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FULL TEST BANK For Nursing Health Assessment: A Best Practice Approach 3rd Edition by Sharon Jensen MN RN (Author) Latest Update Graded A+.

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6. ExPErt nurses learn to attend to a pattern of assessment DAta and act without consciously labeling it. These responses are referred to as: a. Intuition. b. The nursing process. c. CliniCAl knowledge. d. Diagnostic reasoning. ANS: A Intuition is characterized by pattern recognitionexPErt nurses learn to attend to a pattern of assessment DAta and act without consciously labeling it. The other options are not correct. DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 4 MSC: Client Needs: General 7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? a. EBP relies on tradition for support of best practices. b. EBP is simply the use of best practice techniques for the treatment of patients. c. EBP emphasizes the use of best evidence with the clinicians exPErience. d. The patients own preferences are not important with EBP. ANS: C EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians exPErience, as well as patient preferences and values, when making decisions about CAre and treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is important when no comPElling and supportive research evidence exists. DIF: Cognitive Level: Applying (AppliCAtion) REF: dm. 5 MSC: Client Needs: Safe and Effective CAre Environment: Management of CAre 8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem? a. Patient with postoPErative pain b. Newly diagnosed patient with diabetes who needs diabetic teaching c. Individual with a small laceration on the sole of the foot d. Individual with shortness of breath and respiratory distress ANS: D First-level priority problems are those that are emergent, life threatening, and immediate (e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs) (see Table 1-1). DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 4 MSC: Client Needs: Safe and Effective CAre Environment: Management of CAre 9. When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these asPEcts? a. Low self-esteem b. Lack of knowledge c. Abnormal laboratory values d. Severely abnormal vital signs llllllllllllll/////////////ANS: C Second-level priority problems are those that require prompt intervention to forestall further deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety or security) (see Table 1-1). DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 4 MSC: Client Needs: Safe and Effective CAre Environment: Management of CAre 10. Which critiCAl thinking skill helps the nurse see relationships among the DAta? a. ValiDAtion b. Clustering related cues c. Identifying


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