H H H H
AND HEALTH ASSESSMENT 9TH EDITION BY
H H H H H H
CAROLYN JARVIS COMPLETE GUIDE.
H H H H
,Chapter 01: Evidence-Based Assessment
H H H
MULTIPLE HCHOICE
1. After Hcompleting Han Hinitial Hassessment Hof Ha Hpatient, Hthe Hnurse Hhas Hcharted Hthat Hhis Hrespirations Hare
Heupneic Hand Hhis Hpulse His H58 Hbeats Hper Hminute. HThese Htypes Hof Hdata Hwould Hbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: HA
Objective Hdata Hare Hwhat Hthe Hhealth Hprofessional Hobserves Hby Hinspecting, percussing, Hpalpating, Hand
Hauscultating Hduring Hthe Hphysical Hexamination. HSubjective Hdata His Hwhat Hthe Hperson Hsays Habout Hhim Hor
Hherself Hduring Hhistory Htaking. HThe Hterms Hreflective Hand Hintrospective Hare Hnot Hused Hto Hdescribe Hdata.
DIF: HCognitive HLevel: HUnderstanding H(Comprehension)
MSC: HClient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare
2. A Hpatient Htells Hthe Hnurse Hthat Hhe His Hvery Hn e r v No uUsR, HSisINnaGuTsB
ea.CteOdM
, Hand Hfeels Hhot. HThese Htypes Hof Hdata Hwould Hbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: HC
Subjective Hdata Hare Hwhat Hthe Hperson Hsays Habout Hhim Hor Hherself Hduring Hhistory Htaking. HObjective Hdata Hare
Hwhat Hthe Hhealth Hprofessional Hobserves Hby Hinspecting, Hpercussing, Hpalpating, Hand Hauscultating Hduring Hthe
Hphysical Hexamination. HThe Hterms Hreflective Hand Hintrospective Hare Hnot Hused Hto Hdescribe Hdata.
DIF: HCognitive HLevel: HUnderstanding H(Comprehension)
MSC: HClient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare
3. The Hpatients Hrecord, Hlaboratory Hstudies, Hobjective Hdata, Hand Hsubjective Hdata Hcombine Hto Hform Hthe:
a. Data Hbase.
b. Admitting Hdata.
,c. Financial Hstatement.
d. Discharge Hsummary.
ANS: HA
Together Hwith Hthe Hpatients Hrecord Hand Hlaboratory Hstudies, Hthe Hobjective Hand Hsubjective Hdata Hform Hthe
Hdata Hbase. HThe Hother Hitems Hare Hnot Hpart Hof Hthe Hpatients Hrecord, Hlaboratory Hstudies, Hor Hdata.
DIF: HCognitive HLevel: HRemembering H(Knowledge)
MSC: HClient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare
4. When Hlistening Hto Ha Hpatients Hbreath Hsounds, Hthe Hnurse His Hunsure Hof Ha Hsound Hthat His Hheard. HThe
Hnurses Hnext Haction Hshould Hbe Hto:
a. Immediately Hnotify Hthe Hpatients Hphysician.
b. Document Hthe Hsound Hexactly Has Hit Hwas Hheard.
c. Validate Hthe Hdata Hby Hasking Ha Hcoworker Hto Hlisten Hto Hthe Hbreath Hsounds.
d. Assess Hagain Hin H20 Hminutes Hto Hnote Hwhether Hthe Hsound His Hstill Hpresent.
NURSINGTB.COM
ANS: HC
When Hunsure Hof Ha Hsound Hheard Hwhile Hlistening Hto Ha Hpatients Hbreath Hsounds, Hthe Hnurse Hvalidates Hthe Hdata Hto
Hensure Haccuracy. HIf Hthe Hnurse Hhas Hless Hexperience Hin Han Harea, Hthen Hhe Hor Hshe Hasks Han Hexpert Hto Hlisten.
DIF: HCognitive HLevel: HAnalyzing H(Analysis)
MSC: HClient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare
5. The Hnurse His Hconducting Ha Hclass Hfor Hnew Hgraduate Hnurses. HDuring Hthe Hteaching Hsession, Hthe Hnurse
Hshould Hkeep Hin Hmind Hthat Hnovice Hnurses, H without Ha Hbackground Hof Hskills Hand Hexperience Hfrom Hwhich Hto
Hdraw, Hare Hmore Hlikely Hto Hmake Htheir Hdecisions Husing:
a. Intuition.
b. A Hset Hof Hrules.
c. Articles Hin Hjournals.
d. Advice Hfrom Hsupervisors.
ANS: HB
Novice Hnurses Hoperate Hfrom Ha Hset Hof Hdefined, Hstructured Hrules. HThe Hexpert Hpractitioner Huses Hintuitive
links. HDIF: HCognitive HLevel: HUnderstanding H(Comprehension)
H
, MSC: HClient HNeeds: HGeneral
6. The Hnurse His Hreviewing Hinformation Habout Hevidence-based Hpractice H(EBP). H Which Hstatement Hbest
Hreflects HEBP?
a. EBP Hrelies Hon Htradition Hfor HsupportNoUfHRbeSsIN
t HpGrT
acBt.iC
ceOsM
.
b. EBP His Hsimply Hthe Huse Hof Hbest Hpractice Htechniques Hfor Hthe Htreatment Hof Hpatients.
c. EBP Hemphasizes Hthe Huse Hof Hbest Hevidence Hwith Hthe Hclinicians Hexperience.
d. The Hpatients Hown Hpreferences Hare Hnot Himportant Hwith HEBP.
ANS: HC
EBP His Ha Hsystematic Happroach Hto Hpractice Hthat Hemphasizes Hthe Huse Hof Hbest Hevidence Hin Hcombination Hwith
Hthe Hclinicians Hexperience, Has Hwell Has Hpatient Hpreferences Hand Hvalues, Hwhen Hmaking Hdecisions Habout
Hcare Hand Htreatment. HEBP His Hmore Hthan Hsimply Husing Hthe Hbest Hpractice Htechniques Hto Htreat Hpatients, Hand
Hquestioning Htradition His Himportant Hwhen Hno Hcompelling Hand Hsupportive Hresearch Hevidence Hexists.
DIF: HCognitive HLevel: HApplying H(Application)
MSC: HClient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare
7. Expert Hnurses Hlearn Hto Hattend Hto Ha Hpattern Hof Hassessment Hdata Hand Hact Hwithout Hconsciously Hlabeling
Hit. HThese Hresponses Hare Hreferred Hto Has:
a. Intuition.
b. The Hnursing Hprocess.
c. Clinical Hknowledge.
d. Diagnostic Hreasoning.
ANS: HA
Intuition His Hcharacterized Hby Hpattern Hrecognitionexpert Hnurses Hlearn Hto Hattend Hto Ha Hpattern Hof Hassessment
Hdata Hand Hact Hwithout Hconsciously Hlabeling Hit. HThe Hother Hoptions Hare Hnot Hcorrect.
DIF: HCognitive HLevel: H Understanding
(Comprehension) HMSC: HClient HNeeds: HGeneral
H
8. The Hnurse His Hconducting Ha Hclass Hon Hpriority Hsetting Hfor Ha Hgroup Hof Hnew Hgraduate Hnurses. HWhich His Han
Hexample Hof Ha Hfirst-level Hpriority Hproblem?
a. Patient Hwith Hpostoperative Hpain
b. Newly Hdiagnosed Hpatient Hwith Hdiabetes Hwho Hneeds Hdiabetic