Test Bank - Physical Examination and Health Assessment, 3rd Canadian Edition (Jarvis, 2019), Chapter 1-31 | All Chapters COMPLETE AND VERIFIED

Test Bank - Physical Examination and Health Assessment, 3rd Canadian Edition (Jarvis, 2019), Chapter 1 -31 | All Chapters COMPLETE AND VERIFIED PhysicalExaminationandHealthAssessmentCANADIAN3rdEdition Jarvis Test Bank Chapter01:Evidence -Based Assessment Jarvis:PhysicalExamination&HealthAssessment,3rdCanadian edition MULTIPLE CHOICE 1. Aftercompletinganinitialassessmentofapatient,thenursehas chartedthathisrespirations are18breathsperminuteandhispulseis58beatsperminute.Thesetypesofdatawouldbe: a. Objective b. Reflective c. Subjective d. Introspective ANS: A Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating, and auscultating during the physical examination. Subjective data are what the person says about himself or herself during history taking. The terms reflective and introspe ctive are not used to describe data. DIF: CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managementof Care 2. Apatienttellsthenursethatheisverynervous,isnauseated,and“feelshot.”Thesetypesof data would be: a. Objective b. Reflective c. Subjective d. Introspective ANS: C Subjective data are what the person says about himself or herself during history taking. Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating, and auscultating during the physical exam ination. The terms reflective and introspective are not used to describe data. DIF: CognitiveLevel:Understanding(Comprehension) MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managementof Care 3. Thepatient’srecord,laboratorystudies,objectivedata,andsubjecti vedatacombinetoform the: a. Database b. Admitting data c. Financial statement d. Discharge summary ANS: A Together with the patient’s record and laboratory studies, the objecti ve and subjective data formthedatabase.Theotheritemsarenotpartofthepatient’srecord,laboratorystudies,or data. DIF: CognitiveLevel:Remembering (Knowledge) MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managementof Care USNT O 4. When listeningtoapatient’sbreathsounds,thenurseisunsureofasound thatisheard.The nurse’s next action should be to: a. Immediatelynotifythepatient’s physician. b. Documentthesoundexactlyasit was heard. c. Validatethedatabyaskingacoworkerto listentothebreath sounds. d. Assessag ainin 20minutes tonotewhetherthesoundis still present. ANS: C Whenunsureofasoundheardwhilelisteningtoa patient’sbreathsounds, thenursevalidates thedatato ensure accuracy. If the nursehas less experience in an area, then he orshe asks an expert to listen. DIF: CognitiveLevel:Analyzing(Analysis) MSC:ClientNeeds:SafeandEffectiveCareEnvironment:Managementof Care 5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurseshouldkeepinmindthatnovicenurses,withlessexperience,aremore likelytobase their decisions on: a. Intuition b. Clear -cutrules c. Articlesin journals d. Advicefrom supervisors ANS: B Novicenurses operatefromasetofdefined, structuredrules.Expertpractitionersusecritical thinking and their substantial background of experiences. NRIGB.CM DIF: CognitiveLevel:Understanding (Comprehension) MSC:ClientNeeds: General 6. Expertnursesassessandmakedecisionsthroughtheuse of: a. Critical thinking b. Thenursing process c. Clinical knowledge d. Diagnostic reasoning ANS: A Criticalthinkingisa multidimensional,dynamic,andinteractivethinkingprocessbywhich expert nurses assess and make decisions in the clinical area. DIF:CognitiveLevel:Understanding (Comprehension) MSC:ClientNeeds: General 7. Thenurseisreviewinginformationaboutevidence -informedpractice (EIP).Which statement bestreflects EIP? a. EIPreliesontraditionforsupportofbest practices. b. EIPissimplytheuseofbestpracticetechniquesforthetreatment of patients. c. EIPemphasizestheuseofbestandmostappropriateevidencewithclinician expertise and patient preference. d. Thepatient’sownpreferences arenotimportantin EIP. ANS: C