Critical Thinking In Health Assessment Essay

Jarvis: Physical Examination and Health Assessment, 5th edition
Chapter 01: Critical Thinking in Health Assessment
Text Bank
MULTIPLE CHOICE

1. After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be:
1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.4.1.2.3.
objective.reflective.subjective.introspective.

ANS: 1
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
Which critical thinking skill helps the nurse to see relationships among the data?
ValidationClustering related cuesIdentifying gaps in dataDistinguishing relevant from irrelevant

ANS: 2
Clustering related cues helps the nurse to see relationships among the data.

DIF: Comprehension REF: Page: 5 MSC: NCLEX: General

11. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the: nursing diagnosis.medical diagnosis.admission diagnosis.collaborative diagnosis.

ANS: 1
An accurate nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.

DIF: Comprehension REF: Page: 6
MSC: NCLEX: Safe and Effective Care Environment: Management of Care

12. The nursing process is a sequential method of problem solving that includes which five steps?
Assessment, treatment, evaluation, discharge, follow-upAdmission, assessment, diagnosis, treatment, discharge planningAdmission, diagnosis, treatment, evaluation, discharge planningAssessment, diagnosis, planning, implementation,
It concerns mainly one problem, one cue complex, or one body system.

DIF: Application REF: Page: 8
MSC: NCLEX: Safe and Effective Care Environment: Management of Care

24. A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should: collect a follow-up database and then check her blood pressure.ask her to read her health record and indicate any changes since her last visit.check only her blood pressure because her complete health history was documented 2 months ago.obtain a complete health history before checking her blood pressure because much of her history information may have changed.

ANS: 1
A follow-up database is used in all settings to follow up short-term or chronic health problems.

DIF: Application REF: Page: 8
MSC: NCLEX: Safe and Effective Care Environment: Management of Care

25. 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 the data