Test Bank For Physical Examination and Health Assessment 9th Edition By Carolyn Jarvis, Ann L. Eckhardt Isbn- 9780323809849 All Chapters

Test Bank For
Physical Examination and Health Assessment 9th Edition By Carolyn
Jarvis, Ann L. Eckhardt Isbn- 9780323809849 All Chapters

, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANḲ
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< 2


Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE

1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
his pulse is 58 beats per minute. These types of data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: A

Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating dur
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ing the physical examination. Subjective data is what the person says about him or herself during history taking. T
he terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is n a use a. Ct eOd M
< < , a nd feels hot. These types of data would be:
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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 h
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ealth professional observes by inspecting, percussing, palpating, and auscultating during the physical examination
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. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base.
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b. Admitting data.

, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANḲ
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement.


d. Discharge summary.


ANS: A

Together with the patients record and laboratory studies, the objective and subjective data form the data base.Th
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e other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses nexta
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ction should be to:


a. Immediately notify the patients physician.
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b. Document the sound exactly as it was heard.
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c. Validate the data by asking a coworker to listen to the breath sounds.
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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 ensureaccurac
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y. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in
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mind that novice nurses, without a background of skills and experience from which to draw, are more likelyto m
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ake their decisions using:


a. Intuition.


b. A set of rules.


c. Articles in journals.


d. Advice from supervisors.


ANS: B

Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.DIF:
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Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANḲ
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< 4


MSC: Client Needs: General
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6. The nurse is reviewing information about evidence-
based practice (EBP). Which statement best reflectsEBP? <




a. EBP relies on tradition for supportNoUf RbeSsItN pGrTa cBt .iCc eOsM
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b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience. <




d. The patients own preferences are not important with EBP.
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ANS: C

EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the cli
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nicians experience, as well as patient preferences and values, when making decisions about care and treatme
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nt. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is i
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mportant when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Theser
esponses are referred to as:


a. Intuition.


b. The nursing process.


c. Clinical knowledge.


d. Diagnostic reasoning.


ANS: A

Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data andac
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t without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: General



8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exampleo
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f a first-level priority problem?


a. Patient with postoperative pain
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b. Newly diagnosed patient with diabetes who needs diabetic teaching
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