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Table of Contents x x x x
Table of Contents x x x x 1
Chapter 01: Evidence-Based x x x x 2
xAssessmentChapter 02: Cultural
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xCompetence Chapter 03: The Interview
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Chapter 04: The Complete Health History
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Chapter 05: Mental Status Assessment
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Chapter 06: Substance Use Assessment
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Chapter 07: Domestic and Family Violence Assessments
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Chapter 08: Assessment Techniques and Safety in the Clinical Setting
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Chapter 09: General Survey, Measurement, Vital Signs
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Chapter 10: Pain Assessment: The Fifth Vital SignChapter
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11: Nutritional Assessment
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Chapter 12: Skin, Hair, and Nails
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Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
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Chapter 14: Eyes
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Chapter 15: Ears x x x x 212
Chapter 16: Nose, Mouth, and Throat
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Chapter 17: Breasts and Regional Lymphatics
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Chapter 18: Thorax and Lungs
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Chapter 19: Heart and Neck Vessels
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Chapter 20: Peripheral Vascular System and Lymphatic SystemChapter
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21: Abdomen
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Chapter 22: Musculoskeletal System
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Chapter 23: Neurologic System
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Chapter 24: Male Genitourinary System
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Chapter 25: Anus, Rectum, and Prostate
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Chapter 26: Female Genitourinary System
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Chapter 27: The Complete Health Assessment: Adult
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Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
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Chapter 29: Bedside Assessment of the Hospitalized Patient
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Chapter 30: The Pregnant Woman
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Chapter 31: Functional Assessment of the Older Adult
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,Test Bank: Physical Examination & HealthAssessment 7e (Jarvis 2015)
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Chapter 01: Evidence-Based Assessment x x x x x x
MULTIPLE CHOICE x x
1. Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathisrespirationsareeupneicandhis pulse
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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 xx
Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating,andauscultatingduring
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the physical examination. Subjective data is what the person says about him or herself during historytaking. The
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termsreflectiveandintrospective are not used to describe data.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
x x x x x x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
x x x x x x x x x x
2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesofdatawouldbe:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C xx
Subjectivedataarewhatthepersonsaysabouthimorherselfduringhistorytaking.Objectivedataarewhatthehealth
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professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The
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termsreflectiveandintrospectiveare not used to describe data.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
x x x x x x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
x x x x x x x x x x
3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe:
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a. Database. x
b. Admittingdata. x
,Test Bank: Physical Examination & HealthAssessment 7e (Jarvis 2015)
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c. Financial statement. x x
d. Dischargesummary. x
ANS: A xx
Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataformthedatabase.The other
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items are not part of the patients record, laboratory studies, or data.
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DIF:CognitiveLevel:Remembering(Knowledge)REF:p.2
x x x x x x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
x x x x x x x x x x
4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard.Thenursesnextaction
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should be to:
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a. Immediatelynotifythepatientsphysician. x x x x
b. Documentthesoundexactlyasitwasheard. x x x x x x x
c. Validatethedatabyaskingacoworkertolistentothebreathsounds. x x x x x x x x x x x x
d. Assessagainin20minutestonotewhetherthesoundisstillpresent. x x x x x x x x x x x x
ANS: C xx
Whenunsureofasoundheardwhilelisteningtoapatientsbreathsounds,thenursevalidatesthedatatoensureaccuracy.If
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the nurse has less experience in an area, then he orshe asks an expert to listen.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
x x x x x x x x x x
5. Thenurse isconducting aclassfornew graduate nurses.Duringtheteachingsession,thenurseshould keepinmind
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that novice nurses, without a background of skills and experience from which to draw, are more likely to make their
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decisions using:
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a. Intuition.
b. A set ofrules.
xx xx xx
c. Articlesinjournals. x x
d. Advicefromsupervisors. x xx
ANS: B xx
Novicenursesoperatefromasetofdefined,structuredrules.Theexpertpractitionerusesintuitivelinks.DIF:
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xx Cognitive Level: Understanding (Comprehension) REF: p. 3 xx xx xx xx xx xx
, Test Bank: Physical Examination & HealthAssessment 7e (Jarvis 2015)
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MSC:ClientNeeds:General x x x
6. Expertnurseslearntoattendtoapatternofassessmentdataandactwithoutconsciouslylabelingit.These
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responses are referred to as:
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a. Intuition.
b. Thenursingprocess. x x
c. Clinicalknowledge. x
d. Diagnosticreasoning. x
ANS: A xx
Intuitionischaracterizedbypatternrecognitionexpertnurseslearntoattendtoapatternofassessmentdataandact
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without consciously labeling it. The other options are not correct.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:p.4
x x x x x x x
MSC: Client Needs: General
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7. Thenurseisreviewinginformationaboutevidence-basedpractice(EBP).WhichstatementbestreflectsEBP?
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a. EBPreliesontraditionforsupportofbestpractices. x x x x x x x x
b. EBPissimplytheuseofbestpracticetechniquesforthetreatmentofpatients.
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c. EBPemphasizestheuseofbestevidencewiththecliniciansexperience.
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d. ThepatientsownpreferencesarenotimportantwithEBP.
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ANS: C
x xx
EBPisasystematicapproachtopracticethatemphasizestheuseofbestevidenceincombinationwiththeclinicians
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experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is
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more than simply using the best practice techniques to treat patients, and questioning tradition is important when no
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compelling andsupportive research evidence exists.
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DIF:CognitiveLevel:Applying(Application)REF:p.5
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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8. Thenurseisconductingaclassonprioritysettingforagroupofnewgraduatenurses.Whichisanexampleof a first-
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level priority problem?
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a. Patientwithpostoperativepain x x x
b. Newlydiagnosedpatientwithdiabeteswhoneedsdiabeticteaching x x x x x x x x