TEST BANK Physical Examination & Health Assessment 9th Edition by Carolyn Jarvis| All Chapters Covered| Test Bank 100% Verified Answers

,Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE

1. Afterjcompletingjanjinitialjassessmentjofjajpatient,jthejnursejhasjchartedjthatjhisjrespirationsjarejeupneicjandjhisj p
ulsej isj 58j beatsj perj minute.j Thesej typesj ofj dataj wouldbe:


a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:j A

Objectivejdatajarejwhatjthejhealthjprofessionaljobservesjbyjinspecting,jpercussing,jpalpating,jandjauscultatingjduring
jthejphysicaljexamination.jSubjectivejdatajisjwhatjthejpersonjsaysjaboutjhimjorjherselfjduringjhistoryjtaking.j Thej ter

msj reflectivej andj introspectivej arej notj usedj toj describej data.

DIF:j Cognitivej Level:j Understandingj (Comprehension)

MSC:jClientj Needs:j Safej andj Effectivej Carej Environment:j Managementj ofj Care

2. Ajpatientjtellsjthejnursejthatjhejisj veryjnervous,jisjnauseated,j andjfeelsj hot.jThesejtypesj ofj datajwouldjbe:


a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:j C

Subjectivejdatajarejwhatjthejpersonjsaysjaboutjhimjorjherselfjduringjhistoryjtaking.jObjectivejdatajarejwhatjthejhealt
hj professionalj observesj byj inspecting,j percussing,j palpating,j andj auscultatingj duringj thej physicaljexaminatio
n.j Thej termsj reflectivej andj introspectivej arej notj usedjtoj describej data.

DIF:j Cognitivej Level:j Understandingj (Comprehension)

MSC:jClientj Needs:j Safej andj Effectivej Carej Environment:j Managementj ofj Care

3. Thej patientsj record,j laboratoryj studies,j objectivej data,j andjsubjectivej dataj combinej tojformjthe:


a. Datajbase.


b. Admittingj data.

,c. Financialj statement.


d. Dischargej summary.


ANS:j A

Togetherjwithjthejpatientsjrecordjandjlaboratoryjstudies,jthejobjectivejandjsubjectivejdatajformjthejdatajbase.jThej ot
herj itemsj arej notj partj ofj thej patientsj record,j laboratoryj studies,j orj data.

DIF:j Cognitivej Level:j Rememberingj (Knowledge)

MSC:jClientj Needs:j Safej andj Effectivej Carej Environment:j Managementj ofj Care

4. Whenjlisteningjtojajpatientsjbreathjsounds,jthejnursejisjunsurejofjajsoundjthatjisjheard.jThejnursesjnextjactio
njshouldjbejto:


a. Immediatelyj notifyj thej patientsj physician.


b. Documentj thej soundjexactlyj asj itj wasjheard.


c. Validatejthejdataj byjaskingjajcoworkerjtojlistenjtojthejbreathjsounds.


d. Assessjagainjinj20jminutesjtojnotejwhetherjthejsoundjisjstilljpresent.


ANS:j C

Whenjunsurejofjajsoundjheardjwhilejlisteningjtojajpatientsjbreathjsounds,jthejnursejvalidatesjthejdatajtojensurejaccur
acy.j Ifj thej nursej hasj lessjexperiencej inj anj area,j thenj hej orj shej asksj anj expertj toj listen.

DIF:j Cognitivej Level:j Analyzingj (Analysis)

MSC:jClientj Needs:j Safej andj Effectivej Carej Environment:j Managementj ofj Care

5. Thejnursejisjconductingj ajclassjforjnewj graduatejnurses.j Duringjthejteachingjsession,jthejnursejshouldj keepj inj mi
ndj thatj novicejnurses,j withoutj aj backgroundj ofjskillsj andjexperiencej fromjwhichj tojdraw,j arej morej likelyjtojmakejth
eirjdecisionsjusing:


a. Intuition.


b. Ajsetjofjrules.


c. Articlesj injjournals.


d. Advicej fromjsupervisors.


ANS:j B

Novicejnursesjoperatejfromjajsetjofjdefined,jstructuredjrules.jThejexpertjpractitionerjusesjintuitivejlinks.jDIF:jCo

gnitivej Level:j Understandingj(Comprehension)

, MSC:j Clientj Needs:j General

6. Expertjnursesjlearnjtojattendjtojajpatternjofjassessmentjdatajandjactjwithoutjconsciouslyjlabelingjit.jThesejresp
onsesjarejreferredjtojas:


a. Intuition.


b. Thej nursingj process.


c. Clinicalj knowledge.


d. Diagnosticj reasoning.


ANS:j A

Intuitionjisjcharacterizedjbyjpatternjrecognitionexpertjnursesjlearnjtojattendjtojajpatternjofjassessmentjdatajandjactj
withoutj consciouslyj labelingj it.j Thej otherj optionsj arej notjcorrect.

DIF:jCognitivejLevel:jUnderstandingj(Comprehension)j

MSC:jClientjNeeds:jGeneral

7. Thejnursejisjreviewingjinformationjaboutjevidence-
basedjpracticej(EBP).jWhichjstatementjbestjreflectsjEBP?


a. EBPjreliesj onj traditionj forj supportj ofj bestjpractices.


b. EBPjisjsimplyjthej usejofjbestj practicej techniquesj forjthej treatmentj ofjpatients.


c. EBPjemphasizesj thej usej ofjbestj evidencej withjthejcliniciansj experience.


d. ThejpatientsjownjpreferencesjarejnotjimportantjwithjEBP.


ANS:jC

EBPjisjajsystematicjapproachjtojpracticejthatjemphasizesjthejusejofjbestjevidencejinjcombinationjwithjthejclinici
ansjexperience,jasjwelljasjpatientjpreferencesjandjvalues,jwhenjmakingjdecisionsjaboutjcarejandjtreatment.jEBPj
isjmorejthanjsimplyjusingjthejbestjpracticejtechniquesjtojtreatjpatients,jandjquestioningjtraditionj isj importantj w
henj noj compellingj andj supportivej researchj evidencej exists.

DIF:j Cognitivej Level:j Applyingj (Application)

MSC:jClientj Needs:j Safej andj Effectivej Carej Environment:j Managementj ofj Care

8. Thejnursejisjconductingjajclassjonjpriorityjsettingjforjajgroupjofjnewjgraduatejnurses.jWhichjisjanjexamplejofjajfi
rst-leveljpriorityjproblem?


a. Patientj withj postoperativej pain


b. Newlyj diagnosedj patientj withj diabetesj whoj needsj diabeticjteaching