g g g g g g g g g g
y Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
g g g g g g g g g g g
, PHYSICALgEXAMINATIONgANDgHEALTHgASSESSMENTg9THgEDITIONgJARVISgTESTgBANKgT
estgBankg-gPhysicalgExaminationgandgHealthgAssessmentg9eg(bygJarvis)g2
Chapterg01:gEvidence-BasedgAssessment
MULTIPLEgCHOICE
1.gAftergcompletingganginitialgassessmentgofgagpatient,gthegnurseghasgchartedgthatghisgrespirationsgaregeupneicgan
dghisgpulsegisg58gbeatsgpergminute.gThesegtypesgofgdatagwouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:gA
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultating
gduringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistoryg
taking.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdescribegdata.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
2.gAgpatientgtellsgthegnursegthatghegisgverygnervous,gisgnausea.CteOdM,gandgfeelsghot.gThesegtypesgofgdatagwo
uldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:gC
Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectivegdatagaregwhatgt
heghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggduringgthegphysicalgexa
mination.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdescribegdata.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
3.gThegpatientsgrecord,glaboratorygstudies,gobjectivegdata,gandgsubjectivegdatagcombinegtogformgthe:
a. Datagbase.
, PHYSICALgEXAMINATIONgANDgHEALTHgASSESSMENTg9THgEDITIONgJARVISgTESTgBANKgT
estgBankg-gPhysicalgExaminationgandgHealthgAssessmentg9eg(bygJarvis)g3
b. Admittinggdata.
c. Financialgstatement.
d. Dischargegsummary.
ANS:gA
Togethergwithgthegpatientsgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagformgthegdatagbas
e.gThegothergitemsgaregnotgpartgofgthegpatientsgrecord,glaboratorygstudies,gorgdata.
DIF:gCognitivegLevel:gRememberingg(Knowledge)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
4.gWhenglisteninggtogagpatientsgbreathgsounds,gthegnursegisgunsuregofgagsoundgthatgisgheard.gThegnursesgnextg
actiongshouldgbegto:
a. Immediatelygnotifygthegpatientsgphysician.
b. Documentgthegsoundgexactlygasgitgwasgheard.
c. Validategthegdatagbygaskinggagcoworkergtoglistengtogthegbreathgsounds.
d. Assessgagainging20gminutesgtognotegwhethergthegsoundgisgstillgpresent.
ANS:gC
Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatientsgbreathgsounds,gthegnursegvalidatesgthegdatagtogensur
egaccuracy.gIfgthegnurseghasglessgexperiencegingangarea,gthenghegorgshegasksgangexpertgtoglisten.
DIF:gCognitivegLevel:gAnalyzingg(Analysis)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
5.gThegnursegisgconductinggagclassgforgnewggraduategnurses.gDuringgthegteachinggsession,gthegnursegshouldgkee
pgingmindgthatgnovicegnurses,gwithoutgagbackgroundgofgskillsgandgexperiencegfromgwhichgtogdraw,garegmoreglik
elygtogmakegtheirgdecisionsgusing:
a. Intuition.
b. Agsetgofgrules.
c. Articlesgingjournals.
d. Advicegfromgsupervisors.
ANS:gB
, PHYSICALgEXAMINATIONgANDgHEALTHgASSESSMENTg9THgEDITIONgJARVISgTESTgBANKgT
estgBankg-gPhysicalgExaminationgandgHealthgAssessmentg9eg(bygJarvis)g4
Novicegnursesgoperategfromgagsetgofgdefined,gstructuredgrules.gThegexpertgpractitionergusesgintuitiveglinks.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gGeneral
6.gThegnursegisgreviewingginformationgaboutgevidence-
basedgpracticeg(EBP).gWhichgstatementgbestgreflectsgEBP?
a. EBPgreliesgongtraditiongforgsupportNoUfRbesSINtgpGrTacBt.iCceOsM.
b. EBPgisgsimplygthegusegofgbestgpracticegtechniquesgforgthegtreatmentgofgpatients.
c. EBPgemphasizesgthegusegofgbestgevidencegwithgthegcliniciansgexperience.
d. ThegpatientsgowngpreferencesgaregnotgimportantgwithgEBP.
ANS:gC
EBPgisgagsystematicgapproachgtogpracticegthatgemphasizesgthegusegofgbestgevidencegingcombinationgwithgt
hegcliniciansgexperience,gasgwellgasgpatientgpreferencesgandgvalues,gwhengmakinggdecisionsgaboutgcaregan
dgtreatment.gEBPgisgmoregthangsimplygusinggthegbestgpracticegtechniquesgtogtreatgpatients,gandgquestionin
ggtraditiongisgimportantgwhengnogcompellinggandgsupportivegresearchgevidencegexists.
DIF:gCognitivegLevel:gApplyingg(Application)
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
7.gExpertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagandgactgwithoutgconsciouslyglabelinggit.gThes
egresponsesgaregreferredgtogas:
a. Intuition.
b. Thegnursinggprocess.
c. Clinicalgknowledge.
d. Diagnosticgreasoning.
ANS:gA
Intuitiongisgcharacterizedgbygpatterngrecognitionexpertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagand
gactgwithoutgconsciouslyglabelinggit.gThegothergoptionsgaregnotgcorrect.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)
MSC:gClientgNeeds:gGeneral