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Test Bank for Jarvis Physical Examination & Health Assessment
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Test Bank for Jarvis Physical Examination & Health Assessment
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By: NURSINGEXAMS • 3 weeks ago
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Test Bank for JarvisPhysical
Examination &
Health Assessment
, Table of Contents
Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessment 64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessment Techniques and Safety in the Clinical Setting 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman 458
Chapter 32: Functional Assessment of the Older Adult 471
,Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a client, the practicing nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
THE RIGHT CHOICE A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him or herself
during history taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A client tells the practicing nurse that he is very nervous, is nauseated, and feels hot. These types of data
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
THE RIGHT CHOICE C
Subjective data are what the person says about him or herself during history taking. Objective data are what
the health professional observes by inspecting, percussing, palpating, and auscultating during the physical
examination. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The clients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
, c. Financial statement.
d. Discharge summary.
THE RIGHT CHOICE A
Together with the clients record and laboratory studies, the objective and subjective data form the data base.
The other items are not part of the clients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a clients breath sounds, the practicing nurse is unsure of a sound that is heard.
The practicing nurses next action should be to:
a. Immediately notify the clients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
THE RIGHT CHOICE C
When unsure of a sound heard while listening to a clients breath sounds, the practicing nurse validates the
data to ensure accuracy. If the practicing nurse has less experience in an area, then he or she asks an expert
to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The practicing nurse is conducting a class for new graduate practicing nurses. During the teaching
session, the practicing nurse should keep in mind that novice practicing nurses, without a background of
skills and experience from which to draw, are more likely to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
THE RIGHT CHOICE B
Novice practicing nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links. DIF: Cognitive Level: Understanding (Comprehension)
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