Test Bank for Physical Examination and Health Assessment 9th Edition by C
j j j j j j j j j j j
arolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
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, PHYSICALjEXAMINATIONjANDjHEALTHjASSESSMENTj9THjEDITIONjJARVISjTESTjBANK
TestjBankj-jPhysicaljExaminationjandjHealthjAssessmentj9ej(byjJarvis) 2
Chapterj 01:j Evidence-Basedj Assessment
MULTIPLEjCHOICE
1. Afterjcompletingjanjinitialjassessmentjofjajpatient,jthejnursejhasjchartedjthatjhisjrespirationsjarejeupneicjandjhisj
pulsejisj 58j beatsj perj minute.jThesejtypesj ofj datajwouldj be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:j A
Objectivejdatajarejwhatjthejhealthjprofessionaljobservesjbyjinspecting,jpercussing,jpalpating,jandjauscultatingjduri
ngjthejphysicaljexamination.jSubjectivejdatajisjwhatjthejpersonjsaysjaboutjhimjorjherselfjduringjhistoryjtaking.jThe
j termsj reflectivej andj introspectivej arej notj usedj toj describej data.
DIF:j Cognitivej Level:j Understandingj (Comprehension)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
2. Ajpatientjtellsjthejnursejthatjhejisjveryjnervous,jisjn a u s e a. Ct eOd M
, jandjfeelsjhot.jThesejtypesjofjdatajwouldjbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:j C
Subjectivejdatajarejwhatjthejpersonjsaysjaboutjhimjorjherselfjduringjhistoryjtaking.jObjectivejdatajarejwhatjthejhe
althj professionalj observesj byj inspecting,j percussing,j palpating,j andj auscultatingj duringj thej physicaljexamin
ation.j Thej termsj reflectivej andj introspectivej arej notj usedj toj describej data.
DIF:j Cognitivej Level:j Understandingj (Comprehension)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
3. Thejpatientsjrecord,jlaboratoryj studies,jobjectivej data,j andjsubjectivej datajcombinej tojformjthe:
a. Datajbase.
b. Admittingj data.
, PHYSICALjEXAMINATIONjANDjHEALTHjASSESSMENTj9THjEDITIONjJARVISjTESTjBANK
TestjBankj-jPhysicaljExaminationjandjHealthjAssessmentj9ej(byjJarvis) 3
c. Financialjstatement.
d. Dischargejsummary.
ANS:j A
Togetherjwithjthejpatientsjrecordjandjlaboratoryjstudies,jthejobjectivejandjsubjectivejdatajformjthejdatajbase.jThe
j otherj itemsj arej notj partj ofj thej patientsj record,j laboratoryj studies,j orj data.
DIF:j Cognitivej Level:j Rememberingj (Knowledge)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
4. Whenjlisteningjtojajpatientsjbreathjsounds,jthejnursejisjunsurejofjajsoundjthatjisjheard.jThejnursesjnextjacti
onjshouldjbejto:
a. Immediatelyjnotifyjthejpatientsj physician.
b. Documentjthejsoundjexactlyjasjitjwasj heard.
c. Validatejthejdataj byjaskingj ajcoworkerjtojlistenjtojthej breathjsounds.
d. Assessjagainjinj 20jminutesj tojnotejwhetherj thej soundjisj stilljpresent.
ANS:j C
Whenjunsurejofjajsoundjheardjwhilejlisteningjtojajpatientsjbreathjsounds,jthejnursejvalidatesjthejdatajtojensurejaccuracy.j
Ifjthej nursej hasj lessj experiencej inj anj area,jthenj hejorj shej asksj anj expertj toj listen.
DIF:jCognitivej Level:jAnalyzingj (Analysis)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
5. Thej nursejisj conductingj aj classj forj newj graduatej nurses.j Duringj thej teachingj session,jthej nursej shouldj keepjinj
mindj thatjnovicej nurses,j withoutj ajbackgroundj ofjskillsj andjexperiencej fromj whichj tojdraw,j arej morej likelyjtojma
kejtheirjdecisionsjusing:
a. Intuition.
b. Ajsetjofjrules.
c. Articlesjinjjournals.
d. Advicej fromj supervisors.
ANS:j B
Novicejnursesjoperatejfromjajsetjofjdefined,jstructuredjrules.jThejexpertjpractitionerjusesjintuitivejlinks.jDIF:j
CognitivejLevel:jUnderstandingj (Comprehension)
, PHYSICALjEXAMINATIONjANDjHEALTHjASSESSMENTj9THjEDITIONjJARVISjTESTjBANK
TestjBankj-jPhysicaljExaminationjandjHealthjAssessmentj9ej(byjJarvis) 4
MSC:j Clientj Needs:j General
6. Thejnursejisjreviewingjinformationjaboutjevidence-
basedjpracticej(EBP).jWhichjstatementjbestjreflectsjEBP?
a. EBPjreliesjonjtraditionjforjsupportNoUfjRbeSsI tNpGrTa cBt.iC
ceOsM
.
b. EBPjisj simplyj thejusejofjbestjpracticejtechniquesj forjthejtreatmentjofjpatients.
c. EBPjemphasizesj thejusejofjbestj evidencejwithj thejcliniciansjexperience.
d. Thejpatientsj ownj preferencesjarej notjimportantj withj EBP.
ANS:j C
EBPjisjajsystematicjapproachjtojpracticejthatjemphasizesjthejusejofjbestjevidencejinjcombinationjwithjthejclin
iciansjexperience,jasjwelljasjpatientjpreferencesjandjvalues,jwhenjmakingjdecisionsjaboutjcarejandjtreatment.j
EBPjisjmorejthanjsimplyjusingjthejbestjpracticejtechniquesjtojtreatjpatients,jandjquestioningjtraditionj isj impo
rtantj whenj noj compellingj andj supportivej researchj evidencej exists.
DIF:jCognitivej Level:jApplyingj (Application)
MSC:jClientjNeeds:jSafejandjEffectivej CarejEnvironment:j Managementj ofj Care
7. Expertjnursesjlearnjtojattendjtojajpatternjofjassessmentjdatajandjactjwithoutjconsciouslyjlabelingjit.jThesejres
ponsesjarejreferredjtojas:
a. Intuition.
b. Thejnursingjprocess.
c. Clinicaljknowledge.
d. Diagnosticjreasoning.
ANS:j A
Intuitionjisjcharacterizedjbyjpatternjrecognitionexpertjnursesjlearnjtojattendjtojajpatternjofjassessmentjdatajandjact
j withoutj consciouslyj labelingj it.j Thej otherj optionsj arej notj correct.
DIF:jCognitivejLevel:jUnderstandingj(Comprehension)j
MSC:jClientjNeeds:jGeneral
8. Thejnursejisjconductingjajclassjonjpriorityjsettingjforjajgroupjofjnewjgraduatejnurses.jWhichjisjanjexamplejofjaj
first-leveljpriorityjproblem?
a. Patientjwithj postoperativejpain
b. Newlyjdiagnosedj patientjwithj diabetesjwhojneedsjdiabeticj teaching
j j j j j j j j j j j
arolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
j j j j j j j j j j
, PHYSICALjEXAMINATIONjANDjHEALTHjASSESSMENTj9THjEDITIONjJARVISjTESTjBANK
TestjBankj-jPhysicaljExaminationjandjHealthjAssessmentj9ej(byjJarvis) 2
Chapterj 01:j Evidence-Basedj Assessment
MULTIPLEjCHOICE
1. Afterjcompletingjanjinitialjassessmentjofjajpatient,jthejnursejhasjchartedjthatjhisjrespirationsjarejeupneicjandjhisj
pulsejisj 58j beatsj perj minute.jThesejtypesj ofj datajwouldj be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:j A
Objectivejdatajarejwhatjthejhealthjprofessionaljobservesjbyjinspecting,jpercussing,jpalpating,jandjauscultatingjduri
ngjthejphysicaljexamination.jSubjectivejdatajisjwhatjthejpersonjsaysjaboutjhimjorjherselfjduringjhistoryjtaking.jThe
j termsj reflectivej andj introspectivej arej notj usedj toj describej data.
DIF:j Cognitivej Level:j Understandingj (Comprehension)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
2. Ajpatientjtellsjthejnursejthatjhejisjveryjnervous,jisjn a u s e a. Ct eOd M
, jandjfeelsjhot.jThesejtypesjofjdatajwouldjbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:j C
Subjectivejdatajarejwhatjthejpersonjsaysjaboutjhimjorjherselfjduringjhistoryjtaking.jObjectivejdatajarejwhatjthejhe
althj professionalj observesj byj inspecting,j percussing,j palpating,j andj auscultatingj duringj thej physicaljexamin
ation.j Thej termsj reflectivej andj introspectivej arej notj usedj toj describej data.
DIF:j Cognitivej Level:j Understandingj (Comprehension)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
3. Thejpatientsjrecord,jlaboratoryj studies,jobjectivej data,j andjsubjectivej datajcombinej tojformjthe:
a. Datajbase.
b. Admittingj data.
, PHYSICALjEXAMINATIONjANDjHEALTHjASSESSMENTj9THjEDITIONjJARVISjTESTjBANK
TestjBankj-jPhysicaljExaminationjandjHealthjAssessmentj9ej(byjJarvis) 3
c. Financialjstatement.
d. Dischargejsummary.
ANS:j A
Togetherjwithjthejpatientsjrecordjandjlaboratoryjstudies,jthejobjectivejandjsubjectivejdatajformjthejdatajbase.jThe
j otherj itemsj arej notj partj ofj thej patientsj record,j laboratoryj studies,j orj data.
DIF:j Cognitivej Level:j Rememberingj (Knowledge)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
4. Whenjlisteningjtojajpatientsjbreathjsounds,jthejnursejisjunsurejofjajsoundjthatjisjheard.jThejnursesjnextjacti
onjshouldjbejto:
a. Immediatelyjnotifyjthejpatientsj physician.
b. Documentjthejsoundjexactlyjasjitjwasj heard.
c. Validatejthejdataj byjaskingj ajcoworkerjtojlistenjtojthej breathjsounds.
d. Assessjagainjinj 20jminutesj tojnotejwhetherj thej soundjisj stilljpresent.
ANS:j C
Whenjunsurejofjajsoundjheardjwhilejlisteningjtojajpatientsjbreathjsounds,jthejnursejvalidatesjthejdatajtojensurejaccuracy.j
Ifjthej nursej hasj lessj experiencej inj anj area,jthenj hejorj shej asksj anj expertj toj listen.
DIF:jCognitivej Level:jAnalyzingj (Analysis)
MSC:jClientjNeeds:jSafej andjEffectivejCarejEnvironment:j Managementj ofjCare
5. Thej nursejisj conductingj aj classj forj newj graduatej nurses.j Duringj thej teachingj session,jthej nursej shouldj keepjinj
mindj thatjnovicej nurses,j withoutj ajbackgroundj ofjskillsj andjexperiencej fromj whichj tojdraw,j arej morej likelyjtojma
kejtheirjdecisionsjusing:
a. Intuition.
b. Ajsetjofjrules.
c. Articlesjinjjournals.
d. Advicej fromj supervisors.
ANS:j B
Novicejnursesjoperatejfromjajsetjofjdefined,jstructuredjrules.jThejexpertjpractitionerjusesjintuitivejlinks.jDIF:j
CognitivejLevel:jUnderstandingj (Comprehension)
, PHYSICALjEXAMINATIONjANDjHEALTHjASSESSMENTj9THjEDITIONjJARVISjTESTjBANK
TestjBankj-jPhysicaljExaminationjandjHealthjAssessmentj9ej(byjJarvis) 4
MSC:j Clientj Needs:j General
6. Thejnursejisjreviewingjinformationjaboutjevidence-
basedjpracticej(EBP).jWhichjstatementjbestjreflectsjEBP?
a. EBPjreliesjonjtraditionjforjsupportNoUfjRbeSsI tNpGrTa cBt.iC
ceOsM
.
b. EBPjisj simplyj thejusejofjbestjpracticejtechniquesj forjthejtreatmentjofjpatients.
c. EBPjemphasizesj thejusejofjbestj evidencejwithj thejcliniciansjexperience.
d. Thejpatientsj ownj preferencesjarej notjimportantj withj EBP.
ANS:j C
EBPjisjajsystematicjapproachjtojpracticejthatjemphasizesjthejusejofjbestjevidencejinjcombinationjwithjthejclin
iciansjexperience,jasjwelljasjpatientjpreferencesjandjvalues,jwhenjmakingjdecisionsjaboutjcarejandjtreatment.j
EBPjisjmorejthanjsimplyjusingjthejbestjpracticejtechniquesjtojtreatjpatients,jandjquestioningjtraditionj isj impo
rtantj whenj noj compellingj andj supportivej researchj evidencej exists.
DIF:jCognitivej Level:jApplyingj (Application)
MSC:jClientjNeeds:jSafejandjEffectivej CarejEnvironment:j Managementj ofj Care
7. Expertjnursesjlearnjtojattendjtojajpatternjofjassessmentjdatajandjactjwithoutjconsciouslyjlabelingjit.jThesejres
ponsesjarejreferredjtojas:
a. Intuition.
b. Thejnursingjprocess.
c. Clinicaljknowledge.
d. Diagnosticjreasoning.
ANS:j A
Intuitionjisjcharacterizedjbyjpatternjrecognitionexpertjnursesjlearnjtojattendjtojajpatternjofjassessmentjdatajandjact
j withoutj consciouslyj labelingj it.j Thej otherj optionsj arej notj correct.
DIF:jCognitivejLevel:jUnderstandingj(Comprehension)j
MSC:jClientjNeeds:jGeneral
8. Thejnursejisjconductingjajclassjonjpriorityjsettingjforjajgroupjofjnewjgraduatejnurses.jWhichjisjanjexamplejofjaj
first-leveljpriorityjproblem?
a. Patientjwithj postoperativejpain
b. Newlyjdiagnosedj patientjwithj diabetesjwhojneedsjdiabeticj teaching
