Test Bank - Physical Examination and Health Assessment 3e (by Jarvis) 2
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis) 3
Chapter 01: Evidence-Based Assessment
sm sm sm
MULTIPLEsmCHOICE
1. Aftersmcompletingsmansminitialsmassessmentsmofsmasmpatient,smthesmnursesmhassmchartedsmthatsmhissmrespirationssmaresm
eupneicsmandsmhiss m pulses m iss m 58s m beatss m pers m minute.s m Thesesmtypessmofs m datas m woulds m be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:smA
Objectivesmdatasmaresmwhatsmthesmhealthsmprofessionalsmobservessmbysminspecting, smpercussing,smpalpating,smandsmausc
ultatingsmduringsmthesmphysicalsmexamination.smSubjectivesmdatasmissmwhatsmthesmpersonsmsayssmaboutsmhimsmorsmherselfs
mduringsm historysmtaking.s m Thes m termss m reflectives m ands m introspectives m ares m nots m useds m tos m describes m data.
DIF:smCognitivesm Level:smUnderstandingsm (Comprehension)
MSC:smClientsmNeeds:smSafesmandsmEffectivesm CaresmEnvironment:sm Managementsm ofsmCare
2. Asmpatientsmtellssmthesmnursesmthatsmhesmissm verysmnsmersmvNosmuUsR,s m SisINnaGuTsB
ea.CteOd,M
sm andsmfeelssmhot.smThesesmtypessm ofsmdatasmwo
uldsmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:smC
Subjectivesmdatasmaresmwhatsmthesmpersonsmsayssmaboutsmhimsmorsmherselfsmduringsmhistorysmtaking.smObjectivesmdatasmaresm
whatsmthesmhealths m professionals m observess m bys m inspecting,s m percussing,s m palpating,s m ands m auscultatings m during
s m thes m physicalsmexamination.s m Thes m termss m reflectives m ands m introspectives m ares m not s m useds m tos m describes m dat
a.
DIF:smCognitivesm Level:smUnderstandingsm (Comprehension)
MSC:smClientsmNeeds:smSafesmandsmEffectivesm CaresmEnvironment:sm Managementsm ofsmCare
3. Thesmpatientssmrecord,smlaboratorysmstudies,smobjectivesmdata,smandsmsubjectivesmdatasmcombinesmtosmformsmthe:
a. Datasmbase.
b. Admittingsm data.
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis) 4
c. Financialsmstatement.
d. Dischargesmsummary.
ANS:smA
Togethersmwithsmthesmpatientssmrecordsmandsmlaboratorysmstudies,smthesmobjectivesmandsmsubjectivesmdatasmformsmthesmd
atasmbase.smThes m others m itemss m ares m nots m parts m ofs m thes m patientss m record,s m laboratorys m studies,s m ors m data.
DIF:smCognitivesm Level:smRememberingsm(Knowledge)
MSC:smClientsmNeeds:smSafesmandsmEffectivesm CaresmEnvironment:sm Managementsm ofsmCare
4. Whensmlisteningsmtosmasmpatientssmbreathsmsounds,smthesmnursesmissmunsuresmofsmasmsoundsmthatsmissmheard.smThe
smnursessm nextsmactionsmshouldsmbesmto:
a. Immediatelysmnotifysmthesmpatientssmphysician.
b. Documentsmthesmsoundsmexactlysmassmitsmwassmheard.
c. Validatesmthesmdatasmbysmaskingsmasmcoworkersmtosmlistensmtosmthesmbreathsmsounds.
d. Assesssmagainsminsm20smminutessmtosmnotesmwhethersmthesmsoundsmissmstillsmpresent.
ANS:smC
Whensmunsuresmofsmasmsoundsmheardsmwhilesmlisteningsmtosmasmpatientssmbreathsmsounds,smthesmnursesmvalidatessmthesmdatasmt
osmensuresmaccuracy.s m Ifs m thes m nurses m hass m lesssmexperiences m ins m ans m area,s m thens m hes m ors m shes m askss m ans m expert
s m tos m listen.
DIF:smCognitivesm Level:smAnalyzingsm(Analysis)
MSC:smClientsmNeeds:smSafesmandsmEffectivesmCaresmEnvironment:sm Managementsm ofsmCare
5. Thes m nursesmiss m conductings m as m classs m fors m news m graduates m nurses.s m Duringsmthes m teachings m session,smthes m nurse
s m shoulds m keepsmins m minds m thatsmnovice s m nurses,s m withoutsm as m backgrounds m ofsmskillss m ands m experiences m fromsm whi
chs m tosmdraw,s m ares m mores m likelysmtosmmakesmtheirsmdecisionssmusing:
a. Intuition.
b. Asmsetsmofsmrules.
c. Articlessminsmjournals.
d. Advicesmfromsmsupervisors.
ANS:smB
Novicesmnursessmoperatesmfromsmasmsetsmofsmdefined,smstructuredsmrules.smThesmexpertsmpractitionersmusessmintuitive
links.smDIF:smCognitives m Level:smUnderstandings m (Comprehension)
sm
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis) 5
MSC:sm Clientsm Needs:s m General
6. Expertsmnursessmlearnsmtosmattendsmtosmasmpatternsmofsmassessmentsmdatasmandsmactsmwithoutsmconsciouslysmlabelin
gsmit.smThesesmresponsessmaresmreferredsmtosmas:
a. Intuition.
b. Thesmnursingsmprocess.
c. Clinicalsmknowledge.
d. Diagnosticsmreasoning.
ANS:smA
Intuitionsmissmcharacterizedsmbysmpatternsmrecognitionexpertsmnursessmlearnsmtosmattendsmtosmasmpatternsmofsmassessmen
tsmdatasmandsmacts m withouts m consciouslys m labelings m it.s m Thes m others m optionss m ares m nots m correct.
DIF:smCognitivesmLevel:smUnderstandingsm(Comprehensio
n)smMSC:smClientsmNeeds:smGeneral
7. Thesmnursesmissmreviewingsminformationsmaboutsmevidence-
basedsmpracticesm(EBP).smWhichsmstatementsmbestsmreflectssmEBP?
a. EBPsmreliessmonsmtraditionsmforsmsupportNoUfsmR
beSsItNpGrT
acBt.iC
ceOsM
.
b. EBPsmissmsimplysmthesmusesmofsmbestsmpracticesmtechniquessm forsmthesmtreatmentsmofsmpatients.
c. EBPsmemphasizessmthesmusesmofsmbestsmevidencesm withsmthesmclinicianssmexperience.
d. ThesmpatientssmownsmpreferencessmaresmnotsmimportantsmwithsmEBP.
ANS:smC
EBPsmissmasmsystematicsmapproachsmtosmpracticesmthatsmemphasizessmthesmusesmofsmbestsmevidencesminsmcombinatio
nsmwithsmthesmclinicianssmexperience,smassmwellsmassmpatientsmpreferencessmandsmvalues,smwhensmmakingsmdecision
ssmaboutsmcaresmandsmtreatment.smEBPsmissmmoresmthansmsimplysmusingsmthesmbestsmpracticesmtechniquessmtosmtreatsm
patients,smandsmquestioningsmtraditions m iss m importants m whens m nos m compellings m ands m supportives m research
s m evidence s m exists.
DIF:smCognitivesm Level:smApplyingsm(Application)
MSC:smClientsmNeeds:smSafesmandsmEffectivesm CaresmEnvironment:sm Managementsm ofsmCare
8. Thesmnursesmissmconductingsmasmclasssmonsmprioritysmsettingsmforsmasmgroupsmofsmnewsmgraduatesmnurses.smWhichsmis
smansmexamplesmofsmasm first-levelsm prioritysm problem?
a. Patientsmwithsmpostoperativesmpain
b. Newlysmdiagnosedsmpatientsmwithsmdiabetessmwhosmneedssmdiabeticsmteaching