TEST BANK FOR Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition ;All Chapters / Full Complete

Evidence-Based Physical Examination Best Practices for Health & Well-
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Being Assessment 2nd Edition Test Bank
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, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING
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MULTIPLE CHOICE 3i


1. After completing an initial assessment of a 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.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: A 3i


Objective data are what the health professional observes by inspecting, percussing, palpating, a
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nd auscultating during the physical examination. Subjective data is what the person says about h
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im or herself during history taking. The terms reflective and introspective are not used to descri
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be data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
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data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: C 3i


Subjective data are what the person says about him or herself during history taking. Objective
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,data are what the health professional observes by inspecting, percussing, palpating, and auscult
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ating during the physical examination. The terms reflective and introspective are not used to des
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cribe data. 3i




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form
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the:
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a Data base. 3i


.
b Admitting data. 3i


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c Financial statement. 3i


.
d Discharge summary. 3i


.

ANS: A 3i


Together with the patients record and laboratory studies, the objective and subjective data form t
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he data 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: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
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nurses next action should be to:
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a Immediately notify the patients physician. 3i 3i 3i 3i


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b Document the sound exactly as it was heard. 3i 3i 3i 3i 3i 3i 3i


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c Validate the data by asking a coworker to listen to the breath sounds.
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d Assess again in 20 minutes to note whether the sound is still present.
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.

ANS: C 3i


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
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ito listen.
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, DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
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nurse should keep in mind that novice nurses, without a background of skills and experienc
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e from which to draw, are more likely to make their decisions using:
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a Intuition.
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b A set of rules.
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c Articles in journals. 3i 3i


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d Advice from supervisors. 3i 3i


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ANS: B 3i


Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuiti
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ve links. 3i




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3
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MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
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labeling it. These responses are referred to as:
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a Intuition.
.
b The nursing process. 3i 3i


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c Clinical knowledge. 3i


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d Diagnostic reasoning. 3i


.

ANS: A 3i


Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of asses
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sment data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4
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MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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