Assessment 9th Edition by Carolyn Jarvis, Ann
Eckhardt / All Chapters 1-32 / Full Complete
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 nausea.CteOdM, 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 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.
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.
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)
MSC: Client Needs: General
6. The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP?
a. EBP relies on tradition for supportNoUf RbeSsItNpGrTacBt.iCceOsM.
b. EBP is simply the use of best practice techniques for the treatment of
patients.
c. EBP emphasizes the use of best evidence with the clinicians experience.
d. The patients own preferences are not important with EBP. ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence
in combination with the clinicians experience, as well as patient preferences and
values, when making decisions about care and treatment. EBP 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
7. 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.
b. The nursing process.