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,Evidence-Based Physical
Examination
Best Practices for Health and Well-Being
Assessment, Second Edition
Kate Sustersic Gawlik, DNP, APRN-CNP, FAANP, FNAP, FAAN
Bernadette Mazurek Melnyk, PhD, APRN-CNP, EBP-C, FAANP, FNAP,
FAAN
Alice M. Teall, DNP, APRN-CNP, NC-BC, FAANP, FNAP
Copyright © Springer Publishing Company
,Copyright © 2025 Springer Publishing Company, LLC
All rights reserved.
This work is protected by U.S. copyright laws and is provided solely for the use of instructors in
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www.springerpub.com
ISBN: 978-0-8261-5536-8
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accurate or appropriate.
© Springer Publishing Company, LLC
,Contents
CHAPTER 1: Approach to Evidence-Based Assessment of Health and Well-Being (Test bank
intentionally omitted) 1
CHAPTER 2: Evidence-Based Assessment of Clinician Well-Being 2
CHAPTER 3: Evidence-Based History Taking, Approach to Patient Visits, and
Documentation 5
CHAPTER 4: Evidence-Based, Culturally Sensitive, Therapeutic Communication 10
CHAPTER 5: Evidence-Based Assessment of Children and Adolescents 15
CHAPTER 6: Evidence-Based Assessment of the Older Adult 20
CHAPTER 7: Evidence-Based General Survey Including Assessment of Vital Signs 26
CHAPTER 8: Evidence-Based Assessment of Body Habitus, Body Mass Index, and
Nutrition 29
CHAPTER 9: Evidence-Based Assessment of the Cardiovascular System 33
CHAPTER 10: Evidence-Based Assessment of the Vascular System 37
CHAPTER 11: Evidence-Based Assessment of the Lungs and Respiratory System 42
CHAPTER 12: Evidence-Based Assessment of the Skin, Hair, and Nails 45
CHAPTER 13: Evidence-Based Assessment of the Lymphatic System 50
CHAPTER 14: Evidence-Based Assessment of the Head and Neck 53
CHAPTER 15: Evidence-Based Assessment of the Eyes 57
CHAPTER 16: Evidence-Based Assessment of the Ears, Nose, and Throat 60
CHAPTER 17: Evidence-Based Assessment of the Nervous System 63
CHAPTER 18: Evidence-Based Assessment of the Musculoskeletal System 66
CHAPTER 19: Evidence-Based Assessment of the Abdominal, Gastrointestinal, and
Urological Systems 70
CHAPTER 20: Evidence-Based Assessment of Sexual Orientation and Gender Identity 76
CHAPTER 21: Evidence-Based Assessment of the Breasts and Axillae 80
CHAPTER 22: Evidence-Based Assessment of Male Genitalia, Prostate, Rectum, and Anus
85
CHAPTER 23: Evidence-Based Assessment of the Female Genitourinary System 89
CHAPTER 24: Evidence-Based Obstetric Assessment 94
CHAPTER 25: Evidence-Based Assessment of Mental Health 100
CHAPTER 26: Evidence-Based Assessment of Substance use Disorder 104
CHAPTER 27: Evidence-Based Assessment and Screening for Traumatic Experiences:
Abuse, Neglect,
and Intimate Partner Violence 108
CHAPTER 28: Evidence-Based Assessment for Medical Clearance 113
CHAPTER 29: Evidence-Based Assessment using Telehealth Technologies 117
© Springer Publishing Company, LLC
,CHAPTER 30: Evidence-Based Health and Well-Being Assessment: Putting It All Together
(Test Bank intentionally omitted) 120
© Springer Publishing Company, LLC
, CHAPTER 1
Approach to Evidence-Based
Assessment of Health and Well-Being
Test bank intentionally omitted.
© Springer Publishing Company, LLC 1
, CHAPTER 2
Evidence-Based Assessment of
Clinician Well-Being
MULTIPLE CHOICE QUESTIONS
1. Which dimension of wellness refers to the ability to understand and cope with feelings, stress, and
challenges?
A. Physical wellness
B. Emotional wellness
C. Social wellness
D. Spiritual wellness
Answer: B. Emotional wellness. Emotional wellness involves being aware and accepting of one’s
emotions and coping with stress and challenges in a healthy way.
2. Which dimension of wellness refers to engaging in activities that contribute to a healthy and fit body?
A. Physical wellness
B. Emotional wellness
C. Social wellness
D. Occupational wellness
Answer: A. Physical wellness. Physical wellness involves engaging in activities that contribute to a
healthy and fit body, such as exercise, good nutrition, and regular physical exams.
3. Which dimension of wellness involves developing meaningful relationships with family, friends, and
others?
A. Physical wellness
B. Emotional wellness
C. Social wellness
D. Environmental wellness
Answer: C. Social wellness. Social wellness involves developing and maintaining meaningful
relationships with family, friends, and others, and contributing to one’s community.
4. Which dimension of wellness refers to finding purpose and meaning in life?
A. Intellectual wellness
B. Occupational wellness
C. Spiritual wellness
D. Environmental wellness
Answer: C. Spiritual wellness. Spiritual wellness involves finding purpose and meaning in life and
living in harmony with oneself and others.
2 © Springer Publishing Company, LLC
,5. Which dimension of wellness involves engaging in activities that promote lifelong learning and
personal growth?
A. Intellectual wellness
B. Occupational wellness
C. Spiritual wellness
D. Environmental wellness
Answer: A. Intellectual wellness. Intellectual wellness involves engaging in activities that promote
lifelong learning and personal growth, such as reading, attending lectures, and pursuing new skills.
6. Which dimension of wellness refers to engaging in activities that protect and preserve the natural
environment?
A. Intellectual wellness
B. Occupational wellness
C. Spiritual wellness
D. Environmental wellness
Answer: D. Environmental wellness. Environmental wellness involves engaging in activities that
protect and preserve the natural environment, such as recycling, reducing waste, and conserving
energy.
7. Which dimension of wellness involves participating in activities that contribute to the society and the
community?
A. Intellectual wellness
B. Occupational wellness
C. Spiritual wellness
D. Social wellness
Answer: D. Social wellness. Social wellness involves participating in activities that contribute to the
society and the community, such as volunteering, participating in community events, and engaging in
social justice activities.
8. Which dimension of wellness refers to maintaining balance and harmony between work and personal
life?
A. Physical wellness
B. Career wellness
C. Emotional wellness
D. Social wellness
Answer: B. Career wellness. Career wellness involves maintaining balance and harmony between
work and personal life, finding satisfaction and fulfillment in one’s work, and pursuing career goals.
9. Which dimension of wellness involves making informed decisions about health and seeking
healthcare when necessary?
A. Physical wellness
B. Emotional wellness
C. Social wellness
D. Intellectual wellness
© Springer Publishing Company, LLC 3
, Answer: A. Physical wellness. Physical wellness involves making informed decisions about health,
seeking healthcare when necessary, and taking steps to prevent illness and injury.
10. Which dimension of wellness involves having financial stability and security?
A. Environmental wellness
B. Intellectual wellness
C. Occupational wellness
D. Financial wellness
Answer: D. Financial wellness. Financial wellness involves having financial stability and security,
living within one’s means, and planning for the future.
SHORT ANSWER QUESTIONS
1. What is the importance of social wellness in maintaining overall wellness? Provide an example of an
activity that promotes social wellness.
Answer: Social wellness is an important dimension of overall wellness because it involves developing
and maintaining meaningful relationships with family, friends, and others, and contributing to one’s
community. Engaging in activities that promote social wellness can reduce feelings of isolation and
loneliness, enhance feelings of belonging and connectedness, and improve overall mental health. An
example of an activity that promotes social wellness is joining a community organization or club,
such as a volunteer group or a book club, which provides opportunities to meet new people and
engage in social activities.
2. Why is clinician wellness important?
Answer: Clinician wellness is important for several reasons:
Patient outcomes: When clinicians are physically and mentally well, they are better able to
provide high-quality care to their patients. Clinicians who are experiencing burnout or stress
may make errors or miss important details, which can negatively affect patient outcomes.
Job satisfaction: Clinician wellness is closely linked to job satisfaction. When clinicians are
experiencing burnout, stress, or other mental health issues, they are more likely to feel unhappy
or dissatisfied with their job. This can lead to turnover and a shortage of healthcare providers.
Personal well-being: Clinicians are not immune to the physical and emotional tolls of providing
care to patients. Engaging in self-care and prioritizing wellness can help clinicians manage
stress, avoid burnout, and maintain a healthy work–life balance.
Role modeling: Clinicians serve as role models for their patients, colleagues, and the broader
healthcare community. When clinicians prioritize their own wellness, they send a message that
self-care is an important aspect of overall health and well-being.
Overall, prioritizing clinician wellness is essential for promoting high-quality patient care,
reducing burnout and turnover, and improving the overall well-being of healthcare providers.
4 © Springer Publishing Company, LLC