Test Bank for Physical Examination and Health Assessment 7th edition by Jarvis

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Test Bank: Physical Examination & Health Assessment 7 Edition
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Table of Contents u u




Table of u 1
Content
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Chapter 01: Evidence-Based Assessment u u u 2
Chapter 02: Cultural Competence
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Chapter 03: The Interview
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Chapter 04: The Complete Health History u u u u u 49
Chapter 05: Mental Status Assessment
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Chapter 06: Substance Use Assessment
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81
Chapter 07: Domestic and Family Violence Assessments
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87
Chapter 08: Assessment Techniques and Safety in the Clinical
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93
Setting Chapter 09: General Survey, Measurement, Vital Signs
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112
Chapter 10: Pain Assessment: The Fifth Vital
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134
Sign Chapter 11: Nutritional Assessment
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142
Chapter 12: Skin, Hair, and Nails
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156
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Chapter
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177
14: Eyes
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195
Chapter 15: Ears
212
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Chapter 16: Nose, Mouth, and Throat
229
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Chapter 17: Breasts and Regional
247
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Lymphatics Chapter 18: Thorax and Lungs
267
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Chapter 19: Heart and Neck Vessels
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285
Chapter 20: Peripheral Vascular System and Lymphatic System
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304
Chapter 21: Abdomen
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321
Chapter 22: Musculoskeletal System u u u

338
Chapter 23: Neurologic
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359
Chapter 24: Male Genitourinary
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384
System Chapter 25: Anus, Rectum,
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402
and Prostate u

416
Chapter 26: Female Genitourinary System u u u u

438
Chapter 27: The Complete Health Assessment: Adult
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451
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
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454
Chapter 29: Bedside Assessment of the Hospitalized Patient
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460
Chapter 30: The Pregnant Woman u u u u

473
Chapter 31: Functional Assessment of the Older Adult
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Test Bank: Physical Examination & Health Assessment 7 Edition
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Chapter 01: Evidence-Based Assessment u u u




MULTIPLE CHOICE u




1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
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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 u




Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself
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during history taking.
u The terms
u reflective and introspective
u are not used to describe u u u u u u u u u u u u u u u u u


data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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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
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data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: C u




Subjective data are what the person says about him or herself during history taking. Objective data are
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what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. The terms reflective and introspective are
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u not used to describe
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data.

DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. u




b. Admitting data. u

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Test Bank: Physical Examination & Health Assessment 7 Edition
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c. Financial statement. u




d. Discharge summary. u




ANS: A u




Together with the patients record and laboratory studies, the objective and subjective data form the data
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base. The other items are not part of the patients record, laboratory studies, or
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udata.

DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management 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
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nurses next action should be to:
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a. Immediately notify the patients physician. u u u u




b. Document the sound exactly as it was heard. u u u u u u u




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 u




When unsure of a sound heard while listening to a patients 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
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asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
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u nurse should keep in mind that novice nurses, without a background of skills and experience
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ufrom which to draw, are more 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. u u




d. Advice from supervisors. u u




ANS: B u




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
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u links. DIF: u u u Cognitive u u Level: u u Understanding u u (Comprehension) u u REF: u u p. u u 3

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Test Bank: Physical Examination & Health Assessment 7 Edition
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MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
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labeling it. These responses are referred to as:
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a. Intuition.


b. The nursing process. u u




c. Clinical knowledge. u




d. Diagnostic reasoning. u




ANS: A u




Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment
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udata and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p.
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u 4 MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
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ureflects EBP? u




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.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with EBP.
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ANS: C u




EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
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with the clinicians experience, as well as patient preferences and values, when
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umaking decisions about care and treatment. EBP is more than simply using the best
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upractice techniques to treat patients, and questioning tradition is important when no
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ucompelling and supportive research evidence exists. u u u u u u u




DIF: Cognitive Level: Applying (Application) REF: p. 5
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which
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is an example of a first-level priority problem?
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a. Patient with postoperative pain u u u




b. Newly diagnosed patient with diabetes who needs diabetic teaching
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