HEALTHASSESSMENT8THEDI TI
ON
TESTBANK( COMPLETE)PHYSI
CAL
EXAMINATI ONANDHEALTH
ASSESSMENT,8TH
EDI
TION_ COMPLETELATEST
SOLUTI
ONS
BYßLΛÇKĐÓLLÁR4
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Ch
apt
er01:E
vid
enc
e-Ba
sedAs
ses
sme
nt
,1.
Aftercomp le
tinga nini
ti
alasses
s mentofap atient,t
h enursehaschart
edthathis
re
spirati
onsa r
ee upneicandhispulseis58b eatsp ermin u
te.Thesetyp
esofd at
a
wouldb e:
a. Ob j
ecti
ve.
b. Reflect
ive.
c. Sub j
ecti
ve.
d. Int
rospec t
ive.
ANS:A
Obje
c t
ivedataa r
ewh a
tthehealt
hp rof
essionalob serv
e sbyinspect
ing,
percussi
ng,
pal
pating,andausc ul
tati
ngduri
ngth ephysical
e xamina t
ion.Subj
ecti
vedataiswhat
th
ep ersonsaysa bouthimorh er
selfduri
ngh i
storyt ak
ing.Thetermsrefl
ect
iveand
i
ntr
osp ect
iv
ea renotu sedtodescri
bed at
a.
DIF:
Co gnit
iveLevel:Underst
andi
ng( Compr eh
en sion)
MSC: Cli
entNe eds:SafeandEffect
iveCareE nvi
ron men t
:Ma nage
me ntofCare
2. Ap at
ienttel
lsthen ur
sethatheisveryn ervous,isn a
useated,a
ndfeelshot.
Thes etypesofd at
awo u
ldbe:
a. Ob j
ecti
ve.
b. Reflect
ive.
c. Sub j
ecti
ve.
d. Int
rospec t
ive.
ANS:C
Subj
ec t
ivedataarewh atthepersons a
ysab outhimorh ersel
fdur
inghist
orytaki
ng.
Obje
c t
ivedataa r
ewh a
tthehealt
hp rof
essionalob serv
e sbyinspect
ing,
percussi
ng,
pal
pating,andausc ul
tati
ngduri
ngth ephysical
e xamina t
ion.Theter
msr ef
lect
iv
ea n
d
i
ntr
osp ect
iv
ea renotu sedtodescri
bed at
a.
DIF:
Co gnit
iveLevel:Underst
andi
ng( Compr eh
en sion)
MSC: Cli
entNe eds:SafeandEffect
iveCareE nvi
ron men t
:Ma nage
me ntofCare
3. Th ep ati
entsrecord,l
abora
torystudi
e s,
ob j
e cti
ved at
a,andsubject
iv
ed at
a
comb inetoformt he:
a. Da t
ab ase.
b. Ad mit
tingd at
a.
Do wnl
oadedb y:|ca
rolin
ewa r t
z@g ma i
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.com
, 3
TestBa nk-Ph ysic
a lEx ami nationa ndHe al
thAs sessment8 e(byJ arv
is)
c. Financialsta t
e me nt.
d . Discharges u mma ry.
ANS: A
Toge t
herwi ththep atien tsreco r
da ndl aboratorystudi
es,theob j
ec t
ivea ndsubj
ecti
ve
dataformt hed atab a se.
Theot herit
e msa ren o tp ar
toft hep atientsrecord,l
aboratorystud i
es,ord at
a.
DIF:Cog ni
tiveLe v
e l
: Re me mb eri
n g(Kn owledg e
)
MSC: ClientNe eds:Sa fea ndE ff
e ct
iveCa reE nvir
onment:Ma nageme n tofCare
4.Wh enli
sten i
ngtoap atientsb reat
hs ou nds,then ur
seisu nsureofas oundthat
isheard.Th enu r
se sn e xtactions houldb eto:
a. Imme diatelyn otifythep ati
e ntsp hysi
cian.
b . Do cume ntth es oun de xactl
ya sitwa sh ear
d.
c. Validatethed atab ya skingac oworkertolist
entot hebre at
hs ounds.
d . Ass essag aini n2 0mi nu t
est on otewh ethe
rthes oundiss ti
llpresent
.
ANS: C
Wh enu nsureofas ou ndh e
a r
dwh il
elisteningtoap ati
entsb reat
hs oun ds,t
hen ur
se
vali
datesth edatat oe n surea ccuracy.Ifthen ursehaslesse xperi
e nceina narea,
then
heo rshea sksa ne xp erttolisten.
DIF:Cog ni
tiveLe v
e l
: An alyzi
n g(An al
y si
s )
MSC: ClientNe eds:Sa fea ndE ff
e ct
iveCa reE nvir
onment:Ma nageme n tofCare
5.Then u r
sei sc on du ctingac l
assf orn ewg r
aduaten urses.Du ringt heteachi
ng
session,then urses h ou l
dk eepi nmi ndt hatn ovi
cen ur
se s,wit
h outab ack
groundof
skil
lsa nde xperiencef rom wh i
c htod raw,a r
emor eli
ke l
yt oma ket hei
rd ec
isi
ons
using:
a. Int
u i
ti
on .
b . As etofru l
e s.
c. Arti
c l
esinj ou rnals.
d . Ad vi
cef r
o ms up er
v i
so r
s .
ANS: B
Novicen urseso peratef romas etofd efined,st
ructur
edr u
les .
Th ee x
p ertpr
acti
ti
oner
usesintuit
ivelinks.
DIF:Cog ni
tiveLe v
e l
: Un de r
stan d
ing( Comp reh e
n si
on)
Do wn load edby: |c a
roli
n e
wa rt
z@g ma i
l.
com
, PHYSI CALEXAMI NATI ONANDHEAL THASSESSMENT8 THEDI TI
ON
JARVISTESTBANK
ßlλçkđol l
àr4
TestBa nk- Ph ysicalEx ami na t
iona n dHe althAs sessme nt8e(byJ arvi
s) 4
MSC: Clien tNe eds:Ge n era l
6.Expertn ursesl ear
nt oa ttendt oap att
e r
nofa ssessme ntdataa ndac twi t
hout
conscious l
yl abe l
i
ngi t. Th eser espon sesa rer ef
erredtoa s:
a. Intu i
ti
on .
b. Th en ursingp r
o ce ss.
c. Cl i
n i
ca lknowl ed ge.
d. Di agnos t
icre a son i
ng .
ANS: A
In
tuit
ioni sc h ar
a ct
erize db yp atte r
nr ecogn i
tionexpertnurseslearntoa ttendtoa
patt
erno fa ssessme n td ataa nda ctwithou tconsciouslylabel
ingit.Theot heropti
ons
arenotc orr ect
.
DIF:Co gnitiveLe ve
l:Un de rst
an ding( Comp r
eh ensi
on )
MSC: Clien tNe eds:Ge n era l
7.Then ursei sre v
iewi ngi nforma ti
ona bou tev i
dence -
basedp r
ac t
ice(EBP) .Wh i
ch
st
a t
eme n tb estrefl
ec tsE BP?
a. E BPr elie
sont raditi
onf ors upp ortNURSINGTBof bestpracti
ces .COM.
b. E BPi ss i
mp lyt heu seofb estpr a
c ti
cet e
c hni
quesfort hetreatme ntof
p atients.
c. E BPe mpha size st heu seofb este vi
d encewiththec l
ini
cianse x per
ienc
e.
d. Th ep a t
ient
so wnp r
efe rencesa ren otimp ort
antwithE BP.
ANS: C
EBPi sas y stema ti
ca p proa cht op racti
cet h atemp hasiz
estheu seofb e s t
evidenceinc omb inationwi thth ec l
inic
ia nse xper
ience,aswe l
l asp at
ien t
prefer
e ncesa ndvalue s, wh enma k
ingd e c
isionsa boutcarea ndtreatme n t
.EBPis
mo r
et hans implyusin gt h eb estp r
a cti
cet ech ni
quest otr
eatp ati
ents,an d
questioni
n gt radit
ioni si mp ortan twh enn oc omp ell
ingands upportiv
er es ear
ch
evidencee x i
s t
s.
DIF:Co gnitiveLe ve
l:Ap plying( Ap pli
cati
on )
MSC: Clien tNe eds:Sa fea ndE ffectiveCa reE nvir
on ment:Mana geme ntofCa re
8.Then ursei sc onduc tingac lassonp riori
tys ett
ingforag r
ou pofn ewg raduat
e
nurses.Wh ichisa ne xa mp leofaf irst-
l
e velp ri
ori
typ r
oblem?
a. Pa tientwithp ost operativep ai
n
b. Ne wlyd i
agn os edp a t
ien twithd iabeteswh on eedsd i
abeticteac hin
g
Do wn l
oa dedb y
: |caroli
n ewartz@gma i
l.c
om