Evidence-Based Physical Examination
Best Practices For Health & Well-
BeingAssessment 2nd Edition Test
Bank
A
,Table of content
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-BEING ...3
Chapter 2. EVIDENCE-BASED HISTORY-TAKING APPROACH FOR WELLNESSEXAMS,
EPISODIC VISITS, AND CHRONIC CARE MANAGEMENT ................................................................ 17
Chapter 3. APPROACH TO IMPLEMENTING AND DOCUMENTING PATIENT- CENTERED,
CULTURALLY SENSITIVE EVIDENCE-BASED ASSESSMENT ........................................................ 33
Chapter 4. EVIDENCE-BASED ASSESSMENT OF CHILDREN AND ADOLESCENTS ..................... 50
Chapter 5. APPROACH TO THE PHYSICAL EXAMINATION: GENERAL SURVEY AND
ASSESSMENT OF VITAL SIGNS ............................................................................................................. 64
Chapter 6. EVIDENCE-BASED ASSESSMENT OF THE HEART AND CIRCULATORYSYSTEM .... 88
Chapter 7. EVIDENCE-BASED ASSESSMENT OF THE LUNGS AND RESPIRATORYSYSTEM.... 109
Chapter 8. APPROACH TO EVIDENCE-BASED ASSESSMENT OF BODY HABITUS(HEIGHT,
WEIGHT, BODY MASS INDEX, NUTRITION) ..................................................................................... 129
Chapter 9. EVIDENCE-BASED ASSESSMENT OF SKIN, HAIR, AND NAILS .................................. 145
Chapter 10. EVIDENCE-BASED ASSESSMENT OF THE LYMPHATIC SYSTEM ............................ 168
Chapter 11. EVIDENCE-BASED ASSESSMENT OF THE HEAD AND NECK ................................... 192
Chapter 12. EVIDENCE-BASED ASSESSMENT OF THE EYE ............................................................ 212
Chapter 13. EVIDENCE-BASED ASSESSMENT OF THE EARS, NOSE, AND THROAT ................. 231
Chapter 14. EVIDENCE-BASED ASSESSMENT OF THE NERVOUS SYSTEM ................................ 251
Chapter 15. EVIDENCE-BASED ASSESSMENT OF THE MUSCULOSKELETAL SYSTEM ........... 278
Chapter 16. EVIDENCE-BASED ASSESSMENT OF THE ABDOMINAL,GASTROINTESTINAL,
AND UROLOGICAL SYSTEMS ............................................................................................................. 302
Chapter 17. EVIDENCE-BASED ASSESSMENT OF THE BREASTS AND AXILLAE ....................... 320
Chapter 18. EVIDENCE-BASED ASSESSMENT OF SEXUAL ORIENTATION, GENDERIDENTITY,
AND HEALTH .......................................................................................................................................... 343
Chapter 19. EVIDENCE-BASED ASSESSMENT OF MALE GENITALIA, PROSTATE,RECTUM,
AND ANUS ............................................................................................................................................... 360
Chapter 20. EVIDENCE-BASED ASSESSMENT OF THE FEMALE GENITOURINARYSYSTEM ... 380
Chapter 21. EVIDENCE-BASED OBSTETRIC ASSESSMENT ............................................................. 404
Chapter 22. EVIDENCE-BASED ASSESSMENT OF MENTAL HEALTH ........................................... 419
Chapter 23. EVIDENCE-BASED ASSESSMENT OF SUBSTANCE USE DISORDER ........................ 434
Chapter 24. EVIDENCE-BASED ASSESSMENT AND SCREENING FOR TRAUMATIC
EXPERIENCES: ABUSE, NEGLECT, AND INTIMATE PARTNER VIOLENCE ............................... 440
Chapter 25. EVIDENCE-BASED THERAPEUTIC COMMUNICATION ANDMOTIVATIONAL
INTERVIEWING IN HEALTH ASSESSMENT ...................................................................................... 447
Chapter 26. EVIDENCE-BASED HISTORY AND PHYSICAL EXAMINATIONS FORSPORTS
PARTICIPATION EVALUATION ........................................................................................................... 472
Chapter 27. USING HEALTH TECHNOLOGY IN EVIDENCE-BASED ASSESSMENT .................... 493
Chapter 28. EVIDENCE-BASED ASSESSMENT OF PERSONAL HEALTH AND WELL- BEING FOR
CLINICIANS: KEY STRATEGIES TO ACHIEVE OPTIMAL WELLNESS ......................................... 508
Chapter 29. EVIDENCE-BASED HEALTH AND WELL-BEING ASSESSMENT: PUTTINGIT ALL
TOGETHER ............................................................................................................................................... 528
,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF
HEALTH AND WELL-BEING
MULTIPLE CHOICE
1. After Completing An Initial Assessment Of A Patient, The Nurse Has Charted That His
RespirationsAre Eupneic And His Pulse Is 58 Beats Per Minute. These Types Of Data Would
Be:
A Objective.
.
B Reflective.
.
C Subjective.
.
D Introspective.
.
ANS: 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 AboutHim Or Herself During History Taking. The Terms Reflective And
Introspective Are Not Used To Describe Data.
DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
2. A Patient Tells The Nurse That He Is Very Nervous, Is Nauseated, And Feels Hot. These
Types OfData Would Be:
A Objective.
.
B Reflective.
.
C Subjective.
.
D Introspective.
.
ANS: 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 UsedTo Describe Data.
DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
3. The Patients Record, Laboratory Studies, Objective Data, And Subjective Data Combine
To FormThe:
A Data Base.
.
B Admitting Data.
.
C Financial Statement.
.
D Discharge Summary.
.
ANS: A
Together With The Patients Record And Laboratory Studies, The Objective And Subjective Data
FormThe Data Base. The Other Items Are Not Part Of The Patients Record, Laboratory Studies,
Or Data.
DIF: Cognitive Level: Remembering (Knowledge) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
4. When Listening To A Patients Breath Sounds, The Nurse Is Unsure Of A Sound That Is
Heard. TheNurses Next Action Should Be To:
A Immediately Notify The Patients 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.
.
ANS: C
When Unsure Of A Sound Heard While Listening To A Patients Breath Sounds, The Nurse
Validates The Data To Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then
He Or She Asks An ExpertTo Listen.
