test bank for Evidence-Based Physical Examination: Best Practices for Health and Well-Being Assessment, 2nd Edition by Kate Gawlik

TESTBANKforEvidence-Based
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Physical Examination: Best Practices fo
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rHealth and Well- l l l




Being Assessment 2nd Edition by Kate G
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awlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
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,Chapterl1.lAPPROACHlTOlEVIDENCE-BASEDlASSESSMENTlOFlHEALTHlANDlWELL-lBEING

MULTIPLElCHOICE

1. Afterlcompletinglanlinitiallassessmentloflalpatient,lthelnurselhaslchartedlthatlhislrespirationslareleup
neiclandlhislpulselisl58lbeatslperlminute.lTheseltypeslofldatalwouldlbe:

a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:lA

Objectiveldatalarelwhatlthelhealthlprofessionallobserveslbylinspecting,lpercussing,lpalpating,landlauscultatin
glduringlthelphysicallexamination.lSubjectiveldatalislwhatlthelpersonlsayslaboutlhimlorlherselflduringlhistorylt
aking.lTheltermslreflectivelandlintrospectivelarelnotlusedltoldescribeldata.

DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l2

MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare



2. Alpatientltellslthelnurselthatlhelislverylnervous,lislnauseated,landlfeelslhot.lTheseltypeslofldatalwouldlbe:

a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:lC

Subjectiveldatalarelwhatlthelpersonlsayslaboutlhimlorlherselflduringlhistoryltaking.lObjectiveldatalarelwhat
lthelhealthlprofessionallobserveslbylinspecting,lpercussing,lpalpating,landlauscultatinglduringlthelphysicall

examination.lTheltermslreflectivelandlintrospectivelarelnotlusedltoldescribeldata.

DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l2

MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare




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,3. Thelpatientslrecord,llaboratorylstudies,lobjectiveldata,landlsubjectiveldatalcombineltolformlthe:

a. Datalbase.

b. Admittingldata.

c. Financiallstatement.

d. Dischargelsummary.

ANS:lA

Togetherlwithlthelpatientslrecordlandllaboratorylstudies,lthelobjectivelandlsubjectiveldatalformltheldatalbase.lT
helotherlitemslarelnotlpartloflthelpatientslrecord,llaboratorylstudies,lorldata.

DIF:lCognitivelLevel:lRememberingl(Knowledge)lREF:lz.l2

MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare



4. Whenllisteningltolalpatientslbreathlsounds,lthelnurselislunsureloflalsoundlthatlislheard.lThelnurseslnextlaction
lshouldlbelto:



a. Immediatelylnotifylthelpatientslphysician.

b. Documentlthelsoundlexactlylaslitlwaslheard.

c. Validateltheldatalbylaskinglalcoworkerltollistenltolthelbreathlsounds.

d. Assesslagainlinl20lminutesltolnotelwhetherlthelsoundlislstilllpresent.

ANS:lC

Whenlunsureloflalsoundlheardlwhilellisteningltolalpatientslbreathlsounds,lthelnurselvalidatesltheldataltolensurel
accuracy.lIflthelnurselhasllesslexperiencelinlanlarea,lthenlhelorlshelaskslanlexpertltollisten.

DIF:lCognitivelLevel:lAnalyzingl(Analysis)lREF:lz.l2

MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare



5. Thelnurselislconductinglalclasslforlnewlgraduatelnurses.lDuringlthelteachinglsession,lthelnurselshouldlkeepl
inlmindlthatlnovicelnurses,lwithoutlalbackgroundloflskillslandlexperiencelfromlwhichltoldraw,larelmorellikel
yltolmakeltheirldecisionslusing:

a. Intuition.

b. Alsetloflrules.



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, c. Articleslinljournals.

d. Advicelfromlsupervisors.

ANS:lB

Novicelnursesloperatelfromlalsetlofldefined,lstructuredlrules.lThelexpertlpractitionerluseslintuitivellinks.lDIF:l

CognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l3lMSC:lClientlNeeds:lGeneral



6. Expertlnursesllearnltolattendltolalpatternloflassessmentldatalandlactlwithoutlconsciouslyllabelinglit.lThes
elresponseslarelreferredltolas:

a. Intuition.

b. Thelnursinglprocess.

c. Clinicallknowledge.

d. Diagnosticlreasoning.

ANS:lA

Intuitionlislcharacterizedlbylpatternlrecognitionlexpertlnursesllearnltolattendltolalpatternloflassessmentldataland
lactlwithoutlconsciouslyllabelinglit.lThelotherloptionslarelnotlcorrect.



DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l4lMSC:lClientlNeeds:lGeneral



7. Thelnurselislreviewinglinformationlaboutlevidence-
basedlpracticel(EBP).lWhichlstatementlbestlreflectslEBP?

a. EBPlrelieslonltraditionlforlsupportloflbestlpractices.

b. EBPlislsimplyltheluseloflbestlpracticeltechniqueslforltheltreatmentloflpatients.

c. EBPlemphasizesltheluseloflbestlevidencelwithlthelclinicianslexperience.

d. ThelpatientslownlpreferenceslarelnotlimportantlwithlEBP.lA

NS:lC

EBPlislalsystematiclapproachltolpracticelthatlemphasizesltheluseloflbestlevidencelinlcombinationlwithlthelclinicians
lexperience,laslwelllaslpatientlpreferenceslandlvalues,lwhenlmakingldecisionslaboutlcarelandltreatment.lEBPlislmor

elthanlsimplylusinglthelbestlpracticeltechniquesltoltreatlpatients,landlquestioningltraditionlislimportantlwhenlnolco
mpellinglandlsupportivelresearchlevidencelexists.

DIF:lCognitivelLevel:lApplyingl(Application)lREF:lz.l5

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