Test Bank Physical Examination and Health
g g g g g g
Assessment, 9th Edition by Carolyn Jarvis
g g g g g
, Table of Contents
g g
TablegofgContents 1
Chapterg01:gEvidence- 2
BasedgAssessmentgChapterg02:gCulturalg 15
AssessmentgChapterg03:gThegInterview 31
Chapterg04:gThegCompletegHealthgHistor 49
ygChapterg05:gMentalgStatusgAssessment 64
gChapterg06:gSubstancegUsegAssessment 80
Chapterg07:gDomesticgandgFamilygViolencegAssessment 86
Chapterg08:gAssessmentgTechniquesgandgSafetygingthegClignicalgSetting 92
Chapterg09:gGeneralgSurveygandgMeasurementgChapt 111
erg10:gVitalgSignsgChapter 118
11:gPaingAssessment 133
Chapterg12:gNutritiongAssessmentgChapt 141
erg13:gSkin,gHair,gandgNails 155
Chapterg14:gHead,gFace,gNeck,gandgRegionalgLymphaticsgCha 176
pterg15:gEyes 194
Chapterg16:gEars 211
Chapterg17:gNose,gMouth,gandgThroat 228
Chapterg18:gBreasts,gAxillae,gandgRegionalgLymphaticsgChapt 246
erg19:gThoraxgandgLungs 266
Chapterg20:gHeartgandgNeckgVessels 284
Chapterg21:gPeripheralgVasculargSystemgandgLymphaticgSystemgChapt 303
erg22:gAbdomen 320
Chapterg23:gMusculoskeletalgSystemgChapt 337
erg 24:g Neurologicg SystemgChapterg25:gMa 358
legGenitourinarygSystemgChapterg26: 382
Anus,gRectum,gandgProstate 400
Chapterg27:gFemalegGenitourinarygSystem 414
Chapterg28:gThegCompletegHealthgAssessment:gAdult 436
Chapterg29:gThegCompletegPhysicalgAssessment:gInfant,gChild,gandgAdolescentChapte 449
rg30:gBedsidegAssessmentgandgElectronicgDocumentation 452
Chapterg31:gThegPregnantgWoman 458
Chapterg32:gFunctionalgAssessmentgofgthegOldergAdult 471
,Chapterg01:gEvidence-BasedgAssessment
MULTIPLEg CHOICE
1. Aftergcompletingganginitialgassessmentgofgagpatient,gthegnurseghasgchartedgthatghisgrespirationsgaregeupneicg
andghisg pulseg isg 58g beatsg perg minute.g Theseg typesg ofg datag wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultating
gduringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistoryg
taking.g Theg termsg reflectiveg andg introspectiveg areg notg usedg tog describeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
2. Agpatientgtellsgthegnursegthatghegisg verygnervous,gisgnauseated,g andgfeelsg hot.gThesegtypesg ofgdatagwouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g C
Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectivegdatagaregwhat
gtheghealthg professionalg observesg byg inspecting,g percussing,g palpating,g andg auscultatingg duringg theg phys
icalgexamination.g Theg termsg reflectiveg andg introspectiveg areg notg usedgtog describeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
3. Theg patientsg record,g laboratoryg studies,g objectiveg data,g andgsubjectiveg datag combineg togformgthe:
a. Datagbase.
b. Admittingg data.
, c. Financialg statement.
d. Dischargeg summary.
ANS:g A
Togethergwithgthegpatientsgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagformgthegdatagbas
e.gTheg otherg itemsg areg notg partg ofg theg patientsg record,g laboratoryg studies,g org data.
DIF:g Cognitiveg Level:g Rememberingg (Knowledge)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
4. Whenglisteninggtogagpatientsgbreathgsounds,gthegnursegisgunsuregofgagsoundgthatgisgheard.gThegnursesg
nextgactiongshouldgbegto:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundgexactlyg asg itg wasgheard.
c. Validategthegdatag bygaskinggagcoworkergtoglistengtogthegbreathgsounds.
d. Assessgagainging20g minutesgtognotegwhethergthegsoundgisgstillgpresent.
ANS:g C
Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatientsgbreathgsounds,gthegnursegvalidatesgthegdatagtogens
uregaccuracy.g Ifg theg nurseg hasg lessgexperienceg ing ang area,g theng heg org sheg asksg ang expertg tog listen.
DIF:g Cognitiveg Level:g Analyzingg (Analysis)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
5. Thegnursegisgconductingg agclassgforgnewg graduategnurses.g Duringgthegteachinggsession,gthegnursegshouldg ke
epg ing mindg thatg novicegnurses,g withoutg ag backgroundg ofgskillsg andgexperienceg fromgwhichg togdraw,g areg more
g likelygtogmakegtheirgdecisionsgusing:
a. Intuition.
b. Agsetgofgrules.
c. Articlesg ingjournals.
d. Adviceg fromgsupervisors.
ANS:g B
Novicegnursesgoperategfromgagsetgofgdefined,gstructuredgrules.gThegexpertgpractitionergusesgintuitiveglinks.g
DIF:gCognitiveg Level:g Understandingg(Comprehension)
g g g g g g
Assessment, 9th Edition by Carolyn Jarvis
g g g g g
, Table of Contents
g g
TablegofgContents 1
Chapterg01:gEvidence- 2
BasedgAssessmentgChapterg02:gCulturalg 15
AssessmentgChapterg03:gThegInterview 31
Chapterg04:gThegCompletegHealthgHistor 49
ygChapterg05:gMentalgStatusgAssessment 64
gChapterg06:gSubstancegUsegAssessment 80
Chapterg07:gDomesticgandgFamilygViolencegAssessment 86
Chapterg08:gAssessmentgTechniquesgandgSafetygingthegClignicalgSetting 92
Chapterg09:gGeneralgSurveygandgMeasurementgChapt 111
erg10:gVitalgSignsgChapter 118
11:gPaingAssessment 133
Chapterg12:gNutritiongAssessmentgChapt 141
erg13:gSkin,gHair,gandgNails 155
Chapterg14:gHead,gFace,gNeck,gandgRegionalgLymphaticsgCha 176
pterg15:gEyes 194
Chapterg16:gEars 211
Chapterg17:gNose,gMouth,gandgThroat 228
Chapterg18:gBreasts,gAxillae,gandgRegionalgLymphaticsgChapt 246
erg19:gThoraxgandgLungs 266
Chapterg20:gHeartgandgNeckgVessels 284
Chapterg21:gPeripheralgVasculargSystemgandgLymphaticgSystemgChapt 303
erg22:gAbdomen 320
Chapterg23:gMusculoskeletalgSystemgChapt 337
erg 24:g Neurologicg SystemgChapterg25:gMa 358
legGenitourinarygSystemgChapterg26: 382
Anus,gRectum,gandgProstate 400
Chapterg27:gFemalegGenitourinarygSystem 414
Chapterg28:gThegCompletegHealthgAssessment:gAdult 436
Chapterg29:gThegCompletegPhysicalgAssessment:gInfant,gChild,gandgAdolescentChapte 449
rg30:gBedsidegAssessmentgandgElectronicgDocumentation 452
Chapterg31:gThegPregnantgWoman 458
Chapterg32:gFunctionalgAssessmentgofgthegOldergAdult 471
,Chapterg01:gEvidence-BasedgAssessment
MULTIPLEg CHOICE
1. Aftergcompletingganginitialgassessmentgofgagpatient,gthegnurseghasgchartedgthatghisgrespirationsgaregeupneicg
andghisg pulseg isg 58g beatsg perg minute.g Theseg typesg ofg datag wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultating
gduringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistoryg
taking.g Theg termsg reflectiveg andg introspectiveg areg notg usedg tog describeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
2. Agpatientgtellsgthegnursegthatghegisg verygnervous,gisgnauseated,g andgfeelsg hot.gThesegtypesg ofgdatagwouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g C
Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectivegdatagaregwhat
gtheghealthg professionalg observesg byg inspecting,g percussing,g palpating,g andg auscultatingg duringg theg phys
icalgexamination.g Theg termsg reflectiveg andg introspectiveg areg notg usedgtog describeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
3. Theg patientsg record,g laboratoryg studies,g objectiveg data,g andgsubjectiveg datag combineg togformgthe:
a. Datagbase.
b. Admittingg data.
, c. Financialg statement.
d. Dischargeg summary.
ANS:g A
Togethergwithgthegpatientsgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagformgthegdatagbas
e.gTheg otherg itemsg areg notg partg ofg theg patientsg record,g laboratoryg studies,g org data.
DIF:g Cognitiveg Level:g Rememberingg (Knowledge)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
4. Whenglisteninggtogagpatientsgbreathgsounds,gthegnursegisgunsuregofgagsoundgthatgisgheard.gThegnursesg
nextgactiongshouldgbegto:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundgexactlyg asg itg wasgheard.
c. Validategthegdatag bygaskinggagcoworkergtoglistengtogthegbreathgsounds.
d. Assessgagainging20g minutesgtognotegwhethergthegsoundgisgstillgpresent.
ANS:g C
Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatientsgbreathgsounds,gthegnursegvalidatesgthegdatagtogens
uregaccuracy.g Ifg theg nurseg hasg lessgexperienceg ing ang area,g theng heg org sheg asksg ang expertg tog listen.
DIF:g Cognitiveg Level:g Analyzingg (Analysis)
MSC:gClientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
5. Thegnursegisgconductingg agclassgforgnewg graduategnurses.g Duringgthegteachinggsession,gthegnursegshouldg ke
epg ing mindg thatg novicegnurses,g withoutg ag backgroundg ofgskillsg andgexperienceg fromgwhichg togdraw,g areg more
g likelygtogmakegtheirgdecisionsgusing:
a. Intuition.
b. Agsetgofgrules.
c. Articlesg ingjournals.
d. Adviceg fromgsupervisors.
ANS:g B
Novicegnursesgoperategfromgagsetgofgdefined,gstructuredgrules.gThegexpertgpractitionergusesgintuitiveglinks.g
DIF:gCognitiveg Level:g Understandingg(Comprehension)
