TEST BANK vd
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
vd vd vd vd vd vd
Authors: v d Carolyn Jarvis And Ann L. Eckhardt
vd vd vd vd vd
TEST BANK vd
,TABLE OF CONTENT
vd vd
Chapter vd01: vdEvidence-Based vdAssessment ................................................................................................. 3
Chapter vd02: vdCultural vdAssessment ............................................................................................................ 12
Chapter vd03: vdThe vdInterview ...................................................................................................................... 23
Chapter vd04: vdThe vdComplete vdHealth vdHistory............................................................................................ 39
Chapter vd05: vdMental vdStatus vdAssessment .................................................................................................. 51
Chapter vd06: vdSubstance vdUse vdAssessment ................................................................................................. 66
Chapter vd07: vdFamily vdViolence vdand vdHuman vdTrafficking ........................................................................ 72
Chapter vd08: vdAssessment vdTechniques vdand vdSafety vdin vdthe vdClinical vdSetting .......................................... 78
Chapter vd09: vdGeneral vdSurvey vdand vdMeasurement .................................................................................... 93
Chapter vd10: vdVital vdSigns ........................................................................................................................... 98
Chapter vd11: vdPain vdAssessment ................................................................................................................ 112
Chapter vd12: vdNutrition vdAssessment ........................................................................................................ 119
Chapter vd13: vdSkin, vdHair, vdand vdNails ....................................................................................................... 131
Chapter vd14: vdHead, vdFace, vdand vdNeck, vdand vdRegional vdLymphatics ....................................................... 149
Chapter vd15: vdEyes .................................................................................................................................... 163
Chapter vd16: vdEars ..................................................................................................................................... 177
Chapter vd17: vdNose, vdMouth, vdand vdThroat ................................................................................................ 192
Chapter vd18: vdBreasts, vdAxillae, vdand vdRegional vdLymphatics ................................................................... 207
Chapter vd19: vdThorax vdand vdLungs ............................................................................................................ 223
Chapter vd20: vdHeart vdand vdNeck vdVessels................................................................................................... 239
Chapter vd21: vdPeripheral vdVascular vdSystem vdand vdLymphatic vdSystem .................................................... 254
Chapter vd22: vdAbdomen ............................................................................................................................ 268
Chapter vd23: vdMusculoskeletal vdSystem .................................................................................................... 280
Chapter vd24: vdNeurologic vdSystem ............................................................................................................ 297
Chapter vd25: vdMale vdGenitourinary vdSystem ............................................................................................. 318
Chapter vd26: vdAnus, vdRectum, vdand vdProstate ............................................................................................ 332
Chapter vd27: vdFemale vdGenitourinary vdSystem .......................................................................................... 343
Chapter vd28: vdThe vdComplete vdHealth vdAssessment: vdAdult ...................................................................... 361
Chapter vd29: vdThe vdComplete vdPhysical vdAssessment: vdInfant, vdYoung vdChild, vdand vdAdolescent ............. 366
Chapter vd30: vdBedside vdAssessment vdand vdElectronic vdDocumentation ..................................................... 368
Chapter vd31: vdPregnancy ........................................................................................................................... 373
Chapter vd32: vdFunctional vdAssessment vdof vdthe vdOlder vdAdult ................................................................... 384
,Chapter 01: Evidence-Based Assessment
vd vd vd
Jarvis: Physical Examination and Health Assessment, 9th Edition
vd vd vd vd vd vd vd
MULTIPLE vdCHOICE
1. After vdcompleting vdan vdinitial vdassessment vdof vda vdpatient, vdthe vdnurse vdhas vdcharted vdthat vdhis
respirations vdare vdeupneic vdand vdhis vdpulse vdis vd58 vdbeats vdper vdminute. vdWhat vdtype vdof
vd
vdassessment vddata vdis vdthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: v d A
Objective vddata vdis vdwhat vdthe vdhealth vdprofessional vdobserves vdby vdinspecting, vdpercussing,
vdpalpating, vdand vdauscultating vdduring vdthe vdphysical vdexamination. vdSubjective vddata vdis vdwhat
vdthe vdperson vdsays vdabout vdhim vdor vdherself vdduring vdhistory vdtaking. vdThe vdterms vdreflective vdand
vdintrospective vdare vdnot vdused vdto vddescribe vddata.
DIF: Cognitive vdLevel: vdUnderstanding vd(Comprehension)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
2. A vdpatient vdtells vdthe vdnurse vdthat vdhe vdis vdvery vdnervous, vdnauseous, vdand vd―feels vdhot.‖
vd What vdtypevdof vdassessment vddata vdis vdthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: vdC
Subjective vddata vdis vdwhat vdthe vdperson vdsays vdabout vdhim vdor vdherself vdduring vdhistory vdtaking.
vdObjective vddata vdis vdwhat vdthe vdhealth vdprofessional vdobserves vdby vdinspecting, vdpercussing,
vdpalpating, vdand vdauscultating vdduring vdthe vdphysical vdexamination. vdThe vdterms vdreflective vdand
vdintrospective vdare vdnot vdused vdto vddescribe vddata.
DIF: Cognitive vdLevel: vdUnderstanding vd(Comprehension)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
3. What vddo vdthe vdpatient‘s vdrecord, vdlaboratory vdstudies, vdobjective vddata, vdand vdsubjective
datacombine vdto vdform?
vd
a. Database
b. Admitting vddata
c. Financial vdstatement
d. Discharge vdsummary
ANS: vdA
The vdobjective vdand vdsubjective vddata vdtogether vdwith vdthe vdpatient‘s vdrecord vdand vdlaboratory
vdstudies, vdform vdthe vddatabase. vdThe vdother vditems vdare vdnot vdpart vdof vdthe vdpatient‘s vdrecord,
vdlaboratory vdstudies, vdor vddata.
DIF: Cognitive vdLevel: vdRemembering vd(Knowledge)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
, 4. When vdlistening vdto vda vdpatient‘s vdbreath vdsounds, vdthe vdnurse vdis vdunsure vdof vda vdsound
vd that vdisheard. vdWhich vdaction vdwould vdthe vdnurse vdtake vdnext?
a. Notify vdthe vdpatient‘s vdphysician.
b. Document vdthe vdsound vdexactly vdas vdit vdwas vdheard.
c. Validate vdthe vddata vdby vdasking vdanother vdnurse vdto vdlisten vdto vdthe vdbreath vdsounds.
d. Assess vdagain vdin vd20 vdminutes vdto vdnote vdwhether vdthe vdsound vdis vdstill vdpresent.
ANS: vdC
When vdunsure vdof vda vdsound vdheard vdwhile vdlistening vdto vda vdpatient‘s vdbreath vdsounds, vdthe vdnurse
vdvalidates vdthe vddata vdto vdensure vdaccuracy vdby vdeither vdrepeating vdthe vdassessment vdthemselves
vdor vdasking vdanother vdnurse vdto vdassess vdthe vdbreath vdsounds. vdIf vdthe vdnurse vdhas vdless vdexperience
vdanalyzing vdbreath vdsounds, vdthen vdhe vdor vdshe vdshould vdask vdan vdexpert vdto vdlisten. vdWhen vdunsure
vdof vda vdsound vdheard vdwhile vdlistening vdto vda vdpatient‘s vdbreath vdsounds, vdthe vdnurse vdshould
vdvalidate vdthe vddata vdbefore vddocumenting vdto vdensure vdaccuracy vdand vdbefore vdnotifying vdthe
vdpatient‘s vdphysician. vdTo vdvalidate vdthat vddata, vdthe vdnurse vdeither vdrepeats vdthe vdassessment
vdhimself vdor vdherself vdor vdasks vdanother vdnurse vdto vdassess vdthe vdbreath vdsounds.
DIF: Cognitive vdLevel: vdApplying vd(Application)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
5. The vdnurse vdis vdconducting vda vdclass vdfor vdnew vdgraduate vdnurses. vdWhile vdteaching vdthe vdclass,
vdwhatvdwould vdthe vdnurse vdkeep vdin vdmind vdregarding vdwhat vdnovice vdnurses, vdwithout vda
vdbackground vdof vdskills vdand vdexperience vdfrom vdwhich vdto vddraw vdupon, vdare vdmore vdlikely vdto
vdbase vdtheir vddecisions vdon?
a. Intuition
b. A vdset vdof vdrules
c. Articles vdin vdjournals
d. Advice vdfromvdsupervisors
ANS: vdB
Novice vdnurses vdoperate vdfrom vda vdset vdof vddefined, vdstructured vdrules vdto vdmake vddecisions. vdIt
vdtakes vdtime, vdperhaps vda vdfew vd years, vdin vdsimilar vdclinical vdsituations vdto vdachieve vdcompetency
vdand vdit vdis vdfunctioning vdat vdthe vdlevel vdof vdan vdexpert vdpractitioner vdwhen vdintuition vdis vdincluded
vdin vdmaking vdclinical vddecisions. vdWhile vdinformation vdin vdjournal vdarticles vdand vdadvice vdfrom
vdsupervisors vdmay vdassist vdin vdmaking vddecisions, vdnovice vdnurses vddo vdnot vdtypically vdbase vdtheir
vddecisions vdon vdthem. vdIt vdwould vdalso vdbe vdimportant vdthat vdif vdinformation vdfrom vdjournal
vdarticles vdand vdadvice vdfrom vdsupervisors vdwere vdused, vdthat vdthey vdwere vdevidence vdbased.
DIF: Cognitive vdLevel: vdUnderstanding vd(Comprehension) MSC: vdClient vdNeeds: vdGeneral
6. The vdnurse vdis vdreviewing vdinformation vdabout vdevidence-based vdpractice vd(EBP). vdWhich
statement vdbest vdreflects vdEBP?
vd
a. EBP vdrelies vdon vdtradition vdfor vdsupport vdof vdbest vdpractices.
b. EBP vdis vdsimply vdthe vduse vdof vdbest vdpractice vdtechniques vdfor vdthe vdtreatment vdof vdpatients.
c. EBP vdemphasizes vdthe vduse vdof vdbest vdevidence vdwith vdthe vdclinician‘s vdexperience.
d. EBP vddoes vdnot vdconsider vdthe vdpatient‘s vdown vdpreferences vdas vdimportant.
ANS: vdC
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
vd vd vd vd vd vd
Authors: v d Carolyn Jarvis And Ann L. Eckhardt
vd vd vd vd vd
TEST BANK vd
,TABLE OF CONTENT
vd vd
Chapter vd01: vdEvidence-Based vdAssessment ................................................................................................. 3
Chapter vd02: vdCultural vdAssessment ............................................................................................................ 12
Chapter vd03: vdThe vdInterview ...................................................................................................................... 23
Chapter vd04: vdThe vdComplete vdHealth vdHistory............................................................................................ 39
Chapter vd05: vdMental vdStatus vdAssessment .................................................................................................. 51
Chapter vd06: vdSubstance vdUse vdAssessment ................................................................................................. 66
Chapter vd07: vdFamily vdViolence vdand vdHuman vdTrafficking ........................................................................ 72
Chapter vd08: vdAssessment vdTechniques vdand vdSafety vdin vdthe vdClinical vdSetting .......................................... 78
Chapter vd09: vdGeneral vdSurvey vdand vdMeasurement .................................................................................... 93
Chapter vd10: vdVital vdSigns ........................................................................................................................... 98
Chapter vd11: vdPain vdAssessment ................................................................................................................ 112
Chapter vd12: vdNutrition vdAssessment ........................................................................................................ 119
Chapter vd13: vdSkin, vdHair, vdand vdNails ....................................................................................................... 131
Chapter vd14: vdHead, vdFace, vdand vdNeck, vdand vdRegional vdLymphatics ....................................................... 149
Chapter vd15: vdEyes .................................................................................................................................... 163
Chapter vd16: vdEars ..................................................................................................................................... 177
Chapter vd17: vdNose, vdMouth, vdand vdThroat ................................................................................................ 192
Chapter vd18: vdBreasts, vdAxillae, vdand vdRegional vdLymphatics ................................................................... 207
Chapter vd19: vdThorax vdand vdLungs ............................................................................................................ 223
Chapter vd20: vdHeart vdand vdNeck vdVessels................................................................................................... 239
Chapter vd21: vdPeripheral vdVascular vdSystem vdand vdLymphatic vdSystem .................................................... 254
Chapter vd22: vdAbdomen ............................................................................................................................ 268
Chapter vd23: vdMusculoskeletal vdSystem .................................................................................................... 280
Chapter vd24: vdNeurologic vdSystem ............................................................................................................ 297
Chapter vd25: vdMale vdGenitourinary vdSystem ............................................................................................. 318
Chapter vd26: vdAnus, vdRectum, vdand vdProstate ............................................................................................ 332
Chapter vd27: vdFemale vdGenitourinary vdSystem .......................................................................................... 343
Chapter vd28: vdThe vdComplete vdHealth vdAssessment: vdAdult ...................................................................... 361
Chapter vd29: vdThe vdComplete vdPhysical vdAssessment: vdInfant, vdYoung vdChild, vdand vdAdolescent ............. 366
Chapter vd30: vdBedside vdAssessment vdand vdElectronic vdDocumentation ..................................................... 368
Chapter vd31: vdPregnancy ........................................................................................................................... 373
Chapter vd32: vdFunctional vdAssessment vdof vdthe vdOlder vdAdult ................................................................... 384
,Chapter 01: Evidence-Based Assessment
vd vd vd
Jarvis: Physical Examination and Health Assessment, 9th Edition
vd vd vd vd vd vd vd
MULTIPLE vdCHOICE
1. After vdcompleting vdan vdinitial vdassessment vdof vda vdpatient, vdthe vdnurse vdhas vdcharted vdthat vdhis
respirations vdare vdeupneic vdand vdhis vdpulse vdis vd58 vdbeats vdper vdminute. vdWhat vdtype vdof
vd
vdassessment vddata vdis vdthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: v d A
Objective vddata vdis vdwhat vdthe vdhealth vdprofessional vdobserves vdby vdinspecting, vdpercussing,
vdpalpating, vdand vdauscultating vdduring vdthe vdphysical vdexamination. vdSubjective vddata vdis vdwhat
vdthe vdperson vdsays vdabout vdhim vdor vdherself vdduring vdhistory vdtaking. vdThe vdterms vdreflective vdand
vdintrospective vdare vdnot vdused vdto vddescribe vddata.
DIF: Cognitive vdLevel: vdUnderstanding vd(Comprehension)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
2. A vdpatient vdtells vdthe vdnurse vdthat vdhe vdis vdvery vdnervous, vdnauseous, vdand vd―feels vdhot.‖
vd What vdtypevdof vdassessment vddata vdis vdthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: vdC
Subjective vddata vdis vdwhat vdthe vdperson vdsays vdabout vdhim vdor vdherself vdduring vdhistory vdtaking.
vdObjective vddata vdis vdwhat vdthe vdhealth vdprofessional vdobserves vdby vdinspecting, vdpercussing,
vdpalpating, vdand vdauscultating vdduring vdthe vdphysical vdexamination. vdThe vdterms vdreflective vdand
vdintrospective vdare vdnot vdused vdto vddescribe vddata.
DIF: Cognitive vdLevel: vdUnderstanding vd(Comprehension)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
3. What vddo vdthe vdpatient‘s vdrecord, vdlaboratory vdstudies, vdobjective vddata, vdand vdsubjective
datacombine vdto vdform?
vd
a. Database
b. Admitting vddata
c. Financial vdstatement
d. Discharge vdsummary
ANS: vdA
The vdobjective vdand vdsubjective vddata vdtogether vdwith vdthe vdpatient‘s vdrecord vdand vdlaboratory
vdstudies, vdform vdthe vddatabase. vdThe vdother vditems vdare vdnot vdpart vdof vdthe vdpatient‘s vdrecord,
vdlaboratory vdstudies, vdor vddata.
DIF: Cognitive vdLevel: vdRemembering vd(Knowledge)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
, 4. When vdlistening vdto vda vdpatient‘s vdbreath vdsounds, vdthe vdnurse vdis vdunsure vdof vda vdsound
vd that vdisheard. vdWhich vdaction vdwould vdthe vdnurse vdtake vdnext?
a. Notify vdthe vdpatient‘s vdphysician.
b. Document vdthe vdsound vdexactly vdas vdit vdwas vdheard.
c. Validate vdthe vddata vdby vdasking vdanother vdnurse vdto vdlisten vdto vdthe vdbreath vdsounds.
d. Assess vdagain vdin vd20 vdminutes vdto vdnote vdwhether vdthe vdsound vdis vdstill vdpresent.
ANS: vdC
When vdunsure vdof vda vdsound vdheard vdwhile vdlistening vdto vda vdpatient‘s vdbreath vdsounds, vdthe vdnurse
vdvalidates vdthe vddata vdto vdensure vdaccuracy vdby vdeither vdrepeating vdthe vdassessment vdthemselves
vdor vdasking vdanother vdnurse vdto vdassess vdthe vdbreath vdsounds. vdIf vdthe vdnurse vdhas vdless vdexperience
vdanalyzing vdbreath vdsounds, vdthen vdhe vdor vdshe vdshould vdask vdan vdexpert vdto vdlisten. vdWhen vdunsure
vdof vda vdsound vdheard vdwhile vdlistening vdto vda vdpatient‘s vdbreath vdsounds, vdthe vdnurse vdshould
vdvalidate vdthe vddata vdbefore vddocumenting vdto vdensure vdaccuracy vdand vdbefore vdnotifying vdthe
vdpatient‘s vdphysician. vdTo vdvalidate vdthat vddata, vdthe vdnurse vdeither vdrepeats vdthe vdassessment
vdhimself vdor vdherself vdor vdasks vdanother vdnurse vdto vdassess vdthe vdbreath vdsounds.
DIF: Cognitive vdLevel: vdApplying vd(Application)
MSC: vdClient vdNeeds: vdSafe vdand vdEffective vdCare vdEnvironment: vdManagement vdof vdCare
5. The vdnurse vdis vdconducting vda vdclass vdfor vdnew vdgraduate vdnurses. vdWhile vdteaching vdthe vdclass,
vdwhatvdwould vdthe vdnurse vdkeep vdin vdmind vdregarding vdwhat vdnovice vdnurses, vdwithout vda
vdbackground vdof vdskills vdand vdexperience vdfrom vdwhich vdto vddraw vdupon, vdare vdmore vdlikely vdto
vdbase vdtheir vddecisions vdon?
a. Intuition
b. A vdset vdof vdrules
c. Articles vdin vdjournals
d. Advice vdfromvdsupervisors
ANS: vdB
Novice vdnurses vdoperate vdfrom vda vdset vdof vddefined, vdstructured vdrules vdto vdmake vddecisions. vdIt
vdtakes vdtime, vdperhaps vda vdfew vd years, vdin vdsimilar vdclinical vdsituations vdto vdachieve vdcompetency
vdand vdit vdis vdfunctioning vdat vdthe vdlevel vdof vdan vdexpert vdpractitioner vdwhen vdintuition vdis vdincluded
vdin vdmaking vdclinical vddecisions. vdWhile vdinformation vdin vdjournal vdarticles vdand vdadvice vdfrom
vdsupervisors vdmay vdassist vdin vdmaking vddecisions, vdnovice vdnurses vddo vdnot vdtypically vdbase vdtheir
vddecisions vdon vdthem. vdIt vdwould vdalso vdbe vdimportant vdthat vdif vdinformation vdfrom vdjournal
vdarticles vdand vdadvice vdfrom vdsupervisors vdwere vdused, vdthat vdthey vdwere vdevidence vdbased.
DIF: Cognitive vdLevel: vdUnderstanding vd(Comprehension) MSC: vdClient vdNeeds: vdGeneral
6. The vdnurse vdis vdreviewing vdinformation vdabout vdevidence-based vdpractice vd(EBP). vdWhich
statement vdbest vdreflects vdEBP?
vd
a. EBP vdrelies vdon vdtradition vdfor vdsupport vdof vdbest vdpractices.
b. EBP vdis vdsimply vdthe vduse vdof vdbest vdpractice vdtechniques vdfor vdthe vdtreatment vdof vdpatients.
c. EBP vdemphasizes vdthe vduse vdof vdbest vdevidence vdwith vdthe vdclinician‘s vdexperience.
d. EBP vddoes vdnot vdconsider vdthe vdpatient‘s vdown vdpreferences vdas vdimportant.
ANS: vdC
