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Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2024)

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Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2024)

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11/16/23, 2:00 PM Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primar…

Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2020)

Chapter 01: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and
Symptom Analysis
Dains: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th
Edition


MULTIPLE CHOICE

1. Which type of clinical decision-making is most reliable?
a. Intuitive
b. Analytical
c. Experiential
d. Augenblick
ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive
and analytical. Intuitive decision- making (similar to Augenblink decision-making) is based
on the experience and intuition of the clinician and is less reliable and paired with fairly
common errors. In contrast, analytical decision-making is based on careful consideration
and has greater reliability with rare errors.

2. Which of the following is false? To obtain adequate history, health-care providers must be:
a. Methodical and systematic
b. Attentive to the patient’s verbal and nonverbal language
c. Able to accurately interpret the patient’s responses
d. Adept at reading into the patient’s statements
ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s
verbal and nonverbal language, and able to accurately interpret the patient’s responses to
questions. Rather than reading into the patient’s statements, they clarify any areas of
uncertainty.

3. Essential parts of a health history include all of the following except:
a. Chief complaint
b. History of the present illness
c. Current vital signs
d. All of the above are essential history components
ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.

4. Which of the following is false? While performing the physical examination, the examiner
must be able to:
a. Differentiate between normal and abnormal findings
b. Recall knowledge of a range of conditions and their associated signs and
symptoms
c. Recognize how certain conditions affect the response to other conditions
d. Foresee unpredictable findings



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