TEST BANK FOR Physical
Examination and Health
Assessment Canadian Edition 3rd
Edition by Carolyn Jarvis all 100%
correct
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:
Objective
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data is what the person says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels
hot. These types of data would be:
Subjective
,Subjective data are what the person says about him or herself during history
taking. Objective data are what the health professional observes by
inspecting, percussing, palpating, and auscultating during the physical
examination. The terms reflective and introspective are not used to describe
data.
3. The patients record, laboratory studies, objective data, and subjective
data combine to form the:
Data Base
Together with the patients record and laboratory studies, the objective and
subjective data form the data base. The other items are not part of the
patients record, laboratory studies, or data.
4. When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to
Validate the data by asking a coworker to listen to the breath sounds.
When unsure of a sound heard while listening to a patients breath sounds,
the nurse validates the data to ensure accuracy. If the nurse has less
experience in an area, then he or she asks an expert to listen.
5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without
a background of skills and experience from which to draw, are more likely to
make their decisions using:
,A set of rules
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
6. Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
Intuition.
Intuition is characterized by pattern recognition expert nurses learn to attend
to a pattern of assessment data and act without consciously labeling it. The
other options are not correct.
“
The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP?
EBP emphasizes the use of best evidence with the clinicians experience.
EBP is a systematic approach to practice that emphasizes the use of best
evidence in combination with the clinicians experience, as well as patient
preferences and values, when making decisions about care and treatment.
EBP is more than simply using the best practice techniques to treat patients,
and questioning tradition is important when no compelling and supportive
research evidence exists.
, The nurse is conducting a class on priority setting for a group of new
graduate nurses. Which is an example of a first-level priority problem?
Individual with shortness of breath and respiratory distress
First-level priority problems are those that are emergent, life threatening,
and immediate (e.g., establishing an airway, supporting breathing,
maintaining circulation, monitoring abnormal vital signs).
“
When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
Abnormal laboratory values
Second-level priority problems are those that require prompt intervention to
forestall further deterioration (e.g., mental status change, acute pain,
abnormal laboratory values, risks to safety or security).
10. Which critical thinking skill helps the nurse see relationships among the
data?
.Clustering related cues
Clustering related cues helps the nurse see relationships among the data.
Examination and Health
Assessment Canadian Edition 3rd
Edition by Carolyn Jarvis all 100%
correct
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:
Objective
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data is what the person says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels
hot. These types of data would be:
Subjective
,Subjective data are what the person says about him or herself during history
taking. Objective data are what the health professional observes by
inspecting, percussing, palpating, and auscultating during the physical
examination. The terms reflective and introspective are not used to describe
data.
3. The patients record, laboratory studies, objective data, and subjective
data combine to form the:
Data Base
Together with the patients record and laboratory studies, the objective and
subjective data form the data base. The other items are not part of the
patients record, laboratory studies, or data.
4. When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to
Validate the data by asking a coworker to listen to the breath sounds.
When unsure of a sound heard while listening to a patients breath sounds,
the nurse validates the data to ensure accuracy. If the nurse has less
experience in an area, then he or she asks an expert to listen.
5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without
a background of skills and experience from which to draw, are more likely to
make their decisions using:
,A set of rules
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
6. Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
Intuition.
Intuition is characterized by pattern recognition expert nurses learn to attend
to a pattern of assessment data and act without consciously labeling it. The
other options are not correct.
“
The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP?
EBP emphasizes the use of best evidence with the clinicians experience.
EBP is a systematic approach to practice that emphasizes the use of best
evidence in combination with the clinicians experience, as well as patient
preferences and values, when making decisions about care and treatment.
EBP is more than simply using the best practice techniques to treat patients,
and questioning tradition is important when no compelling and supportive
research evidence exists.
, The nurse is conducting a class on priority setting for a group of new
graduate nurses. Which is an example of a first-level priority problem?
Individual with shortness of breath and respiratory distress
First-level priority problems are those that are emergent, life threatening,
and immediate (e.g., establishing an airway, supporting breathing,
maintaining circulation, monitoring abnormal vital signs).
“
When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
Abnormal laboratory values
Second-level priority problems are those that require prompt intervention to
forestall further deterioration (e.g., mental status change, acute pain,
abnormal laboratory values, risks to safety or security).
10. Which critical thinking skill helps the nurse see relationships among the
data?
.Clustering related cues
Clustering related cues helps the nurse see relationships among the data.
