Chapter_01 - Jarvis Physical Examination and Health Assessment 5th edition Test Bank Nursing Chapter 01 Critical Thinking in Health Assessment Text Bank

Chapter_01 - Jarvis Physical Examination and Health...

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Jarvis: Physical Examination and Health Assessment, 5 th edition Nursing Test Bank Chapter 01: Critical Thinking in Health Assessment Text Bank MULTIPLE CHOICE 1. 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: 1 Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical exam. DIF: Comprehension REF: Page: 2 MSC: NCLEX: Safe and Effective Care Environment: Management of Care 2. 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: 3 Subjective data are what the person says about himself or herself during history taking. DIF: Comprehension REF: Page: 2 MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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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: 1 Together with the patient’s record and laboratory studies, the objective and subjective data form the database. DIF: Knowledge REF: Page: 2 MSC: NCLEX: General 4. 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: 3 Validate any data that you need to make sure are accurate. If you have less experience in an area, ask an expert to listen. DIF: Analysis REF: Page: 2 MSC: NCLEX: Safe and Effective Care Environment: Management of Care 5. 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: 2 Novice nurses operate from a set of rules (such as the nursing process). DIF: Comprehension REF: Pages: 2-3 MSC: NCLEX: General 1-2
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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: 1 Intuition is characterized by pattern recognition—expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. DIF: Comprehension REF: Page: 3 MSC: NCLEX: General 7. Critical thinking in the expert nurse is greatly enhanced by opportunities to: 1. apply theory in real situations.
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