Test Bank For Physical Examination and Health Assessment, 4th - 2024 All Chapters

Test Bank - g g



Physical Examination and Health Assessment 8e (by Jarvis) 1 -
g g g g g g g g g g



Google Docs
g g




Pharmacologyg(UniversitygofgCaliforniagSangDiego)




Downloadedgbygjohngbalig(

,Studocugisgnotgsponsoredgorgendorsedgbyganygcollegegorguniversity




Downloadedgbygjohngbalig(

,TestgBankg-
gPhysicalgExaminationgandgHealthgAssessmentg8eg(bygJarvis)g1g Chapte
rg01:gEvidence-BasedgAssessment
MULTIPLEgCHOICE
1. Aftergcompletingganginitialgassessmentgofgagpatient,gthegnurseghasgchartedgthatghisgrespirationsgaregeup
neicgandg hisgpulsegisg58gbeatsgpergminute.gThesegtypesgofgdatagwouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
g ANS:gA
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscu
ltatingg duringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgd
uringghistory
taking.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdescribegdata.gDIF:gCognitivegLevel:gUnderstandingg(Compr
ehension)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
2. Agpatientgtellsgthegnursegthatghegisgverygnervous,gisgnauseated,gandgfeelsghot.gThesegtypesgofgdatagwouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
g ANS:gC
Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectivegdatagare
gwhatgtheg healthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggduringgthe
gphysical
examination.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdescribegdata.gDIF:gCognitivegLevel:gUnderstandingg(Comprehe
nsion)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
3. Thegpatientsgrecord,glaboratorygstudies,gobjectivegdata,gandgsubjectivegdatagcombinegtogformgthe:
a. Datagbase.
b. Admittinggdata.
TestgBankg-gPhysicalgExaminationgandgHealthgAssessmentg8eg(bygJarvis)g2
c. Financialgstatement.
d. Dischargegsummary
.g ANS:gA
Togethergwithgthegpatientsgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagformgthegdatagbase.gThegothergitemsgaregnotgpa
rtgofgtheg patientsgrecord,glaboratorygstudies,gorgdata.gDIF:gCognitivegLevel:gRememberingg(Knowledge)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
4. Whenglisteninggtogagpatientsgbreathgsounds,gthegnursegisgunsuregofgagsoundgthatgisgheard.gThegn
ursesgnextg actiongshouldgbegto:
a. Immediatelygnotifygthegpatientsgphysician.
b. Documentgthegsoundgexactlygasgitgwasgheard.
c. Validategthegdatagbygaskinggagcoworkergtoglistengtogthegbreathgsounds.
d. Assessgagainging20gminutesgtognotegwhethergthegsoundgisgstillgp
resent.g ANS:gC
Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatientsgbreathgsounds,gthegnursegvalidatesgthegdatagtogensure
accuracy.gIfgthegnurseghasglessgexperiencegingangarea,gthenghegorgshegasksgangexpertgtoglisten.gDIF:gCognitivegLevel:gAnalyzingg(
Analysis)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
5. Thegnursegisgconductinggagclassgforgnewggraduategnurses.gDuringgthegteachinggsession,gthegnursegsh
ouldgkeepg ingmindgthatgnovicegnurses,gwithoutgagbackgroundgofgskillsgandgexperiencegfromgwhichgtogdra
w,garegmoreglikely
togmakegtheirgdecisionsgusing:
a. Intuition.
b. Agsetgofgrules.
c. Articlesgingjournals.
d. Advicegfromgsupervisors
.g ANS:gB
Novicegnursesgoperategfromgagsetgofgdefined,gstructuredgrules.gThegexpertgpractitionergusesgintuitiveglinks.gDIF:gCognitivegLevel:gUnderstandi
ngg (Comprehension)
TestgBankg-
gPhysicalgExaminationgandgHealthgAssessmentg8eg(bygJarvis)g3g MSC:g
ClientgNeeds:gGeneral
6. Expertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagandgactgwithoutgconsciouslyglabelinggi
t.gTheseg responsesgaregreferredgtogas:
a. Intuition.
b. Thegnursinggprocess.
c. Clinicalgknowledge.
d. Diagnosticgreasoning.
g ANS:gA
Intuitiongisgcharacterizedgbygpatterngrecognitionexpertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagand
actgwithoutgconsciouslyglabelinggit.gThegothergoptionsgaregnotgcorrect.gDIF:gCognitivegLevel:gUnderstandingg(Compre
hension)g MSC:gClientgNeeds:gGeneral
7. Thegnursegisgreviewingginformationgaboutgevidence-
basedgpracticeg(EBP).gWhichgstatementgbestgreflectsg EBP?
a. EBPgreliesgongtraditiongforgsupportgofgbestgpractices.
b. EBPgisgsimplygthegusegofgbestgpracticegtechniquesgforgthegtreatmentgofgpatients.
c. EBPgemphasizesgthegusegofgbestgevidencegwithgthegcliniciansgexperience.
d. Thegpatientsgowngpreferencesgaregnotgimportantgwithg
EBP.g ANS:gC
EBPgisgagsystematicgapproachgtogpracticegthatgemphasizesgthegusegofgbestgevidencegingcombinationgwith
gtheg cliniciansgexperience,gasgwellgasgpatientgpreferencesgandgvalues,gwhengmakinggdecisionsgaboutgcar
egandg treatment.gEBPgisgmoregthangsimplygusinggthegbestgpracticegtechniquesgtogtreatgpatients,gandgqu
estioning
traditiongisgimportantgwhengnogcompellinggandgsupportivegresearchgevidencegexists.gDIF:gCognitivegLevel:gApplyingg(Applica
tion)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
8. Thegnursegisgconductinggagclassgongprioritygsettinggforgaggroupgofgnewggraduategnurses.gWhichgisga
ngexampleg ofgagfirst-levelgprioritygproblem?

Downloadedgbygjohngbalig(
m)

, a. Patientgwithgpostoperativegpain
b. Newlygdiagnosedgpatientg withgdiabetesgwhogneedsgdiabeticgteachin
gg TestgBankg-
gPhysicalgExaminationgandgHealthgAssessmentg8eg(bygJarvis)g4
c. Individualgwithgagsmallglacerationgongthegsolegofgthegfoot
d. Individualgwithgshortnessgofgbreathgandgrespiratorygdistr
essg ANS:gD
First-levelgprioritygproblemsgaregthosegthatgaregemergent,glifegthreatening,gandgimmediateg(e.g.,gestablishinggan
airway,gsupportinggbreathing,gmaintaininggcirculation,gmonitoringgabnormalgvitalgsigns).gDIF:gCognitivegLevel:gUnderstandingg(Comprehe
nsion)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
9. Whengconsideringgprioritygsettinggofgproblems,gthegnursegkeepsgingmindgthatgsecond-
levelgprioritygproblemsg includegwhichgofgthesegaspects?
a. Lowgself-esteem
b. Lackgofgknowledge
c. Abnormalglaboratorygvalues
d. Severelygabnormalgvitalgsig
nsg ANS:gC
Second-
levelgprioritygproblemsgaregthosegthatgrequiregpromptginterventiongtogforestallgfurthergdeteriorationg(e.g.,gmentalgstatusgchange,gacutegpain,g ab
normalglaboratorygvalues,grisksgtogsafetygorgsecurity).gDIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
10. Whichgcriticalgthinkinggskillghelpsgthegnursegseegrelationshipsgamonggthegdata?
a. Validation
b. Clusteringgrelatedgcues
c. Identifyingggapsgingdata
d. Distinguishinggrelevantgfromgirreleva
ntg ANS:gB
Clusteringgrelatedgcuesghelpsgthegnursegseegrelationshipsgamonggthegdata.gDIF:gCognitivegLevel:gUnderstandingg(Compreh
ension)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
TestgBankg-gPhysicalgExaminationgandgHealthgAssessmentg8eg(bygJarvis)g5
11. Thegnursegknowsgthatgdevelopinggappropriategnursingginterventionsgforgagpatientgrelies
gongtheg appropriatenessgofgtheg diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
g ANS:gA
Angaccurategnursinggdiagnosisgprovidesgthegbasisgforgthegselectiongofgnursingginterventionsgtogachievego
utcomesg forgwhichgthegnursegisgaccountable.gThegothergitemsgdognotgcontributegtogthegdevelopmentgofg
appropriategnursingg interventions.gDIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
12. Thegnursinggprocessgisgagsequentialgmethodgofgproblemgsolvinggthatgnursesgusegandgincludesgwhichgsteps?
a. Assessment,gtreatment,gplanning,gevaluation,gdischarge,gandgfollow-up
b. Admission,gassessment,gdiagnosis,g treatment,gandgdischargegplanning
c. Admission,gdiagnosis,gtreatment,gevaluation,gandgdischargegplanning
d. Assessment,gdiagnosis,goutcomegidentification,gplanning,gimplementation,gandgevalua
tiong ANS:gD
Thegnursinggprocessgisgagmethodgofgproblemgsolvinggthatgincludesgassessment,gdiagnosis,goutcomeg id
entification,gplanning,gimplementation,gandgevaluation.gDIF:gCognitivegLevel:gUnderstandingg(Comprehensi
on)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
13. Agnewlygadmittedgpatientgisgingacutegpain,ghasgnotgbeengsleepinggwellglately,gandgisghaving
gdifficultyg breathing.gHowgshouldgthegnursegprioritizegthesegproblems?
a. Breathing,gpain,gandgsleep
b. Breathing,gsleep,gandgpain
c. Sleep,gbreathing,gandgpain
TestgBankg-gPhysicalgExaminationgandgHealthgAssessmentg8eg(bygJarvis)g6
d. Sleep,gpain,gandgbreathi
ngg ANS:gA
First-levelgprioritygproblemsgaregimmediategpriorities,grememberinggthegABCsg(airway,gbreathing,gand
circulation),gfollowedgbygsecond-levelgproblems,gandgthengthird-
levelgproblems.gDIF:gCognitivegLevel:gAnalyzingg(Analysis)g MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironme
nt:gManagementgofgCare
14. Whichgofgthesegwouldgbegformulatedgbygagnursegusinggdiagnosticgreasoning?
a. Nursinggdiagnosis
b. Medicalgdiagnosis
c. Diagnosticghypothesis
d. Diagnosticgassessmen
tg ANS:gC
Diagnosticgreasoninggcallsgforgthegnursegtogformulategagdiagnosticghypothesis;gthegnursinggprocessgcallsgf
orgag nursinggdiagnosis.gDIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gGeneral
15. BarriersgtogincorporatinggEBPginclude:
a. Nursesglackgofgresearchgskillsgingevaluatinggthegqualitygofgresearchgstudies.
b. Lackgofgsignificantgresearchgstudies.
c. Insufficientgclinicalgskillsgofg nurses.
d. Inadequategphysicalgassessmentgskill
s.g ANS:gA
Asgindividuals,gnursesglackgresearchgskillsgingevaluatinggthegqualitygofgresearchgstudies,garegisolatedgfrom
gotherg colleaguesgwhogaregknowledgeablegingresearch,gandgoftenglackgthegtimegtogvisitgtheglibrarygtogrea
dgresearch.gTheg othergresponsesgaregnotgconsideredgbarriers.gDIF:gCognitivegLevel:gUnderstandingg(Com
prehension)
MSC:gClientgNeeds:gGeneral
16. Whatgstepgofgthegnursinggprocessgincludesgdatagcollectiongbyghealthghistory,gphysicalgexaminati
on,gandg interview?




Downloadedgbygjohngbalig(
m)