Test Bank Physical Examination and Health
v v v v v v
Assessment, 9th Edition by Carolyn Jarvis
v v v v v
, Table of Contents
v v
TablevofvContents 1
Chapterv01:vEvidence- 2
BasedvAssessmentvChapterv02:vCulturalv 15
AssessmentvChapterv03:vThevInterview 31
Chapterv04:vThevCompletevHealthvHistoryv 49
Chapterv05:vMentalvStatusvAssessmentvC 64
hapterv06:vSubstancevUsevAssessment 80
Chapterv07:vDomesticvandvFamilyvViolencevAssessment 86
Chapterv08:vAssessmentvTechniquesvandvSafetyvinvthevClivnicalvSetting 92
Chapterv09:vGeneralvSurveyvandvMeasurementvChapte 111
rv10:vVitalvSignsvChapter 118
11:vPainvAssessment 133
Chapterv12:vNutritionvAssessmentvChapte 141
rv13:vSkin,vHair,vandvNails 155
Chapterv14:vHead,vFace,vNeck,vandvRegionalvLymphaticsvChapt 176
erv15:vEyes 194
Chapterv16:vEars 211
Chapterv17:vNose,vMouth,vandvThroat 228
Chapterv18:vBreasts,vAxillae,vandvRegionalvLymphaticsvChapte 246
rv19:vThoraxvandvLungs 266
Chapterv20:vHeartvandvNeckvVessels 284
Chapterv21:vPeripheralvVascularvSystemvandvLymphaticvSystemvChapte 303
rv22:vAbdomen 320
Chapterv23:vMusculoskeletalvSystemvChapte 337
rv 24:v Neurologicv SystemvChapterv25:vMalev 358
GenitourinaryvSystemvChapterv26: 382
Anus,vRectum,vandvProstate 400
Chapterv27:vFemalevGenitourinaryvSystem 414
Chapterv28:vThevCompletevHealthvAssessment:vAdult 436
Chapterv29:vThevCompletevPhysicalvAssessment:vInfant,vChild,vandvAdolescentChapterv 449
30:vBedsidevAssessmentvandvElectronicvDocumentation 452
Chapterv31:vThevPregnantvWoman 458
Chapterv32:vFunctionalvAssessmentvofvthevOldervAdult 471
,Chapter 01: Evidence-Based Assessment
v v v
MULTIPLEv CHOICE
1. Aftervcompletingvanvinitialvassessmentvofvavpatient,vthevnursevhasvchartedvthatvhisvrespirationsvareveupneicvandv
hisv pulsev isv 58v beatsv perv minute.v Thesev typesv ofv datav wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:v A
Objectivevdatavarevwhatvthevhealthvprofessionalvobservesvbyvinspecting,vpercussing,vpalpating,vandvauscultatingvdu
ringvthevphysicalvexamination.vSubjectivevdatavisvwhatvthevpersonvsaysvaboutvhimvorvherselfvduringvhistoryvtaking.v
Thev termsv reflectivev andv introspectivev arev notv usedv tov describev data.
DIF:v Cognitivev Level:v Understandingv (Comprehension)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
2. Avpatientvtellsvthevnursevthatvhevisv veryvnervous,visvnauseated,v andvfeelsv hot.vThesevtypesv ofvdatavwouldvbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:v C
Subjectivevdatavarevwhatvthevpersonvsaysvaboutvhimvorvherselfvduringvhistoryvtaking.vObjectivevdatavarevwhatvthev
healthv professionalv observesv byv inspecting,v percussing,v palpating,v andv auscultatingv duringv thev physicalvexa
mination.v Thev termsv reflectivev andv introspectivev arev notv usedvtov describev data.
DIF:v Cognitivev Level:v Understandingv (Comprehension)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
3. Thev patientsv record,v laboratoryv studies,v objectivev data,v andvsubjectivev datav combinev tovformvthe:
a. Datavbase.
b. Admittingv data.
, c. Financialv statement.
d. Dischargev summary.
ANS:v A
Togethervwithvthevpatientsvrecordvandvlaboratoryvstudies,vthevobjectivevandvsubjectivevdatavformvthevdatavbase.vT
hev otherv itemsv arev notv partv ofv thev patientsv record,v laboratoryv studies,v orv data.
DIF:v Cognitivev Level:v Rememberingv (Knowledge)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
4. Whenvlisteningvtovavpatientsvbreathvsounds,vthevnursevisvunsurevofvavsoundvthatvisvheard.vThevnursesvnextv
actionvshouldvbevto:
a. Immediatelyv notifyv thev patientsv physician.
b. Documentv thev soundvexactlyvasv itv wasvheard.
c. Validatevthevdatav byvaskingvavcoworkervtovlistenvtovthevbreathvsounds.
d. Assessvagainvinv20v minutesvtovnotevwhethervthevsoundvisvstillvpresent.
ANS:v C
Whenvunsurevofvavsoundvheardvwhilevlisteningvtovavpatientsvbreathvsounds,vthevnursevvalidatesvthevdatavtovensurev
accuracy.v Ifv thev nursev hasv lessvexperiencev inv anv area,v thenv hev orv shev asksv anv expertv tov listen.
DIF:v Cognitivev Level:v Analyzingv (Analysis)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
5. Thevnursevisvconductingv avclassvforvnewv graduatevnurses.v Duringvthevteachingvsession,vthevnursevshouldv keepv i
nv mindv thatv novicevnurses,v withoutv av backgroundv ofvskillsv andvexperiencev fromvwhichv tovdraw,v arev morev likelyvt
ovmakevtheirvdecisionsvusing:
a. Intuition.
b. Avsetvofvrules.
c. Articlesv invjournals.
d. Advicev fromvsupervisors.
ANS:v B
Novicevnursesvoperatevfromvavsetvofvdefined,vstructuredvrules.vThevexpertvpractitionervusesvintuitivevlinks.vDIF
:vCognitivev Level:v Understandingv(Comprehension)
v v v v v v
Assessment, 9th Edition by Carolyn Jarvis
v v v v v
, Table of Contents
v v
TablevofvContents 1
Chapterv01:vEvidence- 2
BasedvAssessmentvChapterv02:vCulturalv 15
AssessmentvChapterv03:vThevInterview 31
Chapterv04:vThevCompletevHealthvHistoryv 49
Chapterv05:vMentalvStatusvAssessmentvC 64
hapterv06:vSubstancevUsevAssessment 80
Chapterv07:vDomesticvandvFamilyvViolencevAssessment 86
Chapterv08:vAssessmentvTechniquesvandvSafetyvinvthevClivnicalvSetting 92
Chapterv09:vGeneralvSurveyvandvMeasurementvChapte 111
rv10:vVitalvSignsvChapter 118
11:vPainvAssessment 133
Chapterv12:vNutritionvAssessmentvChapte 141
rv13:vSkin,vHair,vandvNails 155
Chapterv14:vHead,vFace,vNeck,vandvRegionalvLymphaticsvChapt 176
erv15:vEyes 194
Chapterv16:vEars 211
Chapterv17:vNose,vMouth,vandvThroat 228
Chapterv18:vBreasts,vAxillae,vandvRegionalvLymphaticsvChapte 246
rv19:vThoraxvandvLungs 266
Chapterv20:vHeartvandvNeckvVessels 284
Chapterv21:vPeripheralvVascularvSystemvandvLymphaticvSystemvChapte 303
rv22:vAbdomen 320
Chapterv23:vMusculoskeletalvSystemvChapte 337
rv 24:v Neurologicv SystemvChapterv25:vMalev 358
GenitourinaryvSystemvChapterv26: 382
Anus,vRectum,vandvProstate 400
Chapterv27:vFemalevGenitourinaryvSystem 414
Chapterv28:vThevCompletevHealthvAssessment:vAdult 436
Chapterv29:vThevCompletevPhysicalvAssessment:vInfant,vChild,vandvAdolescentChapterv 449
30:vBedsidevAssessmentvandvElectronicvDocumentation 452
Chapterv31:vThevPregnantvWoman 458
Chapterv32:vFunctionalvAssessmentvofvthevOldervAdult 471
,Chapter 01: Evidence-Based Assessment
v v v
MULTIPLEv CHOICE
1. Aftervcompletingvanvinitialvassessmentvofvavpatient,vthevnursevhasvchartedvthatvhisvrespirationsvareveupneicvandv
hisv pulsev isv 58v beatsv perv minute.v Thesev typesv ofv datav wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:v A
Objectivevdatavarevwhatvthevhealthvprofessionalvobservesvbyvinspecting,vpercussing,vpalpating,vandvauscultatingvdu
ringvthevphysicalvexamination.vSubjectivevdatavisvwhatvthevpersonvsaysvaboutvhimvorvherselfvduringvhistoryvtaking.v
Thev termsv reflectivev andv introspectivev arev notv usedv tov describev data.
DIF:v Cognitivev Level:v Understandingv (Comprehension)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
2. Avpatientvtellsvthevnursevthatvhevisv veryvnervous,visvnauseated,v andvfeelsv hot.vThesevtypesv ofvdatavwouldvbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:v C
Subjectivevdatavarevwhatvthevpersonvsaysvaboutvhimvorvherselfvduringvhistoryvtaking.vObjectivevdatavarevwhatvthev
healthv professionalv observesv byv inspecting,v percussing,v palpating,v andv auscultatingv duringv thev physicalvexa
mination.v Thev termsv reflectivev andv introspectivev arev notv usedvtov describev data.
DIF:v Cognitivev Level:v Understandingv (Comprehension)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
3. Thev patientsv record,v laboratoryv studies,v objectivev data,v andvsubjectivev datav combinev tovformvthe:
a. Datavbase.
b. Admittingv data.
, c. Financialv statement.
d. Dischargev summary.
ANS:v A
Togethervwithvthevpatientsvrecordvandvlaboratoryvstudies,vthevobjectivevandvsubjectivevdatavformvthevdatavbase.vT
hev otherv itemsv arev notv partv ofv thev patientsv record,v laboratoryv studies,v orv data.
DIF:v Cognitivev Level:v Rememberingv (Knowledge)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
4. Whenvlisteningvtovavpatientsvbreathvsounds,vthevnursevisvunsurevofvavsoundvthatvisvheard.vThevnursesvnextv
actionvshouldvbevto:
a. Immediatelyv notifyv thev patientsv physician.
b. Documentv thev soundvexactlyvasv itv wasvheard.
c. Validatevthevdatav byvaskingvavcoworkervtovlistenvtovthevbreathvsounds.
d. Assessvagainvinv20v minutesvtovnotevwhethervthevsoundvisvstillvpresent.
ANS:v C
Whenvunsurevofvavsoundvheardvwhilevlisteningvtovavpatientsvbreathvsounds,vthevnursevvalidatesvthevdatavtovensurev
accuracy.v Ifv thev nursev hasv lessvexperiencev inv anv area,v thenv hev orv shev asksv anv expertv tov listen.
DIF:v Cognitivev Level:v Analyzingv (Analysis)
MSC:vClientv Needs:v Safev andv Effectivev Carev Environment:v Managementv ofv Care
5. Thevnursevisvconductingv avclassvforvnewv graduatevnurses.v Duringvthevteachingvsession,vthevnursevshouldv keepv i
nv mindv thatv novicevnurses,v withoutv av backgroundv ofvskillsv andvexperiencev fromvwhichv tovdraw,v arev morev likelyvt
ovmakevtheirvdecisionsvusing:
a. Intuition.
b. Avsetvofvrules.
c. Articlesv invjournals.
d. Advicev fromvsupervisors.
ANS:v B
Novicevnursesvoperatevfromvavsetvofvdefined,vstructuredvrules.vThevexpertvpractitionervusesvintuitivevlinks.vDIF
:vCognitivev Level:v Understandingv(Comprehension)
