HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic (normal) and his pulse is 58 beats per minute. These types of data would be:
.
2. A patient te...
HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic (normal) and his pulse is 58 beats per minute. These types
of data would be:
a. Objective.
.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be
C. Subjective.
.
3. The patient's record, laboratory studies, objective data, and subjective data
combine to form the:
a. Data base.
4. When listening to a patient's breath sounds, the nurse is unsure of a sound that
is heard. The nurses next action should be to:
C. Validate the data by asking a coworker to listen to the breath sounds.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background
of skills and experience from which to draw, are more likely to make their
decisions using:
b. A set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
C. EBP emphasizes the use of best evidence with the clinician's experience.
8. The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
D. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
,C. Abnormal laboratory values
10.Which critical thinking skill helps the nurse see relationships among
the data? b. Clustering related cues
11.The nurse knows that developing appropriate nursing interventions for a patient
relies on the appropriateness of the diagnosis.
a. Nursing
12.The nursing process is a sequential method of problem solving that nurses use
and includes which steps?
D. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation
13.A newly admitted patient is in acute pain, has not been sleeping well lately,
and is having difficulty breathing. How should the nurse prioritize these
problems?
a. Breathing, pain, and sleep
14.Which of these would be formulated by a nurse using diagnostic reasoning?
C. Diagnostic hypothesis
15.Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
16.What step of the nursing process includes data collection by health
history, physical examination, and interview?
D. Assessment
17.During a staff meeting, nurses discuss the problems with accessing research
studies to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help these problems?
D. Teach the nurses how to conduct electronic searches for research studies.
18.When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
D. Holistic health views the mind, body, and spirit as interdependent.
19.The nurse recognizes that the concept of prevention in describing health
is essential because:
C. Prevention places the emphasis on the link between health and personal behavior.
,20.The nurse is performing a physical assessment on a newly admitted patient. An
example of
objective information obtained during the physical assessment
includes the: D. 2 5 cm scar on the right lower forearm.
21.A visiting nurse is making an initial home visit for a patient who has many
chronic medical problems. Which type of database is most appropriate to collect
in this setting?
C. A complete health database because of the nurses primary responsibility for
monitoring the patients health
22. Which situation is most appropriate during which the nurse performs
a focused or problem-centered history?
D. Patient in an outpatient clinic has cold and influenza-like symptoms.
23.A patient is at the clinic to have her blood pressure checked. She has been
coming to the clinic weekly since she changed medications 2 months ago. The
nurse should:
a. Collect a follow-up database and then check her blood pressure.
24.A patient is brought by ambulance to the emergency department with multiple
traumas received in an automobile accident. He is alert and cooperative, but his
injuries are quite severe. How would the nurse proceed with data collection?
b. Simultaneously ask history questions while performing the examination and
initiating life- saving measures.
25.A 42-year-old patient of Asian descent is being seen at the clinic for an initial
examination. The nurse knows that including cultural information in his health
assessment is important to:
D. Provide culturally sensitive and appropriate care.
26.In the health promotion model, the focus of the health professional includes:
D. Helping the consumer choose a healthier lifestyle.
27.The nurse has implemented several planned interventions to address the
nursing diagnosis of acute pain. Which would be the next appropriate action?
c. Evaluate the individual's condition, and compare actual outcomes
with expected outcomes.
28. Which statement best describes a proficient nurse? A proficient nurse is one who:
d. Understands a patient situation as a whole rather than a list of tasks and
recognizes the long-term goals for the patient.
29.The nurse is reviewing data collected after an assessment. Of the data listed
below, which would be considered related cues that would be clustered together
during data analysis? Select all that apply.
, ❖ Inspiratory wheezes noted in left lower lobes
❖ Nonproductive cough
❖ Patient reports dyspnea upon exertion
❖ Rate of respirations 16 breaths per
minute ANS: A, C, E, F
30.Put the following patient situations in order according to the level of priority.
a. A patient newly diagnosed with type 2 diabetes mellitus does not know how
to check his own blood glucose levels with a glucometer. #3
b. A teenager who was stung by a bee during a soccer match is having trouble
breathing. #1
c. An older adult with a urinary tract infection is also showing signs of
confusion and agitation. #2
1. b = First-level priority problem
2. c= Second-level priority problem
3. a= Third-level priority problem
Chapter 02: Cultural Assessment
1. The nurse is reviewing the development of culture. Which statement is correct
regarding the development of ones culture? Culture is:
B. Learned through language acquisition and socialization.
2. During a class on the aspects of culture, the nurse shares that culture has
four basic characteristics. Which statement correctly reflects one of these
characteristics?
d. Culture adapts to specific environmental factors and available natural
resources.
3. During a seminar on cultural aspects of nursing, the nurse recognizes that the
definition stating the specific and distinct knowledge, beliefs, skills, and customs
acquired by members of a society reflects which term?
C. Norms
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