JARVIS Physical Examination and Health Assessment 4th Canadian Edition – Test Bank
Chapter 01: Critical Thinking and Evidence-Informed Assessment
Jarvis: Physical Examination and Health At Canadian Edition
MULTIPLE CHOICE
1. Which type of data is collected by obtaining vital sig
Objective
Reflecting
c. Subjective
4trospective
ANS: A
Objective data are what the health professionall observes by inspecting, percussing, palpating uring the physical examination Subjective dit are what the pen about themselves during history taking. The tenus reflective and introspective are not used to desenbe data
DIF: Copitre Level Understanding (Comprehension) MSC: Client Needs: Safe and Elective Care Evo 3 of C
2. During an assesimest, a patient describes feeling warm, saseaned, and nervous. Which type of data is collected
Objective
Reflective
c. Subjective
Introspective
ANS: C
Subjective data are what the person says about themselves during story trang Objective dat are what the health professional observes by inspecting, percusing palpating, and induring the physical examination. The tenus reflective and introspective are not to decedata
DIF Coptice Level Understanding (Comprehension)
3. Which part of a patient’s bealth record is created when combining laboratory studies.
objective data, and subjective data?
A Database
Editing data
c. Circulation fo
& Discharge amary
ANS A
Together with the patient’s record and laboratory studies, the objective and subjective data for the database. The other items are not part of the patient’s record, laboratory studies, or data
DO: Copitre Level Remembering Kong)
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4. Which action will these completed while listening to a patient’s breath sounds, they are unsure of a sound beard?
Immediately notify the patient’s most responsible practitioner.
Document the sound exactly as it was heard
Validate the data by asking a coworker to listen to the breath sounds
4. Assess again in 20 minutes to note whether the sound is still prevent
ANS: C
When unsure of a sound beard while listening to a patient’s breath sounds, the same validates the data to ensure acowacy. If there has less experience inanara, then they would ask an expert to listen
DIF: Cognitive Level: Ayz(y)
MSC: Client Needs: Safe and Effective Cre Evironment magesmest of Care
5. Which approach do novice morses utilize when making decisions?
Inarion
Clear-out niles
Articles in jou
4. Advice from supervisors
ANS: B
Novice srses operate from a set of defined, structured rulles. Expen practitioners use onitical thinking and their background of experience.
DIF: Coguitive Level: Vending (Comprehension)
6. Which method moves a une from novice to expert?
Critical thinking
The marsing process
Clinical knowledge
4. Diagnostic testing
ANS: A
Critical thinking is antidimensional, dynamic, and interactive thinking process by which expetmanes assess and cake decisions in the clinical area.
DIF: Cognitive Level: Valentining (Comprehension)
MSC: Cheat Needs
7. Which statement reflects the meaning of evidence informed practice (EIP)?
Best practice techniques to treat patients. Taking note solely from Registered
Nurses Association of Ontario(NAO)
Clinician experience and expertise to guide practice. Sometimes reflecting on the patisest perspective
Life-long problem-solving approach to clinical decision making using best
available evidence
4. The patient’s own preferences are not important in EIP
ANS: C
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EIP is more than the use of best practice techniques to treat patients, it can be defined as a paradigm and adelong problem-solving approach to clinicall decision making that involves the conscientious me of the best available evidence (including a systematic search for and critical apprisal of the most relevant evidence to answer a clinical question) with one’s own clinical expertise and potent values and preferences to improve outcomes for indias, groups совище, аб кузtens. EIP is more than simply sing the best practice techniques to treat patients, and questioning tradition is importin when no compelling and supportive sch evidence exists
DIF Cote Level Applic
MSC: Client Needs: Safe and Effective Care Enis geest of Care
Which example illustrates a first-level priority problem?
Postoperative gain
b. Nenty diagnosed diabetes needing diabetic teaching
Sallaceation on the sole of the foot
Shortness of beat and respiratory distress
ANS: D
Fint-level priority problems are those that exergent life-threatening, and immediate (eg. establishing away, supporting breathing, maintiening circulation, monitoring aboonmal vital signs) (see Table 1.1-Identifying Inmediate Prionities)
DIF: Cogie Level:derstanding (Compe
SC: Cliest Seeds: Safe and Effective Care of Care
Which critical thinking skill recognizes relationships among the data?
Validation
Chustering related cues
eunning gaps in data
Distinguishing relevant data from irelevant data
SSY
Chustering related cues helps these see relationships song the data
DIF: Copteendertanding Co
10. Which diagnosis is critical to develop appropriatening interventions for a potent?
Medical
4 Collaborative
ANS A
Anacouring diagnosis provides the basis for the selection of saving interventions to achueve outcomes which the accountable. The others do not contribute to the development of appropriate vingineventions
DIF: Coutine Level: Remembering
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