Test Bank For Physical Examination and Health Assessment 4th Canadian Edition by Jarvis | 9780323827416 | |All Chapters with Answers and Rationales

,Physical ExaminationandHealthAssessment CANADIAN4thEdition
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Jarvis Test Bank d d




Chapter 01: Evidence-Based Assessment
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Jarvis: Physical Examination& Health Assessment, 4th Canadian edition
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MULTIPLECHOICE

1. Aftercompleting aninitialassessmentofapatient,the nurse dhascharted thathisrespirationsare
r r r


18breathsperminuteandhis pulseis58beatsperminute.Thesetypesdof datawouldbe:
d r r


a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: d A
Objective ddataare dwhatthe dhealthprofessionalobservesby dinspecting, dpercussing, dpalpating,
dandauscultatingduringthephysicalexamination. dSubjectivedataarewhattheperson says dabout r


dhimselforherselfduringhistorytaking.dThetermsdreflective andintrospectivearenot usedto r r


ddescribedata.




DIF: CognitivedLevel: d Understanding(Comprehension)
MSC: d Client Needs:SafeandEffectiveCareEnvironment:Management dofCare
r




2. Apatienttellsthe nursethatdhe isverynervous,dis nauseated,dand―feels hot.‖Thesetypesofdata
r r r r


d wouldbe:
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: d C
Subjective ddata dare dwhat dthe dperson dsays dabout dhimself dor dherself dduring dhistorydtaking.
dObjectivedata darewhatthehealthprofessionalobservesbyinspecting, dpercussing,dpalpating,and

dauscultatingduringthephysicalexamination. dTheterms dreflectivedandintrospectivearenotused

dtodescribedata.




DIF: CognitivedLevel: d Understanding(Comprehension)
MSC: d Client Needs:SafeandEffectiveCare Environment:ManagementdofCare
r r




3. Thepatient‘srecord,laboratorystudies,objective data,and subjective datadcombinetoform
r r r


the:
d

a. Database
b. Admittingdata
c. Financialstatement
d. Dischargesummary
ANS: d A
Together dwith dthe dpatient‘s drecord dand dlaboratory dstudies, dthe dobjective dand dsubjective
ddata dform dthe ddatabase. dThe dother ditems dare dnot dpart dof dthe dpatient‘s drecord, dlaboratory

dstudies, dor ddata.

,DIF: CognitivedLevel: d Remembering(Knowledge)
MSC: d ClientNeeds:SafeandEffectiveCareEnvironment:Management dofCare

, 4. When listeningtoapatient‘sbreathsounds,dthenurseis dunsureofasoundthatis heard.The
r r


dnurse‘sdnextactionshouldbeto:
a. Immediatelynotifythepatient‘sphysician.
b. Documentthe sounddexactlyasditdwas heard.
r r


c. Validatethedata byaskinga coworkertolistentothe breath d sounds.
r r r


d. Assess again in20minutestonote whetherthesoundis d stillpresent.
r r r




ANS: d C
When dunsure dof da dsound dheard dwhile dlistening dto da dpatient‘s dbreath dsounds, dthe dnurse
dvalidates dthe ddata dto densure daccuracy. dIf dthe dnurse dhas dless dexperience din dan darea, dthen dhe dor

dshe dasks dan dexperttolisten.




DIF: CognitivedLevel: dAnalyzing(Analysis)
MSC: d ClientNeeds:SafeandEffectiveCareEnvironment:Management dofCare

5. The dnurse dis dconducting da dclass dfor dnew dgraduate dnurses. dDuring dthe dteaching dsession, dthe
dnurseshould dkeep din dmind dthat dnovice dnurses, dwith dless dexperience, daremore dlikelyto
dbase dtheirdecisionson:
a. Intuition
b. Clear-cutrules
c. Articlesin journals r


d. Advicefromsupervisors
ANS: d B
Novice dnurses doperate dfrom da dset dof ddefined, dstructured drules. dExpert dpractitioners duse
dcritical dthinkingandtheirsubstantialbackgroundofexperiences.

DIF: CognitivedLevel: d Understanding(Comprehension) MSC: dClientNeeds:dGeneral

6. Expertnursesassessand dmakedecisions through theuseof: r r


a. Critical thinking r


b. Thenursingprocess
c. Clinical knowledge r


d. Diagnosticreasoning
ANS: d A
Criticalthinkingis amultidimensional,ddynamic, dand interactivethinkingprocessbywhich dexpert
r r


dnursesassessandmakedecisionsdintheclinicalarea.




DIF: Cognitive Level:Understanding(Comprehension)
r MSC: dClientNeeds:dGeneral

7. Thenurseisreviewinginformationaboutevidence-informedpractice(EIP). d Which statement r


bestreflectsEIP?
a. EIPrelieson traditionforsupportofbestpractices.
r


b. EIPisdsimplytheuseofbestpracticetechniquesforthetreatmentof patients. r


c. EIPdemphasizestheuseofbestand most dappropriateevidencewithclinician
r


d expertiseandpatientpreference.
d. Thepatient‘sownpreferences darenotimportant dinEIP.
ANS: d C