NR302 Health Assessment 1 Disease Process for ” Malignant Melanoma” Presentation  2 Powerpoint Slides Slide 1: Complications of Malignant Melanoma

NR302 Health Assessment 1 Disease Process for ” Malignant Melanoma” Presentation 

2 Powerpoint Slides

Slide 1: Complications of Malignant Melanoma

Slide 2: What are the Diagnostic studies

Ebook: Jarvis, C., Eckhardt, A., & Thomas, P. (2020). Physical examination & health assessment (8th ed.). Saunders.

APA format (7th ed.) and is free of errors       

Grammar and mechanics are free of errors free of Plagiarism   

References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs. Physical Examination & Health Assessment

8TH EDITION

CAROLYN JARVIS, PhD, APRN, CNP
Professor of Nursing
Illinois Wesleyan University
Bloomington, Illinois
and
Family Nurse Practitioner
Bloomington, Illinois

With Ann Eckhardt, PhD, RN
Associate Professor of Nursing
Illinois Wesleyan University
Bloomington, Illinois

Original Illustrations by Pat Thomas, CMI, FAMI

East Troy, Wisconsin

2

Table of Contents

Cover image

Title Page

Chapter Organization

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Copyright

Dedication

About the Author

Contributors

Reviewers

Preface

Acknowledgments
Unit 1 Assessment of the Whole Person

Chapter 1 Evidence-Based Assessment

Culture and Genetics

References

Chapter 2 Cultural Assessment

Developmental Competence

3

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References

Chapter 3 The Interview

Developmental Competence

Culture and Genetics

References

Chapter 4 The Complete Health History

Culture and Genetics

Developmental Competence

References

Chapter 5 Mental Status Assessment

Structure and Function

Objective Data

Documentation And Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Mental Status Assessment

References

Chapter 6 Substance Use Assessment

Subjective Data

Objective Data

Abnormal Findings

Bibliography

Chapter 7 Domestic and Family Violence Assessment

Subjective Data

Objective Data

Abnormal Findings

References

Unit 2 Approach to the Clinical Setting

4

Chapter 8 Assessment Techniques and Safety in the Clinical Setting

Developmental Competence

References

Chapter 9 General Survey and Measurement

Objective Data

Documentation and Critical Thinking

Abnormal Findings

References

Chapter 10 Vital Signs

Objective Data

Documentation and Critical Thinking

Abnormal Findings

References

Chapter 11 Pain Assessment

Structure and Function

Subjective Data

Objective Data

Documentation and Critical Thinking

Abnormal Findings

References

Chapter 12 Nutrition Assessment

Structure and Function

Subjective Data

Objective Data

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Nutritional Assessment

References

5

Unit 3 Physical Examination

Chapter 13 Skin, Hair, and Nails

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Skin, Hair, and Nails Examination

References

Chapter 14 Head, Face, Neck, and Regional Lymphatics

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Summary Checklist: Head, Face, and Neck, Including Regional Lymphatics Examination

References

Chapter 15 Eyes

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Eye Examination

References

6

Chapter 16 Ears

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Ear Examination

References

Chapter 17 Nose, Mouth, and Throat

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

References

Chapter 18 Breasts, Axillae, and Regional Lymphatics

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Breasts and Regional Lymphatics Examination

References

Chapter 19 Thorax and Lungs

Structure and Function

Subjective Data

7

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Thorax and Lung Examination

References

Chapter 20 Heart and Neck Vessels

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Heart and Neck Vessels Examination

References

Chapter 21 Peripheral Vascular System and Lymphatic System

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Peripheral Vascular Examination

References

Chapter 22 Abdomen

Structure and Function

Subjective Data

Objective Data

8

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Abdomen Examination

References

Chapter 23 Musculoskeletal System

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings for Advanced Practice

Summary Checklist: Musculoskeletal Examination

References

Chapter 24 Neurologic System

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Neurologic Examination

References

Chapter 25 Male Genitourinary System

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

9

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Male Genitalia Examination

References

Chapter 26 Anus, Rectum, and Prostate

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings

Abnormal Findings for Advanced Practice

Summary Checklist: Anus, Rectum, and Prostate Examination

References

Chapter 27 Female Genitourinary System

Structure and Function

Subjective Data

Objective Data

Health Promotion and Patient Teaching

Documentation and Critical Thinking

Abnormal Findings for Advanced Practice

Summary Checklist: Female Genitalia Examination

References

Unit 4 Integration: Putting It All Together

Chapter 28 The Complete Health Assessment

Documentation and Critical Thinking

Chapter 29 The Complete Physical Assessment

Sequence/Selected Photos

10

Chapter 30 Bedside Assessment and Electronic Documentation

Sequence/Selected Photos

References

Chapter 31 The Pregnant Woman

Structure and Function

Subjective Data

Objective Data

Documentation and Critical Thinking

Abnormal Findings for Advanced Practice

Summary Checklist: The Pregnant Woman

References

Chapter 32 Functional Assessment of the Older Adult

References

Illustration Credits

Index

Assessment Terms: English and Spanish

Assessment Terms: English and Spanish

11

Chapter Organization

The following color bars are used consistently for each section within a chapter to help locate
specific information.

12

Structure and Function
Anatomy and physiology by body system

13

Subjective Data
Health history through questions (examiner asks) and explanation (rationale)

14

Objective Data
Core of the examination part of each body system chapter with skills, expected findings, and
common variations for healthy people, as well as selected abnormal findings

15

Health Promotion and Patient Teaching
Health promotion related to each body system.

16

Documentation and Critical Thinking
Clinical case studies with sample documentation for subjective, objective, and assessment data

17

Abnormal Findings
Tables of art and photographs of pathologic disorders and conditions; abnormal findings for clinical
practice and advanced practice where appropriate

18

Copyright

PHYSICAL EXAMINATION AND HEALTH ASSESSMENT, EIGHTH EDITION ISBN: 978-0-323-
51080-6

Copyright © 2020 by Elsevier Inc. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek
permission, further information about the Publisher’s permissions policies and our arrangements
with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency,
can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).

Notice
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds or experiments described herein.
Because of rapid advances in the medical sciences, in particular, independent verification of
diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is
assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or
property as a matter of products liability, negligence or otherwise, or from any use or operation of
any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 2016, 2012, 2008, 2004, 2000, 1996, 1993.

International Standard Book Number: 978-0-323-51080-6

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Last digit is the print number: 9 8 7 6 5 4 3 2 1

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19

http://www.elsevier.com/permissions

20

Dedication

To Paul, with love and thanks. You have read every word.

21

About the Author

Carolyn Jarvis received her PhD from the University of Illinois at Chicago, with a research
interest in the physiologic effect of alcohol on the cardiovascular system; her MSN from Loyola
University (Chicago); and her BSN cum laude from the University of Iowa. She is Professor, School
of Nursing at Illinois Wesleyan University, where she teaches Health Assessment, Pathophysiology,
and Pharmacology. Dr. Jarvis has taught physical assessment and critical care nursing at Rush
University (Chicago), the University of Missouri (Columbia), and the University of Illinois
(Urbana). Her current research interest concerns alcohol-interactive medications, and she includes
Honors students in this research.

In 2016, Illinois Wesleyan University honored Dr. Jarvis for her contributions to the ever-
changing field of nursing with the dedication of the Jarvis Center for Nursing Excellence. The Jarvis
Center for Nursing Excellence equips students with laboratory and simulation learning so that they
may pursue their nursing career with the same commitment as Dr. Jarvis.

Dr. Jarvis is the Student Senate Professor of the Year (2017) and was honored to give remarks at
commencement. She is a recipient of the University of Missouri’s Superior Teaching Award; has
taught physical assessment to thousands of baccalaureate students, graduate students, and nursing
professionals; has held 150 continuing education seminars; and is the author of numerous articles
and textbook contributions.

Dr. Jarvis has maintained a clinical practice in advanced practice roles—first as a cardiovascular
clinical specialist in various critical care settings and as a certified family nurse practitioner in
primary care. During the last 12 years, her enthusiasm has focused on Spanish language skills to
provide health care in rural Guatemala and at the Community Health Care Clinic in Bloomington.
Dr. Jarvis has been instrumental in developing a synchronous teaching program for Illinois
Wesleyan students both in Barcelona, Spain, and at the home campus.

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23

Contributors

CHAPTER CONTRIBUTOR

Lydia Bertschi DNP, APRN, ACNP-BC
The co-contributor for Chapter 22 (Abdomen), Dr. Bertschi is an Assistant Professor at Illinois
Wesleyan University School of Nursing and a nurse practitioner in the intensive care unit at
UnityPoint Health—Methodist.

ASSESSMENT PHOTOGRAPHERS

Chandi Kessler BSN, RN
Chandi is a former Intensive Care Unit nurse and is an award-winning professional photographer.
Chandi specializes in newborn and family photography in and around Central Illinois.

Kevin Strandberg
Kevin is a Professor of Art Emeritus at Illinois Wesleyan University in Bloomington, Illinois. He has
contributed to all editions of Physical Examination & Health Assessment.

INSTRUCTOR AND STUDENT ANCILLARIES

Case Studies

Melissa M. Vander Stucken MSN, RN
Clinical Assistant Professor
School of Nursing
Sam Houston State University
Huntsville, Texas
Key Points

Joanna Cain BSN, BA, RN
Auctorial Pursuits, Inc.
President and Founder
Boulder, Colorado
PowerPoint Presentations

Daryle Wane PhD, ARNP, FNP-BC
BSN Program Director—Professor of Nursing
Department of Nursing and Health Programs
Pasco-Hernando State College
New Port Richey, Florida
Review Questions

Kelly K. Zinn PhD, RN
Associate Professor
School of Nursing
Sam Houston State University
Huntsville, Texas
TEACH for Nurses

Jennifer Duke
Freelancer
St. Louis, Missouri
Test Bank

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Heidi Monroe MSN, RN-BC, CAPA
Assistant Professor of Nursing
NCLEX-RN Coordinator
Bellin College
Green Bay, Wisconsin
Test Bank Review

Kelly K. Zinn PhD, RN
Associate Professor
School of Nursing
Sam Houston State University
Huntsville, Texas

25

Reviewers

Valerie J. Fuller PhD, DNP, AGACNP-BC, FNP-BC, FAANP, FNAP
Assistant Professor
School of Nursing
University of Southern Maine
Portland, Maine

Peggy J. Jacobs DNP, RNC-OB, CNM, APRN
Instructional Support and Outcomes Coordinator
School of Nursing
Illinois Wesleyan University
Bloomington, Illinois

Marie Kelly Lindley PhD, RN
Clinical Assistant Professor
Louise Herrington School of Nursing
Baylor University
Dallas, Texas

Jeanne Wood Mann PhD, MSN, RN, CNE
Assistant Dean;
Associate Professor
School of Nursing
Baker University
Topeka, Kansas

Judy Nelson RN, MSN
Nurse Educator
Nursing
Fort Scott Community College
Fort Scott, Kansas

Cheryl A. Tucker DNP, RN, CNE
Clinical Associate Professor;
Undergraduate Level II BSN Coordinator
Louise Herrington School of Nursing
Baylor University
Dallas, Texas

Melissa M. Vander Stucken MSN, RN
Clinical Assistant Professor
School of Nursing
Sam Houston State University
Huntsville, Texas

Kelly K. Zinn PhD, RN
Associate Professor
School of Nursing
Sam Houston State University
Huntsville, Texas

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27

Preface

This book is for those who still carefully examine their patients and for those of you who wish to
learn how to do so. You develop and practice, and then learn to trust, your health history and
physical examination skills. In this book, we give you the tools to do that. Learn to listen to the
patient—most often he or she will tell you what is wrong (and right) and what you can do to meet
his or her health care needs. Then learn to inspect, examine, and listen to the person’s body. The
data are all there and are accessible to you by using just a few extra tools. High-tech machinery is a
smart and sophisticated adjunct, but it cannot replace your own bedside assessment of your patient.
Whether you are a beginning examiner or an advanced-practice student, this book holds the content
you need to develop and refine your clinical skills.

This is a readable college text. All 8 editions have had these strengths: a clear, approachable
writing style; an attractive and user-friendly format; integrated developmental variations across the
life span with age-specific content on the infant, child, adolescent, pregnant woman, and older
adult; cultural competencies in both a separate chapter and throughout the book; hundreds of
meticulously prepared full-color illustrations; sample documentation of normal and abnormal
findings and 60 clinical case studies; integration of the complete health assessment in 2 photo essays
at the end of the book, where all key steps of a complete head-to-toe examination of the adult,
infant, and child are summarized; and a photo essay highlighting a condensed head-to-toe
assessment for each daily segment of patient care.

New to the Eighth Edition
The 8th edition has a new chapter section and several new content features. Cultural Assessment
in Chapter 2 is rewritten to increase emphasis on cultural assessment, self-assessment, and a new
section on spiritual assessment. The Interview in Chapter 3 has a new section on interprofessional
communication; Mental Status Assessment in Chapter 5 now includes the Montreal Cognitive
Assessment; Substance Use Assessment in Chapter 6 includes additional content on opioid/heroin
epidemic and alcohol-interactive medications; Domestic and Family Violence Assessment in
Chapter 7 includes all new photos, updates on the health effects of violence, added information on
the health effects of violence, and additional content on child abuse and elder abuse. The former
Vital Signs and Measurement chapter is now split into 2 chapters to increase readability; the Vital
Signs chapter (Chapter 10) stands alone with updated information on blood pressure guidelines.

The Physical Examination chapters all have a new feature—Health Promotion and Patient
Teaching—to give the reader current teaching guidelines. Many chapters have all new exam photos
for a fresh and accurate look. The focus throughout is evidence-based practice. Examination
techniques are explained and included (and in some cases, rejected) depending on current clinical
evidence.

Pat Thomas has designed 15 new art pieces in beautiful detail and 30 photo overlays. We have
worked together to design new chapter openers and anatomy; note Fig. 11.4 on opioid targets, Figs.
14.1 and 14.2 on complex anatomy of skull and facial muscles, Fig. 15.5 on complex eye anatomy;
Fig 23.8 on 3 images of complex shoulder anatomy showing muscle girdle, Fig. 27.2 on complex
female internal anatomy, and many others. We have worked with Chandi Kesler and Kevin
Strandberg in new photo shoots, replacing exam photos in Chapters 6 (Substance Use Assessment),
23 (Musculoskeletal System), 24 (Neurologic System), 28 (The Complete Health Assessment: Adult),
and many others.

All physical examination chapters are revised and updated, with evidence-based data in
anatomy and physiology, physical examination, and assessment tools. Developmental Competence
sections provide updated common illnesses, growth and development information, and the
Examination section of each body system chapter details exam techniques and clinical findings for
infants, children, adolescents, and older adults.

Culture and Genetics data have been revised and updated in each chapter. Common illnesses

28

affecting diverse groups are detailed. We know that some groups suffer an undue burden of some
diseases, not because of racial diversity per se, but because these groups are overrepresented in the
uninsured/poverty ranks and lack access to quality health care.

The Abnormal Findings tables located at the end of the chapters are revised and updated with
many new clinical photos. These are still divided into two sections. The Abnormal Findings tables
present frequently encountered conditions that every clinician should recognize, and the Abnormal
Findings for Advanced Practice tables isolate the detailed illustrated atlas of conditions encountered
in advanced practice roles.

Chapter references are up-to-date and are meant to be used. They include the best of clinical
practice readings as well as basic science research and nursing research, with an emphasis on
scholarship from the last 5 years.

Dual Focus as Text and Reference
Physical Examination & Health Assessment is a text for beginning students of physical examination as
well as a text and reference for advanced practitioners. The chapter progression and format permit
this scope without sacrificing one use for the other.

Chapters 1 through 7 focus on health assessment of the whole person, including health
promotion for all age-groups, cultural environment and assessment, interviewing and complete
health history gathering, the social environment of mental status, and the changes to the whole
person on the occasions of substance use or domestic violence.

Chapters 8 through 12 begin the approach to the clinical care setting, describing physical data-
gathering techniques, how to set up the examination site, body measurement and vital signs, pain
assessment, and nutritional assessment.

Chapters 13 through 27 focus on the physical examination and related health history in a body
systems approach. This is the most efficient method of performing the examination and is the most
logical method for student learning and retrieval of data. Both the novice and the advanced
practitioner can review anatomy and physiology; learn the skills, expected findings, and common
variations for generally healthy people; and study a comprehensive atlas of abnormal findings.

Chapters 28 through 32 integrate the complete health assessment. Chapters 28, 29 and 30
present the choreography of the head-to-toe exam for a complete screening examination in various
age-groups and for the focused exam in this unique chapter on a hospitalized adult. Chapters 31
and 32 present special populations—the assessment of the pregnant woman and the functional
assessment of the older adult, including assessment tools and caregiver and environmental
assessment.

This text is valuable to both advanced practice students and experienced clinicians because of its
comprehensive approach. Physical Examination & Health Assessment can help clinicians learn the
skills for advanced practice, refresh their memory, review a specific examination technique when
confronted with an unfamiliar clinical situation, compare and label a diagnostic finding, and study
the Abnormal Findings for Advanced Practice.

Continuing Features

1. Method of examination (Objective Data section) is clear, orderly, and easy to follow.
Hundreds of original examination illustrations are placed directly with the text to
demonstrate the physical examination in a step-by-step format.

2. Two-column format begins in the Subjective Data section, where the running column
highlights the rationales for asking history questions. In the Objective Data section, the
running column highlights selected abnormal findings to show a clear relationship between
normal and abnormal findings.

3. Abnormal Findings tables organize and expand on material in the examination section.
The atlas format of these extensive collections of pathology and original illustrations helps
students recognize, sort, and describe abnormal findings.

4. Genetics and cultural variations in disease incidence and response to treatment are cited
throughout using current evidence. The Jarvis text has the richest amount of cultural-
genetic content available in any assessment text.

5. Developmental approach in each chapter presents a prototype for the adult, then age-

29

specific content for the infant, child, adolescent, pregnant female, and older adult so
students can learn common variations for all age-groups.

6. Stunning full-color art shows detailed human anatomy, physiology, examination
techniques, and abnormal findings.

7. Health history (Subjective Data) appears in two places: (1) in Chapter 4, The Complete
Health History; and (2) in pertinent history questions that are repeated and expanded in
each regional examination chapter, including history questions that highlight health
promotion and self-care. This presentation helps students understand the relationship
between subjective and objective data. Considering the history and examination data
together, as you do in the clinical setting, means that each chapter can stand on its own if a
person has a specific problem related to that body system.

8. Chapter 3, The Interview, has the most complete discussion available on the process of
communication, interviewing skills, techniques and traps, and cultural considerations (for
example, how nonverbal behavior varies cross-culturally and the use of an interpreter).

9. Summary checklists at the end of each chapter provide a quick review of examination steps
to help develop a mental checklist.

10. Sample recordings of normal and abnormal findings show the written language you
should use so that documentation, whether written or electronic, is complete yet succinct.

11. 60 Clinical Case Studies of frequently encountered situations that show the application of
assessment techniques to patients of varying ages and clinical situations. These case
histories, in SOAP format ending in diagnosis, use the actual language of recording. We
encourage professors and students to use these as critical thinking exercises to discuss and
develop a Plan for each one.

11. User-friendly design makes the book easy to use. Frequent subheadings and instructional
headings assist in easy retrieval of material.

12. Spanish-language translations highlight important phrases for communication during the
physical examination and appear on the inside back cover.

Supplements

• The Pocket Companion for Physical Examination & Health
Assessment continues to be a handy and current clinical reference
that provides pertinent material in full color, with over 200
illustrations from the textbook.
• The Study Guide & Laboratory Manual with physical
examination forms is a full-color workbook that includes for each
chapter a student study guide, glossary of key terms, clinical
objectives, regional write-up forms, and review questions. The
pages are perforated so students can use the regional write-up
forms in the skills laboratory or in the clinical setting and turn
them in to the instructor.
• The revised Health Assessment Online is an innovative and
dynamic teaching and learning tool with more than 8000
electronic assets, including video clips, anatomic overlays,
animations, audio clips, interactive exercises, laboratory/diagnostic
tests, review questions, and electronic charting activities.
Comprehensive Self-Paced Learning Modules offer increased
flexibility to faculty who wish to provide students with tutorial
learning modules and in-depth capstone case studies for each

30

body system chapter in the text. The Capstone Case Studies
include Quality and Safety Challenge activities. Additional
Advance Practice Case Studies put the student in the exam room
and test history-taking and documentation skills. The
comprehensive video clip library shows exam procedures across
the life span, including clips on the pregnant woman. Animations,
sounds, images, interactive activities, and video clips are
embedded in the learning modules and cases to provide a
dynamic, multimodal learning environment for today’s learners.
• The companion EVOLVE Website
(http://evolve.elsevier.com/Jarvis/) for students and instructors
contains learning objectives, more than 300 multiple-choice and
alternate-format review questions, printable key points from the
chapter, and a comprehensive physical exam form for the adult.
Case studies—including a variety of developmental and cultural
variables—help students apply health assessment skills and
knowledge. These include 25 in-depth case studies with critical
thinking questions and answer guidelines. Also included is a
complete Head-to-Toe Video Examination of the Adult that can be
viewed in its entirety or by systems.
• Simulation Learning System. The new Simulation Learning
System (SLS) is an online toolkit that incorporates medium- to
high-fidelity simulation with scenarios that enhance the clinical
decision-making skills of students. The SLS offers a comprehensive
package of resources, including leveled patient scenarios, detailed
instructions for preparation and implementation of the simulation
experience, debriefing questions that encourage critical thinking,
and learning resources to reinforce student comprehension.
• For instructors, the Evolve website presents TEACH for Nursing,
PowerPoint slides, a comprehensive Image Collection, and a Test
Bank. TEACH for Nurses provides annotated learning objectives,
key terms, teaching strategies for the classroom in a revised section
with strategies for both clinical and simulation lab use and a focus
on QSEN competencies, critical thinking exercises, websites, and
performance checklists. The PowerPoint slides include 2000 slides
with integrated images and Audience Response Questions. A
separate 1200-illustration Image Collection is featured and,
finally, the ExamView Test Bank has over 1000 multiple-choice
and alternate-format questions with coded answers and rationales.

In Conclusion

31

http://evolve.elsevier.com/Jarvis/

Throughout all stages of manuscript preparation and production, we make every effort to develop a
book that is readable, informative, instructive, and vital. Thank you for your enthusiastic response
to the earlier editions of Physical Examination & Health Assessment. I am grateful for your
encouragement and for your suggestions, which are incorporated wherever possible. Your
comments and suggestions continue to be welcome for this edition.

Carolyn Jarvis c/o Education Content Elsevier 3251 Riverport Lane Maryland Heights, MO 63043

32

Acknowledgments

These 8 …

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