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Physical Exa
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Health Assess gh
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ALL CHAPTE gh
RS 1- gh
31 WITH QU
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ESTIONS AN gh
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TABLEghOFghCONTENT: 2
15
Chapterg h 01:g h Evidence- 31
Basedg h AssessmentghChaptergh02:g h Cultur 49
alg h CompetenceghChaptergh03:ghTheghInter 64
view 81
Chapterg h 04:gh Theg h Completeg h Healthg h His 87
toryghChaptergh 05:gh Mentalgh Statusgh Assess 93
mentghChapterg h 06:g h Substanceg h Useg h As 112
sessment 134
Chapterg h 07:g h Domesticg h andg h Familyg h Violenceg h Assessments 142
Chapterg h 08:gh Assessmentgh Techniquesg h andg h Safetygh ing h theg h Clinicalg h 156
SettingghChaptergh09:ghGeneralghSurvey,ghMeasurement,ghVitalghSigns 177
Chapterg h 10:gh Paing h Assessment:gh Theg h Fifthgh Vital 195
gh SignghChaptergh11:ghNutritionalghAssessment 212
Chaptergh 12:ghSkin,ghHair,gh andgh Nails 229
Chapterg h 13:gh Head,g h Face,gh andg h Neck,gh Includingg h Regionalgh Lymphati 247
csghChaptergh14:ghEyes 267
Chaptergh 15:gh Ears 285
Chaptergh16:ghNose,g h Mouth,g h andg h Throatgh 304
Chapterg h 17:g h Breastsg h andg h Regionalgh Lymph 321
aticsghChaptergh18:ghThoraxghandghLungs 338
Chaptergh 19:gh Heartgh andgh Neckg h Vessels 359
Chapterg h 20:g h Peripheralg h Vascularg h Systemg h andg h Lymphaticg h SystemghC 384
haptergh21:ghAbdomen 402
Chaptergh 22:ghMusculoskeletalgh Systemgh 416
Chapterg h 23:g h Neurologicg h SystemghC 438
hapterg h 24:g h Maleg h Genitourinaryg h Syste 451
mghChaptergh 25:gh Anus,gh Rectum,gh andg h P 454
rostate 460
Chapterg h 26:g h Femaleg h Genitourinaryg h System 473
Chapterg h 27:gh Theg h Completeg h Healthg h Assessment:gh Adult
Chapterg h 28:gh Theg h Completeg h Physicalg h Assessment:g h Infant,g h Child,gh andg h Ado
lescentghChaptergh29:ghBedsideghAssessmentghofghtheghHospitalizedghPatient
Chapterg h 30:g h Theg h PregnantghWoman
Chapterg h 31:gh Functionalgh Assessmentgh ofgh theg h Olderg h Adult
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Chapter 01: Evidence-Based Assessment
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MULTIPLEg h CHOICE
1. Aftergh completinggh anghinitialgh assessmentg h ofgh ag h patient,g h theg h nursegh hasgh chartedgh thatgh hisgh respirationsg h ar
egh eupneicgh andghhisghpulseghisgh58gh beatsgh pergh minute.ghTheseghtypesghofgh datagh wouldghbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:gh A
Objectiveghdataghareghwhatghtheghhealthghprofessionalghobservesghbyghinspecting,ghpercussing,ghpalpating,ghandghausc
ultatingghduringghtheghphysicalghexamination.ghSubjectiveghdataghisghwhatghtheghpersonghsaysghaboutghhimghorghhersel
fghduringghhistoryghtaking.gh Theghtermsgh reflectivegh andghintrospectivegh aregh notgh usedghtoghdescribegh data.
DIF:gh Cognitiveg h Level:gh Understandinggh (Comprehension)g h REF:g h p.gh 2
MSC:gh Clientgh Needs:gh Safeghandgh Effectivegh Caregh Environment:g h Managementg h ofg h Care
2. Agh patientgh tellsgh thegh nursegh thatgh hegh isghverygh nervous,gh isghnauseated,gh andgh feelsg h hot.g h Thesegh typesgh ofgh data
gh wouldgh be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:ghC
Subjectiveg h datagh areg h whatghthegh persongh saysgh aboutg h himghorg h herselfgh duringg h historygh taking.g h Objectiveg h dat
agh aregh whatgh theghhealthghprofessionalghobservesghbyghinspecting,ghpercussing,ghpalpating,ghandghauscultatingghdurin
gghtheghphysicalghexamination.gh Thegh termsgh reflectivegh andghintrospectiveghareghnotgh usedghtoghdescribegh data.
DIF:gh Cognitiveg h Level:gh Understandinggh (Comprehension)g h REF:g h p.gh 2
MSC:gh Clientgh Needs:gh Safeghandgh Effectivegh Caregh Environment:g h Managementg h ofg h Care
3. Thegh patientsgh record,gh laboratorygh studies,gh objectiveg h data,gh andgh subjectiveg h datag h combinegh togh formgh the:
a. Datagh base.
b. Admittinggh data.
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c. Financialgh statement.
d. Dischargegh summary.
ANS:gh A
Togetherg h withgh thegh patientsgh recordgh andgh laboratorygh studies,g h theg h objectivegh andgh subjectiveg h datagh formghthe
gh datag h base.ghThegh othergh itemsgh aregh notgh partghofgh thegh patientsgh record,gh laboratorygh studies,gh orgh data.
DIF:gh Cognitiveg h Level:gh Rememberinggh (Knowledge)g h REF:g h p.g h 2
MSC:gh Clientgh Needs:gh Safeghandgh Effectivegh Caregh Environment:g h Managementg h ofg h Care
4. Whenghlisteninggh toghagh patientsgh breathgh sounds,gh theg h nurseg h isgh unsureg h ofghag h soundghthatgh isgh heard.g h
Thegh nursesgh nextghactiongh shouldghbeghto:
a. Immediatelyg h notifygh thegh patientsg h physician.
b. Documentgh thegh soundghexactlygh asgh itgh wasg h heard.
c. Validategh theg h datagh byghaskinggh ag h coworkerg h toghlistengh togh thegh breathgh sounds.
d. Assessgh againghingh20g h minutesgh togh noteg h whetherg h thegh soundghisg h stillgh present.
ANS:ghC
Whenghunsuregh ofgh agh soundgh heardgh whilegh listeninggh toghag h patientsg h breathghsounds,gh theg h nurseghvalidatesg h theg h d
atag h toghensureghaccuracy.gh Ifgh thegh nursegh hasghlessgh experiencegh inghangharea,ghthenghhegh org h shegh asksghanghexpertght
oghlisten.
DIF:gh Cognitiveg h Level:gh Analyzinggh (Analysis)g h REF:gh p.gh 2
MSC:gh Clientgh Needs:gh Safeghandgh Effectivegh Caregh Environment:g h Managementg h ofg h Care
5. Theg h nursegh isg h conductinggh agh classgh forg h newg h graduateg h nurses.g h Duringgh theg h teachingg h session,g h theg h nurs
egh shouldg h keepghing h mindgh thatg h noviceg h nurses,g h withoutg h ag h backgroundg h ofgh skillsghandg h experienceg h fromg h wh
ichghtogh draw,gh areg h moregh likelyghtoghmakegh theirgh decisionsg h using:
a. Intuition.
b. Aghsetgh ofghrules.
c. Articlesgh ingh journals.
d. Adviceg h fromgh supervisors.
ANS:ghB
Novicegh nursesgh operategh fromghagh setgh ofg h defined,g h structuredgh rules.g h Thegh expertgh practitionerg h usesg h intuit
ivegh links.ghDIF:ghCognitiveghLevel:gh Understandinggh(Comprehension)g h REF:gh p.gh 3
