TEST-BANK (Chapter 1 –
m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus}
m m
TEST-BANK (Chapter 1 –
m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus}
m m
, Chapter m01:mEvidence-BasedmAssessment
Jarvis:mPhysicalmExaminationmandmHealthmAssessment,m8thmEdition
MULTIPLEmCHOICE
1. Aftermcompletingmanminitialmassessment mof mampatient,mthemnursemhasmcharted mthat mhismrespirati
onsmaremeupneicmand mhismpulsemism58mbeatsmpermminute.mWhat mtypemof massessment mdatamismthis
?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:m A
Objectivemdatamismwhat mthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating
,mand mauscultatingmduringmthemphysicalmexamination.mSubjectivemdatamismwhat mthempersonmsays
mabout mhimmormherself mduringmhistorymtaking.mThemtermsmreflectivemand mintrospectivemaremnot mu
sed mtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
2. A mpatient mtellsmthemnursemthat mhemismverymnervous,mnauseous,mand m“feelsmhot.”mWhat mtype
of massessment mdatamismthis?
m
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:m C
Subjectivemdatamismwhat mthempersonmsaysmabout mhimmormherself mduringmhistorymtaking.mObject
ivemdatamismwhat mthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mand m
auscultatingmduringmthemphysicalmexamination.mThemtermsmreflectivemand mintrospectivemaremn
ot mused mtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
3. What mdomthempatient’smrecord,mlaboratorymstudies,mobjectivemdata,mand msubjectivemdatamcombi
nemtomform?
a. Database
b. Admittingmdata
c. Financialmstatement
d. Dischargemsummary
ANS:m A
Togethermwithmthempatient’smrecord mand mlaboratorymstudies,mthemobjectivemand msubjectivemdat
amformmthemdatabase.mThemothermitemsmaremnot mpart mof mthempatient’smrecord,mlaboratorymstudi
es,mormdata.
TEST-BANK (Chapter 1 – m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus} m m
3
, DIF: CognitivemLevel:mRememberingm(Knowledge)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
TEST-BANK (Chapter 1 – m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus} m m
4
, 4. Whenmlisteningmtomampatient’smbreathmsounds,mthemnursemismunsuremof mamsound mthat mismhe
ard.mWhichmactionmshould mthemnursemtakemnext?
a. Notifymthempatient’smphysician.
b. Document mthemsound mexactlymasmit mwasmheard.
c. Validatemthemdatambymaskingmanothermnursemtomlistenmtomthembreathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsound mismstillmpresent.
ANS:m C
Whenmunsuremof mamsound mheard mwhilemlisteningmtomampatient’smbreathmsounds,mthemnursemvalida
tesmthemdatamtomensuremaccuracymbymeithermrepeatingmthemassessment mthemselvesmormaskingmano
thermnursemtomassessmthembreathmsounds.mIf mthemnursemhasmlessmexperiencemanalyzing mbreathmso
unds,mthenmhemormshemshould maskmanmexpert mtomlisten.mWhenmunsuremof mamsound mheard mwhilemli
steningmtomampatient’smbreathmsounds,mthemnursemshould mvalidatemthemdatambeforemdocumentingm
tomensuremaccuracymand mbeforemnotifyingmthempatient’smphysician.mTomvalidatemthat mdata,mthemn
ursemeithermrepeatsmthemassessment mhimself mormherself mormasksm anothermnursemtomassessmthembre
athmsounds.
DIF: CognitivemLevel:mAnalyzingm(Analysis)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
5. Themnursemismconductingmamclassmformnew mgraduatemnurses.mWhilemteaching mthemclass, mwhat m
should mthemnursemkeepminmmind mregardingmwhat mnovicemnurses,mwithout mambackground mof msk
illsmand mexperiencemfrommwhichmtomdraw mupon,maremmoremlikelymtombase mtheirmdecisionsmon?
a. Intuition
b. Amset mof mrules
c. Articlesminmjournals
d. Advicemfrommsupervisors
ANS:m B
Novicemnursesmoperatemfrommamset mof mdefined,mstructured mrulesmtommakemdecisions.mIt mtakesmti
me,mperhapsmamfew myears,minmsimilar mclinicalmsituationsmtomachievemcompetencymand mit mismfunct
ioningmat mthemlevelmof manmexpert mpractitionermwhenmintuitionmismincluded minmmakingmclinical mde
cisions.mIntuitionmismincluded minmdecisionmmakingmwhenmfunctioningmat mthemlevelmof manmexpert
mpractitioner.mWhileminformationminmjournalm articlesmand madvicemfrommsupervisors mmaymassist m
inmmakingmdecisions,mnovicemnursesmdomnot mtypicallymbasemtheirmdecisions monmthem.mIt mwould m
alsombemimportant mthat mif minformationmfrommjournalmarticlesmand madvicemfrommsupervisors mwer
emused,mthat mtheymweremevidencembased.
DIF: CognitivemLevel:mUnderstandingm(Comprehension) MSC:m ClientmNeeds:mGeneral
6. Themnursemismreviewingminformationmabout mevidence-
based mpracticem(EBP).mWhichmstatement mbest mreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupport mof mbest mpractices.
b. EBPmismsimplymthemusemof mbest mpracticemtechniquesmformthemtreatment mof mpatients.
c. EBPmemphasizesmthemusemof mbest mevidencemwithmthemclinician’smexperience.
d. EBPmdoesmnot mconsidermthempatient’smownmpreferencesmasmimportant.
ANS:m C
TEST-BANK (Chapter 1 – m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus} m m
5
m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus}
m m
TEST-BANK (Chapter 1 –
m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus}
m m
, Chapter m01:mEvidence-BasedmAssessment
Jarvis:mPhysicalmExaminationmandmHealthmAssessment,m8thmEdition
MULTIPLEmCHOICE
1. Aftermcompletingmanminitialmassessment mof mampatient,mthemnursemhasmcharted mthat mhismrespirati
onsmaremeupneicmand mhismpulsemism58mbeatsmpermminute.mWhat mtypemof massessment mdatamismthis
?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:m A
Objectivemdatamismwhat mthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating
,mand mauscultatingmduringmthemphysicalmexamination.mSubjectivemdatamismwhat mthempersonmsays
mabout mhimmormherself mduringmhistorymtaking.mThemtermsmreflectivemand mintrospectivemaremnot mu
sed mtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
2. A mpatient mtellsmthemnursemthat mhemismverymnervous,mnauseous,mand m“feelsmhot.”mWhat mtype
of massessment mdatamismthis?
m
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:m C
Subjectivemdatamismwhat mthempersonmsaysmabout mhimmormherself mduringmhistorymtaking.mObject
ivemdatamismwhat mthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mand m
auscultatingmduringmthemphysicalmexamination.mThemtermsmreflectivemand mintrospectivemaremn
ot mused mtomdescribemdata.
DIF: CognitivemLevel:mUnderstandingm(Comprehension)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
3. What mdomthempatient’smrecord,mlaboratorymstudies,mobjectivemdata,mand msubjectivemdatamcombi
nemtomform?
a. Database
b. Admittingmdata
c. Financialmstatement
d. Dischargemsummary
ANS:m A
Togethermwithmthempatient’smrecord mand mlaboratorymstudies,mthemobjectivemand msubjectivemdat
amformmthemdatabase.mThemothermitemsmaremnot mpart mof mthempatient’smrecord,mlaboratorymstudi
es,mormdata.
TEST-BANK (Chapter 1 – m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus} m m
3
, DIF: CognitivemLevel:mRememberingm(Knowledge)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
TEST-BANK (Chapter 1 – m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus} m m
4
, 4. Whenmlisteningmtomampatient’smbreathmsounds,mthemnursemismunsuremof mamsound mthat mismhe
ard.mWhichmactionmshould mthemnursemtakemnext?
a. Notifymthempatient’smphysician.
b. Document mthemsound mexactlymasmit mwasmheard.
c. Validatemthemdatambymaskingmanothermnursemtomlistenmtomthembreathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsound mismstillmpresent.
ANS:m C
Whenmunsuremof mamsound mheard mwhilemlisteningmtomampatient’smbreathmsounds,mthemnursemvalida
tesmthemdatamtomensuremaccuracymbymeithermrepeatingmthemassessment mthemselvesmormaskingmano
thermnursemtomassessmthembreathmsounds.mIf mthemnursemhasmlessmexperiencemanalyzing mbreathmso
unds,mthenmhemormshemshould maskmanmexpert mtomlisten.mWhenmunsuremof mamsound mheard mwhilemli
steningmtomampatient’smbreathmsounds,mthemnursemshould mvalidatemthemdatambeforemdocumentingm
tomensuremaccuracymand mbeforemnotifyingmthempatient’smphysician.mTomvalidatemthat mdata,mthemn
ursemeithermrepeatsmthemassessment mhimself mormherself mormasksm anothermnursemtomassessmthembre
athmsounds.
DIF: CognitivemLevel:mAnalyzingm(Analysis)
MSC:m ClientmNeeds:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
5. Themnursemismconductingmamclassmformnew mgraduatemnurses.mWhilemteaching mthemclass, mwhat m
should mthemnursemkeepminmmind mregardingmwhat mnovicemnurses,mwithout mambackground mof msk
illsmand mexperiencemfrommwhichmtomdraw mupon,maremmoremlikelymtombase mtheirmdecisionsmon?
a. Intuition
b. Amset mof mrules
c. Articlesminmjournals
d. Advicemfrommsupervisors
ANS:m B
Novicemnursesmoperatemfrommamset mof mdefined,mstructured mrulesmtommakemdecisions.mIt mtakesmti
me,mperhapsmamfew myears,minmsimilar mclinicalmsituationsmtomachievemcompetencymand mit mismfunct
ioningmat mthemlevelmof manmexpert mpractitionermwhenmintuitionmismincluded minmmakingmclinical mde
cisions.mIntuitionmismincluded minmdecisionmmakingmwhenmfunctioningmat mthemlevelmof manmexpert
mpractitioner.mWhileminformationminmjournalm articlesmand madvicemfrommsupervisors mmaymassist m
inmmakingmdecisions,mnovicemnursesmdomnot mtypicallymbasemtheirmdecisions monmthem.mIt mwould m
alsombemimportant mthat mif minformationmfrommjournalmarticlesmand madvicemfrommsupervisors mwer
emused,mthat mtheymweremevidencembased.
DIF: CognitivemLevel:mUnderstandingm(Comprehension) MSC:m ClientmNeeds:mGeneral
6. Themnursemismreviewingminformationmabout mevidence-
based mpracticem(EBP).mWhichmstatement mbest mreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupport mof mbest mpractices.
b. EBPmismsimplymthemusemof mbest mpracticemtechniquesmformthemtreatment mof mpatients.
c. EBPmemphasizesmthemusemof mbest mevidencemwithmthemclinician’smexperience.
d. EBPmdoesmnot mconsidermthempatient’smownmpreferencesmasmimportant.
ANS:m C
TEST-BANK (Chapter 1 – m m m
m 32) Physical Examination & Health Assessment {Already Grad
m m m m m m m
ed A Plus} m m
5
