Test Bank - Physical Examination and Health Assessment 8e (by Jarvis

, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
TestZBankZ-ZPhysicalZExaminationZandZHealthZAssessmentZ8eZ(byZJarvis) 2



Chapter 01: Evidence-Based Assessment
Z Z Z



MULTIPLEZ CHOICE

1. AfterZcompletingZanZinitialZassessmentZofZaZpatient,ZtheZnurseZhasZchartedZthatZhisZrespirationsZareZeupneicZand
ZhisZ pulseZ isZ 58Z beatsZ perZ minute.Z TheseZtypesZofZ dataZ wouldZ be:




a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:Z A

ObjectiveZdataZareZwhatZtheZhealthZprofessionalZobservesZbyZinspecting,Zpercussing,Zpalpating,ZandZauscultatingZdu
ringZtheZphysicalZexamination.ZSubjectiveZdataZisZwhatZtheZpersonZsaysZaboutZhimZorZherselfZduringZhistoryZ taking.
Z TheZ termsZ reflectiveZ andZ introspectiveZ areZ notZ usedZ toZ describeZ data.



DIF:Z CognitiveZ Level:Z UnderstandingZ (Comprehension)

MSC:ZClientZNeeds:ZSafeZandZ EffectiveZCareZEnvironment:Z ManagementZ ofZCare

2. AZpatientZtellsZtheZnurseZthatZheZisZveryZn e r vNo uUsR, ZSisIN
naGuTsB
ea.CteOdM
,ZandZfeelsZhot.ZTheseZtypesZofZdataZwouldZbe:

a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:Z C

SubjectiveZdataZareZwhatZtheZpersonZsaysZaboutZhimZorZherselfZduringZhistoryZtaking.ZObjectiveZdataZareZwhatZtheZ
healthZ professionalZ observesZ byZ inspecting,Z percussing,Z palpating,Z andZ auscultatingZ duringZ theZ physicalZexam
ination.Z TheZ termsZ reflectiveZ andZ introspectiveZ areZ notZ usedZ toZ describeZ data.

DIF:Z CognitiveZ Level:Z UnderstandingZ (Comprehension)

MSC:ZClientZNeeds:ZSafeZandZ EffectiveZCareZEnvironment:Z ManagementZ ofZCare

3. TheZpatientsZrecord,ZlaboratoryZstudies,ZobjectiveZdata,ZandZsubjectiveZdataZcombineZ toZformZthe:


a. DataZbase.


b. AdmittingZ data.




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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
TestZBankZ-ZPhysicalZExaminationZandZHealthZAssessmentZ8eZ(byZJarvis) 3




c. FinancialZstatement.


d. DischargeZsummary.


ANS:Z A

TogetherZwithZtheZpatientsZrecordZandZlaboratoryZstudies,ZtheZobjectiveZandZsubjectiveZdataZformZtheZdataZbase.Z
TheZ otherZ itemsZ areZ notZ partZ ofZ theZ patientsZ record,Z laboratoryZ studies,Z orZ data.

DIF:ZCognitiveZ Level:ZRememberingZ (Knowledge)

MSC:ZClientZNeeds:ZSafeZandZ EffectiveZCareZEnvironment:Z ManagementZ ofZCare

4. WhenZlisteningZtoZaZpatientsZbreathZsounds,ZtheZnurseZisZunsureZofZaZsoundZthatZisZheard.ZTheZnursesZnext
ZactionZshouldZbeZto:




a. ImmediatelyZnotifyZtheZpatientsZphysician.


b. DocumentZtheZsoundZexactlyZasZitZwasZheard.


c. ValidateZtheZdataZ byZaskingZ aZcoworkerZtoZlistenZtoZtheZ breathZsounds.


d. AssessZagainZinZ20ZminutesZtoZnoteZwhetherZtheZsoundZisZstillZpresent.

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ANS:Z C

WhenZunsureZofZaZsoundZheardZwhileZlisteningZtoZaZpatientsZbreathZsounds,ZtheZnurseZvalidatesZtheZdataZtoZensureZa
ccuracy.Z IfZ theZ nurseZ hasZ lessZexperienceZ inZ anZ area,Z thenZ heZ orZ sheZ asksZ anZ expertZ toZ listen.

DIF:ZCognitiveZ Level:ZAnalyzingZ (Analysis)

MSC:ZClientZNeeds:ZSafeZandZ EffectiveZCareZEnvironment:Z ManagementZ ofZCare

5. TheZ nurseZ isZ conductingZ aZ classZ forZ newZ graduateZ nurses.Z DuringZ theZ teachingZ session,Z theZ nurseZ shouldZ kee
pZinZ mindZ thatZnoviceZ nurses,Z withoutZaZ backgroundZ ofZskillsZ andZ experienceZ fromZwhichZ toZdraw,Z areZ moreZ lik
elyZtoZmakeZtheirZdecisionsZusing:


a. Intuition.


b. AZsetZofZrules.


c. ArticlesZinZjournals.


d. AdviceZfromZsupervisors.


ANS:Z B

NoviceZnursesZoperateZfromZaZsetZofZdefined,ZstructuredZrules.ZTheZexpertZpractitionerZusesZintuitiveZlinks.ZD

IF:ZCognitiveZ Level:ZUnderstandingZ (Comprehension)




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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
TestZBankZ-ZPhysicalZExaminationZandZHealthZAssessmentZ8eZ(byZJarvis) 4


MSC:Z ClientZ Needs:Z General

6. ExpertZnursesZlearnZtoZattendZtoZaZpatternZofZassessmentZdataZandZactZwithoutZconsciouslyZlabelingZit.ZThese
ZresponsesZareZreferredZtoZas:




a. Intuition.


b. TheZnursingZprocess.


c. ClinicalZknowledge.


d. DiagnosticZreasoning.


ANS:Z A

IntuitionZisZcharacterizedZbyZpatternZrecognitionexpertZnursesZlearnZtoZattendZtoZaZpatternZofZassessmentZdataZan
dZactZ withoutZ consciouslyZ labelingZ it.Z TheZ otherZ optionsZ areZ notZ correct.

DIF:ZCognitiveZLevel:ZUnderstandingZ(Comprehension)

ZMSC:ZClientZNeeds:ZGeneral

7. TheZnurseZisZreviewingZinformationZaboutZevidence-
basedZpracticeZ(EBP).ZWhichZstatementZbestZreflectsZEBP?


a. EBPZreliesZonZtraditionZforZsupportNoUfZR
beSsItNpGrT
acBt.iC
ceOsM
.


b. EBPZisZsimplyZtheZuseZofZbestZpracticeZtechniquesZforZtheZtreatmentZofZpatients.


c. EBPZemphasizesZtheZuseZofZbestZevidenceZwithZtheZcliniciansZexperience.


d. TheZpatientsZownZ preferencesZareZnotZimportantZwithZEBP.


ANS:ZC

EBPZisZaZsystematicZapproachZtoZpracticeZthatZemphasizesZtheZuseZofZbestZevidenceZinZcombinationZwithZthe
ZcliniciansZexperience,ZasZwellZasZpatientZpreferencesZandZvalues,ZwhenZmakingZdecisionsZaboutZcareZandZtr

eatment.ZEBPZisZmoreZthanZsimplyZusingZtheZbestZpracticeZtechniquesZtoZtreatZpatients,ZandZquestioningZtrad
itionZ isZ importantZ whenZ noZ compellingZ andZ supportiveZ researchZ evidenceZ exists.

DIF:ZCognitiveZ Level:ZApplyingZ (Application)

MSC:ZClientZNeeds:ZSafeZandZ EffectiveZCareZEnvironment:Z ManagementZ ofZCare

8. TheZnurseZisZconductingZaZclassZonZpriorityZsettingZforZaZgroupZofZnewZgraduateZnurses.ZWhichZisZanZexample
ZofZaZfirst-levelZpriorityZproblem?




a. PatientZwithZpostoperativeZpain


b. NewlyZdiagnosedZpatientZwithZdiabetesZwhoZneedsZdiabeticZteaching





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