,Evidence-Based Physical Examination Best Practices for Health & Well-Being
r r r r r r r r
Assessment 2nd Edition Test Bank
r r r r r
Chapter r1. rAPPROACH rTO rEVIDENCE-BASED rASSESSMENTrOFrHEALTH rAND rWELL-
rBEING
MULTIPLErCHOICE
1. After rcompleting ranrinitialrassessment rofrarpatient, rthe rnurse rhas rcharted rthat rhis rrespirations
rare reupneic rand rhis rpulse ris r58 rbeats rper rminute. rThese rtypes r ofrdata rwould r be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:rA
Objective rdata rare rwhat rthe rhealth rprofessional robserves rby rinspecting, rpercussing, rpalpating,
rand rauscultating rduring rthe rphysical rexamination. rSubjective rdata ris rwhat rthe rperson rsays rabout
rhim ror rherself rduring rhistory rtaking. rThe rterms rreflective rand rintrospective rare rnot rused rto
rdescribe rdata.
DIF:rCognitive rLevel:rUnderstanding r(Comprehension) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
2. A rpatient rtells rthe rnurse rthat rhe ris rvery rnervous, ris rnauseated, rand rfeels rhot. rThese rtypes rof
rdata rwould rbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:rC
Subjective rdatararerwhatrthe rpersonrsays rabout rhim ror rherselfrduring rhistoryrtaking. rObjective
,data rare rwhat rthe rhealth rprofessional robserves rby rinspecting, rpercussing, rpalpating, rand
rauscultating rduring rthe rphysical rexamination. rThe rterms rreflectiverand rintrospective rare rnot rusedto
rdescribe rdata.
DIF:rCognitive rLevel: rUnderstanding r(Comprehension) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
3. The rpatients rrecord, rlaboratorystudies, robjectiverdata, rand rsubjective rdata rcombine rtorform
rthe:
a Datarbase.
.
b Admitting rdata.
.
c Financialrstatement.
.
d Dischargersummary.
.
ANS:rA
Together rwithrtherpatients rrecord rand rlaboratoryrstudies, rthe robjective rand rsubjective rdata rformrthe
rdata rbase. rThe rother ritems rare rnot rpart rofrthe rpatients rrecord, rlaboratoryrstudies, ror rdata.
DIF:rCognitive rLevel:rRemembering r(Knowledge) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
4. When rlistening rtorarpatients rbreathsounds, rthe rnurse ris runsure rofrarsound rthat ris rheard. rThe
rnurses rnext raction rshould rbe r to:
a Immediately rnotifyrthe rpatients rphysician.
.
b Documentrthersound rexactlyras ritrwas rheard.
.
c Validate rthe rdata rbyrasking ra rcoworker rto rlistenrtorthe rbreathrsounds.
.
d Assess ragain rinr20 rminutes rto rnote rwhether rthe rsound ris rstillrpresent.
.
ANS:rC
When runsure rof ra rsound rheard rwhile rlistening rto ra rpatients rbreath rsounds, rthe rnurse rvalidates rthe
rdata rto rensure raccuracy. rIf rthe rnurse rhas rless rexperience rin ran rarea, rthen rhe ror rshe rasks r an rexpert
rto rlisten.
, DIF:rCognitive rLevel: rAnalyzing r(Analysis) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
5. The rnurse ris rconducting ra rclass rfor rnew rgraduate rnurses. rDuring rthe rteaching rsession, rthe
rnurse rshould rkeep rin rmind rthat rnovice rnurses, rwithout ra rbackground rof rskills rand rexperience
rfrom rwhichrtordraw, rare rmore rlikelyrto rmake rtheir rdecisions r using:
a Intuition.
.
b Arset rofrrules.
.
c Articles rinrjournals.
.
d Advice rfromrsupervisors.
.
ANS:rB
Novice rnurses roperate rfromrarset rofrdefined, rstructured rrules. rTherexpertrpractitioner rusesintuitive
rlinks.
DIF:rCognitive rLevel:rUnderstanding r(Comprehension) rREF:rz. r3
rMSC:rClient rNeeds:rGeneral
6. Expert rnurses rlearnrtorattend rto rarpattern rof rassessment rdatarand ract rwithout rconsciously
rlabeling r it. rThese rresponses rare rreferred rto r as:
a Intuition.
.
b The rnursing rprocess.
.
c Clinical rknowledge.
.
d Diagnostic rreasoning.
.
ANS:rA
Intuition ris rcharacterized rbyrpatternrrecognitionexpert rnurses r learn rtorattend rtora rpattern rof
rassessment rdata rand ract rwithout rconsciously rlabeling rit. rThe rother roptions rare rnot rcorrect.
DIF:rCognitive rLevel:rUnderstanding r(Comprehension) rREF:rz. r4
rMSC:rClient rNeeds:rGeneral
7. The rnurse ris rreviewing rinformationabout revidence-based rpracticer(EBP). rWhichrstatement
rbest rreflects r EBP?
r r r r r r r r
Assessment 2nd Edition Test Bank
r r r r r
Chapter r1. rAPPROACH rTO rEVIDENCE-BASED rASSESSMENTrOFrHEALTH rAND rWELL-
rBEING
MULTIPLErCHOICE
1. After rcompleting ranrinitialrassessment rofrarpatient, rthe rnurse rhas rcharted rthat rhis rrespirations
rare reupneic rand rhis rpulse ris r58 rbeats rper rminute. rThese rtypes r ofrdata rwould r be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:rA
Objective rdata rare rwhat rthe rhealth rprofessional robserves rby rinspecting, rpercussing, rpalpating,
rand rauscultating rduring rthe rphysical rexamination. rSubjective rdata ris rwhat rthe rperson rsays rabout
rhim ror rherself rduring rhistory rtaking. rThe rterms rreflective rand rintrospective rare rnot rused rto
rdescribe rdata.
DIF:rCognitive rLevel:rUnderstanding r(Comprehension) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
2. A rpatient rtells rthe rnurse rthat rhe ris rvery rnervous, ris rnauseated, rand rfeels rhot. rThese rtypes rof
rdata rwould rbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:rC
Subjective rdatararerwhatrthe rpersonrsays rabout rhim ror rherselfrduring rhistoryrtaking. rObjective
,data rare rwhat rthe rhealth rprofessional robserves rby rinspecting, rpercussing, rpalpating, rand
rauscultating rduring rthe rphysical rexamination. rThe rterms rreflectiverand rintrospective rare rnot rusedto
rdescribe rdata.
DIF:rCognitive rLevel: rUnderstanding r(Comprehension) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
3. The rpatients rrecord, rlaboratorystudies, robjectiverdata, rand rsubjective rdata rcombine rtorform
rthe:
a Datarbase.
.
b Admitting rdata.
.
c Financialrstatement.
.
d Dischargersummary.
.
ANS:rA
Together rwithrtherpatients rrecord rand rlaboratoryrstudies, rthe robjective rand rsubjective rdata rformrthe
rdata rbase. rThe rother ritems rare rnot rpart rofrthe rpatients rrecord, rlaboratoryrstudies, ror rdata.
DIF:rCognitive rLevel:rRemembering r(Knowledge) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
4. When rlistening rtorarpatients rbreathsounds, rthe rnurse ris runsure rofrarsound rthat ris rheard. rThe
rnurses rnext raction rshould rbe r to:
a Immediately rnotifyrthe rpatients rphysician.
.
b Documentrthersound rexactlyras ritrwas rheard.
.
c Validate rthe rdata rbyrasking ra rcoworker rto rlistenrtorthe rbreathrsounds.
.
d Assess ragain rinr20 rminutes rto rnote rwhether rthe rsound ris rstillrpresent.
.
ANS:rC
When runsure rof ra rsound rheard rwhile rlistening rto ra rpatients rbreath rsounds, rthe rnurse rvalidates rthe
rdata rto rensure raccuracy. rIf rthe rnurse rhas rless rexperience rin ran rarea, rthen rhe ror rshe rasks r an rexpert
rto rlisten.
, DIF:rCognitive rLevel: rAnalyzing r(Analysis) rREF:rz. r2
MSC:rClient rNeeds:rSafe rand rEffective rCare rEnvironment:rManagement rofrCare
5. The rnurse ris rconducting ra rclass rfor rnew rgraduate rnurses. rDuring rthe rteaching rsession, rthe
rnurse rshould rkeep rin rmind rthat rnovice rnurses, rwithout ra rbackground rof rskills rand rexperience
rfrom rwhichrtordraw, rare rmore rlikelyrto rmake rtheir rdecisions r using:
a Intuition.
.
b Arset rofrrules.
.
c Articles rinrjournals.
.
d Advice rfromrsupervisors.
.
ANS:rB
Novice rnurses roperate rfromrarset rofrdefined, rstructured rrules. rTherexpertrpractitioner rusesintuitive
rlinks.
DIF:rCognitive rLevel:rUnderstanding r(Comprehension) rREF:rz. r3
rMSC:rClient rNeeds:rGeneral
6. Expert rnurses rlearnrtorattend rto rarpattern rof rassessment rdatarand ract rwithout rconsciously
rlabeling r it. rThese rresponses rare rreferred rto r as:
a Intuition.
.
b The rnursing rprocess.
.
c Clinical rknowledge.
.
d Diagnostic rreasoning.
.
ANS:rA
Intuition ris rcharacterized rbyrpatternrrecognitionexpert rnurses r learn rtorattend rtora rpattern rof
rassessment rdata rand ract rwithout rconsciously rlabeling rit. rThe rother roptions rare rnot rcorrect.
DIF:rCognitive rLevel:rUnderstanding r(Comprehension) rREF:rz. r4
rMSC:rClient rNeeds:rGeneral
7. The rnurse ris rreviewing rinformationabout revidence-based rpracticer(EBP). rWhichrstatement
rbest rreflects r EBP?
