TESTBANK h
h
Evidence-Based Physical Examination Best Practices for
h h h h
Health & Well-BeingAssessment by Kate Gawlic
h h h h h h
1st Edition
h
TESTBANK h
,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OFHEALTH AND
h h h h h h h h
WELL-BEING
h
Kate Gawlic: Evidence-Based Physical Examination Best Practices for Health & Well- BeingAssessment
h h h h h h h h h h h
1st Edition
h h
MULTIPLE CHOICE h
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
h h h h h h h h h h h h h h h
eupneic and his pulse is 58 beats per minute. These types of data would be:
h h h h h h h h h h h h h h h
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A h
Objective data are what the health professional observes by inspecting, percussing, palpating, and
h h h h h h h h h h h h
auscultating during the physical examination. Subjective data is what the person says about him or
h h h h h h h h h h h h h h h
herself during history taking. The terms reflective and introspective are not used to describe data.
h h h h h h h h h h h h h h h
DIF:Cognitive Level: Understanding (Comprehension) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
h h h h h h h h h h h h h h h h h h
would be:
h h
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C h
Subjective data are what the person says about him or herself during history taking. Objective
h h h h h h h h h h h h h h
,data are what the health professional observes by inspecting, percussing, palpating, and auscultating
h h h h h h h h h h h h
during the physical examination. The terms reflective and introspective are not used to describe data.
h h h h h h h h h h h h h h h
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
h h h h h h h h h h h h h
a Data base. h
.
b Admitting data. h
.
c Financial statement. h
.
d Discharge summary. h
.
ANS: A h
Together with the patients record and laboratory studies, the objective and subjective data form the
h h h h h h h h h h h h h h
data base. The other items are not part of the patients record, laboratory studies, or data.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
h h h h h h h h h h h h h h h h h
nurses next action should be to:
h h h h h h
a Immediately notify the patients physician. h h h h
.
b Document the sound exactly as it was heard. h h h h h h h
.
c Validate the data by asking a coworker to listen to the breath sounds. h h h h h h h h h h h h
.
d Assess again in 20 minutes to note whether the sound is still present.
h h h h h h h h h h h h
.
ANS: C h
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
h h h h h h h h h h h h h h h h h h
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
h h h h h h h h h h h h h h h h h h h h
, DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
h h h h h h h h h h h h h h
nurse should keep in mind that novice nurses, without a background of skills and experience
h h h h h h h h h h h h h h h
from which to draw, are more likely to make their decisions using:
h h h h h h h h h h h h
a Intuition.
.
b A set of rules.
h h h
.
c Articles in journals. h h
.
d Advice from supervisors. h h
.
ANS: B h
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
h h h h h h h h h h h h h h
links.
h
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3
h h h h h h h
MSC: Client Needs: General
h h h h
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
h h h h h h h h h h h h h h
labeling it. These responses are referred to as:
h h h h h h h h
a Intuition.
.
b The nursing process. h h
.
c Clinical knowledge. h
.
d Diagnostic reasoning. h
.
ANS: A h
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
h h h h h h h h h h h h h
assessment data and act without consciously labeling it. The other options are not correct.
h h h h h h h h h h h h h h
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4
h h h h h h h
MSC: Client Needs: General
h h h h
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
h h h h h h h h h h
best reflects EBP?
h h h
h
Evidence-Based Physical Examination Best Practices for
h h h h
Health & Well-BeingAssessment by Kate Gawlic
h h h h h h
1st Edition
h
TESTBANK h
,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OFHEALTH AND
h h h h h h h h
WELL-BEING
h
Kate Gawlic: Evidence-Based Physical Examination Best Practices for Health & Well- BeingAssessment
h h h h h h h h h h h
1st Edition
h h
MULTIPLE CHOICE h
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
h h h h h h h h h h h h h h h
eupneic and his pulse is 58 beats per minute. These types of data would be:
h h h h h h h h h h h h h h h
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A h
Objective data are what the health professional observes by inspecting, percussing, palpating, and
h h h h h h h h h h h h
auscultating during the physical examination. Subjective data is what the person says about him or
h h h h h h h h h h h h h h h
herself during history taking. The terms reflective and introspective are not used to describe data.
h h h h h h h h h h h h h h h
DIF:Cognitive Level: Understanding (Comprehension) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
h h h h h h h h h h h h h h h h h h
would be:
h h
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C h
Subjective data are what the person says about him or herself during history taking. Objective
h h h h h h h h h h h h h h
,data are what the health professional observes by inspecting, percussing, palpating, and auscultating
h h h h h h h h h h h h
during the physical examination. The terms reflective and introspective are not used to describe data.
h h h h h h h h h h h h h h h
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
h h h h h h h h h h h h h
a Data base. h
.
b Admitting data. h
.
c Financial statement. h
.
d Discharge summary. h
.
ANS: A h
Together with the patients record and laboratory studies, the objective and subjective data form the
h h h h h h h h h h h h h h
data base. The other items are not part of the patients record, laboratory studies, or data.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
h h h h h h h h h h h h h h h h h
nurses next action should be to:
h h h h h h
a Immediately notify the patients physician. h h h h
.
b Document the sound exactly as it was heard. h h h h h h h
.
c Validate the data by asking a coworker to listen to the breath sounds. h h h h h h h h h h h h
.
d Assess again in 20 minutes to note whether the sound is still present.
h h h h h h h h h h h h
.
ANS: C h
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
h h h h h h h h h h h h h h h h h h
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
h h h h h h h h h h h h h h h h h h h h
, DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
h h h h h h h
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h h h h h h h h h h
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
h h h h h h h h h h h h h h
nurse should keep in mind that novice nurses, without a background of skills and experience
h h h h h h h h h h h h h h h
from which to draw, are more likely to make their decisions using:
h h h h h h h h h h h h
a Intuition.
.
b A set of rules.
h h h
.
c Articles in journals. h h
.
d Advice from supervisors. h h
.
ANS: B h
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
h h h h h h h h h h h h h h
links.
h
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3
h h h h h h h
MSC: Client Needs: General
h h h h
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
h h h h h h h h h h h h h h
labeling it. These responses are referred to as:
h h h h h h h h
a Intuition.
.
b The nursing process. h h
.
c Clinical knowledge. h
.
d Diagnostic reasoning. h
.
ANS: A h
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
h h h h h h h h h h h h h
assessment data and act without consciously labeling it. The other options are not correct.
h h h h h h h h h h h h h h
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4
h h h h h h h
MSC: Client Needs: General
h h h h
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
h h h h h h h h h h
best reflects EBP?
h h h
