HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK WITH 100%
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Chapter(01-27)
Chapter 01: Evidence-Based
... [Show More] Assessment
After completing an initial assessment of a patient, the nurse has
charted that his respirationsare eupneic (normal) and his pulse is 58
beats per minute. These types of data would be:
a. Objective.
A patient tells the nurse that he is very nervous, is nauseated, and
feels hot. These types ofdata would be
C. Subjective.
.
The patient's record, laboratory studies, objective data, and
subjective data combine to formthe:
a. Data base.
When listening to a patient's breath sounds, the nurse is unsure of
a sound that is heard. Thenurses next action should be to:
C. Validate the data by asking a coworker to listen to the breath
sounds.
The nurse recognizes that the concept of prevention in
describing health is essentialbecause:
C. Prevention places the emphasis on the link between health and
personal behavior.
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.
A visiting nurse is making an initial home visit for a patient who
has many chronic medicalproblems. 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 thepatients health
Which situation is most appropriate during which the nurse
performs a focused orproblem-centered history?
D. Patient in an outpatient clinic has cold and influenza-like symptoms.
A patient is at the clinic to have her blood pressure checked. She
has been coming to theclinic weekly since she changed
medications 2 months ago. The nurse should:
a. Collect a follow-up database and then check her blood pressure.
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.
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.
In the health promotion model, the focus of the health professional
includes:
D. Helping the consumer choose a healthier lifestyle.
The nurse has implemented several planned interventions to
address the nursing diagnosisof acute pain. Which would be the next
appropriate action?
c. Evaluate the individual's condition, and compare actual
outcomes with expectedoutcomes.
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 thelong-term goals for the patient.
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? Selectall that apply.
❖ Inspiratory wheezes noted in left lower lobes
❖ Nonproductive cough
❖ Patient reports dyspnea upon exertion
❖ Rate of respirations 16 breaths
per minuteANS: A, C, E, F
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 hisown 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 andagitation. #2
1. b = First-level priority problem
2. c= Second-level priority problem
3. a= Third-level priority problem
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 experiencefrom which to
draw, are more likely to make their decisions using:
b. A set of rules.
Expert nurses learn to attend to a pattern of assessment data and
act without consciouslylabeling it. These responses are referred to
as:
a. Intuition.
The nurse is reviewing information about evidence-based practice
(EBP). Which statementbest reflects EBP?
C. EBP emphasizes the use of best evidence with the clinician's
experience.
The nurse is conducting a class on priority setting for a group of
new graduate nurses. Whichis an example of a first-level priority
problem?
D. Individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps
in mind that second-levelpriority problems include which of these
aspects?
C. Abnormal laboratory values
Which critical thinking skill helps the nurse see
relationships among the data?b. Clustering related
cues
The nurse knows that developing appropriate nursing interventions
for a patient relies on theappropriateness of thediagnosis.
a. Nursing
The nursing process is a sequential method of problem solving
that nurses use and includeswhich steps?
D. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping
well lately, and is havingdifficulty breathing. How should the nurse
prioritize these problems?
a. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic
reasoning?
C. Diagnostic hypothesis
Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of
research studies.
What step of the nursing process includes data collection by
health history, physicalexamination, and interview?
D. Assessment
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 thenurse
manager would best help these problems?
D. Teach the nurses how to conduct electronic searches for research
studies.
When reviewing the concepts of health, the nurse recalls that
the components of holistichealth include which of these?
D. Holistic health views the mind, body, and spirit as interdependent.
Chapter 02: Cultural Assessment
The nurse is reviewing the development of culture. Which
statement is correct regarding thedevelopment of ones culture?
Culture is:
B. Learned through language acquisition and socialization.
During a class on the aspects of culture, the nurse shares
that culture has four basiccharacteristics. Which statement
correctly reflects one of these characteristics?
a. Culture adapts to specific environmental factors and available
natural resources.
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 ofa
society reflects which term? [Show Less]