Test Bank 3 for Evidence Based Physical Examination Best Practices for Health and Well Being Assessment 1st Edition 9780826164537 All Chapters with Answers and Rationals 5 2

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


Being Assessment 1st Edition Test Bank
n n n n n




Chaptern1.nAPPROACHnTOnEVIDENCE-BASEDnASSESSMENTnOFnHEALTHnANDnWELL-
nBEING

MULTIPLEnCHOICE
1. Afterncompletingnanninitialnassessmentnofnanpatient,nthennursenhasnchartednthatnhisnrespirationsn
areneupneicnandnhisnpulsenisn58nbeatsnpernminute.nThesentypesnofndatanwouldnbe:

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

ANS:nA
Objectivendatanarenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nan
dnauscultatingnduringnthenphysicalnexamination.nSubjectivendatanisnwhatnthenpersonnsaysnaboutnhimn
ornherselfnduringnhistoryntaking.nThentermsnreflectivenandnintrospectivenarennotnusedntondescribenda
ta.

DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:nz.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
2. Anpatientntellsnthennursenthatnhenisnverynnervous,nisnnauseated,nandnfeelsnhot.nThesentypesnofnd
atanwouldnbe:


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

ANS:nC
Subjectivendatanarenwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.nObjective

,datanarenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultati
ngnduringnthenphysicalnexamination.nThentermsnreflectivenandnintrospectivenarennotnusedntondescrib
endata.

DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:nz.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
3. Thenpatientsnrecord,nlaboratorynstudies,nobjectivendata,nandnsubjectivendatancombinentonformnt
he:


a Datanbase.
.
b Admittingndata.
.
c Financialnstatement.
.
d Dischargensummary.
.

ANS:nA
Togethernwithnthenpatientsnrecordnandnlaboratorynstudies,nthenobjectivenandnsubjectivendatanformnth
endatanbase.nThenothernitemsnarennotnpartnofnthenpatientsnrecord,nlaboratorynstudies,norndata.

DIF:nCognitivenLevel:nRememberingn(Knowledge)nREF:nz.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
4. Whennlisteningntonanpatientsnbreathnsounds,nthennursenisnunsurenofnansoundnthatnisnheard.nThenn
ursesnnextnactionnshouldnbento:


a Immediatelynnotifynthenpatientsnphysician.
.
b Documentnthensoundnexactlynasnitnwasnheard.
.
c Validatenthendatanbynaskingnancoworkerntonlistenntonthenbreathnsounds.
.
d Assessnagainninn20nminutesntonnotenwhethernthensoundnisnstillnpresent.
.

ANS:nC
Whennunsurenofnansoundnheardnwhilenlisteningntonanpatientsnbreathnsounds,nthennursenvalidatesnthenda
tantonensurenaccuracy.nIfnthennursenhasnlessnexperiencen innannarea,nthennhenornshenasksnannexpertn tonlis
ten.

,DIF:nCognitivenLevel:nAnalyzingn(Analysis)nREF:nz.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
5. Thennursenisnconductingnanclassnfornnewngraduatennurses.nDuringnthenteachingnsession,nthenn
ursenshouldnkeepninnmindnthatnnovicennurses,nwithoutnanbackgroundnofnskillsnandnexperiencenfr
omnwhichntondraw,narenmorenlikelyntonmakentheirndecisionsn using:


a Intuition.
.
b Ansetnofnrules.
.
c Articlesninnjournals.
.
d Advicenfromnsupervisors.
.

ANS:nB
Novicennursesnoperatenfromnansetnofndefined,nstructurednrules.nThenexpertnpractitionernusesnintuitiv
enlinks.

DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:nz.n3n
MSC:nClientnNeeds:nGeneral
6. Expertnnursesnlearnntonattendntonanpatternnofnassessmentndatanandnactnwithoutnconsciouslynl
abelingnit.nThesenresponsesnarenreferredntonas:

a Intuition.
.
b Thennursingnprocess.
.
c Clinicalnknowledge.
.
d Diagnosticnreasoning.
.

ANS:nA
Intuitionnisncharacterizednbynpatternnrecognitionexpertnnursesnlearnntonattendntonanpatternnofnassess
mentndatanandnactnwithoutnconsciouslynlabelingnit.nThenothernoptionsnarennotncorrect.

DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:nz.n4n
MSC:nClientnNeeds:nGeneral
7. Thennursenisnreviewingninformationnaboutnevidence-
basednpracticen(EBP).nWhichnstatementnbestnreflectsnEBP?

, a EBPnreliesnonntraditionnfornsupportnofnbestnpractices.
.
b EBPnisnsimplynthenusenofnbestnpracticentechniquesnfornthentreatmentnofnpatients.
.
c EBPnemphasizesnthenusenofnbestnevidencenwithnthencliniciansn experience.
.
d ThenpatientsnownnpreferencesnarennotnimportantnwithnEBP.
.

ANS:nC
EBPnisnansystematicnapproachntonpracticenthatnemphasizesnthenusenofnbestnevidenceninncombinationnwith
nthencliniciansnexperience,nasnwellnasnpatientnpreferencesnandnvalues,nwhennmakingndecisionsnaboutncar

enandntreatment.nEBPnisnmorenthannsimplynusingnthenbestnpracticentechniquesntontreatnpatients,nandnques
tioningntraditionnisnimportantnwhennnoncompellingnandnsupportivenresearchnevidencenexists.

DIF:nCognitivenLevel:nApplyingn(Application)nREF:nz.n5
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
8. Thennursenisnconductingnanclassnonnprioritynsettingnfornangroupnofnnewngraduatennurses.nWhichni
snannexamplenofnanfirst-levelnprioritynproblem?


a Patientnwithnpostoperativenpain
.
b Newlyndiagnosednpatientnwithndiabetesnwhonneedsndiabeticnteaching
.
c Individualnwithnansmallnlacerationnonnthensolenofnthenfoot
.
d Individualnwithnshortnessnofnbreathnandnrespiratoryndistress
.

ANS:nD
First-
levelnprioritynproblemsnarenthosenthatnarenemergent,nlifenthreatening,nandnimmediaten(e.g.,nestablishingn
annairway,nsupportingnbreathing,nmaintainingncirculation,nmonitoringnabnormalnvitalnsigns)n(seenTablen
1-1).

DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:nz.n4
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
9. Whennconsideringnprioritynsettingnofnproblems,nthennursenkeepsninnmindnthatnsecond-
levelnprioritynproblemsnincludenwhichnofnthesenaspects?