TEST BANK - Carolyn Jarvis, Physical Examination and Health Assessment 9th Edition, Verified Chapters 1 - 32, Complete Newest Version

Test Bank for Physical Examination and Health Assessment
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9th Edition by Carolyn Jarvis, Ann
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment hy hy hy




MULTIPLE CHOICE hy




1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupne
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ic andhis 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 hy




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
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g during the physical examination. Subjective data is what the person says about him or herself during histo
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ry 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 nervous, is nausea.CteOdM
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: C hy




Subjective data are what the person says about him or herself during history taking. Objective data are w
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hat thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
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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. hy




b. Admitting data. hy

, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
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c. Financial statement. hy




d. Discharge summary. hy




ANS: A hy




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 nurs
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es nextaction should be to:
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a. Immediately notify the patients physician. hy hy hy hy




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 hy




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensur
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eaccuracy. 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 should
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ykeep in mind that novice nurses, without a background of skills and experience from which to draw, a
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re more likelyto make their decisions using:
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a. Intuition.


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




d. Advice from supervisors.hy hy




ANS: B hy




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive lin
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ks.DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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MSC: Client Needs: General
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6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflectsEBP?
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a. EBP relies on tradition for supportNoUf RbeSsIN
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ceOsM
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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: Cy
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
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the clinicians experience, as well as patient preferences and values, when making decisions about care
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and treatment. EBP is more than simply using the best practice techniques to treat patients, and questio
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ning tradition is important when no compelling and supportive research evidence 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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7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
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Theseresponses are referred to as:
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a. Intuition.


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




d. Diagnostic reasoning. hy




ANS: A hy




Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment dat
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a andact 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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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an e
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xampleof 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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