Test Bank
m
For Physical Examination and Health Asse
m m m m m
ssment 8th Edition by Carolyn Jarvis
m m m m m
,TestmBankm -m Physicalm Examinationm andm Healthm Assessmentm 8em (bym Jarvis) 1
Table of Contents
m m
TablemofmContents 1
Chapterm01:mEvidence- 2
BasedmAssessmentmChapterm02:mCulturalm 15
Assessment 31
Chapterm03:mThemInterview 49
Chapterm04:mThemCompletemHealthmHistor 64
ymChapterm05:mMentalmStatusmAssessment 80
mChapterm06:mSubstancemUsemAssessme
86
nt 92
Chapterm07:mDomesticmandmFamilymViolencemAssessment 111
Chapterm08:mAssessmentmTechniquesmandmSafetyminmthemClinicalmSetti 118
ngmChapterm09:mGeneralmSurveymandmMeasurement
133
Chapterm10:mVitalmSignsmChap
141
term11:mPainmAssessment
155
Chapterm12:mNutritionmAssessmen
tmChapterm13:mSkin,mHair,mandmNail 176
s 194
Chapterm14:mHead,mFace,mNeck,mandmRegionalmLymphatic 211
smChapterm15:m Eyes 228
Chapterm16:m Ears 246
Chapterm17:mNose,mMouth,mandm Throat 266
Chapterm18:mBreasts,mAxillae,mandmRegionalmLymphatic 284
smChapterm19:mThoraxmandmLungs 303
Chapterm20:mHeartmandmNeckm Vessels 320
Chapterm21:mPeripheralmVascularmSystemmandmLymphaticmSyste 337
mmChapterm22:mAbdomen 358
Chapterm23:mMusculoskeletalmSystemmCh 382
apterm 24:m Neurologicm SystemmChapterm 400
25:mMalemGenitourinarymSystemmChapter 414
m26:mAnus,mRectum,mandm Prostate 436
Chapterm27:mFemalemGenitourinarymSystem 449
Chapterm28:mThemCompletemHealthmAssessment:mAdult 452
Chapterm29:mThemCompletemPhysicalmAssessment:mInfant,mChild,mandmAdolesce 458
ntmChapterm30:mBedsidemAssessmentmandmElectronicmDocumentation 471
Chapterm31:mThemPregnantm Woman
Chapterm32:mFunctionalmAssessmentmofmthemOldermAdult
,Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEmCHOICE
1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirationsmaremeu
pneicmandmhismpulsemism58mbeatsmpermminute.mThesemtypesmofmdatamwouldm be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamaremwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandmauscult
atingmduringmthemphysicalmexamination.mSubjectivemdatamismwhatmthempersonm saysmaboutmhimmormherselfmdurin
gmhistorymtaking.mThemtermsm reflectivemandmintrospectivemaremnotmusedmtomdescribemdata.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mismnauseated,mandmfeelsmhot.mThesemtypesmofmdatamwouldmbe
:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObjectivemdatamarem
whatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandmauscultatingmduringmthemp
hysicalmexamination.mThemtermsm reflectivemandmintrospectivem aremnotmusedmtomdescribemdata.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
3. Them patientsm record,m laboratorym studies,m objectivem data,m andm subjectivem datam combinem tom formmthe:
a. Datambase.
b. Admittingmdata.
, c. Financialm statement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthempatientsmrecordmandmlaboratorymstudies,mthemobjectivemandmsubjectivemdatamformmthemdatam
base.mThemothermitemsmaremnotmpartmofmthempatientsmrecord,mlaboratorymstudies,mormdata.
DIF:mCognitivemLevel:mRememberingm(Knowledge)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
4. Whenmlisteningmtomampatientsmbreathmsounds,mthemnursemismunsuremofmamsoundmthatmismheard.mThemn
ursesmnextmactionmshouldmbemto:
a. Immediatelymnotifymthempatientsmphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatem them datam bym askingm am coworkerm tom listenm tom them breathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatientsmbreathmsounds,mthemnursemvalidatesmthemdatamt
omensuremaccuracy.mIfmthemnursemhasmlessmexperienceminmanmarea,mthenmhemormshemasksmanmexpertmtomlisten.
DIF:mCognitivemLevel:mAnalyzingm(Analysis)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses.mDuringmthemteachingmsession,mthemnursemshou
ldmkeepminmmindmthatmnovicemnurses,mwithoutmambackgroundmofmskillsmandmexperiencemfrommwhichmtomdraw,
m arem morem likelymtom makem theirm decisionsm using:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrules.mThemexpertmpractitionermusesmintuitivemlinks
.mDIF:mCognitivemLevel:mUnderstandingm(Comprehension)
m
For Physical Examination and Health Asse
m m m m m
ssment 8th Edition by Carolyn Jarvis
m m m m m
,TestmBankm -m Physicalm Examinationm andm Healthm Assessmentm 8em (bym Jarvis) 1
Table of Contents
m m
TablemofmContents 1
Chapterm01:mEvidence- 2
BasedmAssessmentmChapterm02:mCulturalm 15
Assessment 31
Chapterm03:mThemInterview 49
Chapterm04:mThemCompletemHealthmHistor 64
ymChapterm05:mMentalmStatusmAssessment 80
mChapterm06:mSubstancemUsemAssessme
86
nt 92
Chapterm07:mDomesticmandmFamilymViolencemAssessment 111
Chapterm08:mAssessmentmTechniquesmandmSafetyminmthemClinicalmSetti 118
ngmChapterm09:mGeneralmSurveymandmMeasurement
133
Chapterm10:mVitalmSignsmChap
141
term11:mPainmAssessment
155
Chapterm12:mNutritionmAssessmen
tmChapterm13:mSkin,mHair,mandmNail 176
s 194
Chapterm14:mHead,mFace,mNeck,mandmRegionalmLymphatic 211
smChapterm15:m Eyes 228
Chapterm16:m Ears 246
Chapterm17:mNose,mMouth,mandm Throat 266
Chapterm18:mBreasts,mAxillae,mandmRegionalmLymphatic 284
smChapterm19:mThoraxmandmLungs 303
Chapterm20:mHeartmandmNeckm Vessels 320
Chapterm21:mPeripheralmVascularmSystemmandmLymphaticmSyste 337
mmChapterm22:mAbdomen 358
Chapterm23:mMusculoskeletalmSystemmCh 382
apterm 24:m Neurologicm SystemmChapterm 400
25:mMalemGenitourinarymSystemmChapter 414
m26:mAnus,mRectum,mandm Prostate 436
Chapterm27:mFemalemGenitourinarymSystem 449
Chapterm28:mThemCompletemHealthmAssessment:mAdult 452
Chapterm29:mThemCompletemPhysicalmAssessment:mInfant,mChild,mandmAdolesce 458
ntmChapterm30:mBedsidemAssessmentmandmElectronicmDocumentation 471
Chapterm31:mThemPregnantm Woman
Chapterm32:mFunctionalmAssessmentmofmthemOldermAdult
,Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEmCHOICE
1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirationsmaremeu
pneicmandmhismpulsemism58mbeatsmpermminute.mThesemtypesmofmdatamwouldm be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamaremwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandmauscult
atingmduringmthemphysicalmexamination.mSubjectivemdatamismwhatmthempersonm saysmaboutmhimmormherselfmdurin
gmhistorymtaking.mThemtermsm reflectivemandmintrospectivemaremnotmusedmtomdescribemdata.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mismnauseated,mandmfeelsmhot.mThesemtypesmofmdatamwouldmbe
:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObjectivemdatamarem
whatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandmauscultatingmduringmthemp
hysicalmexamination.mThemtermsm reflectivemandmintrospectivem aremnotmusedmtomdescribemdata.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
3. Them patientsm record,m laboratorym studies,m objectivem data,m andm subjectivem datam combinem tom formmthe:
a. Datambase.
b. Admittingmdata.
, c. Financialm statement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthempatientsmrecordmandmlaboratorymstudies,mthemobjectivemandmsubjectivemdatamformmthemdatam
base.mThemothermitemsmaremnotmpartmofmthempatientsmrecord,mlaboratorymstudies,mormdata.
DIF:mCognitivemLevel:mRememberingm(Knowledge)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
4. Whenmlisteningmtomampatientsmbreathmsounds,mthemnursemismunsuremofmamsoundmthatmismheard.mThemn
ursesmnextmactionmshouldmbemto:
a. Immediatelymnotifymthempatientsmphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatem them datam bym askingm am coworkerm tom listenm tom them breathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatientsmbreathmsounds,mthemnursemvalidatesmthemdatamt
omensuremaccuracy.mIfmthemnursemhasmlessmexperienceminmanmarea,mthenmhemormshemasksmanmexpertmtomlisten.
DIF:mCognitivemLevel:mAnalyzingm(Analysis)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses.mDuringmthemteachingmsession,mthemnursemshou
ldmkeepminmmindmthatmnovicemnurses,mwithoutmambackgroundmofmskillsmandmexperiencemfrommwhichmtomdraw,
m arem morem likelymtom makem theirm decisionsm using:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrules.mThemexpertmpractitionermusesmintuitivemlinks
.mDIF:mCognitivemLevel:mUnderstandingm(Comprehension)
