HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK

HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK Chapter 01: Evidence-Based Assessment 1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic (normal) and his pulse is 58 beats per minute. These types of data would be: a. Objective. . 2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be C. Subjective. . 3. The patient's record, laboratory studies, objective data, and subjective data combine to form the: a. Data base. 4. When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to: C. Validate the data by asking a coworker to listen to the breath sounds. 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: b. A set of rules. 6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as: a. Intuition. 7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? C. EBP emphasizes the use of best evidence with the clinician's experience. 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? D. Individual with shortness of breath and respiratory distress 9. When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects? C. Abnormal laboratory values 10. Which critical thinking skill helps the nurse see relationships among the data? b. Clustering related cues 11. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis. a. Nursing 12. The nursing process is a sequential method of problem solving that nurses use and includes which steps? D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation 13. 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 14. Which of these would be formulated by a nurse using diagnostic reasoning? C. Diagnostic hypothesis 15. Barriers to incorporating EBP include: a. Nurses lack of research skills in evaluating the quality of research studies. 16. What step of the nursing process includes data collection by health history, physical examination, and interview? D. Assessment 17. During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems? D. Teach the nurses how to conduct electronic searches for research studies. 18. When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these? D. Holistic health views the mind, body, and spirit as interdependent. 19. The nurse recognizes that the concept of prevention in describing health is essential because: C. Prevention places the emphasis on the link between health and personal behavior. 20. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: D. 2 5 cm scar on the right lower forearm. 21. 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? C. A complete health database because of the nurses primary responsibility for monitoring the patients health 22. Which situation is most appropriate during which the nurse performs a focused or problem-centered history? D. Patient in an outpatient clinic has cold and influenza-like symptoms. 23. 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. 24. A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? b. Simultaneously ask history questions while performing the examination and initiating life- saving measures. 25. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to: D. Provide culturally sensitive and appropriate care. 26. In the health promotion model, the focus of the health professional includes: D. Helping the consumer choose a healthier lifestyle. 27. The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? c. Evaluate the individual's condition, and compare actual outcomes with expected outcomes. 28. Which statement best describes a proficient nurse? A proficient nurse is one who: d. Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient. 29. The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? Select all that apply. Inspiratory wheezes noted in left lower lobes Nonproductive cough Patient reports dyspnea upon exertion Rate of respirations 16 breaths per minute ANS: A, C, E, F 30. Put the following patient situations in order according to the level of priority. a. A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. #3 b. A teenager who was stung by a bee during a soccer match is having trouble breathing. #1 c. An older adult with a urinary tract infection is also showing signs of confusion and agitation. #2 1. b = First-level priority problem 2. c= Second-level priority problem 3. a= Third-level priority problem Chapter 02: Cultural Assessment 1. The nurse is reviewing the development of culture. Which statement is correct regarding the development of ones culture? Culture is: B. Learned through language acquisition and socialization. 2. During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which statement correctly reflects one of these characteristics? d. Culture adapts to specific environmental factors and available natural resources. 3. During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating the specific and distinct knowledge, beliefs, skills, and customs acquired by members of a society reflects which term? C. Norms 4. When discussing the use of the term subculture, the nurse recognizes that it is best described as: D. Identifying fairly large groups of people with shared characteristics that are not common to all members of a culture. 5. When reviewing the demographics of ethnic groups in the United States, the nurse recalls that the largest and fastest growing population is: a. Hispanic. 6. During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which action by the nurse is appropriate? a. Ask the patient about the item and its significance. 7. The nurse manager is explaining culturally competent care during a staff meeting. Which statement accurately describes the concept of culturally competent care? The caregiver: . D. Understands and attends to the total context of the patients situation. 8. The nurse recognizes that an example of a person who is heritage consistent would be a: b. Woman who follows the traditions that her mother followed regarding meals. 9. After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement? c. Ethnicity pertains to a social group within the social system that claims shared values and traditions. 10. The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of ones spirituality? C. Personal effort made to find purpose and meaning in life 11. A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college studies. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept a. Assimilation 12. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment? b. Do you mostly participate in the religious traditions of your family? 13. In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this difference is true, probably because Mexican-Americans: B. Consider these symptoms part of normal living, not symptoms of ill health. 14. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness? B. Biomedical 15. An Asian-American woman is experiencing diarrhea, which is believed to be cold or yin. The nurse expects that the woman is likely to try to treat it with: a. Foods that are hot or yang. 16. Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao. Which statement most accurately reflects health in an Asian with this belief? C. All aspects of the person are in perfect balance. 17. Illness is considered part of life's rhythmic course and is an outward sign of disharmony within. This statement most accurately reflects the views about illness from which theory? a. Naturalistic 18. An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by: b. Supernatural forces. 19. If an American Indian woman has come to the clinic to seek help with regulating her diabetes, then the nurse can expect that she: c. May also be seeking the assistance of a shaman or medicine man. 20. An older Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally sensitive nurse would: C. Further assess the patients cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires.