, lOMoARcPSD| 5788523
TestBank:PhysicalExamination&HealthAssessment7thEdition 1
TableofContents
TableofContents 1
Chapter01:Evidence-BasedAssessment 2
Chapter02:CulturalCompetence 15
Chapter03:TheInterview 31
Chapter04:TheCompleteHealthHistory 49
Chapter05:MentalStatusAssessment 64
Chapter06:SubstanceUseAssessment 81
Chapter07:DomesticandFamilyViolenceAssessments 87
Chapter08:AssessmentTechniquesandSafetyintheClinicalSetting 93
Chapter09:GeneralSurvey,Measurement,VitalSigns 112
Chapter10:PainAssessment:TheFifthVitalSign 134
Chapter11:NutritionalAssessment 142
Chapter12:Skin,Hair,andNails 156
Chapter13:Head,Face,andNeck,IncludingRegionalLymphatics 177
Chapter14:Eyes 195
Chapter15:Ears 212
Chapter16:Nose,Mouth,andThroat 229
Chapter17:BreastsandRegionalLymphatics 247
Chapter18:ThoraxandLungs 267
Chapter19:HeartandNeckVessels 285
Chapter20:PeripheralVascularSystemandLymphaticSystem 304
Chapter21:Abdomen 321
Chapter22:MusculoskeletalSystem 338
Chapter23:NeurologicSystem 359
Chapter24:MaleGenitourinarySystem 384
Chapter25:Anus,Rectum,andProstate 402
Chapter26:FemaleGenitourinarySystem 416
Chapter27:TheCompleteHealthAssessment:Adult 438
Chapter28:TheCompletePhysicalAssessment:Infant,Child,andAdolescent 451
Chapter29:BedsideAssessmentoftheHospitalizedPatient 454
Chapter30:ThePregnantWoman 460
Chapter31:FunctionalAssessmentoftheOlderAdult 473
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TestBank:PhysicalExamination&HealthAssessment7thEdition 2
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathisrespirationsareeupneicandhispulseis58
beatsperminute.Thesetypesofdatawouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:A
Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating,andauscultatingduringthep
hysicalexamination.Subjectivedataiswhatthepersonsaysabouthimorherselfduringhistorytaking.Thetermsreflective
andintrospectivearenotusedtodescribedata.
DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesofdatawouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:C
Subjectivedataarewhatthepersonsaysabouthimorherselfduringhistorytaking.Objectivedataarewhatthehealthprofes
sionalobservesbyinspecting,percussing,palpating,andauscultatingduringthephysicalexamination.Thetermsreflecti
veandintrospectivearenotusedtodescribedata.
DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe:
a. Database.
b. Admittingdata.
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TestBank:PhysicalExamination&HealthAssessment7thEdition 3
c. Financialstatement.
d. Dischargesummary.
ANS:A
Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataformthedatabase.Theotherite
msarenotpartofthepatientsrecord,laboratorystudies,ordata.
DIF:CognitiveLevel:Remembering(Knowledge)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard.Thenursesnextactionshouldb
eto:
a. Immediatelynotifythepatientsphysician.
b. Documentthesoundexactlyasitwasheard.
c. Validatethedatabyaskingacoworkertolistentothebreathsounds.
d. Assessagainin20minutestonotewhetherthesoundisstillpresent.
ANS:C
Whenunsureofasoundheardwhilelisteningtoapatientsbreathsounds,thenursevalidatesthedatatoensureaccuracy.Ifthen
ursehaslessexperienceinanarea,thenheorsheasksanexperttolisten.
DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
5. Thenurseisconductingaclassfornewgraduatenurses.Duringtheteachingsession,thenurseshouldkeepinmindthatno
vicenurses,withoutabackgroundofskillsandexperiencefromwhichtodraw,aremorelikelytomaketheirdecisionsusing:
a. Intuition.
b. Asetofrules.
c. Articlesinjournals.
d. Advicefromsupervisors.
ANS:B
Novicenursesoperatefromasetofdefined,structuredrules.Theexpertpractitionerusesintuitivelinks.DIF:Cognitiv
eLevel:Understanding(Comprehension)REF:p.3