Test bank for Physical Examination and Health Assessment 9th Edition

TEST BANK
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
Authors: Carolyn JarvisAnd Ann L. Eckhardt




TEST BANK

,TABLE OF CONTENT

Chapter01:Evidence-BasedAssessment
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3
Chapter02:Cultural Assessment................................
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..........12
Chapter03: TheInterview................................
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23
Chapter04:The CompleteHealth History................................
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39
Chapter05: Mental Status
Assessment................................
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51
Chapter06: SubstanceUse Assessment................................
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66
Chapter07:Family Violence andHuman Trafficking................................
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......72
Chapter08:AssessmentTechniquesand Safetyin theClinical Setting................................
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..........78
Chapter09:General Surveyand Measurement
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93
Chapter10:Vital Signs................................
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98
Chapter11: PainAssessment................................
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112
Chapter12: NutritionAssessment................................
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......119
Chapter13: Skin, Hair, andNails ................................
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.......131
Chapter14:Head, Face,and Neck, and RegionalLymphatics................................
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149
Chapter15:Eyes................................
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....163
Chapter16:Ears................................
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.....177
Chapter17: Nose, Mouth, and
Throat................................
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192
Chapter18:Breasts,Axillae, and RegionalLymphatics................................
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..207
Chapter19:Thorax and Lungs................................
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............223
Chapter20:Heart and Neck Vessels................................
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..239
Chapter21: PeripheralVascularSystemand LymphaticSystem................................
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254
Chapter22:Abdomen................................
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268
Chapter23:MusculoskeletalSystem................................
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..280
Chapter24:NeurologicSystem................................
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...........297
Chapter25:MaleGenitourinarySystem................................
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318
Chapter26: Anus, Rectum, andProstate................................
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332
Chapter27:FemaleGenitourinarySystem................................
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343
Chapter28:The CompleteHealth Assessment:Adult ................................
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....361
Chapter29:The CompletePhysical Assessment:Infant, Young Child, and Adolescent................................
...........366
Chapter30:Bedside Assessment
and ElectronicDocumentation................................
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368
Chapter31:Pregnancy................................
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373
Chapter32: FunctionalAssessment ofthe OlderAdult................................
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..384

,Chapter01:Evidence-BasedAssessment
Jarvis:PhysicalExaminationand HealthAssessment,9th Edition


MULTIPLE CHOICE

1. After completingan initial assessmentof a patient,thenursehas chartedthathis respirations are
eupneic and his pulse is 58 beats per minute. What type of assessmentthis?
data is
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: A
Objective data is what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person
saysabouthim or
herselfduring historytaking.The termsreflectiveand introspectivearenot used to describe data.

DIF: CognitiveLevel:Understanding(Comprehension)
MSC: Client Needs:Safeand EffectiveCare Environment:Managementof Care

2. A patienttellsthenursethathe is very nervous,nauseous,and “feelshot.” What typeof
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C
Subjectivedatais whatthepersonsaysabouthim or herselfduring historytaking.Objective data is
what the health professional observes by inspecting, percussing, palpating, and auscultating during
the physical examination. The terms
reflectiveand introspectiveare not used to describe data.

DIF: CognitiveLevel:Understanding(Comprehension)
MSC: Client Needs:Safeand EffectiveCare Environment:Managementof Care

3. What do thepatient’srecord,laboratorystudies,objectivedata,and subjectivedatacombine to
form?
a. Database
b. Admitting data
c. Financial statement
d. Dischargesummary
ANS: A
The objective and subjective data together with the patient’s record and laboratory studies,
the form
database.The otheritemsarenot partof thepatient’srecord,laboratorystudies,or data.

DIF: CognitiveLevel:Remembering(Knowledge)
MSC: Client Needs:Safeand EffectiveCare Environment:Managementof Care

, 4. When listeningto a patient’sbreathsounds,thenurseis unsureof asound thatisheard.
Which action would the nurse takenext?
a. Notify thepatient’sphysician.
b. Documentthesoundexactlyas it washeard.
c. Validatethedataby asking anothernurseto listento thebreathsounds.
d. Assessagain in 20minutes to notewhetherthesound is stillpresent.
ANS: C
When unsureof a soundheardwhilelisteningto a patient’sbreathsounds,thenursevalidates the
data to ensure accuracy by either repeating the assessment themselves or asking another nurse to
assess the breath sounds. If the nurse has less experience analyzing breath sounds,he or
then
she
shouldask anexpertto listen.When unsureof a soundheardwhilelisteningto a patient’s breath
sounds, the nurse should validate the data before documenting to ensure accuracy and before
notifying the patient’s physician. To validate that data, the nurse either repeats the assessment
himself or herself or asks another nurse to assess the breath sounds.

DIF: CognitiveLevel:Applying (Application)
MSC: Client Needs:Safeand EffectiveCare Environment:Managementof Care

5. The nurseis conductinga classfor newgraduatenurses.While teachingtheclass,whatwould the
nurse keep in mind regarding what novice nurses, without a background of skills and experience
from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A setof rules
c. Articles in journals
d. Advice fromsupervisors

ANS: B
Novice nurses operate from a set of defined, structured rules to make decisions. It takes time, perhap
a few years, in similar clinical situations to achieve competency and it is functioning at the level of an
expert practitioner when intuition is included in making clinical decisions. While information in
journal articles and advice from supervisors may assist in making decisions, novice nurses do not
typically base their decisions on them. It would also be important
thatif informationfrom journal
articlesand advicefrom supervisorswereused,that they were evidence based.

DIF: CognitiveLevel:Understanding(Comprehension) MSC: Client Needs:General

6. The nurseis reviewinginformationaboutevidence-basedpractice(EBP). Which statement best
reflects EBP?
a. EBP relieson traditionfor supportof bestpractices.
b. EBP is simply theuseof best practicetechniques forthetreatmentof patients.
c. EBP emphasizestheuse ofbestevidencewith the clinician’sexperience.
d. EBP doesnot considerthepatient’sown preferencesas important.
ANS: C