test bank for evidence based physicalexamination best practices for health and well being assessment 2nd edition

TESTBANKforEvidence-Based
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Physical Examination: Best Practices
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2nd Edition by Kate Gawlik
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ALL CHAPTERS 1-29 WITH RATIONALES|A+ GRADE
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,Chapter1.APPROACHTOEVIDENCE-BASEDASSESSMENTOFHEALTHANDWELL-BEING
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1. Aftercompletinganinitial assessmentofapatient,thenursehaschartedthat hisrespirationsare
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eupneicandhispulseis58beatsperminute.Thesetypesofdatawouldbe:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:A j




Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating,and
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auscultatingduringthephysical examination.Subjectivedataiswhattheperson saysabout himorherself during
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historytaking.Thetermsreflectiveandintrospectivearenotusedtodescribedata.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.2 j j j j j




MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesofdatawould be:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:C j




Subjective data are what the person says about him or herself during history taking. Objective data are what
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the health professional observes by inspecting, percussing, palpating, and auscultating during the physical
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examination.Thetermsreflectiveandintrospectivearenotusedtodescribedata.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.2 j j j j j




MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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,3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe: j j j




a. Database. j




b. Admitting data. j




c. Financialstatement. j




d. Dischargesummary.

ANS:A j




Together withthepatientsrecordandlaboratorystudies,theobjectiveand subjectivedataformthedata base. The
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otheritemsarenotpartofthepatientsrecord,laboratorystudies,ordata.
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DIF:CognitiveLevel:Remembering(Knowledge)REF:z.2
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard.Thenursesnext j j j j




jaction should be to: j j j




a. Immediatelynotifythepatientsphysician.

b. Documentthesoundexactlyasitwasheard. j j




c. Validatethedatabyaskingacoworkertolistentothebreath sounds. j




d. Assessagainin 20 minutestonotewhetherthesoundisstill present. j j j




ANS:C j




Whenunsureofa soundheardwhilelisteningtoapatientsbreathsounds,thenursevalidatesthedatato ensure
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accuracy.Ifthenursehaslessexperienceinanarea,thenheorsheasksanexperttolisten.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:z.2
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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5. Thenurseisconductingaclassfornewgraduatenurses.Duringtheteachingsession,thenurseshould keep in j j j j j




mindthatnovicenurses,withoutabackgroundofskillsandexperiencefromwhichtodraw,aremore likely to
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make their decisions using:
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a. Intuition.

b. Asetofrules. j j




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, c. Articlesinjournals.

d. Advicefromsupervisors.

ANS:B j




Novicenursesoperatefromaset ofdefined,structuredrules.Theexpertpractitioner usesintuitive links. DIF: j j j j j j




j CognitiveLevel:Understanding(Comprehension)REF:z.3MSC:ClientNeeds:General
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6. Expert nurseslearntoattendtoapatternofassessment dataandact withoutconsciouslylabelingit.
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These responses are referred to as:
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a. Intuition.

b. Thenursingprocess.

c. Clinicalknowledge.

d. Diagnosticreasoning.

ANS:A j




Intuitionischaracterizedbypatternrecognitionexpertnurseslearntoattendtoapatternofassessment data
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andactwithoutconsciouslylabelingit.Theotheroptionsarenotcorrect.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.4MSC:ClientNeeds:General
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7. Thenurseisreviewinginformationaboutevidence-basedpractice(EBP).Whichstatementbestreflects j j




EBP?
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a. EBPreliesontraditionforsupportofbestpractices. j j j




b. EBPissimplytheuseofbestpracticetechniquesforthetreatmentofpatients. j j j j




c. EBPemphasizes theuseofbestevidencewiththeclinicians experience. j j




d. ThepatientsownpreferencesarenotimportantwithEBP.

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EBPis asystematicapproachtopracticethat emphasizestheuseofbest evidenceincombination withthe
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jcliniciansexperience,aswellaspatientpreferencesandvalues,whenmakingdecisionsaboutcareandtreatment.
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EBPismorethansimplyusingthebestpracticetechniquestotreatpatients,andquestioningtraditionisimportant when
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no compelling and supportive research evidence exists.
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DIF:CognitiveLevel:Applying(Application)REF:z.5
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