Complete Test Bank Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Questions & Answers with rationales (Chapter 1-31)

Test Bank For Jarvis Physical Examination and Health Assessment Canadian 3rd Edition Jarvis Jarvis Physical Examination and Health Assessment Canadian 3rd Edition Jarvis Test Bank Chapters 1-31 Complete Test Bank Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Questions & Answers with rationales (Chapter 1-31) Test Bank For Jarvis Physical Examination and Health Assessment Canadian 3rd Edition Jarvis Jarvis physical-examination-and-health-assessment-canadian-3rd-e dition-jarvis-test-bank-chapters-1-31-pages-387 Health Challenges I (Nipissing University) lOMoARcPSD| Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank Chapter 01: Evidence-Based Assessment Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition MULTIPLE CHOICE 1. After completing an initial assessment of a patient, the nurse has charted that his respirations are 18 breaths per minute 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 are what the person says about himself 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: a. Objective b. Reflective c. Subjective d. Introspective ANS: C Subjective data are what the person says about himself 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 patient’s record, laboratory studies, objective data, and subjective data combine to form the: a. Database b. Admitting data c. Financial statement d. Discharge summary ANS: A Together with the patient’s record and laboratory studies, the objective and subjective data form the database. The other items are not part of the patient’s record, laboratory studies, or data. lOMoARcPSD| S - The Marketplace to Buy and Sell your Study Material Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Safe and Effective Care Environment: Management of Care S - The Marketplace to Buy and Sell your Study Material lOMoARcPSD| Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank U S N T O 4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The nurse’s next action should be to: a. Immediately notify the patient’s 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. ANS: C When unsure of a sound heard while listening to a patient’s 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, with less experience, are more likely to base their decisions on: a. Intuition b. Clear-cut rules c. Articles in journals d. Advice from supervisors ANS: B Novice nurses operate from a set of defined, structured rules. Expert practitioners use critical thinking and their substantial background of experiences. N R I G B.C M DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 6. Expert nurses assess and make decisions through the use of: a. Critical thinking b. The nursing process c. Clinical knowledge d. Diagnostic reasoning ANS: A Critical thinking is a multidimensional, dynamic, and interactive thinking process by which expert nurses assess and make decisions in the clinical area. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 7. The nurse is reviewing information about evidence-informed practice (EIP). Which statement best reflects EIP? a. EIP relies on tradition for support of best practices. b. EIP is simply the use of best practice techniques for the treatment of patients. c. EIP emphasizes the use of best and most appropriate evidence with clinician expertise and patient preference. d. The patient’s own preferences are not important in EIP. ANS: C lOMoARcPSD| Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank EIP is a problem-solving approach to decision making that emphasizes the use of best available evidence in combination with the clinician’s experience, patient preferences and values, and comprehensive assessment to determine the best outcomes in care and treatment. EIP is more than simply using the best practice techniques to treat patients, and questioning tradition is important when no compelling and supportive research evidence exists. 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 new graduate nurses. Which is an example of a first-level priority problem? a. Patient with postoperative pain b. Patient newly diagnosed with diabetes needing diabetic teaching 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 immediate (e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs) (see Table 1-1). DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 9. Which critical thinking skill helps the nurse see relationships among the data? a. Validation b. Clustering related cues c. Identifying gaps in data NURSINGTB.COM d. Distinguishing relevant data from irrelevant data 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 10. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis. a. Nursing b. Medical c. Admission d. Collaborative ANS: A An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for which the nurse is accountable. The other items do not contribute to the development of appropriate nursing interventions. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care lOMoARcPSD| S - The Marketplace to Buy and Sell your Study Material Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank 11. The nursing process is a sequential method of problem solving that nurses use and includes which steps? a. 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 evaluation ANS: D The nursing process is a method of problem solving that includes assessment, diagnosis, outcome identification, planning, implementation, and evaluation. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 12. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems? a. Breathing, pain, and sleep b. Breathing, sleep, and pain c. Sleep, breathing, and pain d. Sleep, pain, and breathing ANS: A First-level priority problems are immediate priorities focused on airway and breathing, followed by second-level problems, and then third-level problems. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and ENffU ecRtiS veICN arGe T EnBCnO mMent: Management of Care 13. What step of the nursing process includes data collection through health history, physical examination, and interview? a. Planning b. Diagnosis c. Evaluation d. Assessment ANS: D Data collection, including performing the health history, physical examination, and interview, is the assessment step of the nursing process (see Figure 1-2). DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General 14. What is an important concept when undertaking a life-cycle approach to health assessment? a. Consideration of the patient’s cultural view of health b. Being responsive to the patient’s gestures to build a relationship c. Acknowledgement of the effect of poverty on health d. Awareness of age-specific developmental factors ANS: D A life-cycle approach requires familiarity with the usual and expected developmental tasks for various age groups. Being aware of age-specific data can be helpful in determining normal and abnormal findings. S - The Marketplace to Buy and Sell your Study Material Downloaded by: gosssiaakk | Distribution of this document is illegal Downloaded by Thomas Mboya () lOMoARcPSD| S - The Marketplace to Buy and Sell your Study Material Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank MSC: Client Needs: Safe and Effective Care Environment: Management of Care NURSINGTB.COM U S N T O DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 15. The nurse identifies priorities and assesses risk factors with a generally healthy individual to: a. Identify patterns to discover missing information. b. Determine areas for health promotion and disease prevention. c. Distinguish normal from abnormal findings. d. Determine treatment for a medical diagnosis. ANS: B Identifying and working with patients to manage known risk factors for their age group and social context supports disease prevention and health promotion. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 16. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: a. Patient’s history of allergies. b. Patient’s use 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 patient’s record, laboratory studies, and condition that the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The other responses reflect subjective data. N R I G B.C M DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 17. A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of database is most appropriate to collect in this setting? a. A follow-up database to evaluate changes at appropriate intervals b. An episodic database because of the continuing, complex medical problems of this patient c. A complete health database because of the nurse’s primary responsibility for monitoring the patient’s health d. An emergency database because of the need to collect information and make accurate diagnoses rapidly ANS: C The complete database is collected in a primary care setting, such as a pediatric or family practice clinic, independent or group private practice, college health service, women’s health care agency, visiting nurse agency, or community health agency. In these settings, the nurse is the first health care professional to see the patient and has the primary responsibility for monitoring the person’s health care. DIF: Cognitive Level: Applying (Application) S - The Marketplace to Buy and Sell your Study Material lOMoARcPSD| S - The Marketplace to Buy and Sell your Study Material Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank MSC: Client Needs: Safe and Effective Care Environment: Management of Care NURSINGTB.COM U S N T O 18. Which situation is most appropriate during which the nurse collects episodic or problem-centred data? a. Patient is admitted to a long-term care facility. b. Patient has a sudden and severe shortness of breath. c. Patient is admitted to the hospital for surgery the next day. d. Patient in an outpatient clinic has cold and influenza-like symptoms. ANS: D In compiling the episodic or problem-centered database, the nurse collects a “mini-database,” which is smaller in scope compared with the complete database. This mini database primarily concerns one problem, one cue complex, or one body system. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 19. A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should: a. Collect a follow-up database and then check her blood pressure. b. Ask her to read her health record and indicate any changes since her last visit. c. Check only her blood pressure because her complete health history was documented 2 months ago. d. Obtain a complete health history before checking her blood pressure because much of her history information may have changed. ANS: A A follow-up database is used in all settings to monitor short-term or chronic health problems. The other responses are not appropriate for the situation. N R I G B.C M DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 20. A patient is brought by ambulance to the emergency department with multiple injuries received in an automobile accident. The patient is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? a. Collect history information first and then perform the physical examination and institute life-saving measures. b. Simultaneously ask history questions while performing the examination and initiating life-saving measures. c. Collect all information on the history form, including social support patterns, strengths, and coping patterns. d. Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care unit. ANS: B The emergency database calls for a rapid collection of the database, and often data are compiled concurrently with administration of life-saving measures. The other responses are not appropriate for the situation. DIF: Cognitive Level: Analyzing (Analysis) S - The Marketplace to Buy and Sell your Study Material Downloaded by: gosssiaakk | Distribution of this document is illegal Downloaded by Thomas Mboya () lOMoARcPSD| S - The Marketplace to Buy and Sell your Study Material Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank NURSINGTB.COM U S N T O 21. A 38-year-old patient who is a recent refugee from Syria is attending the clinic for an initial examination. A potential intervention the nurse will implement is: a. Cognitive assessment. b. Fall risk screening. c. Fasting glucose test. d. Tuberculin skin test. ANS: D A tuberculin (TB) skin test is a potential intervention for an individual from a high-risk area, such as Syria, which is known to be endemic for TB. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Reduction of Risk Potential 22. During a clinical examination of a 68-year-old patient, the nurse will: a. Remind the patient use medication wisely. b. Perform a tuberculin skin test. c. Discuss body image and dieting. d. Helping the consumer choose a healthier lifestyle. ANS: A For individuals age 65 years and greater, reminding them to use medication wisely is important in preventing injury (i.e., polypharmacy) DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Safe and Effective Care Environment: Reduction of Risk Potential 23. The nurse has implemented sNeveRral pIlanGnedBCrveMntions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? a. Establish priorities. b. Identify expected outcomes. c. Evaluate the individual’s condition, and compare actual outcomes with expected outcomes. d. Interpret data, and then identify clusters of cues and make inferences. ANS: C Evaluation is the next step after the implementation phase of the nursing process. During thi