,Test Bank for Phy
h h h
sical Examinatio h
n andHealth Ass
h h h
essment, 8thEdit h h
ion, Carolyn Jarv
h h
is, ISBN: 9780323
h h
510806
, PHYSICALhEXAMINATIONhANDhHEALTHhASSESSMENTh8THhEDITIONhJARVIShTESThBAN
K
2
TesthBankh-hPhysicalhExaminationhandhHealthhAssessmenth8eh(byhJarvis)
Chapter 01: Evidence-Based Assessment
h h h
MULTIPLEh CHOICE
1. Afterhcompletinghanhinitialh assessmenth ofhah patient,h theh nurseh hashchartedh thath hish respirationsh areheupneich an
dhhishpulsehish58hbeatshperhminute.hThesehtypeshofhdatahwouldhbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:hA
Objectivehdataharehwhaththehhealthhprofessionalhobserveshbyhinspecting,hpercussing,hpalpating,handhauscultatingh
duringhthehphysicalhexamination.hSubjectivehdatahishwhaththehpersonh sayshabouthhimhorhherselfhduringhhistor
yhtaking.hThehtermshreflectivehandhintrospectiveharehnothusedhtohdescribehdata.
DIF:h Cognitiveh Level:h Understandingh (Comprehension)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
2. AhpatienthtellshthehnursehthathhehishveryhnervN
ouUsR,hSisIN
naGuTsB
ea.C
teOdM
,handhfeelshhot.hThesehtypeshofhdatahwouldhbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:hC
Subjectiveh datahareh whath theh personh saysh abouth himh orh herselfh duringh historyh taking.h Objectiveh dataharehwhath theh
healthhprofessionalhobserveshbyhinspecting,hpercussing,hpalpating,handhauscultatinghduringhthehphysicalhexami
nation.hThehtermshreflectivehandhintrospectiveharehnothusedhtohdescribehdata.
DIF:h Cognitiveh Level:h Understandingh (Comprehension)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
3. Thehpatientsh record,h laboratoryh studies,hobjectiveh data,h andh subjectiveh datah combineh toh formhthe:
a. Datahbase.
b. Admittinghdata.
NURSINGTB.COM
, PHYSICALhEXAMINATIONhANDhHEALTHhASSESSMENTh8THhEDITIONhJARVIShTESThBAN
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TesthBankh-hPhysicalhExaminationhandhHealthhAssessmenth8eh(byhJarvis)
c. Financialh statement.
d. Dischargeh summary.
ANS:hA
Togetherhwithhtheh patientsh recordhandh laboratoryh studies,h theh objectiveh andh subjectiveh datahformh theh datah base.h
Thehotherhitemsharehnothparthofhthehpatientshrecord,hlaboratoryhstudies,horhdata.
DIF:h Cognitiveh Level:h Rememberingh (Knowledge)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
4. Whenhlisteningh tohah patientsh breathh sounds,h theh nursehish unsureh ofhahsoundhthath ish heard.hTheh nurseshne
xthactionhshouldhbehto:
a. Immediatelyh notifyh theh patientsh physician.
b. Documenththehsoundhexactlyh ashithwash heard.
c. Validatehthehdatah byh askingh ah coworkerh tohlistenhtohtheh breathh sounds.
d. Assessh againhinh20h minutesh tohnoteh whetherh theh soundhish stillhpresent.
NURSINGTB.COM
ANS:hC
Whenh unsureh ofh ahsoundh heardhwhileh listeninghtohah patientsh breathhsounds,h theh nurseh validatesh theh datahtohensur
ehaccuracy.hIfhthehnursehhashlesshexperiencehinhanharea,hthenhhehorhshehaskshanhexperthtohlisten.
DIF:h Cognitiveh Level:h Analyzingh (Analysis)
MSC:h Clienth Needs:h Safeh andh Effectiveh Careh Environment:h Managementh ofh Care
5. Thehnursehishconductinghahclasshforhnewhgraduatehnurses.hDuringhthehteachinghsession,hthehnursehshouldhkee
phinh mindh thath noviceh nurses,h withouth ah backgroundh ofh skillsh andh experienceh fromh whichh toh draw,h areh moreh lik
elyhtohmakehtheirhdecisionshusing:
a. Intuition.
b. Ahsethofhrules.
c. Articleshinhjournals.
d. Adviceh fromh supervisors.
ANS:hB
Novicehnursesh operateh fromh ah seth ofh defined,h structuredh rules.h Theh experth practitionerh usesh intuitiveh links.hD
IF:hCognitivehLevel:hUnderstandingh(Comprehension)
NURSINGTB.COM