,Physical Examination & Health Assessment
8TH EDITION
CAROLYN JARVIS, PhD, APRN, CNP
Professor of Nursing
Illinois Wesleyan University
Bloomington, Illinois
and
Family Nurse Practitioner
Bloomington, Illinois
With Ann Eckhardt, PhD, RN
Associate Professor of Nursing
Illinois Wesleyan University
Bloomington, Illinois
Original Illustrations by Pat Thomas, CMI, FAMI
East Troy, Wisconsin
2
,Table of Contents
Cover image
Title Page
Chapter Organization
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Copyright
Dedication
About the Author
Contributors
Reviewers
Preface
Acknowledgments
Unit 1 Assessment of the Whole Person
Chapter 1 Evidence-Based Assessment
Culture and Genetics
References
Chapter 2 Cultural Assessment
Developmental Competence
3
, References
Chapter 3 The Interview
Developmental Competence
Culture and Genetics
References
Chapter 4 The Complete Health History
Culture and Genetics
Developmental Competence
References
Chapter 5 Mental Status Assessment
Structure and Function
Objective Data
Documentation And Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Mental Status Assessment
References
Chapter 6 Substance Use Assessment
Subjective Data
Objective Data
Abnormal Findings
Bibliography
Chapter 7 Domestic and Family Violence Assessment
Subjective Data
Objective Data
Abnormal Findings
References
Unit 2 Approach to the Clinical Setting
4
,Chapter 8 Assessment Techniques and Safety in the Clinical Setting
Developmental Competence
References
Chapter 9 General Survey and Measurement
Objective Data
Documentation and Critical Thinking
Abnormal Findings
References
Chapter 10 Vital Signs
Objective Data
Documentation and Critical Thinking
Abnormal Findings
References
Chapter 11 Pain Assessment
Structure and Function
Subjective Data
Objective Data
Documentation and Critical Thinking
Abnormal Findings
References
Chapter 12 Nutrition Assessment
Structure and Function
Subjective Data
Objective Data
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Nutritional Assessment
References
5
,Unit 3 Physical Examination
Chapter 13 Skin, Hair, and Nails
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Skin, Hair, and Nails Examination
References
Chapter 14 Head, Face, Neck, and Regional Lymphatics
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Summary Checklist: Head, Face, and Neck, Including Regional Lymphatics Examination
References
Chapter 15 Eyes
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Eye Examination
References
6
, Chapter 16 Ears
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Ear Examination
References
Chapter 17 Nose, Mouth, and Throat
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
References
Chapter 18 Breasts, Axillae, and Regional Lymphatics
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Breasts and Regional Lymphatics Examination
References
Chapter 19 Thorax and Lungs
Structure and Function
Subjective Data
7
8TH EDITION
CAROLYN JARVIS, PhD, APRN, CNP
Professor of Nursing
Illinois Wesleyan University
Bloomington, Illinois
and
Family Nurse Practitioner
Bloomington, Illinois
With Ann Eckhardt, PhD, RN
Associate Professor of Nursing
Illinois Wesleyan University
Bloomington, Illinois
Original Illustrations by Pat Thomas, CMI, FAMI
East Troy, Wisconsin
2
,Table of Contents
Cover image
Title Page
Chapter Organization
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Copyright
Dedication
About the Author
Contributors
Reviewers
Preface
Acknowledgments
Unit 1 Assessment of the Whole Person
Chapter 1 Evidence-Based Assessment
Culture and Genetics
References
Chapter 2 Cultural Assessment
Developmental Competence
3
, References
Chapter 3 The Interview
Developmental Competence
Culture and Genetics
References
Chapter 4 The Complete Health History
Culture and Genetics
Developmental Competence
References
Chapter 5 Mental Status Assessment
Structure and Function
Objective Data
Documentation And Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Mental Status Assessment
References
Chapter 6 Substance Use Assessment
Subjective Data
Objective Data
Abnormal Findings
Bibliography
Chapter 7 Domestic and Family Violence Assessment
Subjective Data
Objective Data
Abnormal Findings
References
Unit 2 Approach to the Clinical Setting
4
,Chapter 8 Assessment Techniques and Safety in the Clinical Setting
Developmental Competence
References
Chapter 9 General Survey and Measurement
Objective Data
Documentation and Critical Thinking
Abnormal Findings
References
Chapter 10 Vital Signs
Objective Data
Documentation and Critical Thinking
Abnormal Findings
References
Chapter 11 Pain Assessment
Structure and Function
Subjective Data
Objective Data
Documentation and Critical Thinking
Abnormal Findings
References
Chapter 12 Nutrition Assessment
Structure and Function
Subjective Data
Objective Data
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Nutritional Assessment
References
5
,Unit 3 Physical Examination
Chapter 13 Skin, Hair, and Nails
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Skin, Hair, and Nails Examination
References
Chapter 14 Head, Face, Neck, and Regional Lymphatics
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Summary Checklist: Head, Face, and Neck, Including Regional Lymphatics Examination
References
Chapter 15 Eyes
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Eye Examination
References
6
, Chapter 16 Ears
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Ear Examination
References
Chapter 17 Nose, Mouth, and Throat
Structure and Function
Subjective Data
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
References
Chapter 18 Breasts, Axillae, and Regional Lymphatics
Objective Data
Health Promotion and Patient Teaching
Documentation and Critical Thinking
Abnormal Findings
Abnormal Findings for Advanced Practice
Summary Checklist: Breasts and Regional Lymphatics Examination
References
Chapter 19 Thorax and Lungs
Structure and Function
Subjective Data
7