TEST BANK Physical Examination & Health Assessment 9th Edition by Carolyn Jarvis| All Chapters Covered| Test Bank 100% Verified Answers

,Chapter 01: Evidence-Based Assessment
k k k



MULTIPLEkCHOICE

1. Afterkcompletingkankinitialkassessmentkofkakpatient,ktheknursekhaskchartedkthatkhiskrespirationskarekeupneickandkh
iskpulsekisk58kbeatskperkminute.kThesektypeskofkdatakwouldkbe:


a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANSWER:kA

Objectivekdatakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultatingkdu
ringkthekphysicalkexamination.kSubjectivekdatakiskwhatkthekpersonksayskaboutkhimkorkherselfkduringkhistoryktaking.k
Thektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata.

DIF:k Cognitivek Level:k Understandingk (Comprehension)

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:k Managementk ofkCare

2. Akpatientktellsktheknursekthatkhekiskveryknervous,kiskn a u s e a. Ct eOd M
, kandkfeelskhot.kThesektypeskofkdatakwouldkbe:

a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANSWER:kC

Subjectivekdatakarekwhatkthekpersonksayskaboutkhimkorkherselfkduringkhistoryktaking.kObjectivekdatakarekwhatkthek
healthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultatingkduringkthekphysicalkexaminat
ion.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata.

DIF:k Cognitivek Level:k Understandingk (Comprehension)

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:k Managementk ofkCare

3. Thekpatientskrecord,klaboratorykstudies,kobjectivekdata,k andksubjectivek datakcombinek tokformkthe:


a. Datakbase.

, PhysicalkExaminationkandkHealthkAssessmentk


b. Admittingkdata.


c. Financialkstatement.


d. Dischargeksummary.


ANSWER:kA

Togetherkwithkthekpatientskrecordkandklaboratorykstudies,kthekobjectivekandksubjectivekdatakformkthekdatakbase.kT
hekotherkitemskareknotkpartkofkthekpatientskrecord,klaboratorykstudies,korkdata.

DIF:kCognitivek Level:kRememberingk (Knowledge)

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:k Managementk ofkCare

4. Whenklisteningktokakpatientskbreathksounds,ktheknursekiskunsurekofkaksoundkthatkiskheard.kTheknursesknextka
ctionkshouldkbekto:


a. Immediatelyknotifykthekpatientsk physician.


b. Documentktheksoundkexactlyk askitkwask heard.


c. Validatekthekdatakbykaskingk akcoworkerktoklistenktokthek breathksounds.


d. Assesskagainkink20kminutesktoknotekwhetherktheksoundkiskstillkpresent.


ANSWER:kC

Whenkunsurekofkaksoundkheardkwhileklisteningktokakpatientskbreathksounds,ktheknursekvalidateskthekdataktokensurek
accuracy.kIfktheknursekhasklesskexperiencekinkankarea,kthenkhekorkshekaskskankexpertktoklisten.

DIF:kCognitivek Level:kAnalyzingk (Analysis)

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:k Managementk ofkCare

5. Theknursekiskconductingkakclasskforknewkgraduatek nurses.kDuringk thekteachingksession,ktheknursekshouldk keepk i
nk mindk thatknovicek nurses,k withoutk akbackgroundk ofkskillsk andk experiencek fromkwhichk tok draw,k arek morek likelykt
okmakektheirkdecisionskusing:


a. Intuition.


b. Aksetkofkrules.


c. Articleskinkjournals.


d. Advicekfromksupervisors.


ANSWER:kB

Noviceknurseskoperatekfromkaksetkofkdefined,kstructuredkrules.kThekexpertkpractitionerkuseskintuitiveklinks.kDI

F:kCognitivekLevel:kUnderstandingk(Comprehension)

, PhysicalkExaminationkandkHealthkAssessmentk



MSC:k Clientk Needs:k General

6. Theknursekiskreviewingkinformationkaboutkevidence-
basedkpracticek(EBP).kWhichkstatementkbestkreflectskEBP?


a. EBPkrelieskonktraditionkforksupportNoUfkRbeSsI tNpGrTa cBt.iCc eOsM
.


b. EBPkisksimplykthekusekofkbestkpracticektechniqueskforkthektreatmentkofkpatients.


c. EBPkemphasizeskthekusekofkbestkevidencekwithk thekclinicianskexperience.


d. Thekpatientsk ownk preferenceskarek notkimportantkwithk EBP.


ANSWER: C

EBPkiskaksystematickapproachktokpracticekthatkemphasizeskthekusekofkbestkevidencekinkcombinationkwithkthekcl
inicianskexperience,kaskwellkaskpatientkpreferenceskandkvalues,kwhenkmakingkdecisionskaboutkcarekandktreatm
ent.kEBPkiskmorekthanksimplykusingkthekbestkpracticektechniquesktoktreatkpatients,kandkquestioningktraditionkisk
importantkwhenknokcompellingkandksupportivekresearchkevidencekexists.

DIF:kCognitivek Level:kApplyingk(Application)

MSC:kClientkNeeds:kSafekandkEffectivek CarekEnvironment:k Managementk ofk Care

7. Expertknursesklearnktokattendktokakpatternkofkassessmentkdatakandkactkwithoutkconsciouslyklabelingkit.kThesekr
esponseskarekreferredktokas:


a. Intuition.


b. Theknursingkprocess.


c. Clinicalkknowledge.


d. Diagnostickreasoning.


ANSWER:kA

Intuitionkiskcharacterizedkbykpatternkrecognitionexpertknursesklearnktokattendktokakpatternkofkassessmentkdatakandk
actkwithoutkconsciouslyklabelingkit.kThekotherkoptionskareknotkcorrect.

DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kM

SC:kClientkNeeds:kGeneral



8. Thek nursek isk conductingk ak k classk onk priorityk settingk k fork ak groupk k ofk k newk k graduatek k nurses.kW
hichk isk ank examplekofk ak first-levelk priorityk problem?


a. Patientk k withk k postoperativek k pain


b. Newlyk k diagnosedk k patientk k withk k diabetesk k whok k needsk k diabetick k teaching