Test Bank For Bates’ Nursing Guide to Physical Examination
and History Taking 2nd Edition By Beth Hogan-Quigley; Mary
Louise Palm; Lynn S. Bickley 9781496305565 Chapter 1-24
Complete Guide
the physical examination should be performed once you understand the - ANSWER: patient's
concerns and have elicited a careful history
when learning about physical assessment, students often want to proceed directly to the
examination; however, - ANSWER: the collection of subjective information during history taking
assists to focus your examination accordingly
the physical examination is a process to obtain ____________________ from the patient - ANSWER:
objective data
the ____________________ in the health history is obtained prior to the examination and will assist
the nurse to navigate through a complex examination - ANSWER: subjective data
a finding in one system may not be an ____________ finding - ANSWER: isolated
for example, the patient who presents with a chief complaint of blurred vision may be having vision
changes because of age, an injury, a retina or macular affliction, or changes due to hyperglycemia
what is the purpose of the physical examination? - ANSWER: to determine changes in a patient's
health status and how to respond to a problem as well as promote healthy lifestyles and well-being
how to prepare for the physical examination? - ANSWER: -reflect on your approach to the patient
-adjust the lighting and the environment
-check that the equipment is available and in working order
-make the patient comfortable
-choose the sequence of examination
as you enter the room to conduct a physical examination, identify - ANSWER: yourself as a nursing
student
appear calm and organized, even when you feel inexperienced
it is common to forget part of the examination, especially at first
if that occurs, simply examine that area out of sequence
it is not unusual to go back to the patient and ask to check one or two items that might have been
overlooked
beginners will need to spend more time than experienced nurses on select portions of the
examination, such as - ANSWER: the fundoscopic examination or cardiac auscultation
to avoid alarming the patient, warn the patient ahead of time by saying, for example, - ANSWER: "i
would like to spend extra time listening to your heart and the heart sounds, but this doesn't mean i
hear anything wrong"
many patients view the physical examination with some anxiety. they feel - ANSWER: vulnerable,
physically exposed, apprehensive about possible pain, and uneasy about what the nurse may find
at the same time, they appreciate your concern about their health and respond to your attention
the skillful nurse is thorough without _____________, systematic but ______________, and
___________ yet not afraid to cause discomfort should it be required - ANSWER: -wasting time
-flexible
, -gentle
when doing a physical examination the skillful nurse - ANSWER: examines each region of the body and
at the same time is aware of the whole patient, notes the wince or worried glance, and shares
information that calms, explains, and reassures
as a beginner, avoid _________________ your findings - ANSWER: interpreting
you are not the patient's primary caregiver, and your views may be premature or incorrect
as you grow in experience and responsibility, sharing findings will become more appropriate
if the patient has specific concerns, discuss them with your - ANSWER: faculty
at times, you may discover abnormalities such as an ominous mass or a deep ulceration. always avoid
- ANSWER: showing distaste, alarm, or other negative reactions
keeping your verbal and nonverbal communication in check is always paramount
if you find anything that is unusual or disturbing, always talk with your clinical instructor
nurses practice in a variety of settings and ___________ and ____________ are warranted to insure
adequate lighting and a conductive environment for physical examination and patient care - ANSWER:
-flexibility
-creativity
for the best results in a physical examination it is important to "__________________" so that both
you and the patient are comfortable - ANSWER: set the stage
awkward positioning for both you and the patient, impairs - ANSWER: detection of physical findings
take time to do these things whenever this makes examining selected areas of the body easier -
ANSWER: adjust the bed to a convenient height (but be sure to lower it when finished), and ask the
patient to move toward you, turn over or shift position
good lighting and a quiet environment make a difference in this but may be hard to arrange -
ANSWER: what you see and hear
do the best you can
if a television interferes with auscultating heart sounds, politely ask the nearby patient to - ANSWER:
lower the volume and remember to thank the patient as you leave
tangential lighting - ANSWER: is optimal for inspecting structures such as the jugular venous pulse, the
thyroid gland, and the apical impulse of the heart
it casts light across body surfaces that show contours, elevations, and depressions, whether moving or
stationary, into sharper relief
when light is perpendicular to the surface or diffuse, - ANSWER: shadows are reduced and subtle
undulations across the surface are lost
prior to the start of the physical examination, collect all necessary equipment and supplies and check
that all are - ANSWER: in working order
for example, check the batteries in the penlight and oto/ophthalmoscope to confrim they turn on. this
ensures a smooth flow during the examination and avoids having to leave the patient during the
examination to search for equipment
list of equipment for physical examination - ANSWER: -hand sanitizer
-examination gloves
-alcohol wipes
- paper and pen, or computer
-draw sheet or drape
and History Taking 2nd Edition By Beth Hogan-Quigley; Mary
Louise Palm; Lynn S. Bickley 9781496305565 Chapter 1-24
Complete Guide
the physical examination should be performed once you understand the - ANSWER: patient's
concerns and have elicited a careful history
when learning about physical assessment, students often want to proceed directly to the
examination; however, - ANSWER: the collection of subjective information during history taking
assists to focus your examination accordingly
the physical examination is a process to obtain ____________________ from the patient - ANSWER:
objective data
the ____________________ in the health history is obtained prior to the examination and will assist
the nurse to navigate through a complex examination - ANSWER: subjective data
a finding in one system may not be an ____________ finding - ANSWER: isolated
for example, the patient who presents with a chief complaint of blurred vision may be having vision
changes because of age, an injury, a retina or macular affliction, or changes due to hyperglycemia
what is the purpose of the physical examination? - ANSWER: to determine changes in a patient's
health status and how to respond to a problem as well as promote healthy lifestyles and well-being
how to prepare for the physical examination? - ANSWER: -reflect on your approach to the patient
-adjust the lighting and the environment
-check that the equipment is available and in working order
-make the patient comfortable
-choose the sequence of examination
as you enter the room to conduct a physical examination, identify - ANSWER: yourself as a nursing
student
appear calm and organized, even when you feel inexperienced
it is common to forget part of the examination, especially at first
if that occurs, simply examine that area out of sequence
it is not unusual to go back to the patient and ask to check one or two items that might have been
overlooked
beginners will need to spend more time than experienced nurses on select portions of the
examination, such as - ANSWER: the fundoscopic examination or cardiac auscultation
to avoid alarming the patient, warn the patient ahead of time by saying, for example, - ANSWER: "i
would like to spend extra time listening to your heart and the heart sounds, but this doesn't mean i
hear anything wrong"
many patients view the physical examination with some anxiety. they feel - ANSWER: vulnerable,
physically exposed, apprehensive about possible pain, and uneasy about what the nurse may find
at the same time, they appreciate your concern about their health and respond to your attention
the skillful nurse is thorough without _____________, systematic but ______________, and
___________ yet not afraid to cause discomfort should it be required - ANSWER: -wasting time
-flexible
, -gentle
when doing a physical examination the skillful nurse - ANSWER: examines each region of the body and
at the same time is aware of the whole patient, notes the wince or worried glance, and shares
information that calms, explains, and reassures
as a beginner, avoid _________________ your findings - ANSWER: interpreting
you are not the patient's primary caregiver, and your views may be premature or incorrect
as you grow in experience and responsibility, sharing findings will become more appropriate
if the patient has specific concerns, discuss them with your - ANSWER: faculty
at times, you may discover abnormalities such as an ominous mass or a deep ulceration. always avoid
- ANSWER: showing distaste, alarm, or other negative reactions
keeping your verbal and nonverbal communication in check is always paramount
if you find anything that is unusual or disturbing, always talk with your clinical instructor
nurses practice in a variety of settings and ___________ and ____________ are warranted to insure
adequate lighting and a conductive environment for physical examination and patient care - ANSWER:
-flexibility
-creativity
for the best results in a physical examination it is important to "__________________" so that both
you and the patient are comfortable - ANSWER: set the stage
awkward positioning for both you and the patient, impairs - ANSWER: detection of physical findings
take time to do these things whenever this makes examining selected areas of the body easier -
ANSWER: adjust the bed to a convenient height (but be sure to lower it when finished), and ask the
patient to move toward you, turn over or shift position
good lighting and a quiet environment make a difference in this but may be hard to arrange -
ANSWER: what you see and hear
do the best you can
if a television interferes with auscultating heart sounds, politely ask the nearby patient to - ANSWER:
lower the volume and remember to thank the patient as you leave
tangential lighting - ANSWER: is optimal for inspecting structures such as the jugular venous pulse, the
thyroid gland, and the apical impulse of the heart
it casts light across body surfaces that show contours, elevations, and depressions, whether moving or
stationary, into sharper relief
when light is perpendicular to the surface or diffuse, - ANSWER: shadows are reduced and subtle
undulations across the surface are lost
prior to the start of the physical examination, collect all necessary equipment and supplies and check
that all are - ANSWER: in working order
for example, check the batteries in the penlight and oto/ophthalmoscope to confrim they turn on. this
ensures a smooth flow during the examination and avoids having to leave the patient during the
examination to search for equipment
list of equipment for physical examination - ANSWER: -hand sanitizer
-examination gloves
-alcohol wipes
- paper and pen, or computer
-draw sheet or drape
