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Physical Examination and HealthAssessment 9thgb gb gb gb
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Edition
Authors: Carolyn Jarvis, Ann L. Eckhardt gb gb gb gb gb
Table of Contents gb gb
1
Chapter 01: Evidence- gb gb 2
Based Assessment Chapter 02: Cultura
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l Assessment Chapter 03: The Intervie
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w 49
Chapter 04: The Complete Health History Ch
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apter 05: Mental Status Assessment Chapter
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06: Substance Use Assessment
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Chapter 07: Domestic and Family Violence Assessment Cha
gb gb nical Setting gb gb g b gb gb gb 92
pter 08: Assessment Techniques and Safety in the Cli Chapter
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b09: General Survey and Measurement
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Chapter 10: Vital Signs Chapter 1 gb gb gb g b gb 133
1: Pain Assessment
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Chapter 12: Nutrition Assessment Chapt gb gb gb gb
155
er 13: Skin, Hair, and Nails
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176
Chapter 14: Head, Face, Neck, and Regional Lymphatics Cha
gb gb gb gb gb gb gb gb 194
pter 15: Eyes gb gb 211
Chapter 16: Ears gb gb 228
Chapter 17: Nose, Mouth, and Throat gb g b gb gb gb 246
Chapter 18: Breasts, Axillae, and Regional Lymphatics Chapt
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er 19: Thorax and Lungs
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284
Chapter 20: Heart and Neck Vessels gb gb g b gb gb 303
Chapter 21: Peripheral Vascular System and Lymphatic System Chapt
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er 22: Abdomen
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337
Chapter 23: Musculoskeletal System Cha gb g b g b g b 358
pter 24: Neurologic System Chapter 25
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: Male Genitourinary System Chapter 26:
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Anus, Rectum, and Prostate gb gb gb
414
Chapter 27: Female Genitourinary System gb gb g b g b
436
Chapter 28: The Complete Health Assessment: Adult
gb gb g b gb gb g b 449
Chapter 29: The Complete Physical Assessment: Infant, Child, and AdolescentChapter
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b30: Bedside Assessment and Electronic Documentation
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458
Chapter 31: The Pregnant Woman gb gb g b g b
471
Chapter 32: Functional Assessment of the Older Adult
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,Chapter 01: Evidence-Based Assessment gb gb gb
MULTIPLE CHOICE g b
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic an
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d his pulse is 58 beats per minute. These types of data wouldbe:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A g b
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history tak
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ing. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C g b
Subjective data are what the person says about him or herself during history taking. Objective data are what t
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he health professional observes by inspecting, percussing, palpating, and auscultating during the physical exa
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mination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management
gb gb g b gb gb gb gb g b g b of Care gb
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. gb
b. Admitting data. g b
,c. Financial statement. g b
d. Discharge summary. g b
ANS: A g b
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. g b gb gb g b
b. Document the sound exactly as it was heard. gb gb gb gb gb gb gb
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C g b
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accur
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acy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
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ep in mind that novice nurses, without a background of skills and experience from which to draw, are more
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likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. g b gb
d. Advice from supervisors. g b gb
ANS: B gb
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. D
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IF: Cognitive Level: Understanding (Comprehension)
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,
Physical Examination and HealthAssessment 9thgb gb gb gb
g
b
Edition
Authors: Carolyn Jarvis, Ann L. Eckhardt gb gb gb gb gb
Table of Contents gb gb
1
Chapter 01: Evidence- gb gb 2
Based Assessment Chapter 02: Cultura
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l Assessment Chapter 03: The Intervie
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w 49
Chapter 04: The Complete Health History Ch
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apter 05: Mental Status Assessment Chapter
gb gb gb gb gb gb 80
06: Substance Use Assessment
gb gb gb 86
Chapter 07: Domestic and Family Violence Assessment Cha
gb gb nical Setting gb gb g b gb gb gb 92
pter 08: Assessment Techniques and Safety in the Cli Chapter
gb gb gb gb gb gb gb gb gb g 111
b09: General Survey and Measurement
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Chapter 10: Vital Signs Chapter 1 gb gb gb g b gb 133
1: Pain Assessment
gb gb 141
Chapter 12: Nutrition Assessment Chapt gb gb gb gb
155
er 13: Skin, Hair, and Nails
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176
Chapter 14: Head, Face, Neck, and Regional Lymphatics Cha
gb gb gb gb gb gb gb gb 194
pter 15: Eyes gb gb 211
Chapter 16: Ears gb gb 228
Chapter 17: Nose, Mouth, and Throat gb g b gb gb gb 246
Chapter 18: Breasts, Axillae, and Regional Lymphatics Chapt
gb gb gb gb gb gb gb 266
er 19: Thorax and Lungs
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284
Chapter 20: Heart and Neck Vessels gb gb g b gb gb 303
Chapter 21: Peripheral Vascular System and Lymphatic System Chapt
gb gb gb gb gb gb gb gb 320
er 22: Abdomen
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337
Chapter 23: Musculoskeletal System Cha gb g b g b g b 358
pter 24: Neurologic System Chapter 25
g b g b g b g b g b 382
: Male Genitourinary System Chapter 26:
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Anus, Rectum, and Prostate gb gb gb
414
Chapter 27: Female Genitourinary System gb gb g b g b
436
Chapter 28: The Complete Health Assessment: Adult
gb gb g b gb gb g b 449
Chapter 29: The Complete Physical Assessment: Infant, Child, and AdolescentChapter
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b30: Bedside Assessment and Electronic Documentation
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458
Chapter 31: The Pregnant Woman gb gb g b g b
471
Chapter 32: Functional Assessment of the Older Adult
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,Chapter 01: Evidence-Based Assessment gb gb gb
MULTIPLE CHOICE g b
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic an
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d his pulse is 58 beats per minute. These types of data wouldbe:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A g b
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history tak
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ing. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C g b
Subjective data are what the person says about him or herself during history taking. Objective data are what t
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
he health professional observes by inspecting, percussing, palpating, and auscultating during the physical exa
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mination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management
gb gb g b gb gb gb gb g b g b of Care gb
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. gb
b. Admitting data. g b
,c. Financial statement. g b
d. Discharge summary. g b
ANS: A g b
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management
gb gb g b gb gb gb gb g b g b of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. g b gb gb g b
b. Document the sound exactly as it was heard. gb gb gb gb gb gb gb
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C g b
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accur
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acy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management
gb gb g b gb gb gb gb g b g b of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
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ep in mind that novice nurses, without a background of skills and experience from which to draw, are more
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. g b gb
d. Advice from supervisors. g b gb
ANS: B gb
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. D
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IF: Cognitive Level: Understanding (Comprehension)
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,
