Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis PhD APN CNP (Author), Ann L. Eckhardt PhD RN (Author)

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CarolynJarvis,AnnEckhardt/AllChapters1-32/FullComplete
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TestBank - Physical Examination and HealthAssessment 9e(by Jarvis)
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Chapter 01: Evidence-Based Assessment w s w s w s




MULTIPLE CHOICE ws




1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
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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 w s




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
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the physical examination. Subjective data is what the person says about him or herself during history taking. The
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wterms 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 nursethat he is very nervous, isn a u s e a. Ct eOd M
ws , and feels hot. These types of data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: C w s




Subjective data are what the person says about him or herself during history taking. Objective data are what the
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health professional observes by inspecting, percussing, palpating, and auscultating during the
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wphysical 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. ws




b. Admitting data. w s

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TestBank - Physical Examination and HealthAssessment 9e(by Jarvis)
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c. Financial statement. ws




d. Discharge summary. ws




ANS: A w s




Together with the patients record and laboratory studies, the objective and subjective data form the data base. The
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wother 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 next action
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should be to:
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a. Immediately notify the patients physician. ws ws ws w s




b. Document the sound exactly as it was heard. ws ws ws w s ws ws w s




c. Validate the data by asking a coworker to listen to the breath sounds. ws ws w s ws w s ws ws ws ws ws w s ws




d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C w s




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy. If
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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 likely to
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make their decisions using:
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a. Intuition.


b. A set of rules.
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c. Articles in journals. ws ws




d. Advice from supervisors. w s ws




ANS: B w s




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
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ws Cognitive Level: Understanding (Comprehension) ws ws w s

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TestBank - Physical Examination and HealthAssessment 9e(by Jarvis)
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MSC: Client Needs: General w s w s w s




6. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
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EBP?
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a. EBP relies on tradition for supportNoUfRbeSsI 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 w s




EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and
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treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition
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wis 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. These
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responses are referred to as:
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a. Intuition.


b. The nursing process. ws ws




c. Clinical knowledge. ws




d. Diagnostic reasoning. ws




ANS: A w s




Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and act
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wwithout consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension)
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ws MSC: Client Needs: General ws ws ws




8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a
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first-level priority problem?
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a. Patient with postoperative pain ws w s ws




b. Newly diagnosed patient with diabetes who needs diabetic teaching
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