Evidence-
T
Based Physical Examination Best Practices for Health & W
T T T T T T T T
ell-BeingAssessment by Kate Gawlic
T T T
1st Edition
T
,TEST BANK
T
,ChapterT1.TAPPROACHTTOTEVIDENCE-
BASEDTASSESSMENTTOFTHEALTHTANDTWELL-BEING
KateTGawlic:TEvidence-BasedTPhysicalTExaminationTBestTPracticesTforTHealthT&TWell-
TBeingAssessmentT1stTEdition
MULTIPLETCHOICE
1. AfterTcompletingTanTinitialTassessmentTofTaTpatient,TtheTnurseThasTchartedTthatThisTrespiration
sTareTeupneicTandThisTpulseTisT58TbeatsTperTminute.TTheseTtypesTofTdataTwouldTbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:TA
ObjectiveTdataTareTwhatTtheThealthTprofessionalTobservesTbyTinspecting,Tpercussing,Tpalpating,Ta
ndTauscultatingTduringTtheTphysicalTexamination.TSubjectiveTdataTisTwhatTtheTpersonTsaysTaboutT
himTorTherselfTduringThistoryTtaking.TTheTtermsTreflectiveTandTintrospectiveTareTnotTusedTtoTdesc
ribeTdata.
DIF:TCognitiveTLevel:TUnderstandingT(Comprehension)TREF:Tz.T2
MSC:TClientTNeeds:TSafeTandTEffectiveTCareTEnvironment:TManagementTofTCare
2. ATpatientTtellsTtheTnurseTthatTheTisTveryTnervous,TisTnauseated,TandTfeelsThot.TTheseTtypesTo
fTdataTwouldTbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:TC
SubjectiveTdataTareTwhatTtheTpersonTsaysTaboutThimTorTherselfTduringThistoryTtaking.TObjective
, dataTareTwhatTtheThealthTprofessionalTobservesTbyTinspecting,Tpercussing,Tpalpating,TandTausculta
tingTduringTtheTphysicalTexamination.TTheTtermsTreflectiveTandTintrospectiveTareTnotTusedTtoTdescr
ibeTdata.
DIF:TCognitiveTLevel:TUnderstandingT(Comprehension)TREF:Tz.T2
MSC:TClientTNeeds:TSafeTandTEffectiveTCareTEnvironment:TManagementTofTCare
3. TheTpatientsTrecord,TlaboratoryTstudies,TobjectiveTdata,TandTsubjectiveTdataTcombineTtoTform
Tthe:
a DataTbase.
.
b AdmittingTdata.
.
c FinancialTstatement.
.
d DischargeTsummary.
.
ANS:TA
TogetherTwithTtheTpatientsTrecordTandTlaboratoryTstudies,TtheTobjectiveTandTsubjectiveTdataTformT
theTdataTbase.TTheTotherTitemsTareTnotTpartTofTtheTpatientsTrecord,TlaboratoryTstudies,TorTdata.
DIF:TCognitiveTLevel:TRememberingT(Knowledge)TREF:Tz.T2
MSC:TClientTNeeds:TSafeTandTEffectiveTCareTEnvironment:TManagementTofTCare
4. WhenTlisteningTtoTaTpatientsTbreathTsounds,TtheTnurseTisTunsureTofTaTsoundTthatTisTheard.TTh
eTnursesTnextTactionTshouldTbeTto:
a ImmediatelyTnotifyTtheTpatientsTphysician.
.
b DocumentTtheTsoundTexactlyTasTitTwasTheard.
.
c ValidateTtheTdataTbyTaskingTaTcoworkerTtoTlistenTtoTtheTbreathTsounds.
.
d AssessTagainTinT20TminutesTtoTnoteTwhetherTtheTsoundTisTstillTpresent.
.
ANS:TC
WhenTunsureTofTaTsoundTheardTwhileTlisteningTtoTaTpatientsTbreathTsounds,TtheTnurseTvalidatesTtheT
dataTtoTensureTaccuracy.TIfTtheTnurseThasTlessTexperienceTinTanTarea,TthenTheTorTsheTasksTanTexpertT
toTlisten.