R R R
sical Examinatio R
n and Health Ass
R R R
essment, 8th Edit R R
ion, Carolyn Jarv
R R
is, ISBN: 9780323
R R
510806
, PHYSICALREXAMINATIONRANDRHEALTHRASSESSMENTR8THREDITIONRJARVISRTESTRBAN
K
2
TestRBankR-RPhysicalRExaminationRandRHealthRAssessmentR8eR(byRJarvis)
Chapter 01: Evidence-Based Assessment
R R R
MULTIPLER CHOICE
1. AfterRcompletingRanRinitialRassessmentRofRaRpatient,RtheRnurseRhasRchartedRthatRhisRrespirationsRareReupneicRan
dRhisRpulseRisR58RbeatsRperRminute.RTheseRtypesRofRdataRwouldRbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:R A
ObjectiveRdataRareRwhatRtheRhealthRprofessionalRobservesRbyRinspecting,Rpercussing,Rpalpating,RandRauscultating
RduringRtheRphysical Rexamination. RSubjective RdataRisRwhatRtheRpersonRsaysRaboutRhimRorRherself RduringRhist
oryRtaking.RTheRtermsRreflectiveRandRintrospectiveRareRnotRusedRtoRdescribeRdata.
DIF:R CognitiveR Level:R UnderstandingR (Comprehension)
MSC:RClientR Needs:R SafeR andR EffectiveR CareR Environment:R ManagementR ofR Care
2. ARpatientRtellsRtheRnurseRthatRheRisRveryRn e r v No uUsR, RSisIN
naGuTsB
ea.C
teOdM
,RandRfeelsRhot.RTheseRtypesRofRdataRwouldRbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:R C
SubjectiveRdataRareRwhatRtheRpersonRsaysRaboutRhimRorRherselfRduringRhistoryRtaking.RObjectiveRdataRareRwhatRthe
RhealthRprofessional Robserves RbyRinspecting, Rpercussing, Rpalpating, RandRauscultating RduringRtheRphysical Rexa
mination.RTheRtermsRreflectiveRandRintrospectiveRareRnotRusedRtoRdescribeRdata.
DIF:R CognitiveR Level:R UnderstandingR (Comprehension)
MSC:RClientR Needs:R SafeR andR EffectiveR CareR Environment:R ManagementR ofR Care
3. TheRpatientsR record,R laboratoryR studies,R objectiveR data,R andR subjectiveR dataR combineR toR formR the:
a. DataRbase.
b. AdmittingR data.
NURSINGTB.COM
, PHYSICALREXAMINATIONRANDRHEALTHRASSESSMENTR8THREDITIONRJARVISRTESTRBAN
K
3
TestRBankR-RPhysicalRExaminationRandRHealthRAssessmentR8eR(byRJarvis)
c. FinancialR statement.
d. DischargeR summary.
ANS:R A
TogetherRwithRtheRpatientsRrecordRandRlaboratoryRstudies,RtheRobjectiveRandRsubjectiveRdataRformRtheRdataRbase
.RTheRotherRitemsRareRnotRpartRofRtheRpatientsRrecord,RlaboratoryRstudies,RorRdata.
DIF:R CognitiveR Level:R RememberingR (Knowledge)
MSC:RClientR Needs:R SafeR andR EffectiveR CareR Environment:R ManagementR ofR Care
4. WhenRlisteningRtoRaRpatientsRbreathRsounds,RtheRnurseRisRunsureRofRaRsoundRthatRisRheard.RTheRnursesRnex
tRactionRshouldRbeRto:
a. ImmediatelyR notifyR theR patientsR physician.
b. DocumentR theR soundR exactlyR asR itRwasR heard.
c. ValidateRtheRdataR byRaskingRaR coworkerRtoRlistenRtoRtheRbreathRsounds.
d. AssessR againRinR20R minutesRtoRnoteRwhetherR theR soundRisR stillRpresent.
NURSINGTB.COM
ANS:R C
WhenRunsureRofRaRsoundRheardRwhileRlisteningRtoRaRpatientsRbreathRsounds,RtheRnurseRvalidatesRtheRdataRtoRensu
reRaccuracy.RIfRtheRnurseRhasRlessRexperienceRinRanRarea,RthenRheRorRsheRasksRanRexpertRtoRlisten.
DIF:R CognitiveR Level:R AnalyzingR (Analysis)
MSC:RClientR Needs:R SafeR andR EffectiveR CareR Environment:R ManagementR ofR Care
5. TheRnurseRisRconductingRaRclassRforRnewRgraduateRnurses.RDuringRtheRteachingRsession,RtheRnurseRshouldRke
epRinR mindRthatRnoviceRnurses,R withoutR aRbackgroundR ofRskillsR andRexperienceR fromRwhichRtoRdraw,R areR moreRl
ikelyRtoRmakeRtheirRdecisionsRusing:
a. Intuition.
b. ARsetRofRrules.
c. ArticlesRinRjournals.
d. AdviceR fromR supervisors.
ANS:R B
NoviceRnursesRoperateRfromRaRsetRofRdefined,RstructuredRrules.RTheRexpertRpractitionerRusesRintuitiveRlinks.R
DIF:RCognitiveRLevel:RUnderstandingR(Comprehension)
NURSINGTB.COM