Test Bank Physical Examination and Health
h h h h h h
Assessment, 9th Edition by Carolyn Jarvis
h h h h h
, Table of Contents
h h
TablehofhContents 1
Chapterh01:hEvidence- 2
BasedhAssessmenthChapterh02:hCulturalh 15
AssessmenthChapterh03:hThehInterview 31
Chapterh04:hThehCompletehHealthhHistoryh 49
Chapterh05:hMentalhStatushAssessmenthC 64
hapterh06:hSubstancehUsehAssessment 80
Chapterh07:hDomestichandhFamilyhViolencehAssessment 86
Chapterh08:hAssessmenthTechniqueshandhSafetyhinhthehClihnicalhSetting 92
Chapterh09:hGeneralhSurveyhandhMeasurementhChapte 111
rh10:hVitalhSignshChapter 118
11:hPainhAssessment 133
Chapterh12:hNutritionhAssessmenthChapte 141
rh13:hSkin,hHair,handhNails 155
Chapterh14:hHead,hFace,hNeck,handhRegionalhLymphaticshChapt 176
erh15:hEyes 194
Chapterh16:hEars 211
Chapterh17:hNose,hMouth,handhThroat 228
Chapterh18:hBreasts,hAxillae,handhRegionalhLymphaticshChapte 246
rh19:hThoraxhandhLungs 266
Chapterh20:hHearthandhNeckhVessels 284
Chapterh21:hPeripheralhVascularhSystemhandhLymphatichSystemhChapte 303
rh22:hAbdomen 320
Chapterh23:hMusculoskeletalhSystemhChapte 337
rh 24:h Neurologich SystemhChapterh25:hMaleh 358
GenitourinaryhSystemhChapterh26: 382
Anus,hRectum,handhProstate 400
Chapterh27:hFemalehGenitourinaryhSystem 414
Chapterh28:hThehCompletehHealthhAssessment:hAdult 436
Chapterh29:hThehCompletehPhysicalhAssessment:hInfant,hChild,handhAdolescentChapterh 449
30:hBedsidehAssessmenthandhElectronichDocumentation 452
Chapterh31:hThehPregnanthWoman 458
Chapterh32:hFunctionalhAssessmenthofhthehOlderhAdult 471
,Chapter 01: Evidence-Based Assessment
h h h
MULTIPLEh CHOICE
1. Afterhcompletinghanhinitialhassessmenthofhahpatient,hthehnursehhashchartedhthathhishrespirationshareheupneichandh
hish pulseh ish 58h beatsh perh minute.h Theseh typesh ofh datah wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h A
Objectivehdataharehwhaththehhealthhprofessionalhobserveshbyhinspecting,hpercussing,hpalpating,handhauscultatinghdu
ringhthehphysicalhexamination.hSubjectivehdatahishwhaththehpersonhsayshabouthhimhorhherselfhduringhhistoryhtaking.
h Theh termsh reflectiveh andh introspectiveh areh noth usedh toh describeh data.
DIF:h Cognitiveh Level:h Understandingh (Comprehension)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
2. Ahpatienth tellshtheh nursehthathhehish veryhnervous,h ish nauseated,h andhfeelsh hot.hThesehtypesh ofh datahwouldhbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h C
Subjectivehdataharehwhaththehpersonhsayshabouthhimhorhherselfhduringhhistoryhtaking.hObjectivehdataharehwhaththeh
healthh professionalh observesh byh inspecting,h percussing,h palpating,h andh auscultatingh duringh theh physicalhexa
mination.h Theh termsh reflectiveh andh introspectiveh areh noth usedhtoh describeh data.
DIF:h Cognitiveh Level:h Understandingh (Comprehension)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
3. Theh patientsh record,h laboratoryh studies,h objectiveh data,h andhsubjectiveh datah combineh toh formhthe:
a. Datah base.
b. Admittingh data.
, c. Financialh statement.
d. Dischargeh summary.
ANS:h A
Togetherhwithhthehpatientshrecordhandhlaboratoryhstudies,hthehobjectivehandhsubjectivehdatahformhthehdatahbase.hT
heh otherh itemsh areh noth parth ofh theh patientsh record,h laboratoryh studies,h orh data.
DIF:h Cognitiveh Level:h Rememberingh (Knowledge)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
4. Whenhlisteninghtohahpatientshbreathhsounds,hthehnursehishunsurehofhahsoundhthathishheard.hThehnurseshnexth
actionhshouldhbehto:
a. Immediatelyh notifyh theh patientsh physician.
b. Documenth theh soundh exactlyh ash ith wash heard.
c. Validatehtheh datah byhaskinghah coworkerh tohlistenhtohtheh breathhsounds.
d. Assesshagainhinh20h minuteshtohnotehwhetherh thehsoundhish stillh present.
ANS:h C
Whenhunsurehofhahsoundhheardhwhilehlisteninghtohahpatientshbreathhsounds,hthehnursehvalidateshthehdatahtohensureh
accuracy.h Ifh theh nurseh hash lesshexperienceh inh anh area,h thenh heh orh sheh asksh anh experth toh listen.
DIF:h Cognitiveh Level:h Analyzingh (Analysis)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
5. Thehnursehishconductingh ahclasshforhnewh graduatehnurses.h Duringhthehteachinghsession,hthehnursehshouldh keeph i
nh mindh thath novicehnurses,h withouth ah backgroundh ofhskillsh andhexperienceh fromhwhichh tohdraw,h areh moreh likelyht
ohmakehtheirhdecisionshusing:
a. Intuition.
b. Ahseth ofhrules.
c. Articlesh inhjournals.
d. Adviceh fromh supervisors.
ANS:h B
Novicehnurseshoperatehfromhahsethofhdefined,hstructuredhrules.hThehexperthpractitionerhuseshintuitivehlinks.hDIF
:hCognitiveh Level:h Understandingh(Comprehension)
h h h h h h
Assessment, 9th Edition by Carolyn Jarvis
h h h h h
, Table of Contents
h h
TablehofhContents 1
Chapterh01:hEvidence- 2
BasedhAssessmenthChapterh02:hCulturalh 15
AssessmenthChapterh03:hThehInterview 31
Chapterh04:hThehCompletehHealthhHistoryh 49
Chapterh05:hMentalhStatushAssessmenthC 64
hapterh06:hSubstancehUsehAssessment 80
Chapterh07:hDomestichandhFamilyhViolencehAssessment 86
Chapterh08:hAssessmenthTechniqueshandhSafetyhinhthehClihnicalhSetting 92
Chapterh09:hGeneralhSurveyhandhMeasurementhChapte 111
rh10:hVitalhSignshChapter 118
11:hPainhAssessment 133
Chapterh12:hNutritionhAssessmenthChapte 141
rh13:hSkin,hHair,handhNails 155
Chapterh14:hHead,hFace,hNeck,handhRegionalhLymphaticshChapt 176
erh15:hEyes 194
Chapterh16:hEars 211
Chapterh17:hNose,hMouth,handhThroat 228
Chapterh18:hBreasts,hAxillae,handhRegionalhLymphaticshChapte 246
rh19:hThoraxhandhLungs 266
Chapterh20:hHearthandhNeckhVessels 284
Chapterh21:hPeripheralhVascularhSystemhandhLymphatichSystemhChapte 303
rh22:hAbdomen 320
Chapterh23:hMusculoskeletalhSystemhChapte 337
rh 24:h Neurologich SystemhChapterh25:hMaleh 358
GenitourinaryhSystemhChapterh26: 382
Anus,hRectum,handhProstate 400
Chapterh27:hFemalehGenitourinaryhSystem 414
Chapterh28:hThehCompletehHealthhAssessment:hAdult 436
Chapterh29:hThehCompletehPhysicalhAssessment:hInfant,hChild,handhAdolescentChapterh 449
30:hBedsidehAssessmenthandhElectronichDocumentation 452
Chapterh31:hThehPregnanthWoman 458
Chapterh32:hFunctionalhAssessmenthofhthehOlderhAdult 471
,Chapter 01: Evidence-Based Assessment
h h h
MULTIPLEh CHOICE
1. Afterhcompletinghanhinitialhassessmenthofhahpatient,hthehnursehhashchartedhthathhishrespirationshareheupneichandh
hish pulseh ish 58h beatsh perh minute.h Theseh typesh ofh datah wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h A
Objectivehdataharehwhaththehhealthhprofessionalhobserveshbyhinspecting,hpercussing,hpalpating,handhauscultatinghdu
ringhthehphysicalhexamination.hSubjectivehdatahishwhaththehpersonhsayshabouthhimhorhherselfhduringhhistoryhtaking.
h Theh termsh reflectiveh andh introspectiveh areh noth usedh toh describeh data.
DIF:h Cognitiveh Level:h Understandingh (Comprehension)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
2. Ahpatienth tellshtheh nursehthathhehish veryhnervous,h ish nauseated,h andhfeelsh hot.hThesehtypesh ofh datahwouldhbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h C
Subjectivehdataharehwhaththehpersonhsayshabouthhimhorhherselfhduringhhistoryhtaking.hObjectivehdataharehwhaththeh
healthh professionalh observesh byh inspecting,h percussing,h palpating,h andh auscultatingh duringh theh physicalhexa
mination.h Theh termsh reflectiveh andh introspectiveh areh noth usedhtoh describeh data.
DIF:h Cognitiveh Level:h Understandingh (Comprehension)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
3. Theh patientsh record,h laboratoryh studies,h objectiveh data,h andhsubjectiveh datah combineh toh formhthe:
a. Datah base.
b. Admittingh data.
, c. Financialh statement.
d. Dischargeh summary.
ANS:h A
Togetherhwithhthehpatientshrecordhandhlaboratoryhstudies,hthehobjectivehandhsubjectivehdatahformhthehdatahbase.hT
heh otherh itemsh areh noth parth ofh theh patientsh record,h laboratoryh studies,h orh data.
DIF:h Cognitiveh Level:h Rememberingh (Knowledge)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
4. Whenhlisteninghtohahpatientshbreathhsounds,hthehnursehishunsurehofhahsoundhthathishheard.hThehnurseshnexth
actionhshouldhbehto:
a. Immediatelyh notifyh theh patientsh physician.
b. Documenth theh soundh exactlyh ash ith wash heard.
c. Validatehtheh datah byhaskinghah coworkerh tohlistenhtohtheh breathhsounds.
d. Assesshagainhinh20h minuteshtohnotehwhetherh thehsoundhish stillh present.
ANS:h C
Whenhunsurehofhahsoundhheardhwhilehlisteninghtohahpatientshbreathhsounds,hthehnursehvalidateshthehdatahtohensureh
accuracy.h Ifh theh nurseh hash lesshexperienceh inh anh area,h thenh heh orh sheh asksh anh experth toh listen.
DIF:h Cognitiveh Level:h Analyzingh (Analysis)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
5. Thehnursehishconductingh ahclasshforhnewh graduatehnurses.h Duringhthehteachinghsession,hthehnursehshouldh keeph i
nh mindh thath novicehnurses,h withouth ah backgroundh ofhskillsh andhexperienceh fromhwhichh tohdraw,h areh moreh likelyht
ohmakehtheirhdecisionshusing:
a. Intuition.
b. Ahseth ofhrules.
c. Articlesh inhjournals.
d. Adviceh fromh supervisors.
ANS:h B
Novicehnurseshoperatehfromhahsethofhdefined,hstructuredhrules.hThehexperthpractitionerhuseshintuitivehlinks.hDIF
:hCognitiveh Level:h Understandingh(Comprehension)
