Exam (elaborations)
Jarvis Chapters 1, 2, 3 Practice Questions and Answers
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Jarvis Chapters 1, 2, 3 Practice Questions and Answers
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Jarvis Chapters 1, 2, 3 PracticeQuestions and Answers
When assessing a patient's health status, which data do you classify as subjective?
A Anything you cannot quantify
B Anything the patient tells you about self as part of the health history
C Anything you can feel but not see
D Anything communicated about the patient by another health-care provider - Answers -
B
When assessing a patient's health status, subjective information is anything that the
patient says about himself or herself as part of the health history. What you as the
health professional "observe" through inspection, percussion, palpation, or auscultations
during the physical examination are objective data.
What is the starting point of diagnostic reasoning?
A important from unimportant data
B Performing an organized assessment
C Developing a hypothesis about health problems
D Making a preliminary list of signs and symptoms - Answers -B
An organized assessment is the starting point of diagnostic reasoning. Diagnostic
reasoning is the process of analyzing the health assessment data and drawing
conclusions to identify diagnoses. For the novice this involves forming hypotheses and
using deductive reasoning.
Which is the best defining characteristic of intuition as it relates to clinical judgment?
A Bypassing the rules
B Perceiving a current need as part of a long-term goal
C Recognizing patterns immediately
D Not needing validation for clinical judgment - Answers -C
Using intuition is a part of functioning at the level of expert in clinical judgment. Using
intuition is using knowledge received as a whole and is characterized by the immediate
recognition of patterns. Expert practitioners attend to a pattern of assessment data and
act without consciously labeling it.
Which constitutes a first-level priority problem?
A Acute pain
B Elevated cholesterol levels
C Mental status change
D Anaphylaxis - Answers -D
, First-level priority problems are those that are emergent, life threatening, and
immediate, such as establishing an airway or supporting breathing. Thus anaphylaxis
constitutes a first-level priority problem. Second-level priority problems are those that
require prompt intervention to prevent further deterioration. Examples of these are acute
pain, mental status change, and acute urinary elimination problems. Third-level priority
problems are those that are important to the patient's health but can be addressed after
more urgent problems. Elevated serum cholesterol levels would fall in this category.
Which is the best description of a complete health database?
A Collection of subjective and objective health data.
B Collection of information related to the current health status obtained by physical
examination and laboratory analysis.
C Information obtained by history taking and physical exam.
D Baseline description of present and past health against which future changes will be
measured. - Answers -D
A complete or total health database describes current and past health states and forms
a baseline against which all future changes can be measured. It includes a complete
health history and a full physical examination. It screens for pathology, yields the first
diagnosis, and determines the ways patients respond to health problems.
What type of database is established when a nurse is mainly concerned with one
problem?
A Focused
B Follow-up
C Emergency
D Complete - Answers -A
A focused (or mini) database concerns mainly one limited or short-term problem and is
used in all care settings. It is smaller in scope and more targeted than a complete
database. The follow-up database is also used in all care settings; however, it focuses
on the evaluation of identified short-term or chronic health problems at regular and
appropriate intervals. The emergency database requires a more rapid collection of data
than the focused database, and is often combined with lifesaving measures. The
complete database is a total health assessment. This includes a complete health history
plus a full physical examination and can be performed in both primary and acute care
settings.
Mr. Fitzgerald is a 62-year-old new patient who presents to the clinic for a routine health
assessment. Which type of health database would be established?
A Focused
B Emergency
C Follow-up
D Complete - Answers -D
The complete health database is an assessment of an individual's total health. This
includes a complete health history plus a full physical examination and can be
performed in both primary and acute care settings. The focused (or mini) database is
utilized mainly for one limited or short-term problem and is used in all care settings. It is
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