Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis | Test Bank | Nursing Exam Questions & Answers | Complete Study Guide

Physical Examination and Health Assessment CANADIAN 3rd
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xEdition Jarvis Test Bank
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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Chapter 01: Evidence-Based Assessment x x x




MULTIPLE CHOICE x




1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
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his pulse is 58 beats per minute. These types of data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: A x




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history
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taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
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ea.CteOdM
x , and feels hot. These types of data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: C x




Subjective data are what the person says about him or herself during history taking. Objective data are what the
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health professional observes by inspecting, percussing, palpating, and auscultating during the physical
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examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. x




b. Admitting data. x




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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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c. Financial statement. x




d. Discharge summary. x




ANS: A x




Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. x x x x




b. Document the sound exactly as it was heard. x x x x x x x




c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C x




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
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accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
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xkeep in mind that novice nurses, without a background of skills and experience from which to draw, are
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xmore likely to make their decisions using:
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a. Intuition.


b. A set of rules.
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c. Articles in journals. x x




d. Advice from supervisors. x x




ANS: B x




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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x DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
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responses are referred to as:
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a. Intuition.


b. The nursing process. x x




c. Clinical knowledge. x




d. Diagnostic reasoning. x




ANS: A x




Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
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xand act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension)
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x MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
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EBP?
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a. EBP relies on tradition for supportNoUfR
x beSsItNpGrT
acBt.iC
x ceOsM
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b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with EBP.
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ANS: C x




EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and
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treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
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tradition is important when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example
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of a first-level priority problem?
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a. Patient with postoperative pain x x x




b. Newly diagnosed patient with diabetes who needs diabetic teaching
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