TEST BANK h.
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
h. h. h. h. h. h.
Authors: Carolyn Jarvis and Ann L. Eckhardt
h . h. h. h. h. h.
TEST BANK h.
,TABLE OF CONTENT
h. h.
Chapterh.01:h.Evidence-Basedh.Assessment.................................................................................................... 3
Chapterh.02:h.Culturalh.Assessment............................................................................................................... 12
Chapterh.03:h.Theh.Interview ......................................................................................................................... 23
Chapterh.04:h.Theh.Completeh.Healthh.History................................................................................................ 39
Chapterh.05:h.Mentalh.Statush.Assessment ..................................................................................................... 51
Chapterh.06:h.Substanceh.Useh.Assessment .................................................................................................... 66
Chapterh.07:h.Familyh.Violenceh.andh.Humanh.Trafficking ............................................................................. 72
Chapterh.08:h.Assessmenth.Techniquesh.andh.Safetyh.inh.theh.Clinicalh.Setting.................................................. 78
Chapterh.09:h.Generalh.Surveyh.andh.Measurement ........................................................................................ 93
Chapterh.10:h.Vitalh.Signs ............................................................................................................................. 98
Chapterh.11:h.Painh.Assessment .................................................................................................................. 112
Chapterh.12:h.Nutritionh.Assessment ........................................................................................................... 119
Chapterh.13:h.Skin,h.Hair,h.andh.Nails ........................................................................................................... 131
Chapterh.14:h.Head,h.Face,h.andh.Neck,h.andh.Regionalh.Lymphatics .............................................................. 149
Chapterh.15:h.Eyes ...................................................................................................................................... 163
Chapterh.16:h.Ears....................................................................................................................................... 177
Chapterh.17:h.Nose,h.Mouth,h.andh.Throat .................................................................................................... 192
Chapterh.18:h.Breasts,h.Axillae,h.andh.Regionalh.Lymphatics ........................................................................ 207
Chapterh.19:h.Thoraxh.andh.Lungs ................................................................................................................ 223
Chapterh.20:h.Hearth.andh.Neckh.Vessels....................................................................................................... 239
Chapterh.21:h.Peripheralh.Vascularh.Systemh.andh.Lymphatich.System .......................................................... 254
Chapterh.22:h.Abdomen .............................................................................................................................. 268
Chapterh.23:h.Musculoskeletalh.System ...................................................................................................... 280
Chapterh.24:h.Neurologich.System .............................................................................................................. 297
Chapterh.25:h.Maleh.Genitourinaryh.System ................................................................................................. 318
Chapterh.26:h.Anus,h.Rectum,h.andh.Prostate ................................................................................................ 332
Chapterh.27:h.Femaleh.Genitourinaryh.System ............................................................................................. 343
Chapterh.28:h.Theh.Completeh.Healthh.Assessment:h.Adult ........................................................................... 361
Chapterh.29:h.Theh.Completeh.Physicalh.Assessment:h.Infant,h.Youngh.Child,h.andh.Adolescent ..................... 366
Chapterh.30:h.Bedsideh.Assessmenth.andh.Electronich.Documentation .......................................................... 368
Chapterh.31:h.Pregnancy ............................................................................................................................. 373
Chapterh.32:h.Functionalh.Assessmenth.ofh.theh.Olderh.Adult ......................................................................... 384
,Chapter 01: Evidence-Based Assessment
h. h. h.
Jarvis: Physical Examination and Health Assessment, 9th Edition
h. h. h. h. h. h. h.
MULTIPLEh.CHOICE
1. Afterh.completingh.anh.initialh.assessmenth.ofh.ah.patient,h.theh.nurseh.hash.chartedh.thath.hish.respiratio
nsh.areh.eupneich.andh.hish.pulseh.ish.58h.beatsh.perh.minute.h.Whath.typeh.ofh.assessmenth.datah.ish.this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:h . A
Objectiveh.datah.ish.whath.theh.healthh.professionalh.observesh.byh.inspecting,h.percussing,h.palpating,
h.andh.auscultatingh.duringh.theh.physicalh.examination.h.Subjectiveh.datah.ish.whath.theh.personh.saysh.a
bouth.himh.orh.herselfh.duringh.historyh.taking.h.Theh.termsh.reflectiveh.andh.introspectiveh.areh.noth.used
h.toh.describeh.data.
DIF: Cognitiveh.Level:h.Understandingh.(Comprehension)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
2. Ah.patienth.tellsh.theh.nurseh.thath.heh.ish.veryh.nervous,h.nauseous,h.andh.―feelsh.hot.‖h.Whath.typeh.
ofh.assessmenth.datah.ish.this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:h.C
Subjectiveh.datah.ish.whath.theh.personh.saysh.abouth.himh.orh.herselfh.duringh.historyh.taking.h.Objective
h.datah.ish.whath.theh.healthh.professionalh.observesh.byh.inspecting,h.percussing,h.palpating,h.andh.ausc
ultatingh.duringh.theh.physicalh.examination.h.Theh.termsh.reflectiveh.andh.introspectiveh.areh.noth.use
dh.toh.describeh.data.
DIF: Cognitiveh.Level:h.Understandingh.(Comprehension)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
3. Whath.doh.theh.patient‘sh.record,h.laboratoryh.studies,h.objectiveh.data,h.andh.subjectiveh.datacombin
eh.toh.form?
a. Database
b. Admittingh.data
c. Financialh.statement
d. Dischargeh.summary
ANS:h.A
Theh.objectiveh.andh.subjectiveh.datah.togetherh.withh.theh.patient‘sh.recordh.andh.laboratoryh.studies,h.
formh.theh.database.h.Theh.otherh.itemsh.areh.noth.parth.ofh.theh.patient‘sh.record,h.laboratoryh.studies,h.orh.
data.
DIF: Cognitiveh.Level:h.Rememberingh.(Knowledge)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
, 4. Whenh.listeningh.toh.ah.patient‘sh.breathh.sounds,h.theh.nurseh.ish.unsureh.ofh.ah.soundh.thath.ishear
d.h.Whichh.actionh.wouldh.theh.nurseh.takeh.next?
a. Notifyh.theh.patient‘sh.physician.
b. Documenth.theh.soundh.exactlyh.ash.ith.wash.heard.
c. Validateh.theh.datah.byh.askingh.anotherh.nurseh.toh.listenh.toh.theh.breathh.sounds.
d. Assessh.againh.inh.20h.minutesh.toh.noteh.whetherh.theh.soundh.ish.stillh.present.
ANS:h.C
Whenh.unsureh.ofh.ah.soundh.heardh.whileh.listeningh.toh.ah.patient‘sh.breathh.sounds,h.theh.nurseh.validat
esh.theh.datah.toh.ensureh.accuracyh.byh.eitherh.repeatingh.theh.assessmenth.themselvesh.orh.askingh.anot
herh.nurseh.toh.assessh.theh.breathh.sounds.h.Ifh.theh.nurseh.hash.lessh.experienceh.analyzingh.breathh.sou
nds,h.thenh.heh.orh.sheh.shouldh.askh.anh.experth.toh.listen.h.Whenh.unsureh.ofh.ah.soundh.heardh.whileh.liste
ningh.toh.ah.patient‘sh.breathh.sounds,h.theh.nurseh.shouldh.validateh.theh.datah.beforeh.documentingh.toh.
ensureh.accuracyh.andh.beforeh.notifyingh.theh.patient‘sh.physician.h.Toh.validateh.thath.data,h.theh.nurs
eh.eitherh.repeatsh.theh.assessmenth.himselfh.orh.herselfh.orh.asksh.anotherh.nurseh.toh.assessh.theh.breathh.
sounds.
DIF: Cognitiveh.Level:h.Applyingh.(Application)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
5. Theh.nurseh.ish.conductingh.ah.classh.forh.newh.graduateh.nurses.h.Whileh.teachingh.theh.class,h.whath.woul
dh.theh.nurseh.keeph.inh.mindh.regardingh.whath.noviceh.nurses,h.withouth.ah.backgroundh.ofh.skillsh.andh.
experienceh.fromh.whichh.toh.drawh.upon,h.areh.moreh.likelyh.toh.baseh.theirh.decisionsh.on?
a. Intuition
b. Ah.seth.ofh.rules
c. Articlesh.inh.journals
d. Adviceh.fromh.supervisors
ANS:h.B
Noviceh.nursesh.operateh.fromh.ah.seth.ofh.defined,h.structuredh.rulesh.toh.makeh.decisions.h.Ith.takesh.tim
e,h.perhapsh.ah.fewh.years,h.inh.similarh.clinicalh.situationsh.toh.achieveh.competencyh.andh.ith.ish.function
ingh.ath.theh.levelh.ofh.anh.experth.practitionerh.whenh.intuitionh.ish.includedh.inh.makingh.clinicalh.decisi
ons.h.Whileh.informationh.inh.journalh.articlesh.andh.adviceh.fromh.supervisorsh.mayh.assisth.inh.makingh
.decisions,h.noviceh.nursesh.doh.noth.typicallyh.baseh.theirh.decisionsh.onh.them.h. Ith.wouldh.alsoh.beh.imp
ortanth.thath.ifh.informationh.fromh.journalh.articlesh.andh.adviceh.fromh.supervisorsh.wereh.used,h.thath.th
eyh.wereh.evidenceh.based.
DIF: Cognitiveh.Level:h.Understandingh.(Comprehension) MSC:h.Clienth.Needs:h.General
6. Theh.nurseh.ish.reviewingh.informationh.abouth.evidence-
basedh.practiceh.(EBP).h.Whichh.statementh.besth.reflectsh.EBP?
a. EBPh.reliesh.onh.traditionh.forh.supporth.ofh.besth.practices.
b. EBPh.ish.simplyh.theh.useh.ofh.besth.practiceh.techniquesh.forh.theh.treatmenth.ofh.patients.
c. EBPh.emphasizesh.theh.useh.ofh.besth.evidenceh.withh.theh.clinician‘sh.experience.
d. EBPh.doesh.noth.considerh.theh.patient‘sh.ownh.preferencesh.ash.important.
ANS:h.C
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
h. h. h. h. h. h.
Authors: Carolyn Jarvis and Ann L. Eckhardt
h . h. h. h. h. h.
TEST BANK h.
,TABLE OF CONTENT
h. h.
Chapterh.01:h.Evidence-Basedh.Assessment.................................................................................................... 3
Chapterh.02:h.Culturalh.Assessment............................................................................................................... 12
Chapterh.03:h.Theh.Interview ......................................................................................................................... 23
Chapterh.04:h.Theh.Completeh.Healthh.History................................................................................................ 39
Chapterh.05:h.Mentalh.Statush.Assessment ..................................................................................................... 51
Chapterh.06:h.Substanceh.Useh.Assessment .................................................................................................... 66
Chapterh.07:h.Familyh.Violenceh.andh.Humanh.Trafficking ............................................................................. 72
Chapterh.08:h.Assessmenth.Techniquesh.andh.Safetyh.inh.theh.Clinicalh.Setting.................................................. 78
Chapterh.09:h.Generalh.Surveyh.andh.Measurement ........................................................................................ 93
Chapterh.10:h.Vitalh.Signs ............................................................................................................................. 98
Chapterh.11:h.Painh.Assessment .................................................................................................................. 112
Chapterh.12:h.Nutritionh.Assessment ........................................................................................................... 119
Chapterh.13:h.Skin,h.Hair,h.andh.Nails ........................................................................................................... 131
Chapterh.14:h.Head,h.Face,h.andh.Neck,h.andh.Regionalh.Lymphatics .............................................................. 149
Chapterh.15:h.Eyes ...................................................................................................................................... 163
Chapterh.16:h.Ears....................................................................................................................................... 177
Chapterh.17:h.Nose,h.Mouth,h.andh.Throat .................................................................................................... 192
Chapterh.18:h.Breasts,h.Axillae,h.andh.Regionalh.Lymphatics ........................................................................ 207
Chapterh.19:h.Thoraxh.andh.Lungs ................................................................................................................ 223
Chapterh.20:h.Hearth.andh.Neckh.Vessels....................................................................................................... 239
Chapterh.21:h.Peripheralh.Vascularh.Systemh.andh.Lymphatich.System .......................................................... 254
Chapterh.22:h.Abdomen .............................................................................................................................. 268
Chapterh.23:h.Musculoskeletalh.System ...................................................................................................... 280
Chapterh.24:h.Neurologich.System .............................................................................................................. 297
Chapterh.25:h.Maleh.Genitourinaryh.System ................................................................................................. 318
Chapterh.26:h.Anus,h.Rectum,h.andh.Prostate ................................................................................................ 332
Chapterh.27:h.Femaleh.Genitourinaryh.System ............................................................................................. 343
Chapterh.28:h.Theh.Completeh.Healthh.Assessment:h.Adult ........................................................................... 361
Chapterh.29:h.Theh.Completeh.Physicalh.Assessment:h.Infant,h.Youngh.Child,h.andh.Adolescent ..................... 366
Chapterh.30:h.Bedsideh.Assessmenth.andh.Electronich.Documentation .......................................................... 368
Chapterh.31:h.Pregnancy ............................................................................................................................. 373
Chapterh.32:h.Functionalh.Assessmenth.ofh.theh.Olderh.Adult ......................................................................... 384
,Chapter 01: Evidence-Based Assessment
h. h. h.
Jarvis: Physical Examination and Health Assessment, 9th Edition
h. h. h. h. h. h. h.
MULTIPLEh.CHOICE
1. Afterh.completingh.anh.initialh.assessmenth.ofh.ah.patient,h.theh.nurseh.hash.chartedh.thath.hish.respiratio
nsh.areh.eupneich.andh.hish.pulseh.ish.58h.beatsh.perh.minute.h.Whath.typeh.ofh.assessmenth.datah.ish.this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:h . A
Objectiveh.datah.ish.whath.theh.healthh.professionalh.observesh.byh.inspecting,h.percussing,h.palpating,
h.andh.auscultatingh.duringh.theh.physicalh.examination.h.Subjectiveh.datah.ish.whath.theh.personh.saysh.a
bouth.himh.orh.herselfh.duringh.historyh.taking.h.Theh.termsh.reflectiveh.andh.introspectiveh.areh.noth.used
h.toh.describeh.data.
DIF: Cognitiveh.Level:h.Understandingh.(Comprehension)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
2. Ah.patienth.tellsh.theh.nurseh.thath.heh.ish.veryh.nervous,h.nauseous,h.andh.―feelsh.hot.‖h.Whath.typeh.
ofh.assessmenth.datah.ish.this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:h.C
Subjectiveh.datah.ish.whath.theh.personh.saysh.abouth.himh.orh.herselfh.duringh.historyh.taking.h.Objective
h.datah.ish.whath.theh.healthh.professionalh.observesh.byh.inspecting,h.percussing,h.palpating,h.andh.ausc
ultatingh.duringh.theh.physicalh.examination.h.Theh.termsh.reflectiveh.andh.introspectiveh.areh.noth.use
dh.toh.describeh.data.
DIF: Cognitiveh.Level:h.Understandingh.(Comprehension)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
3. Whath.doh.theh.patient‘sh.record,h.laboratoryh.studies,h.objectiveh.data,h.andh.subjectiveh.datacombin
eh.toh.form?
a. Database
b. Admittingh.data
c. Financialh.statement
d. Dischargeh.summary
ANS:h.A
Theh.objectiveh.andh.subjectiveh.datah.togetherh.withh.theh.patient‘sh.recordh.andh.laboratoryh.studies,h.
formh.theh.database.h.Theh.otherh.itemsh.areh.noth.parth.ofh.theh.patient‘sh.record,h.laboratoryh.studies,h.orh.
data.
DIF: Cognitiveh.Level:h.Rememberingh.(Knowledge)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
, 4. Whenh.listeningh.toh.ah.patient‘sh.breathh.sounds,h.theh.nurseh.ish.unsureh.ofh.ah.soundh.thath.ishear
d.h.Whichh.actionh.wouldh.theh.nurseh.takeh.next?
a. Notifyh.theh.patient‘sh.physician.
b. Documenth.theh.soundh.exactlyh.ash.ith.wash.heard.
c. Validateh.theh.datah.byh.askingh.anotherh.nurseh.toh.listenh.toh.theh.breathh.sounds.
d. Assessh.againh.inh.20h.minutesh.toh.noteh.whetherh.theh.soundh.ish.stillh.present.
ANS:h.C
Whenh.unsureh.ofh.ah.soundh.heardh.whileh.listeningh.toh.ah.patient‘sh.breathh.sounds,h.theh.nurseh.validat
esh.theh.datah.toh.ensureh.accuracyh.byh.eitherh.repeatingh.theh.assessmenth.themselvesh.orh.askingh.anot
herh.nurseh.toh.assessh.theh.breathh.sounds.h.Ifh.theh.nurseh.hash.lessh.experienceh.analyzingh.breathh.sou
nds,h.thenh.heh.orh.sheh.shouldh.askh.anh.experth.toh.listen.h.Whenh.unsureh.ofh.ah.soundh.heardh.whileh.liste
ningh.toh.ah.patient‘sh.breathh.sounds,h.theh.nurseh.shouldh.validateh.theh.datah.beforeh.documentingh.toh.
ensureh.accuracyh.andh.beforeh.notifyingh.theh.patient‘sh.physician.h.Toh.validateh.thath.data,h.theh.nurs
eh.eitherh.repeatsh.theh.assessmenth.himselfh.orh.herselfh.orh.asksh.anotherh.nurseh.toh.assessh.theh.breathh.
sounds.
DIF: Cognitiveh.Level:h.Applyingh.(Application)
MSC:h.Clienth.Needs:h.Safeh.andh.Effectiveh.Careh.Environment:h.Managementh.ofh.Care
5. Theh.nurseh.ish.conductingh.ah.classh.forh.newh.graduateh.nurses.h.Whileh.teachingh.theh.class,h.whath.woul
dh.theh.nurseh.keeph.inh.mindh.regardingh.whath.noviceh.nurses,h.withouth.ah.backgroundh.ofh.skillsh.andh.
experienceh.fromh.whichh.toh.drawh.upon,h.areh.moreh.likelyh.toh.baseh.theirh.decisionsh.on?
a. Intuition
b. Ah.seth.ofh.rules
c. Articlesh.inh.journals
d. Adviceh.fromh.supervisors
ANS:h.B
Noviceh.nursesh.operateh.fromh.ah.seth.ofh.defined,h.structuredh.rulesh.toh.makeh.decisions.h.Ith.takesh.tim
e,h.perhapsh.ah.fewh.years,h.inh.similarh.clinicalh.situationsh.toh.achieveh.competencyh.andh.ith.ish.function
ingh.ath.theh.levelh.ofh.anh.experth.practitionerh.whenh.intuitionh.ish.includedh.inh.makingh.clinicalh.decisi
ons.h.Whileh.informationh.inh.journalh.articlesh.andh.adviceh.fromh.supervisorsh.mayh.assisth.inh.makingh
.decisions,h.noviceh.nursesh.doh.noth.typicallyh.baseh.theirh.decisionsh.onh.them.h. Ith.wouldh.alsoh.beh.imp
ortanth.thath.ifh.informationh.fromh.journalh.articlesh.andh.adviceh.fromh.supervisorsh.wereh.used,h.thath.th
eyh.wereh.evidenceh.based.
DIF: Cognitiveh.Level:h.Understandingh.(Comprehension) MSC:h.Clienth.Needs:h.General
6. Theh.nurseh.ish.reviewingh.informationh.abouth.evidence-
basedh.practiceh.(EBP).h.Whichh.statementh.besth.reflectsh.EBP?
a. EBPh.reliesh.onh.traditionh.forh.supporth.ofh.besth.practices.
b. EBPh.ish.simplyh.theh.useh.ofh.besth.practiceh.techniquesh.forh.theh.treatmenth.ofh.patients.
c. EBPh.emphasizesh.theh.useh.ofh.besth.evidenceh.withh.theh.clinician‘sh.experience.
d. EBPh.doesh.noth.considerh.theh.patient‘sh.ownh.preferencesh.ash.important.
ANS:h.C
