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CHAPTER 1FoundationsforClinicalProficiency
MULTIPLE CHOICE
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1. After completing an initial assessmentofa patient,the nurse has charted that his respirations
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are eupneic and his pulse is 58 beats per minute. These types of data would be:
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a Objective.
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b Reflective.
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c Subjective.
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d Introspective.
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ANS:A L
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultatingduring the physical examination. Subjective data is what the person says about him or
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herself during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding(Comprehension) REF: p. 2
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MSC:Client Needs: Safe andEffective Care Environment: Management ofCare
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2. Apatienttellsthenursethathe isverynervous, isnauseated,and feelshot.These typesof
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data would be:
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a Objective.
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b Reflective.
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c Subjective.
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d Introspective.
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ANS:C L
Subjective data are what the person says about him or herself during history taking. Objective
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dataare what the healthprofessional observesbyinspecting, percussing, palpating, and
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auscultatingduringthephysicalexamination.Theterms reflective andintrospective arenot used L L L L L L L L L L
todescribe data.
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DIF: Cognitive Level: Understanding(Comprehension) REF: p. 2
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MSC:Client Needs: Safe andEffective Care Environment: Management ofCare
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3. Thepatientsrecord,laboratorystudies, objectivedata,andsubjectivedatacombineto
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Lform the: L
a Data base. L
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b Admittingdata.
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c Financial statement. L
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d Discharge summary. L
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ANS:A L
Togetherwith the patientsrecordand laboratorystudies, the objective and subjective data form the data
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base. The other items are not part of the patients record, laboratory studies, or data.
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DIF:Cognitive Level: Remembering(Knowledge)REF: p. 2
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MSC:Client Needs: Safe andEffective Care Environment: Management ofCare
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4. When listeningto a patientsbreathsounds, thenurseisunsure ofa sound that isheard. The
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nurses next action should be to:
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a Immediatelynotifythe patients physician. L L L
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b Documentthe sound exactlyas it was heard. L L L L L L
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c Validatethe data byaskinga coworker tolisten tothe breath sounds. L L L L L L L L L L
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d Assessagain in 20minutestonote whetherthe sound isstillpresent. L L L L L L L L L L L
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ANS:C L
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
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listen.
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DIF:Cognitive Level:Analyzing(Analysis) REF:p.2
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, MSC:Client Needs: Safe andEffective Care Environment: Management ofCare
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