Evidence-
k
BasedkPhysicalkExaminationkBestkPracticeskforkHealthk&k
Well-BeingAssessmentkbykKatekGawlic
1stkEdition
,TEST BANK
k
,Chapterk1.kAPPROACHkTOkEVIDENCE-
BASEDkASSESSMENTkOFkHEALTHkANDkWELL-BEING
KatekGawlic:kEvidence-BasedkPhysicalkExaminationkBestkPracticeskforkHealthk&kWell-
kBeingAssessmentk1stkEdition
MULTIPLEkCHOICE
1. Afterkcompletingkankinitialkassessmentkofkakpatient,ktheknursekhaskchartedkthatkhiskrespirati
onskarekeupneickandkhiskpulsekisk58kbeatskperkminute.kThesektypeskofkdatakwouldkbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:kA
Objectivekdatakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating
,kandkauscultatingkduringkthekphysicalkexamination.kSubjectivekdatakiskwhatkthekpersonksayska
boutkhimkorkherselfkduringkhistoryktaking.kThektermskreflectivekandkintrospectivekareknotkused
ktokdescribekdata.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
2. Akpatientktellsktheknursekthatkhekiskveryknervous,kisknauseated,kandkfeelskhot.kThesektype
skofkdatakwouldkbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:kC
Subjectivekdatakarekwhatkthekpersonksayskaboutkhimkorkherselfkduringkhistoryktaking.kObjective
, datakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscu
ltatingkduringkthekphysicalkexamination.kThektermskreflectivekandkintrospectivekareknotkusedktok
describekdata.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
3. Thekpatientskrecord,klaboratorykstudies,kobjectivekdata,kandksubjectivekdatakcombinektokfo
rmkthe:
a Datakbase.
.
b Admittingkdata.
.
c Financialkstatement.
.
d Dischargeksummary.
.
ANS:kA
Togetherkwithkthekpatientskrecordkandklaboratorykstudies,kthekobjectivekandksubjectivekdatakfor
mkthekdatakbase.kThekotherkitemskareknotkpartkofkthekpatientskrecord,klaboratorykstudies,korkda
ta.
DIF:kCognitivekLevel:kRememberingk(Knowledge)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
4. Whenklisteningktokakpatientskbreathksounds,ktheknursekiskunsurekofkaksoundkthatkiskheard.k
Theknursesknextkactionkshouldkbekto:
a Immediatelyknotifykthekpatientskphysician.
.
b Documentktheksoundkexactlykaskitkwaskheard.
.
c Validatekthekdatakbykaskingkakcoworkerktoklistenktokthekbreathksounds.
.
d Assesskagainkink20kminutesktoknotekwhetherktheksoundkiskstillkpresent.
.
ANS:kC
Whenkunsurekofkaksoundkheardkwhileklisteningktokakpatientskbreathksounds,ktheknursekvalidateskt
hekdataktokensurekaccuracy.kIfktheknursekhasklesskexperiencekinkankarea,kthenkhekorkshekaskskank
expertk toklisten.