Which is an example of a first-level priority problem? a. The nurse is conducting a class on priority setting for a group of new graduate nurses. 5 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 8. DIF: Cognitive Level: Applying (Application) REF: p. 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. ANS: C EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinician‘s experience, as well as patient preferences and values, when making decisions about care and treatment. The patient‘s own preferences are not important with EBP. EBP emphasizes the use of best evidence with the clinician‘s experience. EBP is simply the use of best practice techniques for the treatment of patients. EBP relies on tradition for support of best practices. The nurse is reviewing information about evidence-based practice (EBP). DIF: Cognitive Level: Understanding (Comprehension) REF: p. ANS: A Intuition is characterized by pattern recognition-expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. The expert practitioner uses intuitive links. ANS: B Novice nurses operate from a set of defined, structured rules. 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. The nurse is conducting a class for new graduate nurses. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 5. DIF: Cognitive Level: Analyzing (Analysis) REF: p. If the nurse has less experience in an area, then he or she asks an expert to listen. ANS: C When unsure of a sound heard while listening to a patient‘s breath sounds, the nurse validates the data to ensure accuracy. Assess again in 20 minutes to note whether the sound is still present. Validate the data by asking a coworker to listen to the breath sounds. Document the sound exactly as it was heard. Immediately notify the patient‘s physician. When listening to a patient‘s breath sounds, the nurse is unsure of a sound that is heard. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. DIF: Cognitive Level: Remembering (Knowledge) REF: p. The other items are not part of the patient‘s record, laboratory studies, or data. ANS: A Together with the patient‘s record and laboratory studies, the objective and subjective data form the data base. The patient‘s record, laboratory studies, objective data, and subjective data combine to form the: a. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. The terms reflective and introspective are not used to describe data. Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. ANS: C Subjective data are what the person says about him or herself during history taking. A patient tells the nurse that he is very nervous, is nauseated, and ―feels hot.‖ These types of data would be: a. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. Subjective data is what the person says about him or herself during history taking. ANS: A Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. 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. Assessment, 7th Edition MULTIPLE CHOICE 1. PHYSICAL EXAMINATION AND HEALTH ASSESSMENT,7TH EDITION BY CAROLYN JARVIS - TEST BANK / ( ALLCHAPTERS,) HA Exam 1-27, 29 Chapter 01: Evidence-Based Assessment Jarvis: Physical Examination & Health. PHYSICAL EXAMINATION AND HEALTH ASSESSMENT,7TH EDITION BY CAROLYN JARVIS - TEST BANK / ( ALLCHAPTERS Document Content and Description Below
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