Physical Examination and Health Assessment 8th Edition Test Bank | Carolyn Jarvis

, PHYSICALBEXAMINATIONBANDBHEALTHBASSESSMENTB8THBEDITIONBJARVISBTESTBBAN
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TestBBankB-BPhysicalBExaminationBandBHealthBAssessmentB8eB(byBJarvis)


Chapter 01: Evidence-Based Assessment
B B B



MULTIPLEB CHOICE

1. AfterBcompletingBanBinitialBassessmentBofBaBpatient,BtheBnurseBhasBchartedBthatBhisBrespirationsBareBeupneicBan
dBhisB pulseB isB 58B beatsB perB minute.B TheseBtypesBofB dataB wouldB be:


a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:B A

ObjectiveBdataBareBwhatBtheBhealthBprofessionalBobservesBbyBinspecting,Bpercussing,Bpalpating,BandBauscultatingBd
uringBtheBphysicalBexamination.BSubjectiveBdataBisBwhatBtheBpersonBsaysBaboutBhimBorBherselfBduringBhistoryB taki
ng.B TheB termsB reflectiveB andB introspectiveB areB notB usedB toB describeB data.

DIF:B CognitiveB Level:B UnderstandingB (Comprehension)

MSC:BClientBNeeds:B SafeBandB EffectiveB CareBEnvironment:B ManagementB ofBCare

2. ABpatientBtellsBtheBnurseBthatBheBisBveryBn e r v No uUsR, BSisIN
naGuTsB
ea.CteOdM
,BandBfeelsBhot.BTheseBtypesBofBdataBwouldBbe:

a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:B C

SubjectiveBdataBareBwhatBtheBpersonBsaysBaboutBhimBorBherselfBduringBhistoryBtaking.BObjectiveBdataBareBwhatBthe
BhealthB professionalB observesB byB inspecting,B percussing,B palpating,B andB auscultatingB duringB theB physicalBexa

mination.B TheB termsB reflectiveB andB introspectiveB areB notB usedB toB describeB data.

DIF:B CognitiveB Level:B UnderstandingB (Comprehension)

MSC:BClientBNeeds:B SafeBandB EffectiveB CareBEnvironment:B ManagementB ofBCare

3. TheBpatientsBrecord,BlaboratoryBstudies,BobjectiveB data,BandB subjectiveB dataB combineB toB formBthe:


a. DataBbase.


b. AdmittingB data.




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, PHYSICALBEXAMINATIONBANDBHEALTHBASSESSMENTB8THBEDITIONBJARVISBTESTBBAN
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TestBBankB-BPhysicalBExaminationBandBHealthBAssessmentB8eB(byBJarvis)


c. FinancialB statement.


d. DischargeB summary.


ANS:B A

TogetherBwithBtheBpatientsBrecordBandBlaboratoryBstudies,BtheBobjectiveBandBsubjectiveBdataBformBtheBdataBbase
.BTheB otherB itemsB areB notB partB ofB theB patientsB record,B laboratoryB studies,B orB data.

DIF:BCognitiveB Level:B RememberingB (Knowledge)

MSC:BClientBNeeds:B SafeBandB EffectiveB CareBEnvironment:B ManagementB ofBCare

4. WhenBlisteningBtoBaBpatientsBbreathBsounds,BtheBnurseBisBunsureBofBaBsoundBthatBisBheard.BTheBnursesBne
xtBactionBshouldBbeBto:


a. ImmediatelyBnotifyBtheB patientsB physician.


b. DocumentBtheBsoundBexactlyBasBitBwasB heard.


c. ValidateBtheBdataB byBaskingB aB coworkerBtoBlistenBtoBtheB breathB sounds.


d. AssessBagainBinB20BminutesBtoBnoteB whetherB theB soundBisB stillBpresent.

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ANS:B C

WhenBunsureBofBaBsoundBheardBwhileBlisteningBtoBaBpatientsBbreathBsounds,BtheBnurseBvalidatesBtheBdataBtoBensure
Baccuracy.B IfB theB nurseB hasB lessBexperienceB inB anB area,B thenB heB orB sheB asksB anB expertB toB listen.



DIF:BCognitiveB Level:BAnalyzingB (Analysis)

MSC:BClientBNeeds:B SafeBandB EffectiveB CareBEnvironment:B ManagementB ofBCare

5. TheB nurseB isB conductingB aB classB forB newB graduateB nurses.B DuringB theB teachingB session,B theB nurseB shouldB ke
epBinB mindB thatBnoviceB nurses,B withoutBaB backgroundB ofBskillsB andB experienceB fromBwhichB toBdraw,B areB moreB l
ikelyBtoBmakeBtheirBdecisionsBusing:


a. Intuition.


b. ABsetBofBrules.


c. ArticlesBinBjournals.


d. AdviceB fromBsupervisors.


ANS:B B

NoviceBnursesBoperateBfromBaBsetBofBdefined,BstructuredBrules.BTheBexpertBpractitionerBusesBintuitiveBlinks.B

DIF:BCognitiveB Level:BUnderstandingB (Comprehension)




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, PHYSICALBEXAMINATIONBANDBHEALTHBASSESSMENTB8THBEDITIONBJARVISBTESTBBAN
K
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TestBBankB-BPhysicalBExaminationBandBHealthBAssessmentB8eB(byBJarvis)

MSC:B ClientB Needs:B General

6. ExpertBnursesBlearnBtoBattendBtoBaBpatternBofBassessmentBdataBandBactBwithoutBconsciouslyBlabelingBit.BThes
eBresponsesBareBreferredBtoBas:


a. Intuition.


b. TheBnursingB process.


c. ClinicalBknowledge.


d. DiagnosticB reasoning.


ANS:B A

IntuitionBisBcharacterizedBbyBpatternBrecognitionexpertBnursesBlearnBtoBattendBtoBaBpatternBofBassessmentBdataBa
ndBactB withoutB consciouslyB labelingB it.B TheB otherB optionsB areB notB correct.

DIF:BCognitiveBLevel:BUnderstandingB(Comprehension)

B MSC:BClientBNeeds:BGeneral

7. TheBnurseBisBreviewingBinformationBaboutBevidence-
basedBpracticeB(EBP).BWhichBstatementBbestBreflectsBEBP?


a. EBPBreliesBonBtraditionBforBsupportNoUfBR
beSsItNpGrT
acBt.iC
ceOsM
.


b. EBPBisBsimplyB theBuseB ofBbestBpracticeBtechniquesB forB theBtreatmentBofB patients.


c. EBPBemphasizesB theBuseBofBbestB evidenceB withB theB cliniciansB experience.


d. TheBpatientsB ownB preferencesBareB notBimportantBwithB EBP.


ANS:BC

EBPBisBaBsystematicBapproachBtoBpracticeBthatBemphasizesBtheBuseBofBbestBevidenceBinBcombinationBwithBth
eBcliniciansBexperience,BasBwellBasBpatientBpreferencesBandBvalues,BwhenBmakingBdecisionsBaboutBcareBandB
treatment.BEBPBisBmoreBthanBsimplyBusingBtheBbestBpracticeBtechniquesBtoBtreatBpatients,BandBquestioningBtr
aditionB isB importantB whenB noB compellingB andB supportiveB researchB evidenceB exists.

DIF:BCognitiveB Level:BApplyingB (Application)

MSC:BClientBNeeds:B SafeBandB EffectiveB CareBEnvironment:B ManagementB ofBCare

8. TheBnurseBisBconductingBaBclassBonBpriorityBsettingBforBaBgroupBofBnewBgraduateBnurses.BWhichBisBanBexamp
leBofBaBfirst-levelBpriorityBproblem?


a. PatientBwithBpostoperativeBpain


b. NewlyBdiagnosedB patientBwithB diabetesBwhoB needsB diabeticB teaching





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