Testbank for Bates’ Guide to Physical Examination and History Taking (13th Edition, Bickley) – Complete with Questions and Answers.

Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley




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Bates' Guide to Physical Examination and History Taking 13th Edition Bickley Test
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Bank CHAPTER 1 wa Approach to the Clinical Encounter wa wa wa wa wa


After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic and his pulse is 58 beats per minute. These types of
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data would be: a wa wa




a
Objective.

b
Reflective.

c
Subjective.

d
Introspective.


ANS: A wa


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

c
Subjective.
d
Introspective.


ANS: C wa


Subjective data are what the person says about him or herself during history taki
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ng. Objective data are what the health professional observes by inspecting, percus
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sing, palpating, and auscultating during the physical examination. The terms refle
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ctive and introspective are not used
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to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• The patients record, laboratory studies, objective data, and subjective d
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ata combine to form the:
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a
Data base. wa




b
Admitting data. wa




c
Financial statement. wa




d
Discharge summary. wa




ANS: A wa


Together with the patients record and laboratory studies, the objective and subjective d
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ata form the data base. The other items are not part of the patients record, laboratory
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studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• When listening to a patients breath sounds, the nurse is unsure of a sound t
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hat is heard. The nurses next action should be to:
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a
Immediately notify the patients physician. wa wa wa wa




b
Document the sound exactly as it was hearwa wa wa wa wa wa wa


d.
c Validate the data by asking a coworker t
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o listen to the breath sounds.
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d Assess again in 20 minutes to note wheth
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er the sound is still present.
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ANS: C wa


When unsure of a sound heard while listening to a patients breath sounds, the nurse
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validates the data to ensure accuracy. If the nurse has less experience in an area, then
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he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• The nurse is conducting a class for new graduate nurses. During the teac
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hing session, the nurse should keep in mind that novice nurses, without a
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