Test Bank - for Health Assessment for Nursing Practice 8th Edition by Susan Fickertt Wilson Jean Foret Giddens All Chapters 1-24 Complete Guide A+

Chapter 01: Evidence-Based Assessment
g g g



Chapterg01:gEvidence-BasedgAssessment

Jarvis:gPhysicalgExaminationg&gHealthgAssessment,g7thgEdition

MULTIPLEgCHOICE

1. Aftergcompletingganginitialgassessmentgofgagpatient,gthegnurseghasgchartedgthatghisgrespiration
sgaregeupneicgandghisgpulsegisg58gbeatsgpergminute.gThesegtypesgofgdatagwouldgbe:

a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.

ANS:gA

Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,ga
ndgauscultatinggduringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutg
himgorgherselfgduringghistorygtaking.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdesc
ribegdata.

DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g2

MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

2. Agpatientgtellsgthegnursegthatghegisgverygnervous,gisgnauseated,gandg“feelsghot.”gThesegtypesg
ofgdatagwouldgbe:

a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.

ANS:gC

Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectiveg
datagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gand

,auscultatinggduringgthegphysicalgexamination.gThegtermsgreflectivegandgintrospectivegaregnotguse
dgtogdescribegdata.

DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g2

MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

3. Thegpatient’sgrecord,glaboratorygstudies,gobjectivegdata,gandgsubjectivegdatagcombinegtogfor
mgthe:

a. Datagbase.
b. Admittinggdata.
c. Financialgstatement.
d. Dischargegsummary.

ANS:gA

Togethergwithgthegpatient’sgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagfor
mgthegdatagbase.gThegothergitemsgaregnotgpartgofgthegpatient’sgrecord,glaboratorygstudies,gorgdata
.

DIF:gCognitivegLevel:gRememberingg(Knowledge)gREF:gp.g2

MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

4. Whenglisteninggtogagpatient’sgbreathgsounds,gthegnursegisgunsuregofgagsoundgthatgisgheard.gT
hegnurse’sgnextgactiongshouldgbegto:

a. Immediatelygnotifygthegpatient’sgphysician.
b. Documentgthegsoundgexactlygasgitgwasgheard.
c. Validategthegdatagbygaskinggagcoworkergtoglistengtogthegbreathgsounds.
d. Assessgagainging20gminutesgtognotegwhethergthegsoundgisgstillgpresent.

ANS:gC

Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatient’sgbreathgsounds,gthegnursegvalidatesgt
hegdatagtogensuregaccuracy.gIfgthegnurseghasglessgexperiencegingangarea,gthenghegorgshegasksgangex
pertgtoglisten.

DIF:gCognitivegLevel:gAnalyzingg(Analysis)gREF:gp.g2

MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

,5. Thegnursegisgconductinggagclassgforgnewggraduategnurses.gDuringgthegteachinggsession,gthegnurs
egshouldgkeepgingmindgthatgnovicegnurses,gwithoutgagbackgroundgofgskillsgandgexperiencegfromg
whichgtogdraw,garegmoreglikelygtogmakegtheirgdecisionsgusing:

a. Intuition.
b. Agsetgofgrules.
c. Articlesgingjournals.
d. Advicegfromgsupervisors.

ANS:gB

Novicegnursesgoperategfromgagsetgofgdefined,gstructuredgrules.gThegexpertgpractitionergusesgintuit
iveglinks.

DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g

3gMSC:gClientgNeeds:gGeneral

6. Expertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagandgactgwithoutgconsciousl
yglabelinggit.gThesegresponsesgaregreferredgtogas:

a. Intuition.
b. Thegnursinggprocess.
c. Clinicalgknowledge.
d. Diagnosticgreasoning.

ANS:gA

Intuitiongisgcharacterizedgbygpatterngrecognition—
expertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagandgactgwithoutgconsciouslyglabelingg
it.gThegothergoptionsgaregnotgcorrect.

DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g

4gMSC:gClientgNeeds:gGeneral

7. Thegnursegisgreviewingginformationgaboutgevidence-
basedgpracticeg(EBP).gWhichgstatementgbestgreflectsgEBP?

a. EBPgreliesgongtraditiongforgsupportgofgbestgpractices.
b. EBPgisgsimplygthegusegofgbestgpracticegtechniquesgforgthegtreatmentgofgpatients.

, c. EBPgemphasizesgthegusegofgbestgevidencegwithgthegclinician’sgexperience.
d. Thegpatient’sgowngpreferencesgaregnotgimportantgwithgEBP.

ANS:gC

EBPgisgagsystematicgapproachgtogpracticegthatgemphasizesgthegusegofgbestgevidencegingcombination
gwithgthegclinician’sgexperience,gasgwellgasgpatientgpreferencesgandgvalues,gwhengmakinggdecision
sgaboutgcaregandgtreatment.gEBPgisgmoregthangsimplygusinggthegbestgpracticegtechniquesgtogtreatgp
atients,gandgquestioninggtraditiongisgimportantgwhengnogcompellinggandgsupportivegresearchgevide
ncegexists.

DIF:gCognitivegLevel:gApplyingg(Application)gREF:gp.g5

MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

8. Thegnursegisgconductinggagclassgongprioritygsettinggforgaggroupgofgnewggraduategnurses.gWhichg
isgangexamplegofgagfirst-levelgprioritygproblem?

a. Patientgwithgpostoperativegpain
b. Newlygdiagnosedgpatientgwithgdiabetesgwhogneedsgdiabeticgteaching
c. Individualgwithgagsmallglacerationgongthegsolegofgthegfoot
d. Individualgwithgshortnessgofgbreathgandgrespiratorygdistress

ANS:gD

First-
levelgprioritygproblemsgaregthosegthatgaregemergent,glifegthreatening,gandgimmediateg(e.g.,gestablis
hinggangairway,gsupportinggbreathing,gmaintaininggcirculation,gmonitoringgabnormalgvitalgsigns)g(s
eegTableg1-1).

DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g4

MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare

9. Whengconsideringgprioritygsettinggofgproblems,gthegnursegkeepsgingmindgthatgsecond-
levelgprioritygproblemsgincludegwhichgofgthesegaspects?

a. Lowgself-esteem
b. Lackgofgknowledge
c. Abnormalglaboratorygvalues
d. Severelygabnormalgvitalgsigns