9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment WD WD WD
MULTIPLE CHOICE WD
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic an
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dh is 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 WD
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating dur
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ing the physical examination. Subjective data is what the person says about him or herself during history taking.
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T he 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 use a. Ct eOd M
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C WD
Subjective data are what the person says about him or herself during history taking. Objective data are what the
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<h ealth professional observes by inspecting, percussing, palpating, and auscultating during the physical examinati
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on
. 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. <
b. Admitting data. WD
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement. WD
d. Discharge summary. WD
ANS: A WD
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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Th e 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 ne
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xta ction should be to:
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a. Immediately notify the patients physician. WD WD WD <
b. Document the sound exactly as it was heard. WD WD WD WD < WD WD
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 WD
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureaccurac
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y. 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 keep
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in mind that novice nurses, without a background of skills and experience from which to draw, are more likel
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yto m ake their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. WD WD
d. Advice from supervisors. WD WD
ANS: B WD
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.DIF: Cognitive L
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evel: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
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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 reflectsEBP
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?
a. EBP relies on tradition for supportNoUfRbeSsItN pGrTa cBt .iCc eOsM
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D <WD
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 WD
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the cli
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nicians experience, as well as patient preferences and values, when making decisions about care and treatme
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nt. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is i
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mportant 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. Thes
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er esponses are referred to as:
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a. Intuition.
b. The nursing process.
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c. Clinical knowledge. WD
d. Diagnostic reasoning. WD
ANS: A WD
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
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ac t 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 exampl
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eo f 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 teaching
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