Physicalv.ExaminSatut ivStuvia.com
oia.co
n amn-v.dThv.H
ev. eaar klte thp l aAc es tso eBus ysamn deSne tl l v.yCouArv.Stu
-M
v.Thev.Marketplacev.tov.Buyv.andv.Sellv.yourv.Studyv.Material
NAdD IAa t N
yv.M e r i a3
l v . rdv.Editionv.Jarvisv.Testv.Bank
Chapterv.05:v.Thev.Completev.Healthv.History
Jarvis:v.Physicalv.Examinationv.&v.Healthv.Assessment,v.3rdv.Canadianv.edition
MULTIPLEv.CHOICE
Thev.nursev.isv.preparingv.tov.conductv.av.healthv.history.v.Whichv.ofv.thesev.statementsv.bestv . describesv.
thev.purposev.ofv.av.healthv.history?
Tov.providev.anv.opportunityv.forv.interactionv.betweenv.thev.patientv.andv.thev.nursev.Tov.p
rovidev.av.formv.forv.obtainingv.thev.patient’sv.biographicv.information
Tov.documentv.thev.normalv.andv.abnormalv.findingsv.ofv.av.physicalv.assessmentv.Tov.pro
videv.av.databasev.ofv.subjectivev.informationv.aboutv.thev.patient’s
pastv.andv.currentv.health
ANS:v.D
Thev.purposev.ofv.thev.healthv.historyv.isv.tov.collectv.subjectivev.data—
whatv.thev.personv.saysv.aboutv.himselfv.orv.herself.v.Thev.otherv.optionsv.arev.notv.correc
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, t.
DIF:v . Cognitivev.Level:v.Understandingv.(Comprehension)
MSC:v. Clientv. Needs:v. Safev. andv. Effectivev. Carev. Environment:v. Managementv. ofv. Care
2. Whenv.thev.nursev.isv.evaluatingv.thev.reliabilityv.ofv.av.patient’sv.responses,v.whi
chv.ofv.thesev.statementsv.wouldv.bev.correct?v.Thev.patient:
a. Hasv.av.historyv.ofv.drugv.abusev.andv.thereforev.isv.notv.reliable.
b. Providedv. consistentv. informationv. andv. thereforev. isv. reliable.
c. Smiledv.throughoutv. interviewv. andv. thereforev. isv.assumedv. reliable.
d. Wouldv. notv. answerv. questionsv.concerningv. stressv.andv. thereforev. isv. notv. reliable.
ANS:v.B
Av.reliablev.personv.alwaysv.givesv.thev.samev.answers,v.evenv.whenv.questionsv.arev.rephrasedv.or
v.arev.repeated v.laterv.inv.thev.interview.v.Thev.otherv.statements v.arev.notv . correct.
DIF:v . Cognitivev.Level:v.Applyingv.(Application)
MSC:v. Clientv. Needs:v. Safev. andv. Effectivev. Carev. Environment:v. Managementv. ofv. Care
Av.59-year-
oldv.patientv.tellsv.thev.nursev.thatv.hev.hasv.ulcerativev.colitis.v.Hev.hasv.beenv.havingv.―blackv.st
ools‖v.forv.thev.pastv.24v.hours.v.Howv.wouldv.thev.nursev.bestv.documentv.hisv.reasonv.forv.seeki
ngv.care?
J.M.v.isv.av.59-year-oldv.manv.seekingv.treatmentv.forv.ulcerativev.colitis.
J.M.v.camev.intov.thev.clinicv.complainingv.ofv.havingv.blackv.stoolsv.forv.thev.pastv.24v.hours.
J.M.v.isv.av.59-year-
oldv.manv.whov.statesv.thatv.hev.hasv.ulcerativev.colitisv.andv.wantsv.itv.checked.
J.M.v.isv.av.59-year-
oldv.manv.whov.statesv.thatv.hev.hasv.beenv.havingv.―blackv.stools‖v.forv.
thev.pastv.24v.hours.
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,ANS:v. Stuvia.comv.-v.Thev.Marketplacev.tov.Buyv.andv.Sellv.yourv.Studyv.Material
D Stuvia.comv.-
v.Thev.Marketplace
Thev.reasonv.forv. seeking tov.v.brief
v.carev. isv.v.a Buyv.v.andv.Sellv.yourv.v.
spontaneous Study v. inv. thev. person’sv. ownv. wordsv. that
v.Material
statement
describesv.thev.reasonv.forv.thev.visit.v.Itv.statesv.onev.(possiblyv.two)v.signsv.orv.symptomsv.andv.theirv . dura
tion.v.Thev.symptomv.descriptionv.isv.enclosedv.inv.quotationv.marksv.tov.indicatev.thev . pe
rson’s
exactv.words.
DIF:v . Cognitivev.Level:v.Applyingv.(Application)
MSC:v. Clientv. Needs:v. Safev. andv. Effectivev. Carev. Environment:v. Managementv. ofv. Care
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Physicalv.ExaminSatut ivoiaStuvia.com
.com - Thev.M
n a n d Hv.-eaar klte ht p l aAc es tso eBsu ysamn deSne tl l v.yCouArvStu
v.Thev.Marketplacev.tov.Buyv.andv.Sellv.yourv.Studyv.Material
dy M a t e ri a l
.NAD v. IA N 3v.rdv.Editionv.Jarvisv.Testv.Bank
Av.patientv.tellsv.thev.nursev.thatv.shev.hasv.hadv.abdominalv.painv.forv.thev.pastv.week.v.Whatv . wouldv.be
v.thev.nurse’sv.bestv.response?
―Canv.youv.pointv.tov.wherev.itv.hurts?‖
―We’llv.talkv.morev.aboutv.thatv.laterv.inv.thev.interview.
‖v.―Whatv.havev.youv.hadv.tov.eatv.inv.thev.pastv.24v.hour
s?‖v.―Havev.youv.everv.hadv.anyv.surgeriesv.onv.yourv.a
bdomen?‖
ANS:v.A
Av.finalv.summaryv.ofv.anyv.symptomv.thev.personv.hasv.shouldv.include,v.alongv.withv.sevenv.otherv.criticalv.c
haracteristics,v.―Location:v.Bev.specific.‖v.Thev.personv.isv.askedv.tov.pointv.tov.thev.location.
DIF:v . Cognitivev.Level:v.Applyingv.(Application)
MSC:v. Clientv. Needs:v. Safev. andv. Effectivev. Carev. Environment:v. Managementv. ofv. Care
Av.29-year-
oldv.womanv.tellsv.thev.nursev.thatv.shev.hasv.―excruciatingv.pain‖v.inv.herv.ba
ck.v.Whichv.wouldv.bev.thev.nurse’sv.appropriatev.responsev.tov.thev.woma
n’sv.statement?
―Howv.doesv.yourv.familyv.reactv.tov.yourv.pain?‖
―Thev.painv.mustv.bev.terrible.v.Youv.probablyv.pinchedv.av.ner
ve.‖v.―I’vev.hadv.backv.painv.myself,v.andv.itv.canv.bev.excruciat
ing.‖
―Howv.wouldv.youv.sayv.thev.painv.affectsv.yourv.abilityv.tov.dov.yourv.dailyv.activities?‖
ANS:v.D
Thev.symptomv.ofv.painv.isv.difficultv.tov.quantifyv.becausev.ofv.individualv.interpretation.v.Withv.pa
in,v.adjectivesv.shouldv.bev.avoided,v.andv.thev.patientv.shouldv.bev.askedv.howv.thev.painv.affe
ctsv.hisv.orv.herv.dailyv.activities.v.Thev.otherv.responsesv.arev.notv.appropriate.
DIF:v . Cognitivev . Level:v . Applying NU(Application)RSINGTB.COM
MSC:v. Clientv. Needs:v. Safev. andv. Effectivev. Carev. Environment:v. Managementv. ofv. Care
Inv.recordingv.thev.childhoodv.illnessesv.ofv.av.patientv.whov.deniesv.havingv.hadv.any,v.whichv . not
ev.byv.thev.nursev.wouldv.bev.mostv.accurate?
Patientv.deniesv.usualv.childhoodv.illnesses.v.Patie
ntv.statesv.hev.wasv.av.―veryv.healthy‖v.child.
Patientv.statesv.hisv.sisterv.hadv.measles,v.butv.hev.didv.not.
Patientv.deniesv.havingv.hadv.measles,v.mumps,v.rubella,v.chickenpox,v.pertussis,v.a
ndv.strepv.throat.
ANS:v.D
Childhoodv.illnessesv.includev.measles,v.mumps,v.rubella,v.chickenpox,v.pertussis,v.andv . strepv.th
roat.v.Avoidv.recordingv.―usualv.childhoodv.illnesses‖v.becausev.anv.illnessv.commo
nv.inv.thev.person’sv.childhoodv.mayv.bev.unusualv.todayv.(e.g.,v.measles).
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