TestBankforPhysicalExaminationandHealthAssessment T
9thEditionbyCarolynJarvis,Ann
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 2
nursing nursing nursing
Chapter 01: Evidence-Based Assessment T T T
MULTIPLE CHOICE T
After\ completing an initial assessment of a patient, the nurse has charted that\ his respirations are\ eupneic andh is
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pulse is 58 beats per\ minute. These\ types of data would be:
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Ob\ ective. T
Reflective.
Sub\ ective. T
Introspective.
ANS: A T
Ob\ ective data are what\ the health professional observes by inspecting, percussing, palpating, and\ auscultating dur
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ing\ the physical examination. Sub\ ective data\ is what the\ person\ says\ about him or herself during history taking. T
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h e terms reflective and introspective\ are not\ used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
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A patient\ tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would\ be:
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.COM
Ob\ ective. T
Reflective.
Sub\ ective. T
Introspective.
ANS: C T
Sub\ ective data are\ what the person says\ about him or herself during history taking. Ob\ ective\ data are what theh ea
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lth professional observes by inspecting, percussing, palpating, and auscultating\ during the physical examination . T
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he terms reflective and introspective are\ not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe\ and Effective Care Environment: Management\ of Care
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The\ patients record, laboratory studies, ob\ ective\ data, and sub\ ective data combine to form the:
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Data base. T
Admitting data. T
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 3
nursing nursing nursing
Financial statement. T T
Discharge summary. T
ANS: A T
Together with the\ patients record and laboratory studies, the\ ob\ ective and sub\ ective data form the data\ base.Th\ e
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other items are not\ part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering\ (Knowledge)
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MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
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When listening to a patients breath\ sounds, the nurse is unsure of a sound that is heard. The nurses nexta\ ct ion\
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should\ be\ to: T T
Immediately notify the patients\ physician. T T T T T
Document the\ sound exactly as it\ was heard. T T T T T T T
Validate the\ data by asking\ a coworker to listen\ to the\ breath
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sounds. Assess again\ in\ 20 minutes to note whether the sound is still
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present.
ANS: C T
When unsure of a\ sound\ heard while listening to a patients breath sounds, the nurse validates the data\ to\ ensureaccurac y.
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If the nurse\ has less experience\ in an\ area, then he\ or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe\ and Effective Care Environment: Management of Care
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The nurse is conducting\ a class\ for new graduate nurses. During\ the teaching session, the\ nurse should keep in mi
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nd that novice nurses,\ without\ a background of skills\ and experience from\ which to draw, are\ more likelyto m ake
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th eir decisions using:
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Intuition.
A set of rules.
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Articles in \ ournals. T TT
Advice from\ supervisors. T T
ANS: B T
Novice\ nurses operate from\ a set of defined, structured rules. The expert practitioner uses intuitive links.DIF:
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nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 4
Cognitive\ Level: Understanding (Comprehension) T T T
nursing nursing nursing
MSC: Client Needs: General
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The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflectsEBP?
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EBP relies on\ tradition for supportNoUfRbeSsINtpGrTacBt.iCceOsM.
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EBP is simply the\ use\ of best practice techniques for\ the treatment\ of
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patients. EBP emphasizes the\ use\ of best evidence with the\ clinicians
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experience.
The\ patients own preferences\ are not important with EBP.
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ANS: C T
EBP is a systematic approach to practice that emphasizes the use of best evidence\ in combination with the\ cli
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nicians experience, as well\ as patient preferences and values, when\ making decisions about care and treatme
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nt. EBP is more\ than\ simply using the best\ practice techniques to treat\ patients, and\ questioning tradition is
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i mportant when\ no compelling and\ supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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Expert nurses learn to attend\ to a pattern of assessment\ data and act\ without\ consciously labeling\ it. Theser e
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sponses are\ referred to as: T T T T
Intuition.
The\ nursing process. T T
Clinical knowledge. T
Diagnostic\ reasoning. T
ANS: A T
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data andac t
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without consciously\ labeling\ it. The other options\ are not correct.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: General
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The nurse is conducting\ a class\ on priority setting for a group of new graduate nurses. Which is an exampleo f a
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first-level priority problem? T T
nursing nursing nursing