,Test Bank for Phy
k k k
sical Examinatio k
n andHealth Asse
k k k
ssment, 8thEditi k k
on, Carolyn Jarvi
k k
s, ISBN: 9780323
k k
510806
, PHYSICALkEXAMINATIONkANDkHEALTHkASSESSMENTk8THkEDITIONkJARVISkTESTkBAN
K
2
TestkBankk-kPhysicalkExaminationkandkHealthkAssessmentk8ek(bykJarvis)
Chapter 01: Evidence-Based Assessment
k k k
MULTIPLEk CHOICE
1. Afterk completingk ank initialk assessmentk ofk ak patient,k thek nursek hask chartedk thatk hisk respirationsk arek eupneick an
dkhiskpulsekisk58kbeatskperkminute.kThesektypeskofkdatakwouldkbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:kA
Objectivekdatakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultatingk
duringkthekphysicalkexamination.kSubjectivekdatakiskwhatkthekpersonk sayskaboutkhimkorkherselfkduringkhistor
yktaking.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata.
DIF:k Cognitivek Level:k Understandingk (Comprehension)
MSC:k Clientk Needs:k Safek andk Effectivek Carek Environment:k Managementk ofk Care
2. AkpatientktellsktheknursekthatkhekiskveryknervN
ouUsR,kSisIN
naGuTsB
ea.C
teOdM
,kandkfeelskhot.kThesektypeskofkdatakwouldkbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:kC
Subjectivek datak arek whatk thek personk saysk aboutk himk ork herselfk duringk historyk taking.k Objectivek datak arek whatk thek
healthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultatingkduringkthekphysicalkexami
nation.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata.
DIF:k Cognitivek Level:k Understandingk (Comprehension)
MSC:k Clientk Needs:k Safek andk Effectivek Carek Environment:k Managementk ofk Care
3. Thekpatientsk record,k laboratoryk studies,k objectivek data,k andk subjectivek datak combinek tok formk the:
a. Datakbase.
b. Admittingkdata.
NURSINGTB.COM
, PHYSICALkEXAMINATIONkANDkHEALTHkASSESSMENTk8THkEDITIONkJARVISkTESTkBAN
K
3
TestkBankk-kPhysicalkExaminationkandkHealthkAssessmentk8ek(bykJarvis)
c. Financialk statement.
d. Dischargek summary.
ANS:kA
Togetherk withk thek patientsk recordk andk laboratoryk studies,k thek objectivek andk subjectivek datak formk thek datak base.k
Thekotherkitemskareknotkpartkofkthekpatientskrecord,klaboratorykstudies,korkdata.
DIF:k Cognitivek Level:k Rememberingk (Knowledge)
MSC:k Clientk Needs:k Safek andk Effectivek Carek Environment:k Managementk ofk Care
4. Whenk listeningk tokak patientsk breathk sounds,k thek nursek isk unsurek ofk ak soundk thatk isk heard.k Thek nursesk ne
xtkactionkshouldkbekto:
a. Immediatelyk notifyk thek patientsk physician.
b. Documentk thek soundk exactlyk ask itkwask heard.
c. Validatek thek datak byk askingk ak coworkerk tok listenk tok thek breathk sounds.
d. Assessk againk ink 20k minutesk tok notek whetherk thek soundk isk stillk present.
NURSINGTB.COM
ANS:kC
Whenk unsurek ofk ak soundk heardk whilek listeningk tok ak patientsk breathk sounds,k thek nursek validatesk thek datak tok ensur
ekaccuracy.kIfktheknursekhasklesskexperiencekinkankarea,kthenkhekorkshekaskskankexpertktoklisten.
DIF:k Cognitivek Level:k Analyzingk (Analysis)
MSC:k Clientk Needs:k Safek andk Effectivek Carek Environment:k Managementk ofk Care
5. Theknursekiskconductingkakclasskforknewkgraduateknurses.kDuringkthekteachingksession,ktheknursekshouldkkee
pkink mindk thatk novicek nurses,k withoutk ak backgroundk ofk skillsk andk experiencek fromk whichk tok draw,k arek morek lik
elyktokmakektheirkdecisionskusing:
a. Intuition.
b. Aksetkofkrules.
c. Articlesk ink journals.
d. Advicek fromk supervisors.
ANS:kB
Novicek nursesk operatek fromk ak setk ofk defined,k structuredk rules.k Thek expertk practitionerk usesk intuitivek links.kD
IF:kCognitivekLevel:kUnderstandingk(Comprehension)
NURSINGTB.COM