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byCarolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS B. B . B . B. B . B. B .
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Chapter 01: Evidence-Based Assessment B . B . B .
MULTIPLE CHOICE B .
1. After completing an initial assessment of a patient, the nurse has charted that his
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B respirations areeupneic andhis pulse is 58 beats per minute. These types of data
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B would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A B .
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself
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during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive B. B . Level: B . Understanding B . (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management
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2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
B.B. B.B. , iand feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C B .
Subjective data are what the person says about him or herself during history taking.
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B Objective data arewhat thehealth professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. The terms reflective and introspective are not
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B used to describe data.
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DIF: Cognitive B. B . Level: B . Understanding B . (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management
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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 .
b. Admitting data. B .
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS B. B . B . B. B . B. B .
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c. Financial statement. B .
d. Discharge summary. B .
ANS: A B .
Together with the patients record and laboratory studies, the objective and subjective data
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B form the database.The other items are not part of the patients record, laboratory studies,
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Bor data.
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DIF: Cognitive Level: Remembering
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MSC: Client Needs: Safe and Effective Care Environment: Management
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
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B heard. Thenurses nextaction should be to:
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a. Immediately notify the patients physician. B . B . B . B .
b. Document the sound exactly as it was heard. B . B . B . B . B . B . B. B.
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 B .
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data
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toensureai ccuracy. 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
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
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nurse should keep in mind that novice
B . nurses,
B . without a background of skills and B
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B experience from which to draw, are more likelyto make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. B . B .
d. Advice from supervisors. B . B .
ANS: B B .
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
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B . intuitivelinks.DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS B. B . B . B. B . B. B .
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MSC: Client B. B . Needs: B . General
6. The nurse is reviewing information about evidence-based practice (EBP). Which statement
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bestreflectsEBP?
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a. EBP relies on tradition for supportNoUf RbeSsI N
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a cBt.iC
c eOsM
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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
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B . withEBP.ANS: C B
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EBP is a systematic approach to practice that emphasizes the use of best evidence in
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B combination with the clinicians experience, as well as patient preferences and values, when
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B making decisions about care and treatment. EBP is more than simply using the best
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B practice techniques to treat patients, and questioning tradition is important when no compelling and
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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
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B consciously labelingit. Theseresponses are referred to as:
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a. Intuition.
b. The nursing process. B . B .
c. Clinical knowledge. B .
d. Diagnostic reasoning. B .
ANS: A B .
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
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assessmentdata andact without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding
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B. (Comprehension)MSC: Client Needs: B . B .
B . General
8. The nurse is conducting a class on priority setting for a group of new graduate
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B nurses. Which is anexampleof a first-level priority problem?
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a. Patient with postoperative pain B . B. B. B .
b. Newly diagnosed patient with diabetes who needs diabetic teachingB . B. B. B . B. B . B . B . B .