Physical Examination And Health Assessment 9th Edition By Jarvis – Test Bank

Physical Examination And Health Assessment 9th Edition By Jarvis – Test Bank

Chapter 01: Evidence-Based Assessment
Jarvic: Physical Examination & Health Assessment, 9th Edition
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are expoeic and his pulse is 58 beans per minute. These types of data would be:
Objective.
Reflective
e. Subjective.
4. Introspective
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data is what the person says about him or herself during history taking. The terms reflective and introspective are not used to describe data.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels bot.” These types of data would be
a.
Objective. Reflective
c. Subjective
4. Introspective
ANS: C
Subjective data are what the person says about him or herself during history taking Objective data see what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The terms refective and introspective are not used to describe data.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form
the
a Database.
Admitting data
e Financial statement
4. Discharge summary
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data form the database. The other items are not part of the patient’s record, laboratory studies, or data.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The surse’s next action should be to:
a. Immediately notify the patient’s physician
Document the sound exactly as it was heard.

Chapter 01: Evidence-Based Assessment
Jarvic: Physical Examination & Health Assessment, 9th Edition
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are expoeic and his pulse is 58 beans per minute. These types of data would be:
Objective.
Reflective
e. Subjective.
4. Introspective
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data is what the person says about him or herself during history taking. The terms reflective and introspective are not used to describe data.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels bot.” These types of data would be
a.
Objective. Reflective
c. Subjective
4. Introspective
ANS: C
Subjective data are what the person says about him or herself during history taking Objective data see what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The terms refective and introspective are not used to describe data.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form
the
a Database.
Admitting data
e Financial statement
4. Discharge summary
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data form the database. The other items are not part of the patient’s record, laboratory studies, or data.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The surse’s next action should be to:
a. Immediately notify the patient’s physician
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 present
ANS: C
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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
b. A set of rules.
c. Articles in journals.
4. Advice from supervisors
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
6. Expert nurses learn to amend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:
Intuition
b. The nursing process
e. Clinical knowledge.
4. Diagnostic reasoning
ANS: A
Intuition is characterized by pattern recognition-expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. The other options are not correct.
7. The use is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
a EBP relies on tradition for support of best practices.
b. EBP is simply the use of best practice techniques for the treatment of patients. < EBP emphasizes the use of best evidence with the clinician’s experience d… The patient’s own preferences see not important with EBP
ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinician’s experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is important when no compelling and supportive research evidence exists
$. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?
Patient with postoperative pain

6. Newly diagnosed patient with diabetes who needs diabetic teaching
Individual with a small laceration on the sole of the foot
4. Individual with shortness of breath and respiratory distress
ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate (eg. establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs) (see Table 1-1).
9. When considering priority seming of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
Low self-esteem
b. Lack of knowledge
< Abnormal laboratory values
4.. Severely abnormal vital signs
ANS: C
Second-level priority problems are those that require prompt intervention to forestall further deterioration (eg. mental status change, acute pain, abnormal laboratory values, risks to safety or security) (see Table 1-1)
10. Which critical thinking skill helps the nurse see relationships among the data?
a Validation
d. Clustering related cues
Identifying gaps in data
4. Distinguishing relevant from irrelevant
ANS: B
Clustering related cues helps the nurse see relationships among the data.
11. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis
Nursing
6. Medical
c.
Admission
4. Collaborative
ANS: A