Study Guide & Laboratory Manual for Physical Examination & Health Assessment E-Book (eBook)

Study Guide & Laboratory Manual for Physical Examination & Health Assessment E-Book

Ann L. Eckhardt, Carolyn Jarvis (Autoren)

eBook Download: EPUB

2023 | 9. Auflage
368 Seiten
Elsevier Health Sciences (Verlag)
978-0-323-82783-6 (ISBN)

Both a comprehensive lab manual and a practical workbook, the Study Guide & Laboratory Manual for Physical Examination & Health Assessment, 9^th Edition gives you the tools you need to master physical examination and health assessment skills in the lab and in clinical practice. Corresponding to the bestselling Jarvis textbook, this guide features terminology reviews, application activities, clinical judgment questions, regional write-up sheets, and narrative summary forms, with answers to study questions at the back of the book to facilitate both learning and review. The 9^th edition has been thoroughly updated with a fresh focus on the Next Generation NCLEX^® (NGN), with case studies featuring new NGN question formats to prepare you not only for the skills laboratory, but for success on the NCLEX^® and in interprofessional collaborative practice.

Authoritative review and guidance for laboratory experiences, personally written by the textbook authors, provide a seamlessly integrated study and clinical experience.
Consistent format includes Terminology Review, Study Guide, and Clinical Judgment Questions in each chapter.
Physical examination forms familiarize you with what you will encounter in clinical practice and offer practice in documenting the patient history and examination findings.
The only full-color, illustrated lab manual available for a nursing health assessment textbook with anatomy exercises that align with the main text.

NEW Chapter 33 includes unfolding case studies for the NGN that present opportunities for you to practice prioritizing, decision-making, and using clinical judgment skills.
NEW Critical Thinking Exercises offer suggested readings based on your participation in the skills lab and discussions with your instructor.
UPDATED Content corresponds to the 9th edition of the Jarvis textbook and incorporates the latest research and evidence-based practice.

Carolyn Jarvis, PhD, APRN, CNP

Both a comprehensive lab manual and a practical workbook, the Study Guide & Laboratory Manual for Physical Examination & Health Assessment, 9th Edition gives you the tools you need to master physical examination and health assessment skills in the lab and in clinical practice. Corresponding to the bestselling Jarvis textbook, this guide features terminology reviews, application activities, clinical judgment questions, regional write-up sheets, and narrative summary forms, with answers to study questions at the back of the book to facilitate both learning and review. The 9th edition has been thoroughly updated with a fresh focus on the Next Generation NCLEX(R) (NGN), with case studies featuring new NGN question formats to prepare you not only for the skills laboratory, but for success on the NCLEX(R) and in interprofessional collaborative practice. - Authoritative review and guidance for laboratory experiences, personally written by the textbook authors, provide a seamlessly integrated study and clinical experience. - Consistent format includes Terminology Review, Study Guide, and Clinical Judgment Questions in each chapter. - Physical examination forms familiarize you with what you will encounter in clinical practice and offer practice in documenting the patient history and examination findings. - The only full-color, illustrated lab manual available for a nursing health assessment textbook with anatomy exercises that align with the main text. - NEW! Clinical judgment exercises equip you for success on the Next Generation NCLEX (NGN), including questions with an increased focus on clinical judgment, robust single-episode case studies that employ the latest NGN question types, and unfolding case studies which reflect the language of the NCSBN Clinical Judgment Measurement Model. - NEW! Chapter 33 includes unfolding case studies for the NGN that present opportunities for you to practice prioritizing, decision-making, and using clinical judgment skills. - NEW! Increased emphasis on activities focused on higher cognitive levels (Applying and above). - UPDATED! Critical Thinking Exercises offer suggested readings based on your participation in the skills lab and discussions with your instructor. - UPDATED! Content corresponds to the 9th edition of the Jarvis textbook and incorporates the latest research and evidence-based practice.

Chapter 1: Evidence-based assessment

Purpose

This chapter discusses the characteristics of evidence-based practice, diagnostic reasoning, the nursing process, clinical judgment, and critical thinking. This chapter also introduces the database and helps you understand that the amount of data gathered during assessment varies with the physical condition and risk factors.

Reading assignment

Jarvis: Physical Examination and Health Assessment, 9th ed., Chapter 1, pp. 1–8.

Glossary

Study the following terms after completing the reading assignment. You should be able to cover the definition on the right and define the term out loud.

Assessment the collection of data about an individual’s health state
Clinical Judgment Model a way of structuring nursing education to enhance clinical judgment skills of novice practitioners
Complete database a complete health history and full physical examination
Critical thinking simultaneously problem solving while self-improving one’s own thinking ability
Emergency database rapid collection of the database, often compiled concurrently with lifesaving measures
Environment the total of all the conditions and elements that make up the surroundings and influence the development of a person
Epigenetics the study of how environment and behaviors impact gene expression
Evidence-based practice a systematic approach emphasizing the best research evidence, the clinician’s experience, patient preferences and values, physical examination, and assessment
Focused database used for a limited or short-term problem; concerns mainly one problem, one cue complex, or one body system
Follow-up database used in all settings to monitor progress of short-term or chronic health problems
Holistic health the view that the mind, body, and spirit are interdependent and function as a whole within the environment
Nursing process a method of collecting and analyzing clinical information with the following components: (1) assessment, (2) diagnosis, (3) outcome identification, (4) planning, (5) implementation, and (6) evaluation
Objective data what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination
Prevention any action directed toward promoting health and preventing the occurrence of disease
Social Determinants of Health factors that influence a person’s health and well-being, including the environment, access to health care, community, education, and economic stability
Subjective data what the person says during history taking

Study guide

After completing the reading assignment, you should be able to answer the following questions in the spaces provided.

1. One of the critical-thinking skills is the ability to identify assumptions. Explain how the following statement contains an assumption. What is a more appropriate response? “Ellen, you have to break up with your boyfriend. He is too rough with you. He is no good for you.”
2. Another critical-thinking skill involves validation or checking the accuracy and reliability of data. Describe how you would validate the following data.
- Mr. Quinn tells you his weight this morning was 165 lbs.
- The primary counselor tells you Ellen is depressed and angry about being admitted to residential treatment in the clinic.
- When auscultating the heart, you hear a blowing, swooshing sound between the first and second heart sounds.
- The previous RN tells you that Mr. Jones’s family is aloof and does not visit regularly.
3. List the barriers to evidence-based practice, both on an individual level and on an organizational level.
4. Differentiate subjective data from objective data by placing an S or an O after each of the following: complaint of sore shoulder ________; unconscious ________; blood in urine ________; family has just moved to a new area ________; dizziness ________; sore throat ________; earache ________; weight gain ________.
5. For the following situations, state the type of data collection you would perform (i.e., complete database, focused or problem-centered database, follow-up database, emergency database).
- OxyContin overdose ______________; ambulatory, apparently well individual who presents at outpatient clinic with a rash ______________; first visit to a health care provider for a checkup ______________; recently placed on antihypertensive medication ______________.
6. Discuss the impact of racial and cultural diversity in individuals on the U.S. health care system.
7. List three health care interactions you have experienced with a person from a culture or ethnicity different from your own. Were they positive or negative? What could or should have been done differently?
8. Using one sentence or group of phrases, how would you describe your own health state to someone you are meeting for the first time?

Clinical judgment questions

This test is for you to check your own mastery of the content. Answers are provided in Appendix A.

1. A. S., a 35-year-old, is at your clinic today for a well visit. She recently moved to the area and is establishing with a new primary care provider. What information would you include in the database for this new patient? Select all that apply.
1. a. Current health state
2. b. Lifestyle and risk factors
3. c. Only subjective information
4. d. Only objective information
5. e. Physical examination
6. f. Health maintenance behaviors
7. g. Your perception of the patient’s health
8. h. The patient’s perception of current health
2. You are reviewing assessment data of a 45-year-old male patient who had recent surgery and rates his pain at 8 on a 10-point scale. As you review the electronic health record, you note which of the following cues related to the patient’s pain? Select all that apply.
1. a. Normal skin turgor
2. b. Normal S1, S2 heart sounds
3. c. Pale skin
4. d. Tachypnea (rapid breathing)
5. e. Tachycardia (rapid pulse)
6. f. Clear breath sounds
3. You are working in the emergency department and receive a patient who was admitted via ambulance. The patient is alert, but the injuries are severe. What are your priorities when collecting this patient’s emergency database?
1. a. A complete health history and full physical examination
2. b. A full list of medications, allergies, family history, and personal history
3. c. Previously identified problems including any current treatments and health promotion
4. d. Collect critical information as you begin lifesaving measures
4. You are caring for a patient who was recently diagnosed with type 1 diabetes. She is learning to manage her diabetes and will need support after discharge. Her knowledge deficit is considered a _____________ priority problem and will require a collaborative effort with health care professionals.
1. a. First-level
2. b. Second-level
3. c. Third-level
5. You completed the health history and physical examination on your new admission. After completing the assessment phase of the nursing process, the next step includes which of the following?
1. a. Interpreting clinical findings and determining a diagnosis
2. b. Clustering cues and evaluating assessment data
3. c. Collaborating with the patient and reviewing information
4. d. Evaluating the information collected and determining next steps

For questions 6–10 use the following information:

G.R. is a 75-year-old male who presents to the emergency department with chest pain, palpitations, and appears pale and diaphoretic. As the history and physical are completed, the following problems emerge. Please label them first-, second-, or third-level priority problems.

6. Blood pressure 74/50, HR 148 __________
7. Serum potassium 2.7 mmol/L (low), Glucose 225 mg/dL (high) __________
8. Lives alone, no family in the area __________
9. Acute chest pain with radiation to jaw __________
10. Unfamiliar with...

Erscheint lt. Verlag	2.1.2023
Sprache	englisch
Themenwelt	Medizin / Pharmazie ► Pflege
ISBN-10	0-323-82783-7 / 0323827837
ISBN-13	978-0-323-82783-6 / 9780323827836

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