Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis,
All Chapters 1 - 32 / Full Complete
,TABLE OF CONTENTS
,Chapter 01: Evidence-Based Assessment
d d d
MULTIPLE dCHOICE
1. After dcompleting d an d initial d assessment d of da dpatient, d the d nurse d has dcharted d that d his d respirations d are
d eupneic d anddhis d pulse d is d 58 d beats d per d minute. d These d types d of d data d would d be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: dA
Objective ddata dare dwhat dthe dhealth dprofessional dobserves dby dinspecting, dpercussing, dpalpating, dand
dauscultating dduring dthe dphysical dexamination. dSubjective ddata dis dwhat dthe dperson dsays dabout dhim dor dherself
dduring dhistory dtaking. dThe d terms d reflective d and d introspective d are d not d used d to d describe d data.
DIF: d Cognitive d Level: d Understanding d (Comprehension)
MSC: d Client dNeeds: dSafe d and dEffective d Care d Environment: d Management d of dCare
2. A dpatient dtells dthe dnurse dthat dhe dis dvery dnervous, dis dnausea.CteOdM
, dand dfeels dhot. dThese dtypes dof ddata dwould dbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: dC
Subjective d data d are d what dthe d person d says d about dhim d or d herself d during d history d taking. d Objective d data d are
dwhat d thedhealth dprofessional dobserves dby dinspecting, dpercussing, dpalpating, dand dauscultating dduring dthe
dphysical dexamination. dThe d terms d reflective d and d introspective d are d not d used dto d describe d data.
DIF: d Cognitive d Level: d Understanding d (Comprehension)
MSC: d Client dNeeds: dSafe d and dEffective d Care d Environment: d Management d of dCare
3. The dpatients d record, dlaboratory d studies, dobjective d data, d and d subjective d data d combine d to d form dthe:
a. Data dbase.
, b. Admitting d data.
c. Financial d statement.
d. Discharge d summary.
ANSWER: dA
Together dwith d the d patients d record dand dlaboratory d studies, d the d objective d and d subjective d data d form d the d data
d base.dThe d other d items d are d not d part d of d the d patients d record, d laboratory d studies, d or d data.
DIF: d Cognitive d Level: d Remembering d (Knowledge)
MSC: d Client dNeeds: dSafe d and dEffective d Care d Environment: d Management d of dCare
4. When d listening d to da d patients d breath d sounds, d the d nurse dis dunsure d of d a d sound dthat d is d heard. dThe
d nurses d nextdaction d should d be d to:
a. Immediately d notify d the d patients d physician.
b. Document dthe d sound d exactly d as dit dwas d heard.
c. Validate dthe d data d by dasking d a d coworker d to dlisten d to dthe d breath d sounds.
d. Assess d again d in d 20 d minutes d to d note d whether d the d sound dis d still d present.
ANSWER: dC
When d unsure d of d a d sound d heard dwhile d listening d to da d patients d breath d sounds, d the d nurse d validates dthe d data dto
d ensuredaccuracy. dIf dthe d nurse d has d less dexperience d in d an d area, d then d he d or d she d asks dan d expert d to d listen.
DIF: d Cognitive d Level: dAnalyzing d (Analysis)
MSC: d Client dNeeds: dSafe d and dEffective d Care d Environment: d Management d of dCare
5. The dnurse dis dconducting da dclass dfor dnew dgraduate d nurses. dDuring d the dteaching dsession, dthe dnurse dshould
d keepdin d mind d that d novice d nurses, d without d a d background d of d skills d and d experience d from d which d to d draw, d are
d more d likelydto d make d their d decisions d using:
a. Intuition.
b. A dset dof drules.
c. Articles din djournals.
d. Advice d from d supervisors.
ANSWER: dB
Novice dnurses d operate d from d a d set d of d defined, d structured d rules. d The d expert d practitioner d uses d intuitive
d links.dDIF: dCognitive d Level: dUnderstanding d (Comprehension)
MSC: d Client d Needs: d General