Physical Examination and Health Assessment
3rd Edition by Carolyn Jarvis, All Chapters 1 - 31
,TABLE OF CONTENTS
,ChapterI01:IEvidence-BasedI Assessment
MULTIPLEICHOICE
1. AfterIcompletingIanIinitialIassessmentIofIaIpatient,ItheInurseIhasIchartedIthatIhisIrespirationsIareIeupn
eicIandI hisIpulseIisI58IbeatsIperIminute.ITheseItypesIofIdataIwouldIbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER:IA
ObjectiveI dataI areI whatI theI healthI professionalI observesI byI inspecting,I percussing,I palpating,I andI ausc
ultatingI duringI theI physicalI examination.I SubjectiveI dataI isI whatI theI personI saysI aboutI himI orI herself
I duringI historyI taking.ITheItermsIreflectiveIandIintrospectiveIareInotIusedItoIdescribeIdata.
DIF:I CognitiveI Level:I UnderstandingI(Comprehension)
MSC:IClientINeeds:ISafeIandIEffectiveICareIEnvironment:I ManagementI ofICare
2. AIpatientItellsItheInurseIthatIheIisIveryInervous,IisInIaIuIs eIa.ICtIeOdIM
,I andIfeelsIhot.ITheseItypesIofIdataIwouldIbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER:IC
SubjectiveIdataIareIwhatItheIpersonIsaysIaboutIhimIorIherselfIduringIhistoryItaking.IObjectiveIdataIareIwh
atItheI healthIprofessionalIobservesIbyIinspecting,Ipercussing,Ipalpating,IandIauscultatingIduringItheIphy
sicalI examination.ITheItermsIreflectiveIandIintrospectiveIareInotIusedItoIdescribeIdata.
DIF:I CognitiveI Level:I UnderstandingI (Comprehension)
MSC:IClientINeeds:ISafeIandIEffectiveICareIEnvironment:I ManagementI ofICare
3. TheIpatientsIrecord,IlaboratoryIstudies,IobjectiveI data,IandIsubjectiveI dataIcombineItoIformIthe:
a. DataIbase.
b. AdmittingIdata.
, c. FinancialIstatement.
d. DischargeIsummary.
ANSWER:IA
TogetherIwithItheIpatientsIrecordIandIlaboratoryIstudies,ItheIobjectiveIandIsubjectiveIdataIformItheIdataIbase.I
TheIotherIitemsIareInotIpartIofItheIpatientsIrecord,IlaboratoryIstudies,IorIdata.
DIF:ICognitiveI Level:IRememberingI(Knowledge)
MSC:IClientINeeds:ISafeIandIEffectiveICareIEnvironment:I ManagementI ofICare
4. WhenIlisteningItoIaIpatientsIbreathIsounds,ItheInurseIisIunsureIofIaIsoundIthatIisIheard.ITheInursesInext
I actionIshouldIbeIto:
a. ImmediatelyInotifyItheIpatientsI physician.
b. DocumentItheIsoundIexactlyIasIitIwasI heard.
c. ValidateItheIdataI byIaskingIaI coworkerItoIlistenItoItheIbreathIsounds.
d. AssessIagainIinI20IminutesI toInoteIwhetherI theIsoundIisIstillIpresent.
ANSWER:IC
WhenIunsureIofIaIsoundIheardIwhileIlisteningItoIaIpatientsIbreathIsounds,ItheInurseIvalidatesItheIdataItoIensure
I accuracy.IIfItheInurseIhasIlessIexperienceIinIanIarea,IthenIheIorIsheIasksIanIexpertItoIlisten.
DIF:ICognitiveI Level:IAnalyzingI(Analysis)
MSC:IClientINeeds:ISafeIandIEffectiveICareIEnvironment:I ManagementI ofICare
5. TheI nurseI isI conductingI aI classI forI newI graduateI nurses.IDuringI theI teachingI session,I theI nurseI shouldI keepI i
nI mindIthatI noviceI nurses,I withoutI aIbackgroundI ofIskillsI andIexperienceI fromI whichI toIdraw,I areI moreI likelyI to
ImakeItheirIdecisionsIusing:
a. Intuition.
b. AIsetIofIrules.
c. ArticlesIinIjournals.
d. AdviceIfromIsupervisors.
ANSWER:IB
NoviceInursesIoperateIfromIaIsetIofIdefined,IstructuredIrules.ITheIexpertIpractitionerIusesIintuitiveIlinks.I
DIF:ICognitiveILevel:IUnderstandingI(Comprehension)