Test Bank for Bates’ Guide To Physical Examination and History Taking 13th Edition

Test Bank
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for Bates’ Guide To Physical Examination and History Taking 13th
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Edition
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,https://www.stuvia.com/user/Prose1


CHAPTER 1Foundations for ClinicalProficiency v v v



MULTIPLE CHOICE
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1. 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 data would
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be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: A v



Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data is what the person says
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about him or herself during history taking. The terms reflective and introspective are not used to
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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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2. Apatient tells the nurse that he is verynervous, is nauseated, and feels hot. These types of
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data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: C v



Subjective data are what the person says about him or herself during history taking.
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Objective data are what the health professional observes by inspecting, percussing,
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palpating, and
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, Bates’ Guide To Physical Examination and History Taking 13th
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auscultating during the physical examination. The terms reflective 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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3. The patients record, laboratory studies, objective data, and subjective data combine
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vto form the:
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a Data base. v



.
b Admitting data. v



.
c Financial statement. v



.
d Discharge summary. v



.

ANS: A v



Together with the patients record and laboratory studies, the objective and subjective data form
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the data base. The other items are not part of the patients record, laboratory studies, or
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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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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
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vheard. The nurses next action should be to:
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a Immediately notify the patients physician. v v v v



.
b Document the sound exactly as it was heard. v v v v v v v



.
c Validate the data by asking a coworker to listen to the breath sounds.
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.
d Assess again in 20 minutes to note whether the sound is still present.
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.

ANS: C v



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 he or she asks
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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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5. The nurse is conducting a class for new graduate nurses. During the teaching session,
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vthe nurse should keep in mind that novice nurses, without a background of skills and
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vexperience from which to draw, are more likely to make their decisions using:
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a Intuition.
.
b A set of rules. v v v



.
c Articles in journals. v v



.
d Advice from supervisors. v v



.

ANS: B v



Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
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vintuitive links. v




DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
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vMSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
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vlabeling it. These responses are referred to as:
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a Intuition.
.
b The nursing process. v v



.
c Clinical knowledge. v



.
d Diagnostic reasoning. v



.

ANS: A v



Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
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vassessment data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
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vMSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
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vbest reflects EBP?
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