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TEST BANK for -Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / COMPLETE GUIDE A+$16.99
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Test Bank for Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
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NK
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment k* k* k*
MULTIPLE CHOICE k*
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupne
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ic andhis pulse is 58 beats per minute. These types of data would be:
k* *
k k* k* k* k* k* k* k* k* k* k* k* k*
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A k*
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
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g during the physical examination. Subjective data is what the person says about him or herself during histo
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ry taking. The terms reflective and introspective are not used to describe data.
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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 nausea.CteOdM
k* k* k* , and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C k*
Subjective data are what the person says about him or herself during history taking. Objective data are w
k* k* k* k* k* k* k* k* k* k* k* k* k* k* k* k* k*
hat thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
k* *
k k* k* k* k* k* k* k* k* k* k* k*
examination. The terms reflective and introspective are not used to describe data.
k* k* k* k* k* k* k* k* k* k* k* k*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. k*
b. Admitting data. k*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
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NK
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
k* k* k* k* k* k* k* k* k* k*
c. Financial statement. k*
d. Discharge summary. k*
ANS: A k*
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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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 nurs
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es nextaction should be to:
k* *
k k* k* k*
a. Immediately notify the patients physician. k* k* k* k*
b. Document the sound exactly as it was heard.
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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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ANS: C k*
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensur
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eaccuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
k* k* k* k* k* k* k* k* k* k*
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
k* k* k* k* k* k* k* k* k * k* k * k* k* k* k* k* k
*keep in mind that novice nurses, without a background of skills and experience from which to draw, a
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re more likelyto make their decisions using:
k* k* *
k k* k* k* k*
a. Intuition.
b. A set of rules.
k* k* k*
c. Articles in journals. k* k*
d. Advice from supervisors. k* k*
ANS: B k*
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive lin
k* k* k* k* k* k* k* k* k* k* k* k* k* k* k*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
k* k* k* k* k* k* k* k* k*
NK
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
k* k* k* k* k* k* k* k* k* k*
MSC: Client Needs: General
k* k* k*
6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflectsEBP?
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k
a. EBP relies on tradition for supportNoUf RbeSsIN
k* t pGrT
k* acBt.iC
ceOsM
k* . k* k* k* k*
b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with E
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BP.ANS: C*
k k*
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
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the clinicians experience, as well as patient preferences and values, when making decisions about care
* k* k* k* k* k* k* k* k* k* k* k* k* k* k* k*
and treatment. EBP is more than simply using the best practice techniques to treat patients, and questio
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ning tradition is important when no compelling and supportive research evidence exists.
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
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Theseresponses are referred to as:
* *
k k* k* k* k*
a. Intuition.
b. The nursing process.
k* k*
c. Clinical knowledge. k*
d. Diagnostic reasoning. k*
ANS: A k*
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment dat
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a andact without consciously labeling it. The other options are not correct.
k* *
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an e
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xampleof a first-level priority problem?
*
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a. Patient with postoperative pain
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b. Newly diagnosed patient with diabetes who needs diabetic teaching
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