Test Bank for Health Assessment & Physical Examination : Australian & New Zealand Edition 2/E Estes

1. Application of knowledge and examination of patient response to support future decision-making is called: a. critical thinking. b. patient interaction. c. reflection. d. nursing process. ANS: C PTS: 1 DIF: Easy TOP: Background 2. Professional intuition a. does not have a role in modern nursing. b. is a creative approaches to patient problems. c. develops over time with experience. d. is subjective data. ANS: C PTS: 1 DIF: Easy TOP: Background 3. A patient at 34 weeks’ gestation presents to labour and delivery with a complaint of burning on urination. The nurse then inquires about the presence of other signs and symptoms, such as frequency of urination, a backache that comes and goes in a regular manner, unusual vaginal discharge, increased pelvic pressure, and any menstrual-like cramping. She is assessing the patient for the possibility of preterm labour. This is an example of which component of critical thinking? a. inference b. evaluation c. interpretation d. analysis ANS: A PTS: 1 DIF: Difficult TOP: Components of critical thinking and clinical reasoning 4. Using the Universal Intellectual Standards (UIS) for critical thinking, establishing a history of substance abuse in the family is an example of: a. clarity. b. accuracy. c. precision. d. relevance. ANS: D PTS: 1 DIF: Difficult TOP: Universal Intellectual Standards for critical thinking 5. The planning phase of the nursing process is important because? a. It can provide a baseline for future comparisons. b. It can be used to challenge the patient’s uninformed views. c. It can be used to help provide a focus collection of physical examination data. d. It can demonstrate nursing competency. ANS: C PTS: 1 DIF: Difficult TOP: Critical thinking and the nursing process 6. Which source provides the nurse objective information? a. physical assessment b. the patient as a primary source of data c. family and patient meetings d. bystander reports at a traffic accident ANS: A PTS: 1 DIF: Moderate TOP: Assessment 7. The need for educating a patient with diabetes is an example of what type of nursing identification? a. actual b. potential c. health promotion d. chronic ANS: C PTS: 1 DIF: Moderate TOP: Prioritisation 8. One of Mr P’s nursing problem is pain related to his surgical wound. It: a. is a potential risk to health. b. has an organic cause. c. is an actual problem that can lead to nursing interventions. d. requires medical intervention. ANS: C PTS: 1 DIF: Difficult TOP: Prioritisation 9. Physical assessment findings are information that is: a. a human response. b. a health problem. c. related factors. d. observable and measurable. ANS: D PTS: 1 DIF: Moderate TOP: Physical assessment findings 10. Health history is: a. from the patient only. b. from relatives and friends. c. from the healthcare team and medical notes. d. from the patient, relatives, friends and bystanders. ANS: D PTS: 1 DIF: Easy TOP: Health history 11. Diagnostic and laboratory data: a. is not necessary for clinical decisions. b. is meant for doctors to comprehend. c. contributes to a patient’s health status. d. uses medical diagnoses for nursing interventions. ANS: C PTS: 1 DIF: Difficult TOP: Diagnostic and laboratory data 12. Planning is the fourth step of the nursing process. It involves the prioritisation of nursing diagnoses and care and the selection of nursing interventions. According to Maslow’s Hierarchy of Needs, which situation exemplifies a physiological need? a. a child experiencing an asthma episode b. an infant whose side rails are left down on her crib c. a high school girl who is not selected to be on the dance team d. a child whose parents constantly call him ‘stupid’ ANS: A PTS: 1 DIF: Difficult TOP: Prioritisation 13. Patients are most likely to be motivated and agreeable to following their plan of care when: a. their health care provider explains the plan in terms they can understand. b. they participate in the decision-making process as the plan is developed. c. they establish their own nursing diagnoses. d. their physician and nurse collaborate in developing the plan. ANS: B PTS: 1 DIF: Moderate TOP: Prioritisation 14. According to Maslow’s Hierarchy of Needs, which nursing problem should take priority over the others? a. altered nutrition; less than body requirements, related to difficulty swallowing b. alteration to gas exchange related to pneumonia c. ineffective individual coping related to uncertainty of course of disease and treatment d. deficient knowledge related to lack of interest in learning ANS: B PTS: 1 DIF: Moderate TOP: Prioritisation 15. A nursing decision to include a specific examination technique as a result of information gathered during the patient and family interview is which part of the nursing process? a. implementation b. assessment c. planning d. evaluation ANS: A PTS: 1 DIF: Moderate TOP: Evaluation