NUR 2032C-Test Bank Physical Examination And Health Assessment 8 th Edition.

NUR 2032C-Test Bank Physical Examination And Health Assessment 8 th Edition. MULTIPLE CHOICE 1. After completing an initial assessment of a patient, the nurse has charted thhis pulse is 58 beats per minute. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. ANS: A Objective data are what the health professional observes by inspecting, percussinduring the physical examination. Subjective data is what the person says about htaking. The terms reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. A patient tells the nurse that he is very nervous, is nauseated, aa. Objective. b. Reflective. c. Subjective. d. Introspective. ANS: C Subjective data are what the person says about him or herself during history taking. Ohealth professional observes by inspecting, percussing, palpating, and auscultating dexamination. The terms reflective and introspective are not used to describe dDIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. The patientsrecord, laboratory studies, objective data, and subjective data combine a. Data base. b. Admitting data. NURSINGTB.COM TestsB NURSINGTB.COM c. Financial statement. d. Discharge summary. ANS: A Together with the patientsrecord and laboratory studies, the objective and subjectiveThe other items are not part of the patientsrecord, laboratory studies, or data. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. When listening to a patients breath sounds, the nurse is unsure of a saction should be to: a. Immediately notify the patients physician. b. Document the sound exactly as it was heard. c. Validate the data by asking a coworker to listen to the breathd. Assess again in 20 minutesto note whetherthe sound is still present. ANS: C When unsure of a sound heard while listening to a patients breath sounds, the naccuracy. If the nurse has less experience in an area, then he or shDIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 5. The nurse is conducting a class for new graduate nurses. During the tein mind that novice nurses, without a background of skills and experience from wto make their decisions using: a. Intuition. b. A set of rules. c. Articlesin journals. d. Advice from supervisors. ANS: B Novice nurses operate from a set of defined,structured rules. The expert practitioner uDIF: Cognitive Level: Understanding (Comprehension) Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 3 NURSINGTB.COM PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestsB NURSINGTB.COM MSC: Client Needs: General 6. Expert nurses learn to attend to a pattern of assessment data and act wresponses are referredto as: a. Intuition. b. The nursing process. c. Clinicalknowledge. d. Diagnostic reasoning. ANS: A Intuition is characterized by pattern recognitionexpert nurses learn to attend to aact without consciously labelingit. The other options are not correct. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 7. The nurse is reviewing information about evidence-based practice (EBP). Which statementEBP? a. EBP relies on tradition for support of best practices. b. EBP is simply the use of best practice techniques for the treatment c. EBP emphasizes the use of best evidence with the clinicians experid. The patients own preferences are not important with EBP. ANS: C EBP is a systematic approach to practice that emphasizes the use of bclinicians experience, as well as patient preferences and values, when making decisionstreatment. EBP is more than simply using the best practice techniques to treat ptradition is important when no compelling and supportive research evidence DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 8. The nurse is conducting a class on priority setting for a group of nof a first-level priority problem? a. Patient with postoperative pain b. Newly diagnosed patient with diabeteswho needs diabetic teaching Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 4 NURSINGTB.COM PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestsB NURSINGTB.COM c. Individual with a small laceration on the sole of the foot d. Individual with shortness of breath and respiratory distress ANS: D First-level priority problems are those that are emergent, life threatening, and imairway, supporting breathing, maintaining circulation, monitoring abnormal vital signs). DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 9. When considering priority setting of problems, the nurse keeps in mind that sinclude which of these aspects? a. Low self-esteem b. Lack of knowledge c. Abnormal laboratory values d. Severely abnormal vital signs ANS: C Second-level priority problems are those that require prompt intervention to forestallfurther dmental status change, acute pain, abnormal laboratory values, risks to safety or security).DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 10. Which critical thinking skill helps the nurse see relationships among the data? a. Validation b. Clustering related cues c. Identifying gaps in data d. Distinguishing relevantfrom irrelevant ANS: B Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 5 NURSINGTB.COM PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestsB NURSINGTB.COM 11. The nurse knows that developing appropriate nursing interventions for a patient reappropriateness of the __________ diagnosis. a. Nursing b. Medical c. Admission d. Collaborative ANS: A An accurate nursing diagnosis provides the basis for the selection of nfor which the nurse is accountable. The other items do not contribute to thinterventions. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 12. The nursing process is a sequential method of problem solving that nurses ua. Assessment, treatment, planning, evaluation, discharge, and follow-up b. Admission, assessment, diagnosis, treatment, and discharge planning c. Admission, diagnosis, treatment, evaluation, and discharge planning d. Assessment, diagnosis, outcome identification, planning, implementation,and evaluaANS: D The nursing process is a method of problem solving that includes assessment, didentification, planning, implementation,and evaluation. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 13. A newly admitted patient is in acute pain, has not been sleeping wbreathing. How should the nurse prioritize these problems? a. Breathing, pain, and sleep b. Breathing, sleep, and pain c. Sleep, breathing, and pain Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 6 NURSINGTB.COM PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestsB NURSINGTB.COM d. Sleep, pain, and breathing ANS: A First-level priority problems are immediate priorities, remembering the ABCs (airway, circulation), followed by second-level problems, and then third-level problems. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 14. Which of these would be formulated by a nurse using diagnostic reasoninga. Nursingdiagnosis b. Medicaldiagnosis c. Diagnostic hypothesis d. Diagnostic assessment ANS: C Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesinursing diagnosis. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 15. Barriersto incorporating EBP include: a. Nurses lack of research skills in evaluating the quality of research b. Lack of significant research studies. c. Insufficient clinical skills of nurses. d. Inadequate physical assessment skills. ANS: A As individuals, nurses lack research skills in evaluating the quality of research colleagues who are knowledgeable in research, and often lack the time to vother responses are not considered barriers. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 16. What step of the nursing process includes data collection by health history, pinterview? Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 7 NURSINGTB.COM PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestsB NURSINGTB.COM a. Planning b. Diagnosis c. Evaluation d. Assessment ANS: D Data collection, including performing the health history, physical examination, and instep of the nursing process. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General 17. During a staff meeting, nurses discuss the problems with accessing research evidence-based clinical decision making into their practice. Which suggestion by the nbest help these problems? a. Form a committee to conductresearch studies. b. Post published research studies on the units bulletin boards. c. Encourage the nurses to visit the library to review studies. d. Teach the nurses how to conduct electronic searches for research studieANS: D Facilitating support for EBP would include teaching the nurses how to conduct electronicvisit the library may not be available for many nurses. Actually conducting rethe long-run but not an immediate solutionto reviewing existingresearch. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 18. When reviewing the concepts of health, the nurse recalls that the componenwhich of these? a. Disease originates from the externalenvironment. b. The individual human is a closed system. c. Nurses are responsible for a patients health state. Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 8 NURSINGTB.COM PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK TestsB NURSINGTB.COM d. Holistichealth views the mind, body, and spirit as interdependent. ANS: D Consideration of the whole person is the essence of holistic health, which views the minterdependent. The basis of disease originates from both the externalenvironment and frBoth the individual human and the externalenvironment are open systems, continualand each person is responsible for his or her own personal health state. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 19. The nurse recognizes that the concept of prevention in describing health isa. Disease can be prevented by treating the externalenvironment. b. The majority of deaths among Americans under age 65 years are not c. Prevention places the emphasis on the link between health and persond. The means to prevention is through treatment provided by primaryhealthANS: C A natural progression to prevention rounds out the present concept of health. Guidelinethe emphasis on the link between health and personal behavior. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 20. The nurse is performing a physical assessment on a newly admitted information obtained during the physical assessment includes the: a. Patientshistory of allergies. b. Patientsuse of medications at home. c. Last menstrual period 1 month ago. d. 2 5 cm scar on the right lower forearm. ANS: D Objective data are the patientsrecord, laboratory studies, and condition that the hinspecting, percussing, palpating, and auscultating during the physical examination. Tsubjective data. DIF: Cognitive Level: Applying (Application).