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Jarvis Physical Exam & Health Assessment 8e Test Bank

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Jarvis Physical Exam & Health Assessment 8e Test Bank

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PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 1




treatment of workers. Legal questions include how to classify workers (as independent
contractors or employees) and how to ensure that they are provided with benefits and
protections.### 15. **Ethical and Legal Issues in Education**Education plays a critical role in
shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational
institutions.#### 15.1 **Discipline and School Safety**In many schools, the balance between
ensuring a safe learning environment and upholding students' rights is a significant ethical and
legal issue. For example, zero-tolerance policies on issues like bullying, drugs, or violence may
be well-intentioned, but they often lead to disproportionate disciplinary actions, particularly
against minority students. Legally, schools must navigate between enforcing discipline and

Test Bank For
Jarvis Physical Exam & Health Assessment 8 Edition
Chapter 1-32


Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE

1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
his pulse is 58 beats per minute. These types of data would be:


a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANS: A

Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. Subjective data is what the person says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
naGuTsB
ea.C
teOdM
, and feels hot. These types of data would be:

a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 2



ANS: C

Subjective data are what the person says about him or herself during history taking. Objective data are what the
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
examination. The terms reflective and introspective are not used to describe data.

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

3. The patients record, laboratory studies, objective data, and subjective data combine to form the:


a. Data base.


b. Admitting data.
treatment of workers. Legal questions include how to classify workers (as independent contractors or
employees) and how to ensure that they are provided with benefits and protections.### 15. **Ethical
and Legal Issues in Education**Education plays a critical role in shaping society, and ethical and legal
issues related to education are vast. From issues of school discipline to access to education, these
concerns affect students, teachers, and educational institutions.#### 15.1 **Discipline and School
Safety**In many schools, the balance between ensuring a safe learning environment and upholding
students' rights is a significant ethical and legal issue. For example, zero-tolerance policies on issues
like bullying, drugs, or violence may be well-intentioned, but they often lead to disproportionate
disciplinary actions, particularly against minority students. Legally, schools must navigate between
enforcing discipline and
c. Financial statement.


d. Discharge summary.


ANS: A

Together with the patients record and laboratory studies, the objective and subjective data form the data base.
The other items are not part of the patients record, laboratory studies, or data.

DIF: Cognitive Level: Remembering (Knowledge)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
action should be to:


a. Immediately notify the patients physician.


b. Document the sound exactly as it was heard.


c. Validate the data by asking a coworker to listen to the breath sounds.


d. Assess again in 20 minutes to note whether the sound is still present.


ANS: C

When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.


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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 3


DIF: Cognitive Level: Analyzing (Analysis)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

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:


a. Intuition.


b. A set of rules.


c. Articles in journals.


d. Advice from supervisors.

treatment of workers. Legal questions include how to classify workers (as independent contractors or
employees) and how to ensure that they are provided with benefits and protections.### 15. **Ethical
and Legal Issues in Education**Education plays a critical role in shaping society, and ethical and legal
issues related to education are vast. From issues of school discipline to access to education, these
concerns affect students, teachers, and educational institutions.#### 15.1 **Discipline and School
Safety**In many schools, the balance between ensuring a safe learning environment and upholding
students' rights is a significant ethical and legal issue. For example, zero-tolerance policies on issues
like bullying, drugs, or violence may be well-intentioned, but they often lead to disproportionate
disciplinary actions, particularly against minority students. Legally, schools must navigate between
enforcing discipline and
ANS: B

Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: General

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.


b. The nursing process.


c. Clinical knowledge.


d. Diagnostic reasoning.


ANS: A

Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
act without consciously labeling it. The other options are not correct.

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: General

7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects

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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 4


EBP?


a. EBP relies on tradition for supportNoUf R
bS
esIN
t pGrT
acBt.iC
ceOsM
.


b. EBP is simply the use of best practice techniques for the treatment of patients.


c. EBP emphasizes the use of best evidence with the clinicians experience.


d. The patients own preferences are not important with EBP.

treatment of workers. Legal questions include how to classify workers (as independent contractors or
employees) and how to ensure that they are provided with benefits and protections.### 15. **Ethical
and Legal Issues in Education**Education plays a critical role in shaping society, and ethical and legal
issues related to education are vast. From issues of school discipline to access to education, these
concerns affect students, teachers, and educational institutions.#### 15.1 **Discipline and School
Safety**In many schools, the balance between ensuring a safe learning environment and upholding
students' rights is a significant ethical and legal issue. For example, zero-tolerance policies on issues
like bullying, drugs, or violence may be well-intentioned, but they often lead to disproportionate
disciplinary actions, particularly against minority students. Legally, schools must navigate between
enforcing discipline and
ANS: C

EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
clinicians experience, as well as patient preferences and values, when making decisions about care and
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
tradition is important when no compelling and supportive research evidence exists.

DIF: Cognitive Level: Applying (Application)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

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?


a. Patient with postoperative pain


b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot


d. Individual with shortness of breath and respiratory distress


ANS: D

First-level priority problems are those that are emergent, life threatening, and immediate (e.g., establishing an
airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs).

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

9. When considering priority setting of problems, the nurse keeps in mind that second-level priority problems
include which of these aspects?


a. Low self-esteem


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