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Nursing Health Assessment A Clinical Judgment Approach 4rd Edition By Sharon
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, NURSING HEALTH ASSESSMENT A BEST PRACTICE APPROACH
4RD EDITION JENSENTEST BANK
Chapter 1. Nurse’s Role In Health Assessment
1. After Completing An Initial Assessment Of A Patient, The Nurse Has Charted That His
RespirationsAre 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
AboutHim Or Herself During History Taking. The Terms Reflective And Introspective Are Not
Used To Describe Data.
Dif: Cognitive Level: Understanding (Comprehension) Ref: Dm. 2
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
2. A Patient Tells The Nurse That He Is Very Nervous, Is Nauseated, And Feels Hot. These
Types OfData Would Be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
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 UsedTo Describe Data.
Dif: Cognitive Level: Understanding (Comprehension) Ref: Dm. 2
Msc: Client Needs: Safe And Effective Care Environment: Management Of Care
3. The Patients Record, Laboratory Studies, Objective Data, And Subjective Data Combine
To FormThe:
a. Data Base.
b. Admitting Data.
c. Financial Statement.
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, d. Discharge
Summary.Ans: A
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, Together With The Patients Record And Laboratory Studies, The Objective And Subjective
Data FormThe Data Base. The Other Items Are Not Part Of The Patients Record, Laboratory
Studies, Or Data.
Dif: Cognitive Level: Remembering (Knowledge) Ref: Dm. 2
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. TheNurses 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 ExpertTo Listen.
Dif: Cognitive Level: Analyzing (Analysis) Ref: Dm. 2
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 ExperienceFrom 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.Ans: B
Novice Nurses Operate From A Set Of Defined, Structured Rules. The Expert Practitioner Uses
Intuitive Links.
Dif: Cognitive Level: Understanding (Comprehension) Ref: Dm. 3
Msc: Client Needs: General
6. Expert Nurses Learn To Attend To A Pattern Of Assessment Data And Act Without
ConsciouslyLabeling 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) Ref: Dm. 4
Msc: Client Needs: General
7. The Nurse Is Reviewing Information About Evidence-Based Practice (Ebp). Which
StatementBest Reflects Ebp?
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