BeingAssessment3f1st3fEdition3fTest3fBank
,Q
Chapter3f1.3fAPPROACH3fTO3fEVIDENCE-
BASED3fASSESSMENT3fOFHEALTH3fAND3fWELL-3fBEING
MULTIPLE3fCHOICE
1. After3fcompleting3fan3finitial3fassessment3fof3fa3fpatient,3fthe3fnurse3fhas3fcharted3fthat3fhis
3frespirationsare 3feupneic3fand3fhis3fpulse3fis3f583fbeats3fper3fminute.3fThese3ftypes3fof3fdata3fw
Q
,
ould3 f be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:3fA
Objective3fdata3fare3fwhat3fthe3fhealth3fprofessional3fobserves3fby3finspecting,3fpercussing,3fpalp
ating,3fand3fauscultating3fduring3fthe3fphysical3fexamination.3fSubjective3fdata3fis3fwhat3fthe3fper
son3fsays3fabouthim 3for3fherself3fduring3fhistory3ftaking.3fThe3fterms3freflective3fand3fintrospective3f
,Q
are3fnot3fused3fto3fdescribe3fdata.
,DIF:3fCognitive3 f Level:3fUnderstanding3f(Comprehension)3fREF:3fz.3f2
MSC:3fClient3fNeeds:3fSafe3fand3fEffective3fCare3fEnvironment:3fManagement3f of3fCare
2. A3fpatient3ftells3fthe3fnurse3fthat3fhe3fis3fvery3fnervous,3fis3fnauseated,3fand3ffeels3fhot.3fThe
se3ftypes3fofdata 3fwould3fbe:
,Q
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:3fC
Subjective3fdata are3fwhat3fthe3fpersonsays3fabout3fhim3for3fherselfduring3fhistory3ftaking.3fObjective
Q,
,data3fare3fwhat3fthe3fhealth3fprofessional3fobserves3fby3finspecting,3fpercussing,3fpalpating,3fand3f
auscultating during3fthe3fphysical3fexamination.3fThe3fterms3freflective3fand3fintrospective3fare3fnot3f
Q,
usedt o 3fdescribe3fdata.
Q,
DIF:3fCognitive3 f Level:3fUnderstanding3f(Comprehension)3fREF:3fz.3f2
MSC:3fClient3fNeeds:3fSafe3fand3fEffective3fCare3fEnvironment:3fManagement3f of3fCare
3. The3fpatients3frecord,3flaboratorystudies,3fobjective3fdata,3fand3fsubjective3fdata3fcombi
ne3fto3fformt he:
Q
,
a Data3fbase.
.
b Admitting3fdata.
.
c Financialstatement.
.
d Dischargesummary.
.
ANS:3fA
Together3fwiththe3fpatients3frecord3fand3flaboratorystudies,3fthe3fobjective3fand3fsubjective3fdata3
fformt he 3fdata3fbase.3fThe3fother3fitems3fare3fnot3fpart3fofthe3fpatients3frecord,3flaboratorystudies,3fo
Q
,
r3fdata.
DIF:3fCognitive3 f Level:3fRemembering3f(Knowledge)3fREF:3fz.3f2
MSC:3fClient3fNeeds:3fSafe3fand3fEffective3fCare3fEnvironment:3fManagement3f of3fCare
4. When3flistening3fto a3fpatients3fbreath sounds,3fthe3fnurse3fis3funsure3fofa 3fsound3fthat3fis3f
Q, Q,
heard.3fThen urses 3fnext3faction3fshould3fbe3 f to:
Q
,
a Immediately3fnotify3fthe3fpatients3fphysician.
.
b Document3fthe3fsound3fexactlyas3fit3fwas3fheard.
.
c Validate3fthe3fdata3fby3fasking3fa3fcoworker3fto3flisten to3fthe3fbreath3fsounds.
Q,
.
d Assess3fagain3fin3f203fminutes3fto3fnote3fwhether3fthe3fsound3fis3fstill3fpresent.
.
ANS:3fC
When3funsure3fof3fa3fsound3fheard3fwhile3flistening3fto3fa3fpatients3fbreath3fsounds,3fthe3fnurse3fvalid
ates3fthe3fdata3fto3fensure3faccuracy.3fIf3fthe3fnurse3fhas3fless3 f experience3 f in3fan3farea,3fthen3fhe3for
3fshe3fasks3fan3fexpertto 3flisten.
,Q
, DIF:3fCognitive3 f Level:3fAnalyzing3f(Analysis)3fREF:3fz.3f2
MSC:3fClient3fNeeds:3fSafe3fand3fEffective3fCare3fEnvironment:3fManagement3fof3fCare
5. The3fnurse3fis3fconducting3fa3fclass3ffor3fnew3fgraduate3fnurses.3fDuring3fthe3fteaching3fsessi
on,3fthe3fnurse3fshould3fkeep3fin3fmind3fthat3fnovice3fnurses,3fwithout3fa background3fofskills
Q,
3fand3fexperiencef rom 3fwhich3fto3fdraw,3fare3fmore3flikely3fto3fmake3ftheir3fdecisions3 f usin
Q
,
g:
a Intuition.
.
b A3fset3fofrules.
.
c Articles3fin3fjournals.
.
d Advice3ffrom3fsupervisors.
.
ANS:3fB
Novice3fnurses3foperate3ffrom3fa3fset3fofdefined,3fstructured3frules.3fThe3fexpert3fpractitioner3fusesi nt
Q
,
uitive3flinks.
DIF:3fCognitive3fLevel:3fUnderstanding3f(Comprehension)3fREF:
3fz.3f3 MSC: 3fClient3fNeeds:3fGeneral
,Q
6. Expert3fnurses3flearnto3fattend3fto3fa3fpattern3fof3fassessment3fdata3fand3fact3fw
ithout3fconsciouslylabeling3fit.3fThese3fresponses3fare3freferred3fto3 f as:
a Intuition.
.
b The3fnursing3fprocess.
.
c Clinical3fknowledge.
.
d Diagnosticreasoning.
.
ANS:3fA
Intuition3fis3fcharacterized3fby3fpatternrecognitionexpert3fnurses3flearn3ftoattend3fto3fa3fpattern3fof ,Q
assessment 3fdata3fand3fact3fwithout3fconsciously3flabeling3fit.3fThe3fother3foptions3fare3fnot3fcorrect.
DIF:3fCognitive3fLevel:3fUnderstanding3f(Comprehension)3fREF:
3fz.3f4 MSC: 3fClient3fNeeds:3fGeneral
,Q
7. The3fnurse3fis3freviewing3finformation about3fevidence-
Q,
based3fpractice3f(EBP).3fWhich3fstatementbest 3freflects3fEBP?
Q
,