TEST BANK- w
PHYSICAL EXAMINATION A ww w
ND HEALTH ASSESSMENT 8
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TH EDITION JARVIS- w
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latest 2022- w
2023
Chapter 01: Evidence-Based Assessment
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MULTIPLEw CHOICE
1. Afterwcompletingwanwinitialwassessmentwofwawpatient,wthewnursewhaswchartedwthatwhiswrespirationswareweupneicwa
ndwhisw pulsew isw 58w beatsw perw minute.w Thesew typesw ofw dataw wouldw be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:w A
Objectivewdatawarewwhatwthewhealthwprofessionalwobserveswbywinspecting,wpercussing,wpalpating,wandwauscultatin
gwduringwthewphysicalwexamination.wSubjectivewdatawiswwhatwthewpersonwsayswaboutwhimworwherselfwduringwhistor
ywtaking.w Thew termsw reflectivew andw introspectivew arew notw usedw tow describew data.
DIF:w Cognitivew Level:w Understandingw (Comprehension)
MSC:wClientwNeeds:wSafewandwEffectivewCarewEnvironment:w Managementw ofwCare
2. Awpatientwtellswthewnursewthatwhewiswverywn e r vNo uUsR, wSisINnaGuTsB
ea.CteOdM
,wandwfeelswhot.wThesewtypeswofwdatawwouldwbe:
a. Objective.
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,b. Reflective.
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c. Subjective.
d. Introspective.
ANS:w C
Subjectivewdatawarewwhatwthewpersonwsayswaboutwhimworwherselfwduringwhistorywtaking.wObjectivewdatawarewwhat
wthewhealthw professionalw observesw byw inspecting,w percussing,w palpating,w andw auscultatingw duringw thew physi
calwexamination.w Thew termsw reflectivew andw introspectivew arew notw usedw tow describew data.
DIF:w Cognitivew Level:w Understandingw (Comprehension)
MSC:wClientwNeeds:wSafewandwEffectivewCarewEnvironment:w Managementw ofwCare
3. Thewpatientswrecord,wlaboratorywstudies,wobjectivewdata,w andwsubjectivewdatawcombinewtowformwthe:
a. Datawbase.
b. Admittingw data.
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c. Financialwstatement.
d. Dischargewsummary.
ANS:w A
Togetherwwithwthewpatientswrecordwandwlaboratorywstudies,wthewobjectivewandwsubjectivewdatawformwthewdatawba
se.wThew otherw itemsw arew notw partw ofw thew patientsw record,w laboratoryw studies,w orw data.
DIF:wCognitivew Level:wRememberingw (Knowledge)
MSC:wClientwNeeds:wSafewandwEffectivewCarewEnvironment:w Managementw ofwCare
4. Whenwlisteningwtowawpatientswbreathwsounds,wthewnursewiswunsurewofwawsoundwthatwiswheard.wThewnurseswn
extwactionwshouldwbewto:
a. Immediatelywnotifywthewpatientswphysician.
b. Documentwthewsoundwexactlywaswitwwaswheard.
c. Validatewthewdatawbywaskingwawcoworkerwtowlistenwtowthewbreathwsounds.
d. Assesswagainwinw20w minuteswtownotewwhetherw thewsoundwiswstillwpresent.
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ANS:w C
Whenwunsurewofwawsoundwheardwwhilewlisteningwtowawpatientswbreathwsounds,wthewnursewvalidateswthewdatawtowensurewa
ccuracy.w Ifw thew nursew hasw lessw experiencew inw anw area,w thenw hew orw shew asksw anw expertw tow listen.
DIF:wCognitivew Level:wAnalyzingw (Analysis)
MSC:wClientwNeeds:wSafewandwEffectivewCarewEnvironment:w Managementw ofwCare
5. Thew nursewisw conductingw aw classw forw neww graduatew nurses.w Duringw thewteachingw session,wthew nursew shouldw k
eepwinw mindwthatw novicewnurses,w withoutw awbackgroundw ofwskillsw andwexperiencew fromwwhichwtowdraw,w arew mor
ewlikelywtowmakewtheirwdecisionswusing:
a. Intuition.
b. Awsetwofwrules.
c. Articleswinwjournals.
d. Advicewfromwsupervisors.
ANS:w B
Novicewnurseswoperatewfromwawsetwofwdefined,wstructuredwrules.wThewexpertwpractitionerwuseswintuitivewlinks.
wDIF:wCognitivew Level:wUnderstandingw (Comprehension)
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