nursing nursing nursing
TestBankforPhysicalExaminationandHealthAssessment T
9thEditionbyCarolynJarvis,Ann
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 2
nursing nursing nursing
Chapter 01: Evidence-Based Assessment T T T
MULTIPLE CHOICE T
After\ completing an initial assessment of a patient, the nurse has charted that\ his respirations are\ eupneic andh is
T T T T T T T T T T T T T T T T T T T
pulse is 58 beats per\ minute. These\ types of data would be:
T T T T T T T T T T T
Ob\ ective. T
Reflective.
Sub\ ective. T
Introspective.
ANS: A T
Ob\ ective data are what\ the health professional observes by inspecting, percussing, palpating, and\ auscultating dur
T T T T T T T T T T T T T T T T
ing\ the physical examination. Sub\ ective data\ is what the\ person\ says\ about him or herself during history taking. T
T T T T T T T T T T T T T T T T T T T T
h e terms reflective and introspective\ are not\ used to describe data.
T T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
A patient\ tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would\ be:
T T T T T T T T T T T T T T T T T T T T
.COM
Ob\ ective. T
Reflective.
Sub\ ective. T
Introspective.
ANS: C T
Sub\ ective data are\ what the person says\ about him or herself during history taking. Ob\ ective\ data are what theh ea
T T T T T T T T T T T T T T T T T T T T T T
lth professional observes by inspecting, percussing, palpating, and auscultating\ during the physical examination . T
T T T T T T T T T T T T T T T
he terms reflective and introspective are\ not used to describe data.
T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
The\ patients record, laboratory studies, ob\ ective\ data, and sub\ ective data combine to form the:
T T T T T T T T T T T T T T T T
Data base. T
Admitting data. T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 3
nursing nursing nursing
Financial statement. T T
Discharge summary. T
ANS: A T
Together with the\ patients record and laboratory studies, the\ ob\ ective and sub\ ective data form the data\ base.Th\ e
T T T T T T T T T T T T T T T T T T T T
other items are not\ part of the patients record, laboratory studies, or data.
T T T T T T T T T T T T
DIF: Cognitive Level: Remembering\ (Knowledge)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
When listening to a patients breath\ sounds, the nurse is unsure of a sound that is heard. The nurses nexta\ ct ion\
T T T T T T T T T T T T T T T T T T T T T T
should\ be\ to: T T
Immediately notify the patients\ physician. T T T T T
Document the\ sound exactly as it\ was heard. T T T T T T T
Validate the\ data by asking\ a coworker to listen\ to the\ breath
T T T T T T T T T T T T
sounds. Assess again\ in\ 20 minutes to note whether the sound is still
T T T T T T T T T T T T T
present.
ANS: C T
When unsure of a\ sound\ heard while listening to a patients breath sounds, the nurse validates the data\ to\ ensureaccurac y.
T T T T T T T T T T T T T T T T T T T T T
If the nurse\ has less experience\ in an\ area, then he\ or she asks an expert to listen.
T T T T T T T T T T T T T T T T T
DIF: Cognitive Level: Analyzing (Analysis)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
The nurse is conducting\ a class\ for new graduate nurses. During\ the teaching session, the\ nurse should keep in mi
T T T T T T T T T T T T T T T T T T T T
nd that novice nurses,\ without\ a background of skills\ and experience from\ which to draw, are\ more likelyto m ake
T T T T T T T T T T T T T T T T T T T T
th eir decisions using:
T T T
Intuition.
A set of rules.
T T T T
Articles in \ ournals. T TT
Advice from\ supervisors. T T
ANS: B T
Novice\ nurses operate from\ a set of defined, structured rules. The expert practitioner uses intuitive links.DIF:
T T T T T T T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 4
Cognitive\ Level: Understanding (Comprehension) T T T
nursing nursing nursing
MSC: Client Needs: General
T T T
The nurse is reviewing information about evidence-
T T T T T T T
based practice (EBP). Which statement best reflectsEBP?
T T T T T T
EBP relies on\ tradition for supportNoUfRbeSsINtpGrTacBt.iCceOsM.
T T T T T
EBP is simply the\ use\ of best practice techniques for\ the treatment\ of
T T T T T T T T T T T T T
patients. EBP emphasizes the\ use\ of best evidence with the\ clinicians
T T T T T T T T T T T
experience.
The\ patients own preferences\ are not important with EBP.
T T T T T T T T
ANS: C T
EBP is a systematic approach to practice that emphasizes the use of best evidence\ in combination with the\ cli
T T T T T T T T T T T T T T T T T T T
nicians experience, as well\ as patient preferences and values, when\ making decisions about care and treatme
T T T T T T T T T T T T T T T T
nt. EBP is more\ than\ simply using the best\ practice techniques to treat\ patients, and\ questioning tradition is
T T T T T T T T T T T T T T T T T T
i mportant when\ no compelling and\ supportive research evidence exists.
T T T T T T T T T
DIF: Cognitive Level: Applying (Application)
T T T T
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T
Expert nurses learn to attend\ to a pattern of assessment\ data and act\ without\ consciously labeling\ it. Theser e
T T T T T T T T T T T T T T T T T T T
sponses are\ referred to as: T T T T
Intuition.
The\ nursing process. T T
Clinical knowledge. T
Diagnostic\ reasoning. T
ANS: A T
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data andac t
T T T T T T T T T T T T T T T T T T
without consciously\ labeling\ it. The other options\ are not correct.
T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General
T T T
The nurse is conducting\ a class\ on priority setting for a group of new graduate nurses. Which is an exampleo f a
T T T T T T T T T T T T T T T T T T T T T T
first-level priority problem? T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 5
Patient\ with postoperative pain T T T
Newly diagnosed patient with diabetes who needs diabetic teaching
T T T T T T T T
nursing nursing nursing
Individual with a small laceration on the sole\ of the foot
T T T T T T T T T T T
Individual with shortness of breath and respiratory distress
T T T T T T T
ANS: D T
First-
level priority problems are those that\ are emergent, life threatening, and immediate (e.g., establishing\ anairway, s u
T T T T T T T T T T T T T T T T T
pporting breathing, maintaining circulation, monitoring abnormal vital signs).
T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T T
When considering priority setting of problems, the nurse keeps in mind\ that\ second-
T T T T T T T T T T T T
level priority problemsinclude which\ of these aspects?
T T T T T T
Low self-esteem
T T
Lack of knowledge
T T
Abnormal laboratory values Severely\T T T T
abnormal vital signs T T
ANS: C T NURSINGTB.COM
Second-
level priority problems are those that require prompt intervention to forestall\ further\ deterioration (e.g.,mental st at
T T T T T T T T T T T T T T T T
us\ change, acute pain, abnormal laboratory values, risks to safety\ or\ security).
T T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
10. Which critical thinking skill helps the nurse see relationships among the data?
T T T T T T T T T T T
Validation
Clustering related cues T T T
Identifying\ gaps in data T T T
Distinguishing relevant\ from irrelevant T T T
ANS: B T
Clustering related cues helps the nurse see relationships\ among the data.D
T T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 6
IF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 7
nursing nursing nursing
11. The nurse knows that\ developing appropriate nursing interventions for a\ patient relies on thea
T T T T T T T T T T T T T T
ppropriateness of the diagnosis.
T T T
Nursing T
Medical T
Admission T
Collaborative
ANS: A T
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for w
T T T T T T T T T T T T T T T T T T
hich the nurse is\ accountable. The other items do not\ contribute to the development of appropriate nursing interve nti
T T T T T T T T T T T T T T T T T T T
ons.
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
12. The\ nursing process is a sequential method of problem\ solving that nurses use and includes which steps?
T T T T T T T T T T T T T T T T
Assessment, treatment, planning, evaluation, discharge, and follow-up
T T T T T T T
Admission, assessment, diagnosis, treatment, and discharge planning
T T T T T T T
Admission, diagnosis, treatment, evaluation, and discharge\ planning
T T T T T T
Assessment, diagnosis, outcome\ identification, planning, implementation, and evaluation
T T T T T T T
ANS: D T
The\ nursing process is a method of problem solving that\ includes\ assessment, diagnosis, outcomeidentification, pla\
T T T T T T T T T T T T T T T
Tnning, implementation, and evaluation.
T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
A newly admitted patient is\ in acute pain, has\ not been sleeping well lately, and is\ having difficultyb r
T T T T T T T T T T T T T T T T T T T
eathing. How should the nurse prioritize these problems?
T T T T T T T
Breathing, pain, and sleep T T T T
Breathing, sleep, and pain T T T T
Sleep, breathing, and\ pain T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 8
nursing nursing nursing
Sleep, pain, and breathing
T T T
ANS: A T
First-
level priority problems are immediate priorities, remembering\ the ABCs (airway, breathing, andcirculation), foll o
T T T T T T T T T T T T T T
wed\ by second-level problems, and then third-level problems.
T T T T T T T
DIF: Cognitive Level: Analyzing (Analysis)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
14. Which of these would be\ formulated by a nurse using diagnostic reasoning?
T T T T T T T T T T T
Nursing diagnosis T T
Medical diagnosis T T
Diagnostic\ hypothesis T T
Diagnostic\ assessment T
ANS: C T
Diagnostic reasoning\ calls\ for the\ nurse to formulate a diagnostic hypothesis; the nursing process\ calls\ for anursi
T T T T T T T T T T T T T T T T T
n g diagnosis.
T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General
T T T
15. Barriers to incorporating EBP include:
T T T T
Nurses lack of research skills in\ evaluating the quality of research studies.
T T T T T T T T T T T T
Lack of significant research studies.
T T T T
Insufficient clinical skills of nurses. T T T T T
Inadequate physical assessment skills. T T T
ANS: A T
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated from other coll
T T T T T T T T T T T T T T T T T T
eagues who are\ knowledgeable in research, and often lack the\ time to visit\ the library to read research. The other r e
T T T T T T T T T T T T T T T T T T T T T T
sponses are\ not considered barriers.
T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General
T T T
What step of the nursing process includes data collection by health history, physical examination, andi n terview?
T T T T T T T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 9
nursing nursing nursing
Planning T
Diagnosis T
Evaluation T
Assessment
ANS: D T
Data collection, including\ performing\ the health history, physical examination, and\ interview, is\ the assessmenst
T T T T T T T T T T T T T T
e p of the nursing process.
T T T T T
DIF: Cognitive Level: Remembering\ (Knowledge)
T T T T T
MSC: Client Needs: General
T T T
During a staff meeting, nurses discuss the\ problems with accessing\ research studies to\ incorporate evi den
T T T T T T T T T T T T T T T
ce-
based clinical decision making into\ their practice. Which\ suggestion\ by the\ nurse manager\ wouldbest\ help\
T T T T T T T T T T T T T T T
t\ h ese\ problems?
T T T
Form a committee to conduct research studies.
T T T T T T
Post published research studies onNthUeRuSnINitsGbTuBll.eCtOinMboards.
T T T T T
Encourage the nurses\ to visit\ the\ library to review studies.
T T T T T T T T T
Teach the\ nurses how to conduct\ electronic searches for research\ studies.
T T T T T T T T T T
ANS: D T
Facilitating support for\ EBP would include teaching\ the nurses how to conduct electronic\ searches; time\ tov isit\ th
T T T T T T T T T T T T T T T T T T
e library may not be available for many nurses. Actually conducting\ research\ studies\ may be helpful in the l ong-
T T T T T T T T T T T T T T T T T T T T
run but\ not an immediate solution to reviewing existing research.
T T T T T T T T T
DIF: Cognitive Level: Applying (Application)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
When\ reviewing the concepts of health, the\ nurse recalls that\ the components of holistic health include
T T T T T T T T T T T T T T T T
which of these? T T
Disease originates from\ the external environment.
T T T T T T
The\ individual human is a closed system.
T T T T T T
Nurses are responsible for a patients health state.
T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 10
nursing nursing nursing
Holistic health views the mind, body, and spirit as interdependent.
T T T T T T T T T
ANS: D T
Consideration of the\ whole person is the essence of holistic health, which views the\ mind, body, and spirit as inte r
T T T T T T T T T T T T T T T T T T T T T
dependent. The basis of disease originates\ from both the external environment and from\ within the person.Both the
T T T T T T T T T T T T T T T T T
individual human and the external environment are\ open systems, continually changing and adapting, and\ ea ch pe
T T T T T T T T T T T T T T T T T
rson is responsible for his or her\ own personal health\ state.
T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
19. The\ nurse recognizes that the\ concept of prevention in describing\ health is essential because:
T T T T T T T T T T T T T T
Disease can be prevented\ by treating the external environment.
T T T T T T T T
The\ ma\ ority of deaths among Americans under\ age 65 years are not preventable.
T T T T T T T T T T T T T T
Prevention places the\ emphasis\ on the link between health and personal behavior. The\
T T T T T T T T T T T T T
means to prevention is through treatment\ provided\ by primary health care practitioners.
T T T T T T T T T T T
ANS: C T
N U R T T T I N G T B. C O
T T T T T T T T M
S
A natural progression to prevention rounds ou tt h e p r e se n t c o
T T T T T T T T T T T T T T T T T T T T T T T T T T nc ept of health. Guidelin
T T T
es to prevention place the\ emphasis on the link\ between health and personal\
T T T T T T T T T T T T T
behavior. DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General T T T
The nurse\ is performing a physical assessment\ on a\ newly admitted patient. An example\ of ob\ ectivei
T T T T T T T T T T T T T T T T T
n formation\ obtained during the physical assessment\ includes the:
T T T T T T T T
Patients history of allergies. T T T T
Patients use of medications\ at home.
T T T T T T
Last menstrual period 1 month ago.
T T T T T
2 5 cm scar on the right lower forearm.
T T T T T T T T
ANS: D T
Ob\ ective data\ are the patients\ record, laboratory studies, and condition that\ the health professional observes by insp\
T T T T T T T T T T T T T T T T T T
T ecting, percussing, palpating,\ and auscultating during the\ physical examination. The other responses\ reflect\ sub\
T T T T T T T T T T T T T T
ecti ve data.
T T
DIF: Cognitive Level: Applying (Application)
T T T T
nursing nursing nursing
TestBankforPhysicalExaminationandHealthAssessment T
9thEditionbyCarolynJarvis,Ann
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 2
nursing nursing nursing
Chapter 01: Evidence-Based Assessment T T T
MULTIPLE CHOICE T
After\ completing an initial assessment of a patient, the nurse has charted that\ his respirations are\ eupneic andh is
T T T T T T T T T T T T T T T T T T T
pulse is 58 beats per\ minute. These\ types of data would be:
T T T T T T T T T T T
Ob\ ective. T
Reflective.
Sub\ ective. T
Introspective.
ANS: A T
Ob\ ective data are what\ the health professional observes by inspecting, percussing, palpating, and\ auscultating dur
T T T T T T T T T T T T T T T T
ing\ the physical examination. Sub\ ective data\ is what the\ person\ says\ about him or herself during history taking. T
T T T T T T T T T T T T T T T T T T T T
h e terms reflective and introspective\ are not\ used to describe data.
T T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
A patient\ tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would\ be:
T T T T T T T T T T T T T T T T T T T T
.COM
Ob\ ective. T
Reflective.
Sub\ ective. T
Introspective.
ANS: C T
Sub\ ective data are\ what the person says\ about him or herself during history taking. Ob\ ective\ data are what theh ea
T T T T T T T T T T T T T T T T T T T T T T
lth professional observes by inspecting, percussing, palpating, and auscultating\ during the physical examination . T
T T T T T T T T T T T T T T T
he terms reflective and introspective are\ not used to describe data.
T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
The\ patients record, laboratory studies, ob\ ective\ data, and sub\ ective data combine to form the:
T T T T T T T T T T T T T T T T
Data base. T
Admitting data. T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 3
nursing nursing nursing
Financial statement. T T
Discharge summary. T
ANS: A T
Together with the\ patients record and laboratory studies, the\ ob\ ective and sub\ ective data form the data\ base.Th\ e
T T T T T T T T T T T T T T T T T T T T
other items are not\ part of the patients record, laboratory studies, or data.
T T T T T T T T T T T T
DIF: Cognitive Level: Remembering\ (Knowledge)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
When listening to a patients breath\ sounds, the nurse is unsure of a sound that is heard. The nurses nexta\ ct ion\
T T T T T T T T T T T T T T T T T T T T T T
should\ be\ to: T T
Immediately notify the patients\ physician. T T T T T
Document the\ sound exactly as it\ was heard. T T T T T T T
Validate the\ data by asking\ a coworker to listen\ to the\ breath
T T T T T T T T T T T T
sounds. Assess again\ in\ 20 minutes to note whether the sound is still
T T T T T T T T T T T T T
present.
ANS: C T
When unsure of a\ sound\ heard while listening to a patients breath sounds, the nurse validates the data\ to\ ensureaccurac y.
T T T T T T T T T T T T T T T T T T T T T
If the nurse\ has less experience\ in an\ area, then he\ or she asks an expert to listen.
T T T T T T T T T T T T T T T T T
DIF: Cognitive Level: Analyzing (Analysis)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
The nurse is conducting\ a class\ for new graduate nurses. During\ the teaching session, the\ nurse should keep in mi
T T T T T T T T T T T T T T T T T T T T
nd that novice nurses,\ without\ a background of skills\ and experience from\ which to draw, are\ more likelyto m ake
T T T T T T T T T T T T T T T T T T T T
th eir decisions using:
T T T
Intuition.
A set of rules.
T T T T
Articles in \ ournals. T TT
Advice from\ supervisors. T T
ANS: B T
Novice\ nurses operate from\ a set of defined, structured rules. The expert practitioner uses intuitive links.DIF:
T T T T T T T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 4
Cognitive\ Level: Understanding (Comprehension) T T T
nursing nursing nursing
MSC: Client Needs: General
T T T
The nurse is reviewing information about evidence-
T T T T T T T
based practice (EBP). Which statement best reflectsEBP?
T T T T T T
EBP relies on\ tradition for supportNoUfRbeSsINtpGrTacBt.iCceOsM.
T T T T T
EBP is simply the\ use\ of best practice techniques for\ the treatment\ of
T T T T T T T T T T T T T
patients. EBP emphasizes the\ use\ of best evidence with the\ clinicians
T T T T T T T T T T T
experience.
The\ patients own preferences\ are not important with EBP.
T T T T T T T T
ANS: C T
EBP is a systematic approach to practice that emphasizes the use of best evidence\ in combination with the\ cli
T T T T T T T T T T T T T T T T T T T
nicians experience, as well\ as patient preferences and values, when\ making decisions about care and treatme
T T T T T T T T T T T T T T T T
nt. EBP is more\ than\ simply using the best\ practice techniques to treat\ patients, and\ questioning tradition is
T T T T T T T T T T T T T T T T T T
i mportant when\ no compelling and\ supportive research evidence exists.
T T T T T T T T T
DIF: Cognitive Level: Applying (Application)
T T T T
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
T T T T T T T T T T
Expert nurses learn to attend\ to a pattern of assessment\ data and act\ without\ consciously labeling\ it. Theser e
T T T T T T T T T T T T T T T T T T T
sponses are\ referred to as: T T T T
Intuition.
The\ nursing process. T T
Clinical knowledge. T
Diagnostic\ reasoning. T
ANS: A T
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data andac t
T T T T T T T T T T T T T T T T T T
without consciously\ labeling\ it. The other options\ are not correct.
T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General
T T T
The nurse is conducting\ a class\ on priority setting for a group of new graduate nurses. Which is an exampleo f a
T T T T T T T T T T T T T T T T T T T T T T
first-level priority problem? T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 5
Patient\ with postoperative pain T T T
Newly diagnosed patient with diabetes who needs diabetic teaching
T T T T T T T T
nursing nursing nursing
Individual with a small laceration on the sole\ of the foot
T T T T T T T T T T T
Individual with shortness of breath and respiratory distress
T T T T T T T
ANS: D T
First-
level priority problems are those that\ are emergent, life threatening, and immediate (e.g., establishing\ anairway, s u
T T T T T T T T T T T T T T T T T
pporting breathing, maintaining circulation, monitoring abnormal vital signs).
T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T T
When considering priority setting of problems, the nurse keeps in mind\ that\ second-
T T T T T T T T T T T T
level priority problemsinclude which\ of these aspects?
T T T T T T
Low self-esteem
T T
Lack of knowledge
T T
Abnormal laboratory values Severely\T T T T
abnormal vital signs T T
ANS: C T NURSINGTB.COM
Second-
level priority problems are those that require prompt intervention to forestall\ further\ deterioration (e.g.,mental st at
T T T T T T T T T T T T T T T T
us\ change, acute pain, abnormal laboratory values, risks to safety\ or\ security).
T T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
10. Which critical thinking skill helps the nurse see relationships among the data?
T T T T T T T T T T T
Validation
Clustering related cues T T T
Identifying\ gaps in data T T T
Distinguishing relevant\ from irrelevant T T T
ANS: B T
Clustering related cues helps the nurse see relationships\ among the data.D
T T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 6
IF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 7
nursing nursing nursing
11. The nurse knows that\ developing appropriate nursing interventions for a\ patient relies on thea
T T T T T T T T T T T T T T
ppropriateness of the diagnosis.
T T T
Nursing T
Medical T
Admission T
Collaborative
ANS: A T
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for w
T T T T T T T T T T T T T T T T T T
hich the nurse is\ accountable. The other items do not\ contribute to the development of appropriate nursing interve nti
T T T T T T T T T T T T T T T T T T T
ons.
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
12. The\ nursing process is a sequential method of problem\ solving that nurses use and includes which steps?
T T T T T T T T T T T T T T T T
Assessment, treatment, planning, evaluation, discharge, and follow-up
T T T T T T T
Admission, assessment, diagnosis, treatment, and discharge planning
T T T T T T T
Admission, diagnosis, treatment, evaluation, and discharge\ planning
T T T T T T
Assessment, diagnosis, outcome\ identification, planning, implementation, and evaluation
T T T T T T T
ANS: D T
The\ nursing process is a method of problem solving that\ includes\ assessment, diagnosis, outcomeidentification, pla\
T T T T T T T T T T T T T T T
Tnning, implementation, and evaluation.
T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
A newly admitted patient is\ in acute pain, has\ not been sleeping well lately, and is\ having difficultyb r
T T T T T T T T T T T T T T T T T T T
eathing. How should the nurse prioritize these problems?
T T T T T T T
Breathing, pain, and sleep T T T T
Breathing, sleep, and pain T T T T
Sleep, breathing, and\ pain T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 8
nursing nursing nursing
Sleep, pain, and breathing
T T T
ANS: A T
First-
level priority problems are immediate priorities, remembering\ the ABCs (airway, breathing, andcirculation), foll o
T T T T T T T T T T T T T T
wed\ by second-level problems, and then third-level problems.
T T T T T T T
DIF: Cognitive Level: Analyzing (Analysis)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
14. Which of these would be\ formulated by a nurse using diagnostic reasoning?
T T T T T T T T T T T
Nursing diagnosis T T
Medical diagnosis T T
Diagnostic\ hypothesis T T
Diagnostic\ assessment T
ANS: C T
Diagnostic reasoning\ calls\ for the\ nurse to formulate a diagnostic hypothesis; the nursing process\ calls\ for anursi
T T T T T T T T T T T T T T T T T
n g diagnosis.
T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General
T T T
15. Barriers to incorporating EBP include:
T T T T
Nurses lack of research skills in\ evaluating the quality of research studies.
T T T T T T T T T T T T
Lack of significant research studies.
T T T T
Insufficient clinical skills of nurses. T T T T T
Inadequate physical assessment skills. T T T
ANS: A T
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated from other coll
T T T T T T T T T T T T T T T T T T
eagues who are\ knowledgeable in research, and often lack the\ time to visit\ the library to read research. The other r e
T T T T T T T T T T T T T T T T T T T T T T
sponses are\ not considered barriers.
T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General
T T T
What step of the nursing process includes data collection by health history, physical examination, andi n terview?
T T T T T T T T T T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 9
nursing nursing nursing
Planning T
Diagnosis T
Evaluation T
Assessment
ANS: D T
Data collection, including\ performing\ the health history, physical examination, and\ interview, is\ the assessmenst
T T T T T T T T T T T T T T
e p of the nursing process.
T T T T T
DIF: Cognitive Level: Remembering\ (Knowledge)
T T T T T
MSC: Client Needs: General
T T T
During a staff meeting, nurses discuss the\ problems with accessing\ research studies to\ incorporate evi den
T T T T T T T T T T T T T T T
ce-
based clinical decision making into\ their practice. Which\ suggestion\ by the\ nurse manager\ wouldbest\ help\
T T T T T T T T T T T T T T T
t\ h ese\ problems?
T T T
Form a committee to conduct research studies.
T T T T T T
Post published research studies onNthUeRuSnINitsGbTuBll.eCtOinMboards.
T T T T T
Encourage the nurses\ to visit\ the\ library to review studies.
T T T T T T T T T
Teach the\ nurses how to conduct\ electronic searches for research\ studies.
T T T T T T T T T T
ANS: D T
Facilitating support for\ EBP would include teaching\ the nurses how to conduct electronic\ searches; time\ tov isit\ th
T T T T T T T T T T T T T T T T T T
e library may not be available for many nurses. Actually conducting\ research\ studies\ may be helpful in the l ong-
T T T T T T T T T T T T T T T T T T T T
run but\ not an immediate solution to reviewing existing research.
T T T T T T T T T
DIF: Cognitive Level: Applying (Application)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
T T T T T T T T T T
When\ reviewing the concepts of health, the\ nurse recalls that\ the components of holistic health include
T T T T T T T T T T T T T T T T
which of these? T T
Disease originates from\ the external environment.
T T T T T T
The\ individual human is a closed system.
T T T T T T
Nurses are responsible for a patients health state.
T T T T T T T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 10
nursing nursing nursing
Holistic health views the mind, body, and spirit as interdependent.
T T T T T T T T T
ANS: D T
Consideration of the\ whole person is the essence of holistic health, which views the\ mind, body, and spirit as inte r
T T T T T T T T T T T T T T T T T T T T T
dependent. The basis of disease originates\ from both the external environment and from\ within the person.Both the
T T T T T T T T T T T T T T T T T
individual human and the external environment are\ open systems, continually changing and adapting, and\ ea ch pe
T T T T T T T T T T T T T T T T T
rson is responsible for his or her\ own personal health\ state.
T T T T T T T T T T
DIF: Cognitive Level: Understanding (Comprehension)
T T T T
MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
T T T T T T T T T T
19. The\ nurse recognizes that the\ concept of prevention in describing\ health is essential because:
T T T T T T T T T T T T T T
Disease can be prevented\ by treating the external environment.
T T T T T T T T
The\ ma\ ority of deaths among Americans under\ age 65 years are not preventable.
T T T T T T T T T T T T T T
Prevention places the\ emphasis\ on the link between health and personal behavior. The\
T T T T T T T T T T T T T
means to prevention is through treatment\ provided\ by primary health care practitioners.
T T T T T T T T T T T
ANS: C T
N U R T T T I N G T B. C O
T T T T T T T T M
S
A natural progression to prevention rounds ou tt h e p r e se n t c o
T T T T T T T T T T T T T T T T T T T T T T T T T T nc ept of health. Guidelin
T T T
es to prevention place the\ emphasis on the link\ between health and personal\
T T T T T T T T T T T T T
behavior. DIF: Cognitive Level: Understanding (Comprehension)
T T T T T
MSC: Client Needs: General T T T
The nurse\ is performing a physical assessment\ on a\ newly admitted patient. An example\ of ob\ ectivei
T T T T T T T T T T T T T T T T T
n formation\ obtained during the physical assessment\ includes the:
T T T T T T T T
Patients history of allergies. T T T T
Patients use of medications\ at home.
T T T T T T
Last menstrual period 1 month ago.
T T T T T
2 5 cm scar on the right lower forearm.
T T T T T T T T
ANS: D T
Ob\ ective data\ are the patients\ record, laboratory studies, and condition that\ the health professional observes by insp\
T T T T T T T T T T T T T T T T T T
T ecting, percussing, palpating,\ and auscultating during the\ physical examination. The other responses\ reflect\ sub\
T T T T T T T T T T T T T T
ecti ve data.
T T
DIF: Cognitive Level: Applying (Application)
T T T T
nursing nursing nursing
