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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)

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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)

475+ Pages. All Questions & Answers from each chapter of the textbook

1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:

2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:

3. The patients record, laboratory studies, objective data, and subjective data combine to form the:

4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to:

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:

6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:

7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?

9. When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?

10. Which critical thinking skill helps the nurse see relationships among the data?

11. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis.

12. The nursing process is a sequential method of problem solving that nurses use and includes which steps?

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?

14. Which of these would be formulated by a nurse using diagnostic reasoning?

15. Barriers to incorporating EBP include:

16. What step of the nursing process includes data collection by health history, physical examination, and interview?

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?

18. When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?

19. The nurse recognizes that the concept of prevention in describing health is essential because:

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:

21. A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting?

22. Which situation is most appropriate during which the nurse performs a focused or problem-centered history?

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:

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?

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:

26. In the health promotion model, the focus of the health professional includes:

27. The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action?

28. Which statement best describes a proficient nurse? A proficient nurse is one who:

MULTIPLE RESPONSE

1. 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.

MATCHING
Put the following patient situations in order according to the level of priority.

Chapter 02: Cultural Assessment MULTIPLE CHOICE

1. The nurse is reviewing the development of culture. Which statement is correct regarding the development of ones culture? Culture is:

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?

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?

4. When discussing the use of the term subculture, the nurse recognizes that it is best described as:

5. When reviewing the demographics of ethnic groups in the United States, the nurse recalls that the largest and fastest growing population is:

6. During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which action by the nurse is appropriate?

7. The nurse manager is explaining culturally competent care during a staff meeting. Which statement accurately describes the concept of culturally competent care? The caregiver:

8. The nurse recognizes that an example of a person who is heritage consistent would be a:

9. After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement?

10. The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of ones spirituality?

11. A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college studies. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept?

12. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?

13. In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this difference is true, probably because Mexican-Americans:

14. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness?

15. An Asian-American woman is experiencing diarrhea, which is believed to be cold or yin. The nurse expects that the woman is likely to try to treat it with:

16. Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao. Which statement most accurately reflects health in an Asian with this belief?

17. Illness is considered part of lifes rhythmic course and is an outward sign of disharmony within. This statement most accurately reflects the views about illness from which theory?

18. An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by:

19. If an American Indian woman has come to the clinic to seek help with regulating her diabetes, then the nurse can expect that she:

20. An older Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally sensitive nurse would:

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[Solved] Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)

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Table of Contents Table of Contents 1 Chapter 01: Evidence-Based Assessment 2 Chapter 02: Cultural Assessment 15 Chapter 03: The Interview 31 Chapter 04: The Complete Health History 49 Chapter 05: Mental Status Assessment 64 Chapter 06: Substance Use Assessment 80 Chapter 07: Domestic and Family Violence Assessment 86 Chapter 08: Assessment Techniques and Safety in the Clinical Setting 92 Chapter 09: General Survey and Measurement 111 Chapter 10: Vital Signs 118 Chapter 11: Pain Assessment 133 Chapter 12: Nutrition Assessment 141 Chapter 13: Skin, Hair, and Nails 155 Chapter 14: Head, Face, Neck, and Regional Lymphatics 176 Chapter 15: Eyes 194 Chapter 16: Ears 211 Chapter 17: Nose, Mouth, and Throat 228 Chapter 18: Breasts, Axillae, and Regional Lymphatics 246 Chapter 19: Thorax and Lungs 266 Chapter 20: Heart and Neck Vessels 284 Chapter 21: Peripheral Vascular System and Lymphatic System 303 Chapter 22: Abdomen 320 Chapter 23: Musculoskeletal System 337 Chapter 24: Neurologic System 358 Chapter 25: Male Genitourinary System 382 Chapter 26: Anus, Rectum, and Prostate 400 Chapter 27: Female Genitourinary System 414 Chapter 28: The Complete Health Assessment: Adult 436 Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449 Chapter 30: Bedside Assessment and Electronic Documentation 452 Chapter 31: The Pregnant Woman 458 Chapter 32: Functional Assessment of the Older Adult 471 Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 2 Chapter 01: Evidence-Based Assessment MULTIPLE CHOICE 1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. ANS: A Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data is what the person says about him or herself during history taking. The terms reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be: a. b. c. d. ANS: C Subjective data are what the person says about him or herself during history taking. Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The terms reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. The patients record, laboratory studies, objective data, and subjective data combine to form the: a. Data base. b. Admitting data. Objective. Reflective. Subjective. Introspective. Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 3 c. Financial statement. d. Discharge summary. ANS: A Together with the patients record and laboratory studies, the objective and subjective data form the data base. The other items are not part of the patients record, laboratory studies, or data. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to: a. Immediately notify the patients physician. b. Document the sound exactly as it was heard. c. Validate the data by asking a coworker to listen to the breath sounds. d. Assess again in 20 minutes to note whether the sound is still present. ANS: C When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 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: a. b. c. d. Intuition. A set of rules. Articles in journals. Advice from supervisors. ANS: B Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF: Cognitive Level: Understanding (Comprehension) Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 4 MSC: Client Needs: General 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. b. The nursing process. c. Clinical knowledge. d. Diagnostic reasoning. ANS: A Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. The other options are not correct. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? a. EBP relies on tradition for support of best practices. b. EBP is simply the use of best practice techniques for the treatment of patients. c. EBP emphasizes the use of best evidence with the clinicians experience. d. The patients own preferences are not important with EBP. ANS: C EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is important when no compelling and supportive research evidence exists. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 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? a. Patient with postoperative pain b. Newly diagnosed patient with diabetes who needs diabetic teaching Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 5 c. Individual with a small laceration on the sole of the foot d. Individual with shortness of breath and respiratory distress ANS: D First-level priority problems are those that are emergent, life threatening, and immediate (e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs). DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 9. When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects? a. Low self-esteem b. Lack of knowledge c. Abnormal laboratory values d. Severely abnormal vital signs ANS: C Second-level priority problems are those that require prompt intervention to forestall further deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety or security). DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 10. Which critical thinking skill helps the nurse see relationships among the data? a. V alidation b. Clustering related cues c. Identifying gaps in data d. Distinguishing relevant from irrelevant ANS: B Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 6 11. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis. a. Nursing b. Medical c. Admission d. Collaborative ANS: A An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for which the nurse is accountable. The other items do not contribute to the development of appropriate nursing interventions. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 12. The nursing process is a sequential method of problem solving that nurses use and includes which steps? a. Assessment, treatment, planning, evaluation, discharge, and follow-up b. Admission, assessment, diagnosis, treatment, and discharge planning c. Admission, diagnosis, treatment, evaluation, and discharge planning d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation ANS: D The nursing process is a method of problem solving that includes assessment, diagnosis, outcome identification, planning, implementation, and evaluation. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 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 b. Breathing, sleep, and pain c. Sleep, breathing, and pain Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 7 d. Sleep, pain, and breathing ANS: A First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing, and circulation), followed by second-level problems, and then third-level problems. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 14. Which of these would be formulated by a nurse using diagnostic reasoning? a. Nursing diagnosis b. Medical diagnosis c. Diagnostic hypothesis d. Diagnostic assessment ANS: C Diagnostic reasoning calls for the nurse to form...
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