WITH answers |\
After completing an initial assessment of a patient, the
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nurse has charted that his respirations are eupneic and
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his pulse is 58 beats per minute. These types of data
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would be: |\
a. Objective.
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b. Reflective.
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c. Subjective.
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d. Introspective. - CORRECT ANSWERS ✔✔ANS: A
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Objective data are what the health professional observes
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by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what
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the person says about him or herself during history
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taking. The terms reflective and introspective are not
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used to describe data.|\ |\ |\
A patient tells the nurse that he is very nervous, is
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nauseated, and feels hot. These types of data would be: |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Objective.
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b. Reflective.
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c. Subjective.
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d. Introspective. - CORRECT ANSWERS ✔✔ANS: C
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,Subjective data are what the person says about him or
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herself during history taking. Objective data are what the
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health professional observes by inspecting, percussing,
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palpating, and auscultating during the physical |\ |\ |\ |\ |\ |\
examination. The terms reflective and introspective are |\ |\ |\ |\ |\ |\ |\
not used to describe data.
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The patients record, laboratory studies, objective data,
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and subjective data combine to form the:
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a. Data base.
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b. Admitting data.
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c. Financial statement.
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d. Discharge summary. - CORRECT ANSWERS ✔✔ANS: A
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Together with the patients record and laboratory studies,
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the objective and subjective data form the data base. The
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other items are not part of the patients record, laboratory
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studies, or data.
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When listening to a patients breath sounds, the nurse is
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unsure of a sound that is heard. The nurses next action
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should be to: |\ |\
a. Immediately notify the patients physician.
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b. Document the sound exactly as it was heard.
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c. Validate the data by asking a coworker to listen to the
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breath sounds. |\
,d. Assess again in 20 minutes to note whether the sound
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is still present - CORRECT ANSWERS ✔✔ANS: C
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When unsure of a sound heard while listening to a
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patients breath sounds, the nurse validates the data to
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ensure accuracy. If the nurse has less experience in an
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area, then he or she asks an expert to listen.
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The nurse is conducting a class for new graduate nurses.
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During the teaching session, the nurse should keep in
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mind that novice nurses, without a background of skills
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and experience from which to draw, are more likely to
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make their decisions using:
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a. Intuition.
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b. A set of rules.
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c. Articles in journals.
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d. Advice from supervisors. - CORRECT ANSWERS ✔✔ANS:
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B
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Novice nurses operate from a set of defined, structured
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rules. The expert practitioner uses intuitive links.
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Expert nurses learn to attend to a pattern of assessment
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data and act without consciously labeling it. These
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responses are referred to as: |\ |\ |\ |\
a. Intuition.
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b. The nursing process.
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, c. Clinical knowledge.
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d. Diagnostic reasoning. - CORRECT ANSWERS ✔✔ANS: A
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Intuition is characterized by pattern recognitionexpert
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nurses learn to attend to a pattern of assessment data
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and act without consciously labeling it. The other options
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are not correct.
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The nurse is reviewing information about evidence-based
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practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for support of best practices.
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b. EBP is simply the use of best practice techniques for
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the treatment of patients.
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c. EBP emphasizes the use of best evidence with the
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clinicians experience. |\
d. The patients own preferences are not important with
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EBP. - CORRECT ANSWERS ✔✔ANS: C
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EBP is a systematic approach to practice that emphasizes
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the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and
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values, when making decisions about care and treatment.
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EBP is more than simply using the best practice
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techniques to treat patients, and questioning tradition is |\ |\ |\ |\ |\ |\ |\ |\
important when no compelling and supportive research |\ |\ |\ |\ |\ |\ |\
evidence exists. |\