Physical Examination and Health Assessment
8th Edition by Carolyn Jarvis,
All Chapters 1 - 32
Physical Examination and Health Assessment
,TABLE OF CONTENTS
Physical Examination and Health Assessment
,Chapter 01: Evidence-Based Assessment
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MULTIPLE CHOICE D
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
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Dand his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: A D
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself
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during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is n a u s e a. Ct eOd M
D D D D D , and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: C D
Subjective data are what the person says about him or herself during history taking. Objective data are
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what the health professional observes by inspecting, percussing, palpating, and auscultating during the
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physical examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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Physical Examination and Health Assessment
, 3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. D
b. Admitting data. D
c. Financial statement. D
d. Discharge summary. D
ANSWER: A D
Together with the patients record and laboratory studies, the objective and subjective data form the data
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base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
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Dnext action should be to:
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a. Immediately notify the patients physician. D D D D
b. Document the sound exactly as it was heard. D D D D D D D
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANSWER: C D
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
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accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
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Dkeep in mind that novice nurses, without a background of skills and experience from which to draw,
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Dare more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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Physical Examination and Health Assessment