ASSESSMENT 8TH
EDITION JARVIS
TEST BANK
,HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic (normal) and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be
C. Subjective.
.
3. The patient's record, laboratory studies, objective data, and subjective data combine to form
the:
a. Data base.
4. When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
C. Validate the data by asking a coworker to listen to the breath sounds.
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.
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
C. EBP emphasizes the use of best evidence with the clinician's experience.
8. 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?
D. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
,C. Abnormal laboratory values
10. Which critical thinking skill helps the nurse see relationships among the data?
b. Clustering related cues
11. The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the diagnosis.
a. Nursing
12. The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
14. Which of these would be formulated by a nurse using diagnostic reasoning?
C. Diagnostic hypothesis
15. Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
16. What step of the nursing process includes data collection by health history, physical
examination, and interview?
D. Assessment
17. During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which suggestion by the
nurse manager would best help these problems?
D. Teach the nurses how to conduct electronic searches for research studies.
18. When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
D. Holistic health views the mind, body, and spirit as interdependent.
19. The nurse recognizes that the concept of prevention in describing health is essential
because:
C. Prevention places the emphasis on the link between health and personal behavior.
, 20. The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
D. 2 5 cm scar on the right lower forearm.
21. A visiting nurse is making an initial home visit for a patient who has many chronic medical
problems. Which type of database is most appropriate to collect in this setting?
C. A complete health database because of the nurses primary responsibility for monitoring the
patients health
22. Which situation is most appropriate during which the nurse performs a focused or
problem-centered history?
D. Patient in an outpatient clinic has cold and influenza-like symptoms.
23. A patient is at the clinic to have her blood pressure checked. She has been coming to the
clinic weekly since she changed medications 2 months ago. The nurse should:
a. Collect a follow-up database and then check her blood pressure.
24. A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite severe.
How would the nurse proceed with data collection?
b. Simultaneously ask history questions while performing the examination and initiating life-
saving measures.
25. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination.
The nurse knows that including cultural information in his health assessment is important to:
D. Provide culturally sensitive and appropriate care.
26. In the health promotion model, the focus of the health professional includes:
D. Helping the consumer choose a healthier lifestyle.
27. The nurse has implemented several planned interventions to address the nursing diagnosis
of acute pain. Which would be the next appropriate action?
c. Evaluate the individual's condition, and compare actual outcomes with expected
outcomes.
28. Which statement best describes a proficient nurse? A proficient nurse is one who:
d. Understands a patient situation as a whole rather than a list of tasks and recognizes the
long-term goals for the patient.
29. The nurse is reviewing data collected after an assessment. Of the data listed below, which
would be considered related cues that would be clustered together during data analysis? Select
all that apply.