Physical
Examination and
Health
Assessment, 8th
Edition, Carolyn
Jarvis, ISBN:
9780323510806
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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. AgopatientgotellsgothegonursegothatgohegoisgoverygonervN
ouUsR,goSisIN
naGuTsB
ea.C
teOdM
,goandgofeelsgohot.goThesegotypesgoofgo
datagowouldgobe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:goC
Subjectivego datagoaregowhatgo thego persongo saysgo aboutgo himgo orgo herselfgo duringgo historygotaking.go Objectiveg
o datago arego whatgo thegohealthgoprofessionalgoobservesgobygoinspecting,gopercussing,gopalpating,goandgoauscul
tatinggoduringgothegophysicalgoexamination.goThegotermsgoreflectivegoandgointrospectivegoaregonotgousedgotogo
describegodata.
DIF:g o Cognitiveg o Level:g o Understandingg o (Comprehension)
MSC:go Clientgo Needs:go Safego andgo Effectivego Carego Environment:g o Managementgo ofgo Care
3. Thegopatientsgo record,go laboratorygo studies,goobjectivego data,go andgo subjectivego datago combinego togo formgo t
he:
a. Datagobase.
b. Admittinggodata.
NURSINGTB.COM
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c. Financialgo statement.
d. Dischargego summary.
ANS:goA
Togethergowithgothego patientsgo recordgoandgolaboratorygo studies,go thego objectivego andgo subjectivego datagofor
mgo thego datago base.goThegoothergoitemsgoaregonotgopartgoofgothegopatientsgorecord,golaboratorygostudies,goor
godata.
DIF:go Cognitiveg o Level:go Rememberingg o (Knowledge)
MSC:go Clientgo Needs:go Safego andgo Effectivego Carego Environment:g o Managementgo ofgo Care
4. Whengolisteninggo togoago patientsgo breathgo sounds,go thego nursegoisgounsurego ofgoago soundgothatgoisgo h
eard.goThego nursesgonextgoactiongoshouldgobegoto:
a. Immediatelygo notifygo thego patientsgo physician.
b. Documentgothegosoundgoexactlygo asgoitgowasgo heard.
c. Validategothego datago bygoaskinggo ago coworkergo togo listengotogothego breathgo sounds.
d. Assessgo againgo ingo20go minutesgo togonotego whethergo thego soundgo isgo stillgopresent.
NURSINGTB.COM
ANS:go
C
Whengo unsurego ofgo agosoundgo heardgo whilego listeninggotogoago patientsgo breathgo sounds,go thego nursegovalidat
esgo thego datagotogoensuregoaccuracy.goIfgothegonursegohasgolessgoexperiencegoingoangoarea,gothengohegoorgosh
egoasksgoangoexpertgotogolisten.
DIF:go Cognitivego Level:go Analyzinggo (Analysis)
MSC:go Clientgo Needs:go Safego andgo Effectivego Carego Environment:g o Managementgo ofgo Care
5. Thegonursegoisgoconductinggoagoclassgoforgonewgograduategonurses.goDuringgothegoteachinggosession,gothego
nursegoshouldgokeepgoingo mindgo thatgo novicego nurses,go withoutgo ago backgroundgo ofgo skillsgo andgo experience
go fromgo whichgo togo draw,go arego morego likelygotogomakegotheirgodecisionsgousing:
a. Intuition.
b. Agosetgoofgorules.
c. Articlesgoingojournals.
d. Advicego fromgo supervisors.
ANS:goB
Novicegonursesgo operatego fromgo ago setgo ofgo defined,go structuredgo rules.go Thego expertgo practitionergo usesg
o intuitivego links.goDIF:goCognitivegoLevel:goUnderstandinggo(Comprehension)
NURSINGTB.COM