TEST BANK m
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
m m m m m m
Authors: Carolyn Jarvis And Ann L. Eckhardt
m m m m m m
TEST BANK m
,TABLE OF CONTENT
m m
Chapterm01:mEvidence-BasedmAssessment ................................................................................................... 3
Chapterm02:mCulturalmAssessment .............................................................................................................. 12
Chapterm03:mThemInterview ........................................................................................................................ 23
Chapterm04:mThemCompletemHealthmHistory ............................................................................................... 39
Chapterm05:mMentalmStatusmAssessment..................................................................................................... 51
Chapterm06:mSubstancemUsemAssessment ................................................................................................... 66
Chapterm07:mFamilymViolencemandmHumanmTrafficking ............................................................................ 72
Chapterm08:mAssessmentmTechniquesmandmSafetyminmthemClinicalmSetting ................................................. 78
Chapterm09:mGeneralmSurveymandmMeasurement ........................................................................................ 93
Chapterm10:mVitalmSigns ............................................................................................................................. 98
Chapterm11:mPainmAssessment .................................................................................................................. 112
Chapterm12:mNutritionmAssessment .......................................................................................................... 119
Chapterm13:mSkin,mHair,mandmNails ........................................................................................................... 131
Chapterm14:mHead,mFace,mandmNeck,mandmRegionalmLymphatics ............................................................. 149
Chapterm15:mEyes ..................................................................................................................................... 163
Chapterm16:mEars ...................................................................................................................................... 177
Chapterm17:mNose,mMouth,mandmThroat .................................................................................................... 192
Chapterm18:mBreasts,mAxillae,mandmRegionalmLymphatics ....................................................................... 207
Chapterm19:mThoraxmandmLungs ............................................................................................................... 223
Chapterm20:mHeartmandmNeckmVessels ...................................................................................................... 239
Chapterm21:mPeripheralmVascularmSystemmandmLymphaticmSystem ......................................................... 254
Chapterm22:mAbdomen ............................................................................................................................. 268
Chapterm23:mMusculoskeletalmSystem ...................................................................................................... 280
Chapterm24:mNeurologicmSystem .............................................................................................................. 297
Chapterm25:mMalemGenitourinarymSystem ................................................................................................ 318
Chapterm26:mAnus,mRectum,mandmProstate ................................................................................................ 332
Chapterm27:mFemalemGenitourinarymSystem ............................................................................................. 343
Chapterm28:mThemCompletemHealthmAssessment:mAdult .......................................................................... 361
Chapterm29:mThemCompletemPhysicalmAssessment:mInfant,mYoungmChild,mandmAdolescent .................... 366
Chapterm30:mBedsidemAssessmentmandmElectronicmDocumentation ......................................................... 368
Chapterm31:mPregnancy ............................................................................................................................ 373
Chapterm32:mFunctionalmAssessmentmofmthemOldermAdult ........................................................................ 384
,Chapter 01: Evidence-Based Assessment
m m m
Jarvis: Physical Examination and Health Assessment, 9th Edition
m m m m m m m
MULTIPLEmCHOICE
1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirati
onsmaremeupneicmandmhismpulsemism58mbeatsmpermminute.mWhatmtypemofmassessmentmdatamismthis
?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:m A
Objectivemdatamismwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating
,mandmauscultatingmduringmthemphysicalmexamination.mSubjectivemdatamismwhatmthempersonmsays
maboutmhimmormherselfmduringmhistorymtaking.mThemtermsmreflectivemandmintrospectivemaremnotmu
sedmtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mnauseous,mandm“feelsmhot.”mWhatmtyp
emofmassessmentmdatamismthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:mC
Subjectivemdatamismwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObject
ivemdatamismwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandm
auscultatingmduringmthemphysicalmexamination.mThemtermsmreflectivemandmintrospectivemaremn
otmusedmtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
3. Whatmdomthempatient’smrecord,mlaboratorymstudies,mobjectivemdata,mandmsubjectivemdatamcombi
nemtomform?
a. Database
b. Admittingmdata
c. Financialmstatement
d. Dischargemsummary
ANS:mA
Themobjectivemandmsubjectivemdatamtogethermwithmthempatient’smrecordmandmlaboratorymstudie
s,mformmthemdatabase.mThemothermitemsmaremnotmpartmofmthempatient’smrecord,mlaboratorymstudi
es,mormdata.
DIF: CognitivemLevel:mRememberingm(Knowledge)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
, 4. Whenmlisteningmtomampatient’smbreathmsounds,mthemnursemismunsuremofmamsoundmthatmishea
rd.mWhichmactionmwouldmthemnursemtakemnext?
a. Notifymthempatient’smphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatambymaskingmanothermnursemtomlistenmtomthembreathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatient’smbreathmsounds,mthemnursemvalida
tesmthemdatamtomensuremaccuracymbymeithermrepeatingmthemassessmentmthemselvesmormaskingmano
thermnursemtomassessmthembreathmsounds.mIfmthemnursemhasmlessmexperiencemanalyzingmbreathmso
unds,mthenmhemormshemshouldmaskmanmexpertmtomlisten.mWhenmunsuremofmamsoundmheardmwhilemli
steningmtomampatient’smbreathmsounds,mthemnursemshouldmvalidatemthemdatambeforemdocumentingm
tomensuremaccuracymandmbeforemnotifyingmthempatient’smphysician.mTomvalidatemthatmdata,mthemn
ursemeithermrepeatsmthemassessmentmhimselfmormherselfmormasksmanothermnursemtomassessmthembre
athmsounds.
DIF: CognitivemLevel:mApplyingm(Application)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses.mWhilemteachingmthemclass,mwhatmwo
uldmthemnursemkeepminmmindmregardingmwhatmnovicemnurses,mwithoutmambackgroundmofmskillsman
dmexperiencemfrommwhichmtomdrawmupon,maremmoremlikelymtombasemtheirmdecisionsmon?
a. Intuition
b. Amsetmofmrules
c. Articlesminmjournals
d. Advicemfrommsupervisors
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrulesmtommakemdecisions.mItmtakesmtim
e,mperhapsmamfewmyears,minmsimilarmclinicalmsituationsmtomachievemcompetencymandmitmismfunctio
ningmatmthemlevelmofmanmexpertmpractitionermwhenmintuitionmismincludedminmmakingmclinicalmdeci
sions.mWhileminformationminmjournalmarticlesmandmadvicemfrommsupervisorsmmaymassistminmmaki
ngmdecisions,mnovicemnursesmdomnotmtypicallymbasemtheirmdecisionsmonmthem.mItmwouldmalsombemi
mportantmthatmifminformationmfrommjournalmarticlesmandmadvicemfrommsupervisorsmweremused,mth
atmtheymweremevidencembased.
DIF: CognitivemLevel:mUnderstandingm(Comprehension) MSC:mClientmNeeds:mGeneral
6. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP).mWhichmstatementmbestmreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupportmofmbestmpractices.
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmofmpatients.
c. EBPmemphasizesmthemusemofmbestmevidencemwithmthemclinician’smexperience.
d. EBPmdoesmnotmconsidermthempatient’smownmpreferencesmasmimportant.
ANS:mC
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
m m m m m m
Authors: Carolyn Jarvis And Ann L. Eckhardt
m m m m m m
TEST BANK m
,TABLE OF CONTENT
m m
Chapterm01:mEvidence-BasedmAssessment ................................................................................................... 3
Chapterm02:mCulturalmAssessment .............................................................................................................. 12
Chapterm03:mThemInterview ........................................................................................................................ 23
Chapterm04:mThemCompletemHealthmHistory ............................................................................................... 39
Chapterm05:mMentalmStatusmAssessment..................................................................................................... 51
Chapterm06:mSubstancemUsemAssessment ................................................................................................... 66
Chapterm07:mFamilymViolencemandmHumanmTrafficking ............................................................................ 72
Chapterm08:mAssessmentmTechniquesmandmSafetyminmthemClinicalmSetting ................................................. 78
Chapterm09:mGeneralmSurveymandmMeasurement ........................................................................................ 93
Chapterm10:mVitalmSigns ............................................................................................................................. 98
Chapterm11:mPainmAssessment .................................................................................................................. 112
Chapterm12:mNutritionmAssessment .......................................................................................................... 119
Chapterm13:mSkin,mHair,mandmNails ........................................................................................................... 131
Chapterm14:mHead,mFace,mandmNeck,mandmRegionalmLymphatics ............................................................. 149
Chapterm15:mEyes ..................................................................................................................................... 163
Chapterm16:mEars ...................................................................................................................................... 177
Chapterm17:mNose,mMouth,mandmThroat .................................................................................................... 192
Chapterm18:mBreasts,mAxillae,mandmRegionalmLymphatics ....................................................................... 207
Chapterm19:mThoraxmandmLungs ............................................................................................................... 223
Chapterm20:mHeartmandmNeckmVessels ...................................................................................................... 239
Chapterm21:mPeripheralmVascularmSystemmandmLymphaticmSystem ......................................................... 254
Chapterm22:mAbdomen ............................................................................................................................. 268
Chapterm23:mMusculoskeletalmSystem ...................................................................................................... 280
Chapterm24:mNeurologicmSystem .............................................................................................................. 297
Chapterm25:mMalemGenitourinarymSystem ................................................................................................ 318
Chapterm26:mAnus,mRectum,mandmProstate ................................................................................................ 332
Chapterm27:mFemalemGenitourinarymSystem ............................................................................................. 343
Chapterm28:mThemCompletemHealthmAssessment:mAdult .......................................................................... 361
Chapterm29:mThemCompletemPhysicalmAssessment:mInfant,mYoungmChild,mandmAdolescent .................... 366
Chapterm30:mBedsidemAssessmentmandmElectronicmDocumentation ......................................................... 368
Chapterm31:mPregnancy ............................................................................................................................ 373
Chapterm32:mFunctionalmAssessmentmofmthemOldermAdult ........................................................................ 384
,Chapter 01: Evidence-Based Assessment
m m m
Jarvis: Physical Examination and Health Assessment, 9th Edition
m m m m m m m
MULTIPLEmCHOICE
1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirati
onsmaremeupneicmandmhismpulsemism58mbeatsmpermminute.mWhatmtypemofmassessmentmdatamismthis
?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:m A
Objectivemdatamismwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating
,mandmauscultatingmduringmthemphysicalmexamination.mSubjectivemdatamismwhatmthempersonmsays
maboutmhimmormherselfmduringmhistorymtaking.mThemtermsmreflectivemandmintrospectivemaremnotmu
sedmtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mnauseous,mandm“feelsmhot.”mWhatmtyp
emofmassessmentmdatamismthis?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:mC
Subjectivemdatamismwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObject
ivemdatamismwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandm
auscultatingmduringmthemphysicalmexamination.mThemtermsmreflectivemandmintrospectivemaremn
otmusedmtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
3. Whatmdomthempatient’smrecord,mlaboratorymstudies,mobjectivemdata,mandmsubjectivemdatamcombi
nemtomform?
a. Database
b. Admittingmdata
c. Financialmstatement
d. Dischargemsummary
ANS:mA
Themobjectivemandmsubjectivemdatamtogethermwithmthempatient’smrecordmandmlaboratorymstudie
s,mformmthemdatabase.mThemothermitemsmaremnotmpartmofmthempatient’smrecord,mlaboratorymstudi
es,mormdata.
DIF: CognitivemLevel:mRememberingm(Knowledge)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
, 4. Whenmlisteningmtomampatient’smbreathmsounds,mthemnursemismunsuremofmamsoundmthatmishea
rd.mWhichmactionmwouldmthemnursemtakemnext?
a. Notifymthempatient’smphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatambymaskingmanothermnursemtomlistenmtomthembreathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatient’smbreathmsounds,mthemnursemvalida
tesmthemdatamtomensuremaccuracymbymeithermrepeatingmthemassessmentmthemselvesmormaskingmano
thermnursemtomassessmthembreathmsounds.mIfmthemnursemhasmlessmexperiencemanalyzingmbreathmso
unds,mthenmhemormshemshouldmaskmanmexpertmtomlisten.mWhenmunsuremofmamsoundmheardmwhilemli
steningmtomampatient’smbreathmsounds,mthemnursemshouldmvalidatemthemdatambeforemdocumentingm
tomensuremaccuracymandmbeforemnotifyingmthempatient’smphysician.mTomvalidatemthatmdata,mthemn
ursemeithermrepeatsmthemassessmentmhimselfmormherselfmormasksmanothermnursemtomassessmthembre
athmsounds.
DIF: CognitivemLevel:mApplyingm(Application)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses.mWhilemteachingmthemclass,mwhatmwo
uldmthemnursemkeepminmmindmregardingmwhatmnovicemnurses,mwithoutmambackgroundmofmskillsman
dmexperiencemfrommwhichmtomdrawmupon,maremmoremlikelymtombasemtheirmdecisionsmon?
a. Intuition
b. Amsetmofmrules
c. Articlesminmjournals
d. Advicemfrommsupervisors
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrulesmtommakemdecisions.mItmtakesmtim
e,mperhapsmamfewmyears,minmsimilarmclinicalmsituationsmtomachievemcompetencymandmitmismfunctio
ningmatmthemlevelmofmanmexpertmpractitionermwhenmintuitionmismincludedminmmakingmclinicalmdeci
sions.mWhileminformationminmjournalmarticlesmandmadvicemfrommsupervisorsmmaymassistminmmaki
ngmdecisions,mnovicemnursesmdomnotmtypicallymbasemtheirmdecisionsmonmthem.mItmwouldmalsombemi
mportantmthatmifminformationmfrommjournalmarticlesmandmadvicemfrommsupervisorsmweremused,mth
atmtheymweremevidencembased.
DIF: CognitivemLevel:mUnderstandingm(Comprehension) MSC:mClientmNeeds:mGeneral
6. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP).mWhichmstatementmbestmreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupportmofmbestmpractices.
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmofmpatients.
c. EBPmemphasizesmthemusemofmbestmevidencemwithmthemclinician’smexperience.
d. EBPmdoesmnotmconsidermthempatient’smownmpreferencesmasmimportant.
ANS:mC
