Assessment, 9th Ed. by Jarvis—All Chapters | Verified Q&A
Mastery
, Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has
charted that his respirations are eupneic and his pulse is 58 beats per
minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
Answer: A
Objective data are factual observations collected by the healthcare provider
during a physical examination, such as inspection, percussion, palpation, and
auscultation. This contrasts with subjective data, which are the patient's
personal experiences and feelings. 'Reflective' and 'introspective' are not
standard clinical data types.
2. A patient tells the nurse that he is very nervous, nauseated, and feels
hot. These types of data would be:
a. Objective.
b. Reflective.
,c. Subjective.
d. Introspective.
Answer: C
Subjective data are verbal reports from the patient regarding their own condition,
such as feelings of nervousness or heat. These are important for diagnosis but
must be validated with objective findings where possible.
3. The patient’s record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base.
b. Admitting data.
c. financial statement.
d. Discharge summary.
Answer: A
The database is the complete collection of a patient’s clinical information
including past and current health data gathered through history, physical exam,
and diagnostic testing.
4. When listening to a patient’s breath sounds, the nurse is unsure of a
sound that is heard. The nurse’s next action should be to:
a. Immediately notify the patient’s physician.
b. Document the sound exactly as it was heard.
, c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
Answer: C
When unsure, it’s essential to validate data to ensure accurate clinical judgment.
Getting a second opinion helps confirm findings, especially when clinical
experience is limited.
5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses,
without a background of skills and experience from which to draw, are
more likely to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
Answer: B
Novice nurses typically rely on structured guidelines or rules due to limited
clinical experience. As they gain experience, their decision-making becomes more
intuitive.
6. The nurse is reviewing information about evidence-based practice
(EBP). Which statement best reflects EBP?
a. EBP relies on tradition for support of best practices.