TEST BANK FOR JAVIS PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION BY Carolyn Jarvis ISBN 978-0323510806 ,COMPLETE GUIDE, 100% VERIFIED, A+ GRADE ASSURED !!!!LATEST UPDATE !!!!!

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on, Carolyn Jarvi
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s, ISBN: 9780323
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Chapter 01: Evidence-Based Assessment j j j




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1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pu
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lse 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 j




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
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the physical examination. Subjective data is what the person says about him or herself during historytaking. The t
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erms 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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2. A patient tells the nurse that he is very nervN
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j teOd,Mand feels hot. These types of data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:C j




Subjective data are what the person says about him or herself during history taking. Objective data are what the health p
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rofessional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The te
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rms 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. j




b. Admittingdata. j




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c. Financial statement. j




d. Discharge summary. j




ANS:A j




Together with the patients record and laboratory studies, the objective and subjective data form the data base. The oth
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er 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 next action
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should be to: j j




a. Immediately notify the patients physician. j j j j




b. Document the sound exactly as it was heard. j j j j j j j




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.
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ANS:C j




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accura
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cy. 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)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conductinga class for new graduate nurses. Duringthe teaching session, the nurse should keep in min
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d that novice nurses, without a background of skills and experience from which to draw, are more likely to make their
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decisions using:
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a. Intuition.


b. Aset of rules.
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c. Articles in journals. j j




d. Advice from supervisors. j j




ANS:B j




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF: Cog
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nitive Level: Understanding (Comprehension)
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