,Physical Examination and Health Assessment 9th Edition Jarvis
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1. Evidence-Based Assessment dt
2. Cultural Assessment dt
3. The Interview
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4. The Complete Health History
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5. Mental Status Assessment dt dt
6. Substance Use Assessment dt dt
7. Family Violence and Human Trafficking
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8. Assessment Techniques and Safety in the Clinical Settingdt dt dt dt dt dt dt
9. General Survey and Measurementdt dt dt
10. Vital Signs dt
11. Pain Assessment
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12. Nutrition Assessment dt
13. Skin, Hair, and Nails
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14. Head, Face, Neck, and Regional Lymphatics
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15. Eyes
16. Ears
17. Nose, Mouth, and Throatdt dt dt
18. Breasts, Axillae, and Regional Lymphatics
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19. Thorax and Lungs dt dt
20. Heart and Neck Vessels dt dt dt
21. Peripheral Vascular System and Lymphatic System dt dt dt dt dt
22. Abdomen
23. Musculoskeletal System dt
24. Neurologic System dt
25. Male Genitourinary System
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26. Anus, Rectum, and Prostate
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27. Female Genitourinary System dt dt
28. The Complete Health Assessment: Adult
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29. The Complete Physical Assessment: Infant, Young Child, and Adolescent
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30. Bedside Assessment and Electronic Documentation
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31. Pregnancy
32. Functional Assessment of the Older Adult dt dt dt dt dt
,Chapter 01: Evidence-Based Assessment
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Jarvis: Physical Examination & Health Assessment, 9th Edition
dt dt dt dt dt dt dt
MULTIPLE CHOICE dt
1. After completing an initial assessment of a patient, the nurse has charted that his respirations ar
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e eupneic and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A d t
Objective data are what the health professional observes by inspecting, percussing, palpating, an
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d auscultating during the physical examination. Subjective data is what the person says about hi
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m or herself during history taking. The terms reflective and introspective are not used to describe
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data.
dt
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of da
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ta would be:
dt dt
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C d t
Subjective data are what the person says about him or herself during history taking. Objective da
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ta are what the health professional observes by inspecting, percussing, palpating, and auscultati
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ng during the physical examination. The terms reflective and introspective are not used to descri
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be data. dt
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form th
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e:
a. Data base. dt
b. Admitting data. dt
c. Financial statement. dt
d. Discharge summary. dt
ANS: A d t
Together with the patient’s record and laboratory studies, the objective and subjective data for
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m the data base. The other items are not part of the patient’s record, laboratory studies, or data.
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4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The nu
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rse’s next action should be to: dt dt dt dt dt
a. Immediately notify the patient’s physician. dt dt dt dt
b. Document the sound exactly as it was heard. dt dt dt dt dt dt dt
, c. Validate the data by asking a coworker to listen to the breath sounds. dt dt dt dt dt dt dt dt dt dt dt dt
d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C d t
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
to listen.
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurs
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e should keep in mind that novice nurses, without a background of skills and experience from
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
which to draw, are more likely to make their decisions using:
dt dt dt dt dt dt dt dt dt dt
a. Intuition.
b. A set of rules. dt dt dt
c. Articles in journals. dt dt
d. Advice from supervisors. dt dt
ANS: B d t
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuiti
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ve links. dt
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously la
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
beling it. These responses are referred to as:
dt dt dt dt dt dt dt
a. Intuition.
b... The nursing process. dt dt
c. Clinical knowledge. dt
d. Diagnostic reasoning. dt
ANS: A d t
Intuition is characterized by pattern recognition— dt dt dt dt dt
expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. The
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
other options are not correct.
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7. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for support of best practices.
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b. EBP is simply the use of best practice techniques for the treatment of patients.
dt dt dt dt dt dt dt dt dt dt dt dt dt
c. EBP emphasizes the use of best evidence with the clinician’s experience.
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d... The patient’s own preferences are not important with EBP.
dt dt dt dt dt dt dt dt
ANS: C d t
EBP is a systematic approach to practice that emphasizes the use of best evidence in combinatio
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
n with the clinician’s experience, as well as patient preferences and values, when making decisio
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ns about care and treatment. EBP is more than simply using the best practice techniques to treat
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
patients, and questioning tradition is important when no compelling and supportive research evi
dt dt dt dt dt dt dt dt dt dt dt dt
dence exists. dt
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
an example of a first-level priority problem?
dt dt dt dt dt dt
a. Patient with postoperative pain dt dt dt
dt dt dt dt dt dt dt
1. Evidence-Based Assessment dt
2. Cultural Assessment dt
3. The Interview
dt
4. The Complete Health History
dt dt dt
5. Mental Status Assessment dt dt
6. Substance Use Assessment dt dt
7. Family Violence and Human Trafficking
dt dt dt dt
8. Assessment Techniques and Safety in the Clinical Settingdt dt dt dt dt dt dt
9. General Survey and Measurementdt dt dt
10. Vital Signs dt
11. Pain Assessment
dt
12. Nutrition Assessment dt
13. Skin, Hair, and Nails
dt dt dt
14. Head, Face, Neck, and Regional Lymphatics
dt dt dt dt dt
15. Eyes
16. Ears
17. Nose, Mouth, and Throatdt dt dt
18. Breasts, Axillae, and Regional Lymphatics
dt dt dt dt
19. Thorax and Lungs dt dt
20. Heart and Neck Vessels dt dt dt
21. Peripheral Vascular System and Lymphatic System dt dt dt dt dt
22. Abdomen
23. Musculoskeletal System dt
24. Neurologic System dt
25. Male Genitourinary System
dt dt
26. Anus, Rectum, and Prostate
dt dt dt
27. Female Genitourinary System dt dt
28. The Complete Health Assessment: Adult
dt dt dt dt
29. The Complete Physical Assessment: Infant, Young Child, and Adolescent
dt dt dt dt dt dt dt dt
30. Bedside Assessment and Electronic Documentation
dt dt dt dt
31. Pregnancy
32. Functional Assessment of the Older Adult dt dt dt dt dt
,Chapter 01: Evidence-Based Assessment
dt dt dt
Jarvis: Physical Examination & Health Assessment, 9th Edition
dt dt dt dt dt dt dt
MULTIPLE CHOICE dt
1. After completing an initial assessment of a patient, the nurse has charted that his respirations ar
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e eupneic and his pulse is 58 beats per minute. These types of data would be:
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A d t
Objective data are what the health professional observes by inspecting, percussing, palpating, an
dt dt dt dt dt dt dt dt dt dt dt dt
d auscultating during the physical examination. Subjective data is what the person says about hi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
m or herself during history taking. The terms reflective and introspective are not used to describe
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
data.
dt
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of da
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ta would be:
dt dt
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C d t
Subjective data are what the person says about him or herself during history taking. Objective da
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ta are what the health professional observes by inspecting, percussing, palpating, and auscultati
dt dt dt dt dt dt dt dt dt dt dt dt
ng during the physical examination. The terms reflective and introspective are not used to descri
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
be data. dt
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e:
a. Data base. dt
b. Admitting data. dt
c. Financial statement. dt
d. Discharge summary. dt
ANS: A d t
Together with the patient’s record and laboratory studies, the objective and subjective data for
dt dt dt dt dt dt dt dt dt dt dt dt dt
m the data base. The other items are not part of the patient’s record, laboratory studies, or data.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The nu
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
rse’s next action should be to: dt dt dt dt dt
a. Immediately notify the patient’s physician. dt dt dt dt
b. Document the sound exactly as it was heard. dt dt dt dt dt dt dt
, c. Validate the data by asking a coworker to listen to the breath sounds. dt dt dt dt dt dt dt dt dt dt dt dt
d. Assess again in 20 minutes to note whether the sound is still present.
dt dt dt dt dt dt dt dt dt dt dt dt
ANS: C d t
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates the
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
to listen.
dt dt
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurs
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e should keep in mind that novice nurses, without a background of skills and experience from
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
which to draw, are more likely to make their decisions using:
dt dt dt dt dt dt dt dt dt dt
a. Intuition.
b. A set of rules. dt dt dt
c. Articles in journals. dt dt
d. Advice from supervisors. dt dt
ANS: B d t
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuiti
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ve links. dt
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously la
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
beling it. These responses are referred to as:
dt dt dt dt dt dt dt
a. Intuition.
b... The nursing process. dt dt
c. Clinical knowledge. dt
d. Diagnostic reasoning. dt
ANS: A d t
Intuition is characterized by pattern recognition— dt dt dt dt dt
expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. The
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
other options are not correct.
dt dt dt dt
7. The nurse is reviewing information about evidence-
dt dt dt dt dt dt
based practice (EBP). Which statement best reflects EBP?
dt dt dt dt dt dt dt
a. EBP relies on tradition for support of best practices.
dt dt dt dt dt dt dt dt
b. EBP is simply the use of best practice techniques for the treatment of patients.
dt dt dt dt dt dt dt dt dt dt dt dt dt
c. EBP emphasizes the use of best evidence with the clinician’s experience.
dt dt dt dt dt dt dt dt dt dt
d... The patient’s own preferences are not important with EBP.
dt dt dt dt dt dt dt dt
ANS: C d t
EBP is a systematic approach to practice that emphasizes the use of best evidence in combinatio
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
n with the clinician’s experience, as well as patient preferences and values, when making decisio
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ns about care and treatment. EBP is more than simply using the best practice techniques to treat
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
patients, and questioning tradition is important when no compelling and supportive research evi
dt dt dt dt dt dt dt dt dt dt dt dt
dence exists. dt
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
an example of a first-level priority problem?
dt dt dt dt dt dt
a. Patient with postoperative pain dt dt dt