Test Bank - JARVIS Physical Examination and Health Assessment 3rd Canadian Edition

, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BA
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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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Chapter 01: Evidence-Based Assessment Wi Wi Wi




MULTIPLE CHOICE Wi




1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupn
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eic and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: A Wi




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscult
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ating during the physical examination. Subjective data is what the person says about him or herself durin
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g history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
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, and feels hot. These types of data would b
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e:

a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: C Wi




Subjective data are what the person says about him or herself during history taking. Objective data are wh
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at the health professional observes by inspecting, percussing, palpating, and auscultating during the
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physical examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. Wi




b. Admitting data. Wi




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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BA
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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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c. Financial statement. Wi




d. Discharge summary. Wi




ANS: A Wi




Together with the patients record and laboratory studies, the objective and subjective data form the data
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base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nur
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ses next action should be to:
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a. Immediately notify the patients physician. Wi Wi Wi Wi




b. Document the sound exactly as it was heard.
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c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C Wi




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

DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse s
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hould keep in mind that novice nurses, without a background of skills and experience from which to
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draw, are more likely to make their decisions using:
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a. Intuition.


b. A set of rules.
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c. Articles in journals. Wi Wi




d. Advice from supervisors. Wi Wi




ANS: B Wi




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive li
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nks. DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BA
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NK
4
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it
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. These responses are referred to as:
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a. Intuition.


b. The nursing process.
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c. Clinical knowledge. Wi




d. Diagnostic reasoning. Wi




ANS: A Wi




Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment
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data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehensio
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n) MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for supportNoUf R
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b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with E
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BP. ANS: C Wi Wi




EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
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with the clinicians experience, as well as patient preferences and values, when making decisions abo
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ut care and treatment. EBP is more than simply using the best practice techniques to treat patients,
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and questioning tradition is important when no compelling and supportive research evidence
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exists.
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DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
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example of a first-level priority problem?
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a. Patient with postoperative pain
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b. Newly diagnosed patient with diabetes who needs diabetic teaching
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