Physical r
Examinationand
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Health r
Assessment,8th
r
Edition,Carolyn
r
Jarvis,ISBN: r
9780323510806
r
, PHYSICALEXAMINATION ANDHEALTHASSESSMENT 8THEDITIONJARVISTESTBANK
Test Bank - PhysicalExamination and HealthAssessment 8e(by Jarvis)
c 2
Chapter01:Evidence-BasedAssessment r r r
MULTIPLE CHOICE r
1. Aftercompletinganinitialassessment ofapatient,thenursehascharted that hisrespirationsareeupneicandhis pulse
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is58beats perminute.These typesof datawouldbe:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:A
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 history taking. The terms
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reflective and introspective are not usedtodescribe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment: Management ofCare
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2. Apatienttellsthenurse that heisverynervN
ouUsR, SisINnaGuTsBea.CteOd M
cr r , and feelshot.Thesetypes ofdatawould be:
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r n
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:C
Subjectivedataarewhatthepersonsaysabouthimorherselfduringhistorytaking.Objectivedata arewhat the health
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professional observesbyinspecting,percussing, palpating,and auscultatingduringthephysical examination.The
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termsreflective and introspectivearenotused to describedata.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment: Management ofCare
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3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe:
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a. Database.
b. Admittingdata.
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, PHYSICALEXAMINATION ANDHEALTHASSESSMENT 8THEDITIONJARVISTESTBANK
Test Bank - PhysicalExamination and HealthAssessment 8e(by Jarvis)
c 3
c. Financial statement. r
d. Discharge summary. r
ANS:A
Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataformthedatabase.The other
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items arenotpartof thepatients record, laboratory studies, or data.
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DIF:Cognitive Level: Remembering (Knowledge)
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment: Management ofCare
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4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthat isheard.Thenursesnextaction
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shouldbeto:
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a. Immediatelynotifythe patients physician. r r r r
b. Documentthesoundexactlyasitwas heard. r r r r r r r
c. Validatethedatabyaskingacoworkertolistentothebreath sounds. r r r r r r r r r r r cr
d. Assessagainin20minutestonotewhether thesound isstillpresent.
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ANS:C
Whenunsureofa soundheardwhilelistening to a patientsbreathsounds,thenursevalidatesthedata toensureaccuracy.If the
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nurse haslessexperiencein an area, then he orsheasks an expert tolisten.
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DIF:Cognitive Level:Analyzing (Analysis)
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MSC:ClientNeeds:Safeand EffectiveCareEnvironment: Management ofCare
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keepin mind that
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novice nurses, without a background of skills and experience from which to draw, are more likely to maketheir
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decisionsusing:
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a. Intuition.
b. Aset ofrules. c c
c. Articlesinjournals. r r
d. Advicefromsupervisors. r r
ANS:B
Novicenursesoperatefromasetofdefined,structuredrules.Theexpert practitioner usesintuitivelinks.DIF: Cognitive
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Level:Understanding(Comprehension)
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