Health Assessment Exam1: Study Guide. Complete Guide.Chapter 1
1.After completing an initial assessment of a patient, the nurse has charted that his
... [Show More] 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.
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.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types
of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
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.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to
form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
Together with the patient’s record and laboratory studies, the objective and subjective
data form the data base. The other items are not part of the patient’s record, laboratory
studies, or data.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard.
The nurse’s next action should be to:
a. Immediately notify the patient’s 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.
When unsure of a sound heard while listening to a patient’s 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.
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. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links.
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.
Intuition is characterized by pattern recognition—expert nurses learn to attend to a
pattern of assessment data and act without consciously labeling it. The other options are
not correct.
7. The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP? [Show Less]