Jarvis Chapters 1, 2, 3 |50 Practice Questions With Complete Solutions
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Jarvis
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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 provi...
Jarvis Chapters 1, 2, 3 P ractice Questions 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 - ✔ ✔ 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 th e 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 - ✔ ✔ B An organized assessment is the starting point of diagnostic reasoning. Diagnostic reasoning is the process of analyzing the health assessm ent 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 Perce iving a current need as part of a long -term goal C Recognizing patterns immediately D Not needing validation for clinical judgment - ✔ ✔ C Using intuition is a part of functioning at the level of expert in clinical judgment. Using intuition is using knowl edge 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 - ✔ ✔ 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 firs t-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 probl ems 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 descript ion of present and past health against which future changes will be measured. - ✔ ✔ 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 complet e 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 - ✔ ✔ 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 - ✔ ✔ 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 s ettings. It is smaller in scope and more targeted than a complete database. The emergency database requires a rapid collection of data and is often combined with lifesaving measures. The follow -up database is used in all care settings and focuses on the ev aluation of identified short -term or chronic health problems at regular and appropriate intervals. What type of database is most appropriate to establish when a patient's chronic illness problems are being evaluated at regular intervals? A Focused B Follo w-up C Emergency D Complete - ✔ ✔ B
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