Evidence based physical examination best practices for health well being assessment 1st edition test bank

Evidence-Based Physical Examination Best Practices for Health & Well-
M M M M M M M M

Being Assessment 1st Edition Test Bank
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ChapterM1.MAPPROACHMTOMEVIDENCE-
BASEDMASSESSMENTMOFMHEALTHMANDMWELL-MBEING
MULTIPLEMCHOICE
1. AfterMcompletingManMinitialMassessmentMofMaMpatient,MtheMnurseMhasMchartedMthatMhisMrespira
tionsMareMeupneicMandMhisMpulseMisM58MbeatsMperMminute.MTheseMtypesMofMdataMwouldM be:


a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:MA
ObjectiveMdataMareMwhatMtheMhealthMprofessionalMobservesMbyMinspecting,Mpercussing,Mpalpatin
g,MandMauscultatingMduringMtheMphysicalMexamination.MSubjectiveMdataMisMwhatMtheMpersonMsay
sMaboutMhimMorMherselfMduringMhistoryMtaking.MTheMtermsMreflectiveMandMintrospectiveMareMnotM
usedMtoMdescribeMdata.

DIF:MCognitiveMLevel:MUnderstandingM(Comprehension)MREF:Mz.M2
MSC:MClientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare
2. AMpatientMtellsMtheMnurseMthatMheMisMveryMnervous,MisMnauseated,MandMfeelsMhot.MTheseMty
pesMofMdataMwouldMbe:


a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:MC
SubjectiveMdataMareMwhatMtheMpersonMsaysMaboutMhimMorMherselfMduringMhistoryMtaking.MObjective

,dataMareMwhatMtheMhealthMprofessionalMobservesMbyMinspecting,Mpercussing,Mpalpating,MandMausc
ultatingMduringMtheMphysicalMexamination.MTheMtermsMreflectiveMandMintrospectiveMareMnotMusedM
toMdescribeMdata.

DIF:MCognitiveMLevel:MUnderstandingM(Comprehension)MREF:Mz.M2
MSC:MClientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare
3. TheMpatientsMrecord,MlaboratoryMstudies,MobjectiveMdata,MandMsubjectiveMdataMcombineMtoMf
ormMthe:


a DataMbase.
.
b AdmittingMdata.
.
c FinancialMstatement.
.
d DischargeMsummary.
.

ANS:MA
TogetherMwithMtheMpatientsMrecordMandMlaboratoryMstudies,MtheMobjectiveMandMsubjectiveMdataMf
ormMtheMdataMbase.MTheMotherMitemsMareMnotMpartMofMtheMpatientsMrecord,MlaboratoryMstudies,Mor
Mdata.




DIF:MCognitiveMLevel:MRememberingM(Knowledge)MREF:Mz.M2
MSC:MClientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare
4. WhenMlisteningMtoMaMpatientsMbreathMsounds,MtheMnurseMisMunsureMofMaMsoundMthatMisMhear
d.MTheMnursesMnextMactionMshouldMbeM to:


a ImmediatelyMnotifyMtheMpatientsMphysician.
.
b DocumentMtheMsoundMexactlyMasMitMwasMheard.
.
c ValidateMtheMdataMbyMaskingMaMcoworkerMtoMlistenMtoMtheMbreathMsounds.
.
d AssessMagainMinM20MminutesMtoMnoteMwhetherMtheMsoundMisMstillMpresent.
.

ANS:MC
WhenMunsureMofMaMsoundMheardMwhileMlisteningMtoMaMpatientsMbreathMsounds,MtheMnurseMvalidates
MtheMdataM toM ensureM accuracy.M IfM theM nurseM hasM lessM experienceM inM anM area,M thenM heM orM sheM ask

sM anMexpertMtoMlisten.

,DIF:MCognitiveMLevel:MAnalyzingM(Analysis)MREF:Mz.M2
MSC:MClientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare
5. TheMnurseMisMconductingMaMclassMforMnewMgraduateMnurses.MDuringMtheMteachingMsession
,MtheMnurseMshouldMkeepMinMmindMthatMnoviceMnurses,MwithoutMaMbackgroundMofMskillsMandM
experienceMfromMwhichMtoMdraw,MareMmoreMlikelyMtoMmakeMtheirMdecisionsM using:


a Intuition.
.
b AMsetMofMrules.
.
c ArticlesMinMjournals.
.
d AdviceMfromMsupervisors.
.

ANS:MB
NoviceMnursesMoperateMfromMaMsetMofMdefined,MstructuredMrules.MTheMexpertMpractitionerMusesMi
ntuitiveMlinks.

DIF:MCognitiveMLevel:MUnderstandingM(Comprehension)MREF:Mz.
M3MMSC:MClientMNeeds:MGeneral
6. ExpertMnursesMlearnMtoMattendMtoMaMpatternMofMassessmentMdataMandMactMwithoutMconsci
ouslyMlabelingMit.MTheseMresponsesMareMreferredMtoM as:

a Intuition.
.
b TheMnursingMprocess.
.
c ClinicalMknowledge.
.
d DiagnosticMreasoning.
.

ANS:MA
IntuitionMisMcharacterizedMbyMpatternMrecognitionexpertMnursesMlearnMtoMattendMtoMaMpatternMofMass
essmentMdataMandMactMwithoutMconsciouslyMlabelingMit.MTheMotherMoptionsMareMnotMcorrect.

DIF:MCognitiveMLevel:MUnderstandingM(Comprehension)MREF:Mz.
M4MMSC:MClientMNeeds:MGeneral
7. TheMnurseMisMreviewingMinformationMaboutMevidence-
basedMpracticeM(EBP).MWhichMstatementMbestMreflectsMEBP?

, a EBPMreliesMonMtraditionMforMsupportMofMbestMpractices.
.
b EBPMisMsimplyMtheMuseMofMbestMpracticeMtechniquesMforMtheMtreatmentMofMpatients.
.
c EBPMemphasizesMtheMuseMofMbestMevidenceMwithMtheMcliniciansMMexperience.
.
d TheMpatientsMownMpreferencesMareMnotMimportantMwithMEBP.
.

ANS:MC
EBPMisMaMsystematicMapproachMtoMpracticeMthatMemphasizesMtheMuseMofMbestMevidenceMinMcombin
ationMwithMtheMcliniciansMexperience,MasMwellMasMpatientMpreferencesMandMvalues,MwhenMmakingMd
ecisionsMaboutMcareMandMtreatment.MEBPMisMmoreMthanMsimplyMusingMtheMbestMpracticeMtechnique
sMtoMtreatMpatients,MandMquestioningMtraditionMisMimportantMwhenMnoMcompellingMandMsupportiveM
researchMevidenceMexists.

DIF:MCognitiveMLevel:MApplyingM(Application)MREF:Mz.M5
MSC:MClientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare
8. TheMnurseMisMconductingMaMclassMonMpriorityMsettingMforMaMgroupMofMnewMgraduateMnurses.M
WhichMisManMexampleMofMaMfirst-levelMpriorityM problem?


a PatientMwithMpostoperativeMpain
.
b NewlyMdiagnosedMpatientMwithMdiabetesMwhoMneedsMdiabeticMteaching
.
c IndividualMwithMaMsmallMlacerationMonMtheMsoleMofMtheMfoot
.
d IndividualMwithMshortnessMofMbreathMandMrespiratoryMdistress
.

ANS:MD
First-
levelMpriorityMproblemsMareMthoseMthatMareMemergent,MlifeMthreatening,MandMimmediateM(e.g.,Mesta
blishingManMairway,MsupportingMbreathing,MmaintainingMcirculation,MmonitoringMabnormalMvitalMsi
gns)M(seeMTableM1-1).

DIF:MCognitiveMLevel:MUnderstandingM(Comprehension)MREF:Mz.M4
MSC:MClientMNeeds:MSafeMandMEffectiveMCareMEnvironment:MManagementMofMCare
9. WhenMconsideringMpriorityMsettingMofMproblems,MtheMnurseMkeepsMinMmindMthatMsecond-
levelMpriorityMproblemsMincludeMwhichMofMtheseM aspects?