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Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment
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MULTIPLE CHOICE M
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic a
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nd his 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 M
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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Mduring the physical examination. Subjective data is what the person says about him or herself during history
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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 n a u s e a. Ct eOd M
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C M
Subjective data are what the person says about him or herself during history taking. Objective data are what
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Mthe health professional observes by inspecting, percussing, palpating, and auscultating during the physi
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cal 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. M
b. Admitting data. M
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement. M
d. Discharge summary. M
ANS: A M
Together with the patients record and laboratory studies, the objective and subjective data form the data bas
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e. 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 nurses n
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ext action should be to:
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a. Immediately notify the patients physician. M M M M
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 M
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure ac
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curacy. 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 k
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eep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
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e likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. M M
d. Advice from supervisors. M M
ANS: B M
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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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 reflects EBP?
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a. EBP relies on tradition for supportNoUf RbeSsI tNpGrTa cBt.iC
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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 EBP.
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ANS: C M
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with t
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he clinicians experience, as well as patient preferences and values, when making decisions about care an
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d treatment. EBP is more than simply using the best practice techniques to treat patients, and questionin
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g 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. The
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se responses are referred to as:
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a. Intuition.
b. The nursing process.
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c. Clinical knowledge. M
d. Diagnostic reasoning. M
ANS: A M
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
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and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension
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) 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 exam
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ple of 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 teachin
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g