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Jarvis: Physical Examination and Health Assessment, 5thedition Nursing Test BankChapter 01: Critical Thinking in Health AssessmentText BankMULTIPLE CHOICE1.After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be:1.objective.2.reflective.3.subjective.4.introspective.ANS:1Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical exam.DIF:ComprehensionREF:Page: 2MSC:NCLEX: Safe and Effective Care Environment: Management of Care2.A patient tells the nurse that he is very nervous, that he is nauseated, and that he “feels hot.” This type of data would be:1.objective.2.reflective.3.subjective.4.introspective.ANS:3Subjective data are what the person says about himself or herself during history taking.DIF:ComprehensionREF:Page: 2MSC:NCLEX: Safe and Effective Care Environment: Management of Care
3.The patient’s record, laboratory studies, objective data, and subjective data combine to form the:1.database.2.admitting data.3.financial statement.4.discharge summary.ANS:1Together with the patient’s record and laboratory studies, the objective and subjective dataform the database.DIF:KnowledgeREF:Page: 2MSC:NCLEX: General4.When listening to a patient’s breath sounds, the nurse is unsure about a sound that is heard. The nurse should:1.notify the patient’s physician immediately.2.document the sound exactly as it was heard.3.validate the data by asking a coworker to listen to the breath sounds.4.assess again in 20 minutes to note whether the sound is still present.ANS:3Validate any data that you need to make sure are accurate. If you have less experience in anarea, ask an expert to listen.DIF:AnalysisREF:Page: 2MSC:NCLEX: Safe and Effective Care Environment: Management of Care5.Novice nurses, without a background of skills and experience to draw from, are more likely to make their decisions using:1.intuition.2.a set of rules.3.articles in journals.4.advice from supervisors.ANS:2Novice nurses operate from a set of rules (such as the nursing process).DIF:ComprehensionREF:Pages: 2-3MSC:NCLEX: General1-2
6.Expert nurses learn to attend to a pattern of assessment data and to act without consciously labeling it. This is referred to as:1.intuition.2.the nursing process.3.clinical knowledge.4.diagnostic reasoning.ANS:1Intuition is characterized by pattern recognition—expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.DIF:ComprehensionREF:Page: 3MSC:NCLEX: General7.Critical thinking in the expert nurse is greatly enhanced by opportunities to:1.apply theory in real situations.