TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 1
NURS1010:
TableofContents
1
Chapter 01:Evidence-BasedAssessment 2
Chapter 02:CulturalCompetence 15
Chapter 03:TheInterview 31
Chapter 04:TheCompleteHealthHistory 49
Chapter 05:MentalStatusAssessment 64
Chapter 06:SubstanceUseAssessment 81
Chapter 07:DomesticandFamilyViolenceAssessments 87
Chapter 08:AssessmentTechniquesandSafetyintheClinicalSetting 93
Chapter 09:GeneralSurvey,Measurement,VitalSigns 112
Chapter 10:PainAssessment:TheFifthVitalSign 134
Chapter 11:NutritionalAssessment 142
Chapter 12:Skin,Hair,andNails 156
Chapter 13:Head,Face,andNeck,IncludingRegionalLymphatics 177
Chapter 14:Eyes 195
Chapter 15:Ears 212
Chapter 16:Nose,Mouth,andThroat 229
Chapter 17:BreastsandRegionalLymphatics 247
Chapter 18:ThoraxandLungs 267
Chapter 19:HeartandNeckVessels 285
Chapter 20:PeripheralVascularSystemandLymphaticSystem 304
Chapter 21:Abdomen 321
Chapter 22:MusculoskeletalSystem 338
Chapter 23:NeurologicSystem 359
Chapter 24:MaleGenitourinarySystem 384
Chapter 25:Anus,Rectum,andProstate 402
Chapter 26:FemaleGenitourinarySystem 416
Chapter 27:TheCompleteHealthAssessment:Adult 438
Chapter 28:TheCompletePhysicalAssessment:Infant,Child,andAdolescent 451
Chapter 29:BedsideAssessmentoftheHospitalizedPatient 454
Chapter 30:ThePregnantWoman 460
Chapter 31:FunctionalAssessmentoftheOlderAdult 473
,TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 2
Chapter01:Evidence-BasedAssessment
MULTIPLECHOICE
1. Aftergcompletinganinitialassessmentgofapatient,gthegnursehaschartedthatghisrespirationsareeupneicgandghispuls
eisg58gbeatsgpergminute.Thesegtypesgofgdatagwouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:A
Objectivegdatagaregwhatgthehealthgprofessionalgobservesgbyinspecting,percussing,gpalpating,andgauscultatinggdu
ringgthegphysicalgexamination.Subjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaki
ng.Thegtermsgreflectiveandgintrospectivegarenotusedtogdescribedata.
DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesofdatawouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:C
Subjectivedatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringhistorygtaking.Objectivedatagaregwhatgtheghe
althgprofessionalobservesgbyginspecting,percussing,palpating,andgauscultatingduringgthegphysicalgexamination.The
gtermsreflectiveandgintrospectivegarenotgusedtodescribedata.
DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetogformgthe:
a. Database.
b. Admittingdata.
,TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 3
c. Financialstatement.
d. Dischargesummary.
ANS:A
Togethergwithgthegpatientsgrecordgandlaboratorystudies,theobjectiveandgsubjectivedatagformgthegdatagbase.gTheg
otheritemsarenotgpartofthegpatientsrecord,glaboratorystudies,ordata.
DIF:CognitiveLevel:Remembering(Knowledge)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
4. Whenglisteningtogagpatientsbreathgsounds,thegnursegisgunsuregofgasoundgthatgisgheard.gThenursesgnextga
ctiongshouldbegto:
a. Immediatelynotifythepatientsphysician.
b. Documentthesoundexactlyasitwasheard.
c. Validatethedatabyaskingacoworkertolistentothebreathsounds.
d. Assessagainin20minutestonotewhetherthesoundisstillpresent.
ANS:C
Whengunsuregofgasoundgheardgwhilelisteningtogagpatientsbreathgsounds,gthegnursegvalidatesthegdatagtogensurega
ccuracy.Ifgthenursehaslessexperienceinanarea,gthenheorgsheasksangexperttolisten.
DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
5. Thenurseisconductingaclassfornewgraduatenurses.Duringtheteachingsession,thenurseshouldkeepgingmindgthat
gnovicegnurses,withoutagbackgroundofgskillsgandgexperiencefromgwhichgtogdraw,aregmorelikelygtogmakegtheirgd
ecisionsusing:
a. Intuition.
b. Asetofrules.
c. Articlesinjournals.
d. Advicefromsupervisors.
ANS:B
Novicegnursesoperategfromgagsetofgdefined,gstructuredgrules.gThegexpertgpractitionerusesintuitivelinks.gDIF:
gCognitiveLevel:Understanding(Comprehension)REF:gp.g3
, TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 4
MSC:ClientNeeds:General
6. Expertgnursesglearngtogattendgtogapatterngofgassessmentgdatagandgactgwithoutgconsciouslylabelingit.gTheseg
responsesgaregreferredgtogas:
a. Intuition.
b. Thenursingprocess.
c. Clinicalknowledge.
d. Diagnosticreasoning.
ANS:A
Intuitionisgcharacterizedgbygpatterngrecognitionexpertnursesglearngtogattendgtoagpatterngofgassessmentgdatagandg
actgwithoutconsciouslylabelingit.gThegothergoptionsaregnotgcorrect.
DIF:gCognitiveLevel:gUnderstandingg(Comprehension)gREF:gp.4g
MSC:gClientNeeds:gGeneral
7. Thenursegisgreviewinginformationaboutgevidence-
basedpracticeg(EBP).WhichgstatementgbestgreflectsgEBP?
a. EBPreliesontraditionforsupportofbestpractices.
b. EBPissimplytheuseofbestpracticetechniquesforthetreatmentofpatients.
c. EBPemphasizestheuseofbestevidencewiththecliniciansexperience.
d. ThepatientsownpreferencesaregnotimportantwithEBP.
ANS:C
EBPisgasystematicapproachgtopracticethatemphasizestheuseofbestevidenceingcombinationwithgthegclinicians
experience,asgwellasgpatientpreferencesandvalues,whengmakingdecisionsaboutgcaregandgtreatment.EBPgismo
regthangsimplyusingthegbestgpracticetechniquestogtreatgpatients,andgquestioninggtraditionisimportantwhengno
gcompellingandgsupportiveresearchgevidenceexists.
DIF:CognitiveLevel:Applying(Application)REF:p.5
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
8. Thenursegisconductingaclassonprioritysettingforagroupgofnewgraduatenurses.gWhichisganexamplegofgagfirst-
levelpriorityproblem?
a. Patientwithpostoperativepain
b. Newlydiagnosedpatientwithdiabeteswhoneedsdiabeticteaching
NURS1010:
TableofContents
1
Chapter 01:Evidence-BasedAssessment 2
Chapter 02:CulturalCompetence 15
Chapter 03:TheInterview 31
Chapter 04:TheCompleteHealthHistory 49
Chapter 05:MentalStatusAssessment 64
Chapter 06:SubstanceUseAssessment 81
Chapter 07:DomesticandFamilyViolenceAssessments 87
Chapter 08:AssessmentTechniquesandSafetyintheClinicalSetting 93
Chapter 09:GeneralSurvey,Measurement,VitalSigns 112
Chapter 10:PainAssessment:TheFifthVitalSign 134
Chapter 11:NutritionalAssessment 142
Chapter 12:Skin,Hair,andNails 156
Chapter 13:Head,Face,andNeck,IncludingRegionalLymphatics 177
Chapter 14:Eyes 195
Chapter 15:Ears 212
Chapter 16:Nose,Mouth,andThroat 229
Chapter 17:BreastsandRegionalLymphatics 247
Chapter 18:ThoraxandLungs 267
Chapter 19:HeartandNeckVessels 285
Chapter 20:PeripheralVascularSystemandLymphaticSystem 304
Chapter 21:Abdomen 321
Chapter 22:MusculoskeletalSystem 338
Chapter 23:NeurologicSystem 359
Chapter 24:MaleGenitourinarySystem 384
Chapter 25:Anus,Rectum,andProstate 402
Chapter 26:FemaleGenitourinarySystem 416
Chapter 27:TheCompleteHealthAssessment:Adult 438
Chapter 28:TheCompletePhysicalAssessment:Infant,Child,andAdolescent 451
Chapter 29:BedsideAssessmentoftheHospitalizedPatient 454
Chapter 30:ThePregnantWoman 460
Chapter 31:FunctionalAssessmentoftheOlderAdult 473
,TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 2
Chapter01:Evidence-BasedAssessment
MULTIPLECHOICE
1. Aftergcompletinganinitialassessmentgofapatient,gthegnursehaschartedthatghisrespirationsareeupneicgandghispuls
eisg58gbeatsgpergminute.Thesegtypesgofgdatagwouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:A
Objectivegdatagaregwhatgthehealthgprofessionalgobservesgbyinspecting,percussing,gpalpating,andgauscultatinggdu
ringgthegphysicalgexamination.Subjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaki
ng.Thegtermsgreflectiveandgintrospectivegarenotusedtogdescribedata.
DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesofdatawouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:C
Subjectivedatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringhistorygtaking.Objectivedatagaregwhatgtheghe
althgprofessionalobservesgbyginspecting,percussing,palpating,andgauscultatingduringgthegphysicalgexamination.The
gtermsreflectiveandgintrospectivegarenotgusedtodescribedata.
DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetogformgthe:
a. Database.
b. Admittingdata.
,TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 3
c. Financialstatement.
d. Dischargesummary.
ANS:A
Togethergwithgthegpatientsgrecordgandlaboratorystudies,theobjectiveandgsubjectivedatagformgthegdatagbase.gTheg
otheritemsarenotgpartofthegpatientsrecord,glaboratorystudies,ordata.
DIF:CognitiveLevel:Remembering(Knowledge)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
4. Whenglisteningtogagpatientsbreathgsounds,thegnursegisgunsuregofgasoundgthatgisgheard.gThenursesgnextga
ctiongshouldbegto:
a. Immediatelynotifythepatientsphysician.
b. Documentthesoundexactlyasitwasheard.
c. Validatethedatabyaskingacoworkertolistentothebreathsounds.
d. Assessagainin20minutestonotewhetherthesoundisstillpresent.
ANS:C
Whengunsuregofgasoundgheardgwhilelisteningtogagpatientsbreathgsounds,gthegnursegvalidatesthegdatagtogensurega
ccuracy.Ifgthenursehaslessexperienceinanarea,gthenheorgsheasksangexperttolisten.
DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
5. Thenurseisconductingaclassfornewgraduatenurses.Duringtheteachingsession,thenurseshouldkeepgingmindgthat
gnovicegnurses,withoutagbackgroundofgskillsgandgexperiencefromgwhichgtogdraw,aregmorelikelygtogmakegtheirgd
ecisionsusing:
a. Intuition.
b. Asetofrules.
c. Articlesinjournals.
d. Advicefromsupervisors.
ANS:B
Novicegnursesoperategfromgagsetofgdefined,gstructuredgrules.gThegexpertgpractitionerusesintuitivelinks.gDIF:
gCognitiveLevel:Understanding(Comprehension)REF:gp.g3
, TestBank:PhysicalExamination&HealthAssessment7e(Jarvis2015) 4
MSC:ClientNeeds:General
6. Expertgnursesglearngtogattendgtogapatterngofgassessmentgdatagandgactgwithoutgconsciouslylabelingit.gTheseg
responsesgaregreferredgtogas:
a. Intuition.
b. Thenursingprocess.
c. Clinicalknowledge.
d. Diagnosticreasoning.
ANS:A
Intuitionisgcharacterizedgbygpatterngrecognitionexpertnursesglearngtogattendgtoagpatterngofgassessmentgdatagandg
actgwithoutconsciouslylabelingit.gThegothergoptionsaregnotgcorrect.
DIF:gCognitiveLevel:gUnderstandingg(Comprehension)gREF:gp.4g
MSC:gClientNeeds:gGeneral
7. Thenursegisgreviewinginformationaboutgevidence-
basedpracticeg(EBP).WhichgstatementgbestgreflectsgEBP?
a. EBPreliesontraditionforsupportofbestpractices.
b. EBPissimplytheuseofbestpracticetechniquesforthetreatmentofpatients.
c. EBPemphasizestheuseofbestevidencewiththecliniciansexperience.
d. ThepatientsownpreferencesaregnotimportantwithEBP.
ANS:C
EBPisgasystematicapproachgtopracticethatemphasizestheuseofbestevidenceingcombinationwithgthegclinicians
experience,asgwellasgpatientpreferencesandvalues,whengmakingdecisionsaboutgcaregandgtreatment.EBPgismo
regthangsimplyusingthegbestgpracticetechniquestogtreatgpatients,andgquestioninggtraditionisimportantwhengno
gcompellingandgsupportiveresearchgevidenceexists.
DIF:CognitiveLevel:Applying(Application)REF:p.5
MSC:ClientNeeds:SafegandEffectiveCaregEnvironment:ManagementofCare
8. Thenursegisconductingaclassonprioritysettingforagroupgofnewgraduatenurses.gWhichisganexamplegofgagfirst-
levelpriorityproblem?
a. Patientwithpostoperativepain
b. Newlydiagnosedpatientwithdiabeteswhoneedsdiabeticteaching
