,Physical ExaminationandHealthAssessment CANADIAN4thEdition
r r r r r
Jarvis Test Bank r r
Chapter 01: Evidence-Based Assessment
r r r
Jarvis: Physical Examination& Health Assessment, 4th Canadian edition
r r r r r r r
MULTIPLECHOICE
1. After completinganinitialassessment ofapatient, thenurse has chartedthat hisrespirationsare
r r r r r r r r r r r r r r r
18breaths perminute and hispulse is58beats perminute.Thesetypes ofdatawould be:
r r r r r r r r r r r r r r r r r r
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: A r
Objective data are what the health professional observes by inspecting, percussing, palpating,
r r r r r r r r r r r
and auscultating during the physical examination. Subjective data are what the person says about
r r r r r r r r r r r r r r
himself or herself during history taking. The terms reflective and introspective are notused to
r r r r r r r r r r r r r r r
describe data.
r r
DIF: Cognitive Level: Understanding (Comprehension) r r r
MSC: ClientNeeds:SafeandEffectiveCareEnvironment:Management ofCare
r r r r r r r r r
2. Apatient tells the nursethat he is verynervous, is nauseated, and “feels hot.” Thesetypes ofdata
r r r r r r r r r r r r r r r r
would be:
r r
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C r
Subjective data are what the person says about himself or herself during history taking.
r r r r r r r r r r r r r
Objectivedata arewhat thehealth professional observes byinspecting, percussing, palpating,and
r r r r r r r r r
auscultating during the physical examination. The terms reflective and introspective arenot used
r r r r r r r r r r r r r
to describe data.
r r r
DIF: Cognitive Level: Understanding (Comprehension) r r r
MSC: ClientNeeds:SafeandEffectiveCareEnvironment:Management ofCare
r r r r r r r r r
3. Thepatient’s record, laboratorystudies, objective data,and subjectivedata combinetoform
r r r r r r r r r
the:
r
a. Database
b. Admitting data r
c. Financialstatement
d. Dischargesummary
ANS: A r
Together with the patient’s record and laboratory studies, the objective and subjective data
r r r r r r r r r r r r
form the database. The other items are not part of the patient’s record, laboratory studies, or
r r r r r r r r r r r r r r r r
data.
r
,DIF: Cognitive Level: Remembering (Knowledge)
r r r
MSC: ClientNeeds:SafeandEffectiveCareEnvironment:Management ofCare
r r r r r r r r r
, 4. Whenlisteningto apatient’s breath sounds, thenurseis unsureof asound that is heard. The
r r r r r r r r r r r r r r
nurse’s next action should be to:
r r r r r r
a. Immediatelynotifythepatient’s physician. r r r
b. Documentthesound exactlyas it was heard. r r r r r r r
c. Validatethedatabyaskinga coworker to listen tothebreath sounds. r r r r r r r r r r r r
d. Assessagain in 20 minutes to notewhether thesound is still present.
r r r r r r r r r r r r
ANS: C r
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates
r r r r r r r r r r r r r r r
the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
r r r r r r r r r r r r r r r r r r r r
expert to listen.
r r r
DIF: Cognitive Level: Analyzing(Analysis) r r r
MSC: ClientNeeds:SafeandEffectiveCareEnvironment:Management ofCare
r r r r r r r r r
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
r r r r r r r r r r r r r r
nurseshould keep in mind that novice nurses, with less experience, aremore likelyto base
r r r r r r r r r r r r r
their decisions on:
r r r
a. Intuition
b. Clear-cutrules
c. Articlesinjournals r
d. Advicefrom supervisors r r
ANS: B r
Novice nurses operate from a set of defined, structured rules. Expert practitioners use critical
r r r r r r r r r r r r r
thinking and their substantial background of experiences.
r r r r r r r
DIF: Cognitive Level: Understanding (Comprehension) r r r MSC: Client Needs: General r r r
6. Expert nurses assess and makedecisions throughtheuseof:
r r r r r r r r
a. Criticalthinking r
b. Thenursing process r r
c. Clinicalknowledge r
d. Diagnosticreasoning r
ANS: A r
Criticalthinking isamultidimensional, dynamic, and interactivethinkingprocess bywhich expert
r r r r r r r r r
nurses assess and make decisions in the clinical area.
r r r r r r r r r
DIF: r r CognitiveLevel:Understanding(Comprehension) r r MSC: Client Needs: General r r r
7. Thenurseis reviewing information about evidence-informedpractice (EIP). Whichstatement
r r r r r r r r
bestreflects EIP? r
a. EIP relies on tradition for supportofbest practices.
r r r r r r r
b. EIPis simplythe useof best practicetechniques for thetreatment ofpatients.
r r r r r r r r r r r r r
c. EIP emphasizes theuseofbest and most appropriate evidencewith clinician
r r r r r r r
expertise and patient preference.
r r r r
d. Thepatient’s ownpreferences arenot important in EIP. r r r r r r
ANS: C r
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SuccessMaestro. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
