctaking.cObjectivecda
taciscwhatcthechealthcprofessionalcobservescbycinspecting,cpercussing,cpalpating,candcauscultati
ngcduringcthecphysicalcexamination.cThectermscreflectivecandcintrospectivecarecnotcusedctocdesc
ribecdata.
DIF: CognitivecLevel:cUnderstandingc(Comprehension)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
3. Whatcdocthecpatient’screcord,claboratorycstudies,cobjectivecdata,candcsubjectivecdataccombinecto
cform?
a. Database
b. Admittingcdata
c. Financialcstatement
d. Dischargecsummary
ANS:cA
Thecobjectivecandcsubjectivecdatactogethercwithcthecpatient’screcordcandclaboratorycstudies,cfo
rmcthecdatabase.cThecothercitemscarecnotcpartcofcthecpatient’screcord,claboratorycstudies,corcdata
.
DIF: CognitivecLevel:cRememberingc(Knowledge)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
, 4. Whenclisteningctocacpatient’scbreathcsounds,cthecnurseciscunsurecofcacsoundcthatcisheard.cW
hichcactioncwouldcthecnursectakecnext?
a. Notifycthecpatient’scphysician.
b. Documentcthecsoundcexactlycascitcwascheard.
c. Validatecthecdatacbycaskingcanothercnursectoclistenctocthecbreathcsounds.
d. Assesscagaincinc20cminutesctocnotecwhethercthecsoundciscstillcpresent.
ANS:cC
Whencunsurecofcacsoundcheardcwhileclisteningctocacpatient’scbreathcsounds,cthecnursecvalidatescth
ecdatactocensurecaccuracycbyceithercrepeatingcthecassessmentcthemselvescorcaskingcanothercnurse
ctocassesscthecbreath csounds.cIfcthecnursechasclesscexperiencecanalyzingcbreath csounds,cthenchecorc
shecshouldcaskcancexpertctoclisten.cWhencunsurecofcacsoundcheardcwhileclisteningctocacpatient’scbr
eathcsounds,cthecnursecshouldcvalidatecthecdatacbeforecdocumentingctocensurecaccuracycandcbefo
recnotifyingcthecpatient’scphysician.cTocvalidatecthatcdata,cthecnurseceithercrepeatscthecassessmen
tchimselfcorcherselfcorcaskscanothercnursectocassesscthecbreathcsounds.
DIF: CognitivecLevel:cApplyingc(Application)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
5. Thecnurseciscconductingcacclasscforcnewcgraduatecnurses.cWhilecteachingcthecclass,cwhatcwouldcth
ecnurseckeepcincmindcregardingcwhatcnovicecnurses,cwithoutcacbackgroundcofcskillscandcexperien
cecfromcwhichctocdrawcupon,carecmoreclikelyctocbasectheircdecisionscon?
a. Intuition
b. Acsetcofcrules
c. Articlescincjournals
d. Advicecfromcsupervisors
ANS:cB
Novicecnursescoperatecfromcacsetcofcdefined,cstructuredcrulesctocmakecdecisions.cItctakesctime,cpe
rhapscacfewcyears,cincsimilarcclinicalcsituationsctocachieveccompetencycandcitciscfunctioningcatcthe
clevelcofcancexpertcpractitionercwhencintuitionciscincludedcincmakingcclinicalcdecisions.cWhilecinf
ormationcincjournalcarticlescandcadvicecfromcsupervisorscmaycassistcincmakingcdecisions,cnovicec
nursescdocnotctypicallycbasectheircdecisionsconcthem.cItcwouldcalsocbecimportantcthatcifcinformati
oncfromcjournalcarticlescandcadvicecfromcsupervisorscwerecused,cthatctheycwerecevidencecbased.
DIF: CognitivecLevel:cUnderstandingc(Comprehension) MSC:cClientcNeeds:cGeneral
6. Thecnurseciscreviewingcinformationcaboutcevidence-
basedcpracticec(EBP).cWhichcstatementcbestcreflectscEBP?
a. EBPcreliesconctraditioncforcsupportcofcbestcpractices.
b. EBPciscsimplycthecusecofcbestcpracticectechniquescforcthectreatmentcofcpatients.
c. EBPcemphasizescthecusecofcbestcevidencecwithcthecclinician’scexperience.
d. EBPcdoescnotcconsidercthecpatient’scowncpreferencescascimportant.
ANS:cC
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
c c c c c c
Authors: Carolyn Jarvis And Ann L. Eckhardt
c c c c c c
TEST BANK c
,TABLE OF CONTENT
c c
Chapterc01:cEvidence-BasedcAssessment ..................................................................................................... 3
Chapterc02:cCulturalcAssessment................................................................................................................ 12
Chapterc03:cThecInterview .......................................................................................................................... 23
Chapterc04:cThecCompletecHealthcHistory .................................................................................................. 39
Chapterc05:cMentalcStatuscAssessment ....................................................................................................... 51
Chapterc06:cSubstancecUsecAssessment...................................................................................................... 66
Chapterc07:cFamilycViolencecandcHumancTrafficking ................................................................................ 72
Chapterc08:cAssessmentcTechniquescandcSafetycincthecClinicalcSetting ...................................................... 78
Chapterc09:cGeneralcSurveycandcMeasurement........................................................................................... 93
Chapterc10:cVitalcSigns ............................................................................................................................... 98
Chapterc11:cPaincAssessment.................................................................................................................... 112
Chapterc12:cNutritioncAssessment ............................................................................................................ 119
Chapterc13:cSkin,cHair,candcNails ............................................................................................................. 131
Chapterc14:cHead,cFace,candcNeck,candcRegionalcLymphatics ................................................................. 149
Chapterc15:cEyes....................................................................................................................................... 163
Chapterc16:cEars ....................................................................................................................................... 177
Chapterc17:cNose,cMouth,candcThroat ....................................................................................................... 192
Chapterc18:cBreasts,cAxillae,candcRegionalcLymphatics ........................................................................... 207
Chapterc19:cThoraxcandcLungs ................................................................................................................. 223
Chapterc20:cHeartcandcNeckcVessels ......................................................................................................... 239
Chapterc21:cPeripheralcVascularcSystemcandcLymphaticcSystem ............................................................. 254
Chapterc22:cAbdomen............................................................................................................................... 268
Chapterc23:cMusculoskeletalcSystem........................................................................................................ 280
Chapterc24:cNeurologiccSystem ................................................................................................................ 297
Chapterc25:cMalecGenitourinarycSystem .................................................................................................. 318
Chapterc26:cAnus,cRectum,candcProstate................................................................................................... 332
Chapterc27:cFemalecGenitourinarycSystem ............................................................................................... 343
Chapterc28:cThecCompletecHealthcAssessment:cAdult .............................................................................. 361
Chapterc29:cThecCompletecPhysicalcAssessment:cInfant,cYoungcChild,candcAdolescent .......................... 366
Chapterc30:cBedsidecAssessmentcandcElectroniccDocumentation ............................................................. 368
Chapterc31:cPregnancy ............................................................................................................................. 373
Chapterc32:cFunctionalcAssessmentcofcthecOldercAdult ............................................................................ 384
,Chapter 01: Evidence-Based Assessment
c c c
Jarvis: Physical Examination and Health Assessment, 9th Edition
c c c c c c c
MULTIPLEcCHOICE
1. Afterccompletingcancinitialcassessmentcofcacpatient,cthecnursechascchartedcthatchiscrespirationscar
eceupneiccandchiscpulsecisc58cbeatscpercminute.cWhatctypecofcassessmentcdataciscthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:c A
Objectivecdataciscwhatcthechealthcprofessionalcobservescbycinspecting,cpercussing,cpalpating,can
dcauscultatingcduringcthecphysicalcexamination.cSubjectivecdataciscwhatcthecpersoncsayscaboutchi
mcorcherselfcduringchistoryctaking.cThectermscreflectivecandcintrospectivecarecnotcusedctocdescrib
ecdata.
DIF: CognitivecLevel:cUnderstandingc(Comprehension)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
2. Acpatientctellscthecnursecthatcheciscverycnervous,cnauseous,candc“feelschot.”cWhatctypecofcas
sessmentcdataciscthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:cC
Subjectivecdataciscwhatcthecpersoncsayscaboutchimcorcherselfcduringchistoryctaking.cObjectivecda
taciscwhatcthechealthcprofessionalcobservescbycinspecting,cpercussing,cpalpating,candcauscultati
ngcduringcthecphysicalcexamination.cThectermscreflectivecandcintrospectivecarecnotcusedctocdesc
ribecdata.
DIF: CognitivecLevel:cUnderstandingc(Comprehension)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
3. Whatcdocthecpatient’screcord,claboratorycstudies,cobjectivecdata,candcsubjectivecdataccombinecto
cform?
a. Database
b. Admittingcdata
c. Financialcstatement
d. Dischargecsummary
ANS:cA
Thecobjectivecandcsubjectivecdatactogethercwithcthecpatient’screcordcandclaboratorycstudies,cfo
rmcthecdatabase.cThecothercitemscarecnotcpartcofcthecpatient’screcord,claboratorycstudies,corcdata
.
DIF: CognitivecLevel:cRememberingc(Knowledge)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
, 4. Whenclisteningctocacpatient’scbreathcsounds,cthecnurseciscunsurecofcacsoundcthatcisheard.cW
hichcactioncwouldcthecnursectakecnext?
a. Notifycthecpatient’scphysician.
b. Documentcthecsoundcexactlycascitcwascheard.
c. Validatecthecdatacbycaskingcanothercnursectoclistenctocthecbreathcsounds.
d. Assesscagaincinc20cminutesctocnotecwhethercthecsoundciscstillcpresent.
ANS:cC
Whencunsurecofcacsoundcheardcwhileclisteningctocacpatient’scbreathcsounds,cthecnursecvalidatescth
ecdatactocensurecaccuracycbyceithercrepeatingcthecassessmentcthemselvescorcaskingcanothercnurse
ctocassesscthecbreath csounds.cIfcthecnursechasclesscexperiencecanalyzingcbreath csounds,cthenchecorc
shecshouldcaskcancexpertctoclisten.cWhencunsurecofcacsoundcheardcwhileclisteningctocacpatient’scbr
eathcsounds,cthecnursecshouldcvalidatecthecdatacbeforecdocumentingctocensurecaccuracycandcbefo
recnotifyingcthecpatient’scphysician.cTocvalidatecthatcdata,cthecnurseceithercrepeatscthecassessmen
tchimselfcorcherselfcorcaskscanothercnursectocassesscthecbreathcsounds.
DIF: CognitivecLevel:cApplyingc(Application)
MSC:cClientcNeeds:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
5. Thecnurseciscconductingcacclasscforcnewcgraduatecnurses.cWhilecteachingcthecclass,cwhatcwouldcth
ecnurseckeepcincmindcregardingcwhatcnovicecnurses,cwithoutcacbackgroundcofcskillscandcexperien
cecfromcwhichctocdrawcupon,carecmoreclikelyctocbasectheircdecisionscon?
a. Intuition
b. Acsetcofcrules
c. Articlescincjournals
d. Advicecfromcsupervisors
ANS:cB
Novicecnursescoperatecfromcacsetcofcdefined,cstructuredcrulesctocmakecdecisions.cItctakesctime,cpe
rhapscacfewcyears,cincsimilarcclinicalcsituationsctocachieveccompetencycandcitciscfunctioningcatcthe
clevelcofcancexpertcpractitionercwhencintuitionciscincludedcincmakingcclinicalcdecisions.cWhilecinf
ormationcincjournalcarticlescandcadvicecfromcsupervisorscmaycassistcincmakingcdecisions,cnovicec
nursescdocnotctypicallycbasectheircdecisionsconcthem.cItcwouldcalsocbecimportantcthatcifcinformati
oncfromcjournalcarticlescandcadvicecfromcsupervisorscwerecused,cthatctheycwerecevidencecbased.
DIF: CognitivecLevel:cUnderstandingc(Comprehension) MSC:cClientcNeeds:cGeneral
6. Thecnurseciscreviewingcinformationcaboutcevidence-
basedcpracticec(EBP).cWhichcstatementcbestcreflectscEBP?
a. EBPcreliesconctraditioncforcsupportcofcbestcpractices.
b. EBPciscsimplycthecusecofcbestcpracticectechniquescforcthectreatmentcofcpatients.
c. EBPcemphasizescthecusecofcbestcevidencecwithcthecclinician’scexperience.
d. EBPcdoescnotcconsidercthecpatient’scowncpreferencescascimportant.
ANS:cC
