TB-Chapter 01 Evidence-Based Assessment

11/26/23, 6:57 AM TB-Chapter 01 Evidence-Based Assessment
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis) 2



Chapter01:Evidence-BasedAssessment
MULTIPLECHOICE

1.Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathisrespirationsareeupneicand
his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,percussing,palpating,andauscultating
duringthephysicalexamination.Subjectivedataiswhatthepersonsaysabouthimorherselfduringhistory
taking.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,andfeelshot.Thesetypesofdatawouldbe:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS:C

Subjectivedataarewhatthepersonsaysabouthimorherselfduringhistorytaking.Objectivedataarewhatthe
healthprofessionalobservesbyinspecting,percussing,palpating,andauscultatingduringthephysical
examination.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

3.Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe:

a. Database.


b. Admittingdata.




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, 11/26/23, 6:57 AM TB-Chapter 01 Evidence-Based Assessment
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis) 3




c. Financialstatement.


d. Dischargesummary.


ANS:A

Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataformthedatabase.
Theotheritemsarenotpartofthepatientsrecord,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soundthatisheard.Thenursesnext
action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breathsounds.


d. Assessagainin20minutestonotewhetherthesoundisstillpresent.

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ANS:C

Whenunsureofasoundheardwhilelisteningtoapatientsbreathsounds,thenursevalidatesthedatatoensure
accuracy.Ifthenursehaslessexperienceinanarea,thenheorsheasksanexperttolisten.

DIF: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teachingsession,thenurseshouldkeep
inmindthatnovicenurses,withoutabackgroundofskillsandexperiencefromwhichtodraw,aremorelikely
tomaketheirdecisionsusing:

a. Intuition.


b. Asetofrules.


c. Articlesinjournals.


d. Advicefromsupervisors.


ANS:B

Novicenursesoperatefromasetofdefined,structuredrules.Theexpertpractitionerusesintuitivelinks.

DIF:CognitiveLevel:Understanding(Comprehension)




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