Test Bank for Physical Examination and Health Assessment 7th edition by Jarvis
15. Barriers to incorporating EBP include:
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.
ANS: A
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated from other
colleagues who are knowledgeable in research, and often lack the time to visit the library to read research. The
other responses are not considered barriers.
DIF: Cognitive Level: Understanding
(Comprehension) MSC: Client Needs: General
16. What step of the nursing process includes data collection by health history, physical examination,
and interview?
a. Planning b.
Diagnosis c.
Evaluation
d. Assessment
ANS: D
Data collection, including performing the health history, physical examination, and interview, is the assessmen
step of the nursing process.
DIF: Cognitive Level: Remembering
(Knowledge) MSC: Client Needs: General
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?
a. Form a committee to conduct research studies.
b. Post published research studies on
N
th
U
e
R
u
S
n
IN
its
G
b
T
u
B
ll
.C
et
O
in
M
boards.
c. Encourage the nurses to visit the library to review studies.
d. Teach the nurses how to conduct electronic searches for research studies.
ANS: D
Facilitating support for EBP would include teaching the nurses how to conduct electronic searches; time to
visit the library may not be available for many nurses. Actually conducting research studies may be helpful
in the long-run but not an immediate solution to reviewing existing research.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
18. 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 patients health state.
d. Holistic health views the mind, body, and spirit as interdependent.
ANS: D
Consideration of the whole person is the essence of holistic health, which views the mind, body, and spirit as
interdependent. The basis of disease originates from both the external environment and from within the
person. Both the individual human and the external environment are open systems, continually changing and
adapting, and each person is responsible for his or her own personal health state.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
19. The nurse recognizes that the concept of prevention in describing health is essential because:
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.
ANS: C
A natural progression to prevention rounds ou
N
t
U
th
R
e
S
p
I
r
N
es
G
e
T
n
B
t c
.C
o
O
nc
M
ept of health. Guidelines
to prevention place the emphasis on the link between health and personal behavior.
DIF: Cognitive Level: Understanding
(Comprehension) MSC: Client Needs: General
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:
a. Patients history of allergies.
b. Patients use of medications at home.
c. Last menstrual period 1 month ago.
d. 2 5 cm scar on the right lower forearm.
ANS: D
Objective data are the patients record, laboratory studies, and condition that the health professional observes
by inspecting, percussing, palpating, and auscultating during the physical examination. The other responses
reflect subjective data.
DIF: Cognitive Level: Applying (Application)