byVCarolynVJarvis,VAnnVEckhardtV/VAllVChaptersV1-
32V/VFullVComplete
, PHYSICALVEXAMINATIONVANDVHEALTHVASSESSMENTV9THVEDITIONVJARVISVTESTV
BANK
2
TestVBankV-VPhysicalVExaminationVandVHealthVAssessmentV9eV(byVJarvis)
ChapterV 01:V Evidence-BasedV Assessment
MULTIPLEVCHOICE
1. AfterVcompletingVanVinitialVassessmentVofVaVpatient,VtheVnurseVhasVchartedVthatVhisVrespirationsVareVe
upneicVandVhisVpulseVisV 58V beatsV perV minute.VTheseVtypesV ofV dataVwouldV be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:VA
ObjectiveVdataVareVwhatVtheVhealthVprofessionalVobservesVbyVinspecting,Vpercussing,Vpalpating,VandVausc
ultatingVduringVtheVphysicalVexamination.VSubjectiveVdataVisVwhatVtheVpersonVsaysVaboutVhimVorVherself
VduringVhistoryVtaking.VTheV termsV reflectiveV andV introspectiveV areV notV usedV toV describeV data.
DIF:V CognitiveV Level:V UnderstandingV (Comprehension)
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment:V ManagementV ofVCare
2. AVpatientVtellsVtheVnurseVthatVheVisVveryVnervous,VisVn a u s e a. Ct eOd M
, VandVfeelsVhot.VTheseVtypesVofVdataVwould
Vbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:VC
SubjectiveVdataVareVwhatVtheVpersonVsaysVaboutVhimVorVherselfVduringVhistoryVtaking.VObjectiveVdataV
areVwhatVtheVhealthV professionalV observesV byV inspecting,V percussing,V palpating,V andV auscultatingV du
ringV theV physicalVexamination.V TheV termsV reflectiveV andV introspectiveV areV notV usedV toV describeV da
ta.
DIF:V CognitiveV Level:V UnderstandingV (Comprehension)
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment:V ManagementV ofVCare
3. TheVpatientsVrecord,VlaboratoryVstudies,VobjectiveVdata,VandVsubjectiveV dataVcombineVtoVformVthe:
b. AdmittingV data
.
, PHYSICALVEXAMINATIONVANDVHEALTHVASSESSMENTV9THVEDITIONVJARVISVTESTV
BANK
3
TestVBankV-VPhysicalVExaminationVandVHealthVAssessmentV9eV(byVJarvis)
a. DataVbase.
b. AdmittingV data
.
, PHYSICALVEXAMINATIONVANDVHEALTHVASSESSMENTV9THVEDITIONVJARVISVTESTV
BANK
4
TestVBankV-VPhysicalVExaminationVandVHealthVAssessmentV9eV(byVJarvis)
c. FinancialVstatement.
d. DischargeVsummary.
ANS:VA
TogetherVwithVtheVpatientsVrecordVandVlaboratoryVstudies,VtheVobjectiveVandVsubjectiveVdataVformVtheV
dataVbase.VTheV otherV itemsV areV notV partV ofV theV patientsV record,V laboratoryV studies,V orV data.
DIF:VCognitiveVLevel:VRememberingV (Knowledge)
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment:V ManagementV ofVCare
4. WhenVlisteningVtoVaVpatientsVbreathVsounds,VtheVnurseVisVunsureVofVaVsoundVthatVisVheard.VThe
VnursesVnextVactionVshouldVbeVto:
a. ImmediatelyVnotifyVtheVpatientsVphysician.
b. DocumentVtheVsoundVexactlyVasVitVwasV heard.
c. ValidateVtheVdataVbyVaskingVaVcoworkerVtoVlistenVtoVtheV breathVsounds.
d. AssessVagainVinV20VminutesVtoVnoteVwhetherVtheVsoundVisVstillVpresent.
ANS:VC
WhenVunsureVofVaVsoundVheardVwhileVlisteningVtoVaVpatientsVbreathVsounds,VtheVnurseVvalidatesVtheVdataVtoV
ensureVaccuracy.VIfVtheV nurseV hasV lessV experienceV inV anV area,VthenV heVorV sheV asksV anV expertV toV listen.
DIF:VCognitiveVLevel:VAnalyzingV (Analysis)
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment:V ManagementV ofVCare
5. TheV nurseVisV conductingV aV classV forV newV graduateV nurses.V DuringV theV teachingV session,VtheV nurseV s
houldV keepVinV mindV thatVnoviceV nurses,V withoutV aVbackgroundV ofVskillsV andVexperienceV fromV whichV t
oVdraw,V areV moreV likelyVtoVmakeVtheirVdecisionsVusing:
a. Intuition.
b. AVsetVofVrules.
c. ArticlesVinVjournals.
d. AdviceVfromVsupervisors.
ANS:VB
NoviceVnursesVoperateVfromVaVsetVofVdefined,VstructuredVrules.VTheVexpertVpractitionerVusesVintuitive
Vlinks.VDIF:VCognitiveVLevel:VUnderstandingV (Comprehension)