(Test Bank) Physical Examination And Health Assessment

Jarvis, 8

Nursing

Test Bank

8th Edition

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Test Bank for Physical Examination And Health Assessment, The downloadable file consists of 369 pages, and the total size of the file is 0.74 MB. Purchase now only for highly discounted price.

Author(s): Jarvis

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Physical Examination and Health Assessment 8th Edition Chapter 01: Evidence-Based Assessment Jarvis: Physical Examination and Health Assessment, 8th Edition 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. What type of assessment data is this? a.Objective b.Reflective c.Subjective d.Introspective 2.A patient tells the nurse that he is very nervous, nauseous, and “feels hot.” What type of assessment data is this? a.Objective b.Reflective c.Subjective d.Introspective 3.What do the patient’s record, laboratory studies, objective data, and subjective data combine to form? a.Database b.Admitting data c.Financial statement d.Discharge summaryPhysical Examination and Health Assessment 8th Edition 0323510809 Chapter 1 - Evidence-Based Assessment 34.When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. Which action should the nurse take next? a.Notify the patient’s physician. b.Document the sound exactly as it was heard. c.Validate the data by asking another nurse to listen to the breath sounds. d.Assess again in 20 minutes to note whether the sound is still present. 5.The nurse is conducting a class for new graduate nurses. While teaching the class, what should the nurse keep in mind regarding what novice nurses, without a background of skills and experience from which to draw upon, are more likely to base their decisions on? a.Intuition b.A set of rules c.Articles in journals d.Advice from supervisors 6.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 clinician’s experience. d.EBP does not consider the patient’s own preferences as important.7.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 c.Individual with a small laceration on the sole of the foot d.Individual with shortness of breath and respiratory distress 8.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 9.Which critical-thinking skill helps the nurse see relationships among the data? a.Validation b.Clustering related cues c.Identifying gaps in data d.Distinguishing relevant from irrelevant 10.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 11.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 d.Sleep, pain, and breathing 12.Which is a barrier to incorporating EBP? a.Nurses’ lack of research skills in evaluating the quality of research studies b.Lack of significant research studies c.Insufficient clinical skills of nurses d.Inadequate physical assessment skills 13.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? a.Form a committee to conduct research studies. b.Post published research studies on the unit’s bulletin boards. c.Encourage the nurses to visit the library to review studies. d.Teach the nurses how to conduct electronic searches for research studies. 14.When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these? a.Disease originates from the external environment.b.The individual human is a closed system. c.Nurses are responsible for a patient’s health state. d.Holistic health views the mind, body, and spirit as interdependent. 15.The nurse recognizes that which concept of prevention is essential in describing health? a.Disease can be prevented by treating the external environment. b.The majority of deaths among Americans under age 65 years are not preventable. c.Prevention places the emphasis on the link between health and personal behavior. d.The means to prevention is through treatment provided by primary health care practitioners. 16.The nurse is performing a physical assessment on a newly admitted patient. Which is an example of objective information obtained during the physical assessment? a.Patient’s history of allergies b.Patient’s use of medications at home c.Last menstrual period 1 month ago d.2  5 cm scar on the right lower forearm 17.A visiting nurse is making an initial home visit for a patient who has several chronic medical problems. Which type of database is most appropriate to collect in this setting? a.A follow-up databaseb.A focused database c.A complete database d.An emergency database 18.In which situation is it most appropriate for the nurse to perform a focused or problem-centered history? a.Patient is admitted to a long-term care facility. b.Patient has a sudden and severe shortness of breath. c.Patient is admitted to the hospital for a scheduled surgery. d.Patient in an outpatient clinic has cold and influenza-like symptoms. 19.The clinic nurse is caring for a patient who has been coming to the clinic weekly for blood pressure checks since she changed medications 2 months ago. Which is the most appropriate action for the nurse to take? a.Collect a follow-up database and then check the patient’s blood pressure. b.Ask the patient to read her health record and indicate any changes since her last visit. c.Check the patient’s blood pressure. d.Obtain a complete health history on the patient before checking her blood pressure. 20.A patient is brought by ambulance to the emergency department with multiple injuries received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? a.Collect history information first, then perform the physical examination and institute lifesaving measures. b.Simultaneously ask history questions while performing the examination and initiating lifesaving measures. c.Collect all information on the history form, including social support patterns, strengths, and coping patterns. d.Perform lifesaving measures and delay asking any history questions until the patient is transferred to the intensive care unit. 21.A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. Why is it important for the nurse to consider the basics of the patient’s culture during the patient’s health assessment? a.Identify the cause of his illness. b.Make accurate disease diagnoses. c.The U.S. is becoming increasingly diverse. d.Provide culturally relevant health care.22.What is a focus of the health professional in the health promotion model? a.Changing people’s perceptions of disease b.Identifying biomedical model interventions c.Identifying negative health acts of people d.Teaching and helping people choose a healthier lifestyle 23.Which statement best describes a proficient nurse? a.Has little experience with a specified population and uses rules to guide performance. b.Has an intuitive grasp of a clinical situation and quickly identifies the accurate solution. c.Sees actions in the context of daily plans for patients. d.Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient. 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.) a.Inspiratory wheezes noted in left lower lobes b.Hypoactive bowel sounds c.Nonproductive cough d.Edema, +2, noted on left hand e.Patient reports dyspnea upon exertion f.Rate of respirations 16 breaths per minuteOTHER 1.Put the following patient situations in order of the level of priority (from highest priority to lowest priority). 1.First-level priority problem 2.Second-level priority problem 3.Third-level priority problem a.A teenager who was stung by a bee during a soccer match is having trouble breathing. b.A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. c.An older adult with a urinary tract infection is also showing signs of confusion and agitation.Chapter 02: Cultural Assessment Jarvis: Physical Examination and Health Assessment, 8th Edition MULTIPLE CHOICE 1.The nurse is reviewing the characteristics of culture. Which statement is correct regarding the development of one’s culture? a.Learned through language acquisition and socialization b.Genetically determined on the basis of racial background c.A nonspecific phenomenon and is adaptive but unnecessary d.Biologically determined on the basis of physical characteristics 2.During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which statement correctly reflects one of the characteristics of culture? a.Static and unchanging b.Members share similar physical characteristics. c.Members share a common geographic origin and religion. d.Adapted to specific conditions r/t environmental and technical factors 3.During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating “the specific and distinct knowledge, beliefs, customs, and skills acquired by members of a society” reflects which term? a.Norms b.Culture c.EthnicityPhysical Examination and Health Assessment 8th Edition 0323510809 Chapter 2 - Cultural Assessment 13d.Assimilation 4.The nurse is discussing the term subculture with a student nurse. Which statement by the nurse would best describe subculture? a.“Fitting as many people as possible into the majority culture.” b.“Identifying small groups of people who do not want to be identified with the larger culture.” c.“Singling out groups of people who suffer differential and unequal treatment as a result of cultural variations.” d.“Recognizing fairly large groups of people with shared characteristics that are not common to all members of a culture.” 5.When reviewing the demographics of ethnic groups in the United States, the nurse recalls that which is the largest and fastest growing population? a.Asian b.Hispanic c.American Indian d.African American/black6.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? a.Ask the patient about the item and its significance. b.Ask the patient to lock the item with other valuables in the hospital’s safe. c.Tell the patient that a family member should take valuables home. d.No action is necessary. 7.The nurse manager is explaining culturally competent care during a staff meeting. Which statement accurately describes the concept of a culturally competent caregiver? a.Able to speak the patient’s native language b.Possesses some basic knowledge of the patient’s cultural background c.Applies the underlying background knowledge of a patient’s culture to provide the best possible health care d.Understands and attends to the total context of the patient’s situation 8.After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement? a.“Ethnicity is dynamic and ever changing.” b.“Ethnicity is the belief in a higher power.” c.“Ethnicity pertains to a social group that may possess shared traits such as religion and language.” d.“Ethnicity is learned from birth through the processes of language acquisition and socialization.”9.The nurse is comparing the concepts of religion and spirituality. Which statement describes an appropriate component of one’s spirituality? a.Belief in and the worship of God or gods b.Being closely tied to one’s ethnic background c.Attendance at a specific church or place of worship d.A connection with something larger than oneself and belief in transcendence 10.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? a.Integration b.Assimilation c.Biculturalism d.Heritage consistency 11.The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?a.“Do you smoke?” b.“What is your religion?” c.“Do you have a history of heart disease?” d.“How many years have you lived in the United States?” 12.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? a.Holistic b.Biomedical c.Naturalistic d.Magicoreligious 13.An Asian-American woman is experiencing diarrhea, which is believed to be “cold” or “yin.” What should the nurse recognize that the woman may likely to try to treat it? a.Foods that are “hot” or “yang” b.Readings and Eastern medicine meditations c.High doses of medicines believed to be “cold” d.No treatment because diarrhea is an expected part of life 14.Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao. Which statement most accurately reflects this philosophy’s view of “health”? a.A person is able to work and produce. b.A person is happy, stable, and feels good. c.All aspects of the person are in perfect balance.d.A person is able to care for others and function socially. 15.Illness is caused by an imbalance or disharmony in the forces of nature. This statement most accurately reflects the views about illness from which theory? a.Germ theory b.Naturalistic theory c.Magicoreligious theory d.Biomedical or scientific theory 16.What does an individual who believes the magicoreligious theory of illness and disease believe is the cause of his or her illness? a.Germs and viruses b.Supernatural forces c.Eating imbalanced (hot/cold) foods d.Imbalance within his or her spiritual nature 17.What should the nurse, who is caring for an American Indian woman seeking help to regulate her diabetes, anticipate or expect of the patient? a.Will comply with the treatment prescribed