Test Bank For Physical Examination and Health Assessment 8th Edition by Carolyn Jarvis Chapter 1-32 |Complete Guide Newest Version 2024

,Chapter 01: Evidence-Based Assessment
m m m




Chapterm01:mEvidence-BasedmAssessment

Jarvis:mPhysicalmExaminationm&mHealthmAssessment

MULTIPLEmCHOICE

1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirati
onsmaremeupneicmandmhismpulsem ism58mbeatsmpermminute.mThesemtypesmofmdatamwouldm be:

a. Objective.
b. Reflective.
c. Subjective.

d. Introspective.

ANS:mA

Objectivemdatamaremwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,
mandmauscultatingmduringm themphysicalmexamination.mSubjectivemdatamismwhatmthempersonmsaysmab

outmhimmormherselfmduringmhistorymtaking.mThemtermsmreflectivemandmintrospectivemaremnotmusedmt
omdescribemdata.

DIF:mCognitivemLevel:mUnderstandingm(Comprehension)mREF:mp.m2

MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare

2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mismnauseated,mandm―feelsmhot.‖mThesemtype
smofmdatamwouldmbe:

a. Objective.

b. Reflective.
c. Subjective.
d. Introspective.

ANS:mC

Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObject
ivemdatamaremwhatmthemhealthmprofessionalmobservesmbyminspecting,m percussing,mpalpating,mand

,auscultatingmduringmthemphysicalmexamination.mThemtermsmreflectivemandmintrospectivemaremnotmus
edmtomdescribemdata.

DIF:mCognitivemLevel:mUnderstandingm(Comprehension)mREF:mp.m2

MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare

3. Thempatient‘smrecord,mlaboratorymstudies,mobjectivemdata,mandmsubjectivemdatamcombinemtomfo
rmmthe:

a. Datambase.
b. Admittingmdata.
c. Financialmstatement.

d. Dischargemsummary.

ANS:mA

Togethermwithmthempatient‘smrecordmandmlaboratorymstudies,mthemobjectivemandmsubjectivemdatamfor
mmthemdatambase.mThemothermitemsmaremnotmpartmofmthempatient‘smrecord,mlaboratorymstudies,mormdata
.

DIF:mCognitivemLevel:mRememberingm(Knowledge)mREF:mp.m2

MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare

Whenmlisteningmtomampatient‘smbreathmsounds,mthemnursemismunsuremofmamsoundmthatm ismheard.m
4.
Themnurse‘smnextmactionmshouldmbemto:

a. Immediatelymnotifymthempatient‘smphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatambymaskingmamcoworkermtomlistenmtomthembreathmsounds.

d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.

ANS:mC

Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatient‘smbreathmsounds,mthemnursemvalidatesm
themdatamtomensuremaccuracy.mIfmthemnursemhasmlessmexperienceminmanmarea,mthenmhemormshemasksmanm
expertmtomlisten.

DIF:mCognitivemLevel:mAnalyzingm(Analysis)mREF:mp.m2

MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare

, 5.mThemnursemismconductingmamclassmformnewmgraduatemnurses.mDuringmthemteachingmsession,mthemnu
rsemshouldmkeepminmmindmthatmnovicemnurses,mwithoutmambackgroundmofmskillsmandmexperiencemfro
mmwhichmtomdraw,maremmoremlikelymtommakemtheirmdecisionsmusing:

a.mmm Intuitio
n.
b. Amsetmofmrules
.
c.
Articlesminmjournals
.
d. Advicemfrommsupervisors
.
ANS:mB

Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrules.mThemexpertmpractitionermu
sesmintuitivem links.

DIF:mCognitivemLevel:mUnderstandingm(Comprehension)mREF:mp.

3 MSC:mClientmNeeds:mGeneral
m m




6. Expertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatamandmactmwithoutmconsciou
slymlabelingmit.mThesemresponsesmaremreferredmtom as:

a. Intuition.

b. Themnursingmprocess.
c. Clinicalmknowledge.
d. Diagnosticmreasoning.

ANS:mA

Intuitionmismcharacterizedmbympatternmrecognition—
expertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatamandmactmwithoutmconsciouslymla
belingmit.mThemothermoptionsmaremnotmcorrect.

DIF:mCognitivemLevel:mUnderstandingm(Comprehension)mREF:mp.

4 MSC:mClientmNeeds:mGeneral
m m




7. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP).mWhichmstatementmbestm reflectsmEBP?

a. EBPmreliesmonmtraditionmformsupportmofmbestmpractices.
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmofmpatients.