Tes Bank - Physical Examination and Health Assessmen 8e (by
J J 1
Physical Examination and Health
Assessmen 8th Edition by Jarvis
J
Table of
Contents
Table of Contents 1
Chapter 01: Evidence-Based Assessmen J 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessmen Chapter
J 64
06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessmen Techniques and Safety in the Clinical Setting
J 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessmen J 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Hear and Neck Vessels
J 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescen J 449
Chapter 30: Bedside Assessmen and Electronic Documentation
J 452
Chapter 31: The Pregnan Woman
J 458
Chapter 32: Functional Assessmen of the Older Adult
J 471
Answerdone.com
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 8TH EDITION JARVIS TES BANK J J
Tes Bank - Physical Examination and Health Assessmen 8e (by Jarvis)
J J 2
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
J J J J J J J J J J J J J J J J J J J
pulse is 58 beats per minute. These types of data would be:
J J J J J J J J J J J
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A J
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
J J J J J J J J J J J J J J J
the physical examination. Subjective data is what the person says about him or herself during history taking. The
J J J J J J J J J J J J J J J J J J
terms reflective and introspective are not used to describe data.
J J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
2. Apatient tells the nurse that he is very n e r v No uUsR, SisIN
J J naGuTsB
ea.C
teOdM
J, and feels hot. These types of data would be:
J J J J J J J J J J J J J J J J
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C J
Subjective data are what the person says about him or herself during history taking. Objective data are what the
J J J J J J J J J J J J J J J J J J J
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
J J J J J J J J J J J J
examination. The terms reflective and introspective are not used to describe data.
J J J J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
J J J J J J J J J J J J J
a. Data base. J
b. Admitting data. J
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 8TH EDITION JARVIS TES BANK J J
Tes Bank - Physical Examination and Health Assessmen 8e (by Jarvis)
J J 3
c. Financial statement. J
d. Discharge summary. J
ANS: A J
Together with the patients record and laboratory studies, the objective and subjective data form the data base. The
J J J J J J J J J J J J J J J J J J
other items are not part of the patients record, laboratory studies, or data.
J J J J J J J J J J J J
DIF: Cognitive Level: Remembering (Knowledge)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action
J J J J J J J J J J J J J J J J J J J J J
should be to: J J
a. Immediately notify the patients physician. J J J J
b. Document the sound exactly as it was heard. J J J J J J J
c. Validate the data by asking a coworker to listen to the breath sounds. J J J J J J J J J J J J
d. Assess again in 20 minutes to note whether the sound is still present.
J J J J J J J J J J J J
NURSINGTB.COM
ANS: C J
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy.
J J J J J J J J J J J J J J J J J J J J J
If the nurse has less experience in an area, then he or she asks an expert to listen.
J J J J J J J J J J J J J J J J J
DIF: Cognitive Level: Analyzing (Analysis)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
5. The nurseisconducting aclassfornew graduate nurses. Duringtheteaching session,the nurse should keep in mind
J J J J J J J J J J J J J J J J J J J J
that novice nurses, without a background of skills and experience from which to draw, are more likely to make their
J J J J J J J J J J J J J J J J J J J J
decisions using: J
a. Intuition.
b. A set of rules.
J J J
c. Articles in journals. J J
d. Advice from supervisors. J J
ANS: B J
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
J J J J J J J J J J J J J J J J J
Cognitive Level: Understanding (Comprehension) J J J
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 8TH EDITION JARVIS TES BANK J J
Tes Bank - Physical Examination and Health Assessmen 8e (by Jarvis)
J J 4
MSC: Client Needs: General
J J J
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
J J J J J J J J J J J J J J J J J J
responses are referred to as: J J J J
a. Intuition.
b. The nursing process. J J
c. Clinical knowledge. J
d. Diagnostic reasoning. J
ANS: A J
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and act
J J J J J J J J J J J J J J J J J J
without consciously labeling it. The other options are not correct.
J J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
J J J J J
MSC: Client Needs: General
J J J
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
J J J J J J J J J J J J J
a. EBPrelies on tradition for supportNoUfRbS
esIN
J t pGrT
acBt.iC
ceOsM
. J J J J J J
b. EBP is simply the use of best practice techniques for the treatment of patients.
J J J J J J J J J J J J J
c. EBP emphasizes the use of best evidence with the clinicians experience.
J J J J J J J J J J
d. The patients own preferences are not important with EBP.
J J J J J J J J
ANS: C J
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians
J J J J J J J J J J J J J J J J J J J
experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is
J J J J J J J J J J J J J J J J J
more than simply using the best practice techniques to treat patients, and questioning tradition is important when no
J J J J J J J J J J J J J J J J J J
compelling and supportive research evidence exists.
J J J J J
DIF: Cognitive Level: Applying (Application)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a
J J J J J J J J J J J J J J J J J J J J J J
first-level priority problem? J J
a. Patient with postoperative pain J J J
b. Newly diagnosed patient with diabetes who needs diabetic teaching
J J J J J J J J
NURSINGTB.COM
J J 1
Physical Examination and Health
Assessmen 8th Edition by Jarvis
J
Table of
Contents
Table of Contents 1
Chapter 01: Evidence-Based Assessmen J 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessmen Chapter
J 64
06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessmen Techniques and Safety in the Clinical Setting
J 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessmen J 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Hear and Neck Vessels
J 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescen J 449
Chapter 30: Bedside Assessmen and Electronic Documentation
J 452
Chapter 31: The Pregnan Woman
J 458
Chapter 32: Functional Assessmen of the Older Adult
J 471
Answerdone.com
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 8TH EDITION JARVIS TES BANK J J
Tes Bank - Physical Examination and Health Assessmen 8e (by Jarvis)
J J 2
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
J J J J J J J J J J J J J J J J J J J
pulse is 58 beats per minute. These types of data would be:
J J J J J J J J J J J
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A J
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
J J J J J J J J J J J J J J J
the physical examination. Subjective data is what the person says about him or herself during history taking. The
J J J J J J J J J J J J J J J J J J
terms reflective and introspective are not used to describe data.
J J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
2. Apatient tells the nurse that he is very n e r v No uUsR, SisIN
J J naGuTsB
ea.C
teOdM
J, and feels hot. These types of data would be:
J J J J J J J J J J J J J J J J
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C J
Subjective data are what the person says about him or herself during history taking. Objective data are what the
J J J J J J J J J J J J J J J J J J J
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
J J J J J J J J J J J J
examination. The terms reflective and introspective are not used to describe data.
J J J J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
J J J J J J J J J J J J J
a. Data base. J
b. Admitting data. J
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 8TH EDITION JARVIS TES BANK J J
Tes Bank - Physical Examination and Health Assessmen 8e (by Jarvis)
J J 3
c. Financial statement. J
d. Discharge summary. J
ANS: A J
Together with the patients record and laboratory studies, the objective and subjective data form the data base. The
J J J J J J J J J J J J J J J J J J
other items are not part of the patients record, laboratory studies, or data.
J J J J J J J J J J J J
DIF: Cognitive Level: Remembering (Knowledge)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action
J J J J J J J J J J J J J J J J J J J J J
should be to: J J
a. Immediately notify the patients physician. J J J J
b. Document the sound exactly as it was heard. J J J J J J J
c. Validate the data by asking a coworker to listen to the breath sounds. J J J J J J J J J J J J
d. Assess again in 20 minutes to note whether the sound is still present.
J J J J J J J J J J J J
NURSINGTB.COM
ANS: C J
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy.
J J J J J J J J J J J J J J J J J J J J J
If the nurse has less experience in an area, then he or she asks an expert to listen.
J J J J J J J J J J J J J J J J J
DIF: Cognitive Level: Analyzing (Analysis)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
5. The nurseisconducting aclassfornew graduate nurses. Duringtheteaching session,the nurse should keep in mind
J J J J J J J J J J J J J J J J J J J J
that novice nurses, without a background of skills and experience from which to draw, are more likely to make their
J J J J J J J J J J J J J J J J J J J J
decisions using: J
a. Intuition.
b. A set of rules.
J J J
c. Articles in journals. J J
d. Advice from supervisors. J J
ANS: B J
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
J J J J J J J J J J J J J J J J J
Cognitive Level: Understanding (Comprehension) J J J
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 8TH EDITION JARVIS TES BANK J J
Tes Bank - Physical Examination and Health Assessmen 8e (by Jarvis)
J J 4
MSC: Client Needs: General
J J J
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
J J J J J J J J J J J J J J J J J J
responses are referred to as: J J J J
a. Intuition.
b. The nursing process. J J
c. Clinical knowledge. J
d. Diagnostic reasoning. J
ANS: A J
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and act
J J J J J J J J J J J J J J J J J J
without consciously labeling it. The other options are not correct.
J J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
J J J J J
MSC: Client Needs: General
J J J
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
J J J J J J J J J J J J J
a. EBPrelies on tradition for supportNoUfRbS
esIN
J t pGrT
acBt.iC
ceOsM
. J J J J J J
b. EBP is simply the use of best practice techniques for the treatment of patients.
J J J J J J J J J J J J J
c. EBP emphasizes the use of best evidence with the clinicians experience.
J J J J J J J J J J
d. The patients own preferences are not important with EBP.
J J J J J J J J
ANS: C J
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians
J J J J J J J J J J J J J J J J J J J
experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is
J J J J J J J J J J J J J J J J J
more than simply using the best practice techniques to treat patients, and questioning tradition is important when no
J J J J J J J J J J J J J J J J J J
compelling and supportive research evidence exists.
J J J J J
DIF: Cognitive Level: Applying (Application)
J J J J
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
J J J J J J J J J J
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a
J J J J J J J J J J J J J J J J J J J J J J
first-level priority problem? J J
a. Patient with postoperative pain J J J
b. Newly diagnosed patient with diabetes who needs diabetic teaching
J J J J J J J J
NURSINGTB.COM
