TestBankforPhysicalExaminationandHealthAssessment J
9thEditionbyCarolynJarvis,Ann
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 9TH EDITION JARVIS TES BANK J J
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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nursing nursing nursing
Chapter01:Evidence-Based Assessment J J J
MULTIPLE CHOICE J
After\ completinganinitialassessmentofapatient,thenursehaschartedthat\ hisrespirationsare\ eupneicandhis pulse
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is 58 beats per\ minute. These\ types of data would be:
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Ob\ ective. J
Reflective.
Sub\ ective. J
Introspective.
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Ob\ ectivedataare what\ the health professionalobservesbyinspecting,percussing,palpating, and\ auscultatingdur ing\
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thephysicalexamination.Sub\ ectivedata\ iswhatthe\ person\ says\ abouthimorherselfduringhistorytaking.Th e terms
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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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Apatient\ tells the nursethat he is verynervous, isnauseated, and feels hot.These types of data would\ be:
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.COM
Ob\ ective. J
Reflective.
Sub\ ective. J
Introspective.
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Sub\ ective data are\ what the person says\ about him or herself during history taking. Ob\ ective\ data are what theh ea lth
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professional observes by inspecting, percussing, palpating, and auscultating\ during the physical examination . T he
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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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The\ patientsrecord,laboratorystudies,ob\ ective\ data,andsub\ ectivedatacombinetoformthe: Data
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base.
Admittingdata. J
nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 9TH EDITION JARVIS TES BANK J J
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 3
nursing nursing nursing
Financialstatement. J J
Discharge summary. J
ANS:A J
Togetherwiththe\ patientsrecordandlaboratorystudies,the\ ob\ ectiveandsub\ ectivedataformthedata\ base.Th\ e other
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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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Whenlisteningtoapatientsbreath\ sounds,thenurseisunsureofasoundthatisheard.Thenursesnexta\ ct ion\ should\ be\
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to:
Immediately notify the patients\ physician. J J J J J
Documentthe\ soundexactlyasit\ washeard. J J J J J J J
Validatethe\ databyasking\ acoworkertolisten\ tothe\ breathsounds.
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Assess again\ in\ 20 minutes to note whether the sound is still present.
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Whenunsureofa\ sound\ heardwhilelisteningtoapatientsbreathsounds,thenursevalidatesthedata\ to\ ensureaccuracy. If the
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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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The nurse is conducting\ a class\ for new graduate nurses. During\ the teaching session, the\ nurse should keep in mi nd
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that novice nurses,\ without\ a background of skills\ and experience from\ which to draw, are\ more likelyto m ake th eir
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decisions using: J
Intuition.
A set of rules.
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Articlesin\ ournals. J JJ
Advice from\ supervisors. J J
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Novice\ nursesoperatefrom\ asetofdefined,structuredrules.Theexpertpractitionerusesintuitivelinks.DIF: Cognitive\
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Level: Understanding (Comprehension) J J
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nursing nursing nursing
, PHYSICAL EXAMINATION AND HEALTH ASSESSMEN 9TH EDITION JARVIS TES BANK J J
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
< < < 4
MSC: Client Needs:General J J J
The nurse is reviewing information about evidence-
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basedpractice(EBP).WhichstatementbestreflectsEBP?
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EBP relies on\ tradition for supportNoUfRbeSsINtpGrTacBt.iCceOsM.
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EBPissimplythe\ use\ ofbestpracticetechniquesfor\ thetreatment\ ofpatients.
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EBP emphasizes the\ use\ of best evidence with the\ clinicians experience.
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The\ patients own preferences\ are not important with EBP.
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EBPisasystematicapproachtopracticethatemphasizestheuseofbestevidence\ incombinationwiththe\ cli nicians
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experience,aswell\ aspatientpreferencesandvalues,when\ makingdecisionsaboutcareandtreatme nt.EBP is
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more\ than\ simplyusing thebest\ practicetechniquestotreat\ patients,and\ questioningtraditionis i mportant
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when\ no compelling and\ supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safeand Effective Care Environment: Management of Care
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Expertnurseslearntoattend\ toapatternofassessment\ dataandact\ without\ consciouslylabeling\ it.Thesere sponses
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are\ referred to as:
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Intuition.
The\ nursing process. J J
Clinical knowledge. J
Diagnostic\ reasoning. J
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Intuitionischaracterizedbypatternrecognitionexpertnurseslearntoattendtoapatternofassessmentdataandact without
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consciously\ labeling\ it. The other options\ are not correct. J J J J J J J J
DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: General J J J
Thenurseisconducting\ aclass\ onprioritysettingforagroupofnewgraduatenurses.Whichisanexampleof a first-
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level priority problem?
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Patient\ with postoperative pain J J J
Newlydiagnosed patient with diabetes who needs diabetic teaching
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