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Test Bank for Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition by Kate Sustersic Gawlik, Bernadette Mazurek Melnyk|9780826155320| All Chapters included| LATEST

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Test Bank for Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition by Kate Sustersic Gawlik, Bernadette Mazurek Melnyk|9780826155320| All Chapters included| LATEST

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,Evidence-Based Physical Examination Best Practices For Health & Well-
Being Assessment 2nd Edition Test Bank


Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND
WELL-BEING
MULTIPLE CHOICE
1. After Completing An Initial Assessment Of A Patient, The Nurse Has Charted That His
RespirationsAre Eupneic And His Pulse Is 58 Beats Per Minute. These Types Of Data Would
Be:

A Objective.
.
B Reflective.
.
C Subjective.
.
D Introspective.
.

ANSWER: A
Objective Data Are What The Health Professional Observes By Inspecting, Percussing,
Palpating, And Auscultating During The Physical Examination. Subjective Data Is What The
Person Says AboutHim Or Herself During History Taking. The Terms Reflective And
Introspective Are Not Used To Describe Data.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
2. A Patient Tells The Nurse That He Is Very Nervous, Is Nauseated, And Feels Hot. These
Types OfData Would Be:


A Objective.
.
B Reflective.
.
C Subjective.
.
D Introspective.
.

ANSWER: C
Subjective Data Are What The Person Says About Him Or Herself During History Taking. Objective

,Data Are What The Health Professional Observes By Inspecting, Percussing, Palpating, And
Auscultating During The Physical Examination. The Terms Reflective And Introspective Are
Not UsedTo Describe Data.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
3. The Patients Record, Laboratory Studies, Objective Data, And Subjective Data Combine
To FormThe:


A Data Base.
.
B Admitting Data.
.
C Financial Statement.
.
D Discharge Summary.
.

ANSWER: A
Together With The Patients Record And Laboratory Studies, The Objective And Subjective
Data FormThe Data Base. The Other Items Are Not Part Of The Patients Record, Laboratory
Studies, Or Data.

DIF: Cognitive Level: Remembering (Knowledge) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
4. When Listening To A Patients Breath Sounds, The Nurse Is Unsure Of A Sound That Is
Heard. TheNurses Next Action Should Be To:


A Immediately Notify The Patients Physician.
.
B Document The Sound Exactly As It Was Heard.
.
C Validate The Data By Asking A Coworker To Listen To The Breath Sounds.
.
D Assess Again In 20 Minutes To Note Whether The Sound Is Still Present.
.

ANSWER: C
When Unsure Of A Sound Heard While Listening To A Patients Breath Sounds, The Nurse
Validates The Data To Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then
He Or She Asks An ExpertTo Listen.

,DIF: Cognitive Level: Analyzing (Analysis) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
5. The Nurse Is Conducting A Class For New Graduate Nurses. During The Teaching
Session, The Nurse Should Keep In Mind That Novice Nurses, Without A Background Of
Skills And ExperienceFrom Which To Draw, Are More Likely To Make Their Decisions
Using:


A Intuition.
.
B A Set Of Rules.
.
C Articles In Journals.
.
D Advice From Supervisors.
.

ANSWER: B
Novice Nurses Operate From A Set Of Defined, Structured Rules. The Expert Practitioner Uses
Intuitive Links.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z.
3MSC: Client Needs: General
6. Expert Nurses Learn To Attend To A Pattern Of Assessment Data And Act Without
ConsciouslyLabeling It. These Responses Are Referred To As:

A Intuition.
.
B The Nursing Process.
.
C Clinical Knowledge.
.
D Diagnostic Reasoning.
.

ANSWER: 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: Z.
4MSC: Client Needs: General
7. The Nurse Is Reviewing Information About Evidence-Based Practice (EBP). Which
StatementBest 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.
.

ANSWER: C
EBP Is A Systematic Approach To Practice That Emphasizes The Use Of Best Evidence In
CombinationWith 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: Z. 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. WhichIs 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
.

ANSWER: 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 VitalSigns) (See Table 1-1).

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 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-LevelPriority Problems Include Which Of These Aspects?

, A Low Self-Esteem
.
B Lack Of Knowledge
.
C Abnormal Laboratory Values
.
D Severely Abnormal Vital Signs
.

ANSWER: 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 SafetyOr Security) (See Table 1-1).

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 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 Gaps In Data
.
D Distinguishing Relevant From Irrelevant
.

ANSWER: B
Clustering Related Cues Helps The Nurse See Relationships Among The Data.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
11. The Nurse Knows That Developing Appropriate Nursing Interventions For A Patient Relies
On TheAppropriateness Of The Diagnosis.


A Nursing
.
B Medical
.

, C Admission
.
D Collaborative
.

ANSWER: A
An Accurate Nursing Diagnosis Provides The Basis For The Selection Of Nursing Interventions
To Achieve Outcomes For Which The Nurse Is Accountable. The Other Items Do Not Contribute
To TheDevelopment Of Appropriate Nursing Interventions.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 6
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
12. The Nursing Process Is A Sequential Method Of Problem Solving That Nurses Use And
IncludesWhich Steps?


A Assessment, Treatment, Planning, Evaluation, Discharge, And Follow-Up
.
B Admission, Assessment, Diagnosis, Treatment, And Discharge Planning
.
C Admission, Diagnosis, Treatment, Evaluation, And Discharge Planning
.
D Assessment, Diagnosis, Outcome Identification, Planning, Implementation, And
. Evaluation

ANSWER: D
The Nursing Process Is A Method Of Problem Solving That Includes Assessment, Diagnosis,
Outcome Identification, Planning, Implementation, And Evaluation.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 3
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
13. A Newly Admitted Patient Is In Acute Pain, Has Not Been Sleeping Well Lately, And Is
HavingDifficulty Breathing. How Should The Nurse Prioritize These Problems?


A Breathing, Pain, And Sleep
.
B Breathing, Sleep, And Pain
.
C Sleep, Breathing, And Pain
.

, D Sleep, Pain, And Breathing
.

ANSWER: A
First-Level Priority Problems Are Immediate Priorities, Remembering The Abcs (Airway,
Breathing,And Circulation), Followed By Second-Level Problems, And Then Third-Level
Problems.

DIF: Cognitive Level: Analyzing (Analysis) REF: Z. 4
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
14. Which Of These Would Be Formulated By A Nurse Using Diagnostic Reasoning?


A Nursing Diagnosis
.
B Medical Diagnosis
.
C Diagnostic Hypothesis
.
D Diagnostic Assessment
.

ANSWER: C
Diagnostic Reasoning Calls For The Nurse To Formulate A Diagnostic Hypothesis; The Nursing
ProcessCalls For A Nursing Diagnosis.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z.
2MSC: Client Needs: General
15. Barriers To Incorporating EBP Include:


A Nurses Lack Of Research Skills In Evaluating The Quality Of Research Studies.
.
B Lack Of Significant Research Studies.
.
C Insufficient Clinical Skills Of Nurses.
.
D Inadequate Physical Assessment Skills.
.

ANSWER: A
As Individuals, Nurses Lack Research Skills In Evaluating The Quality Of Research
Studies, Are Isolated From Other Colleagues Who Are Knowledgeable In Research, And
Often Lack The Time ToVisit The Library To Read Research. The Other Responses Are Not
Considered Barriers.

,DIF: Cognitive Level: Understanding (Comprehension) REF: Z.
6MSC: Client Needs: General
16. What Step Of The Nursing Process Includes Data Collection By Health History,
PhysicalExamination, And Interview?


A Planning
.
B Diagnosis
.
C Evaluation
.
D Assessment
.

ANSWER: D
Data Collection, Including Performing The Health History, Physical Examination, And Interview,
IsThe Assessment Step Of The Nursing Process (See Figure 1-2).

DIF: Cognitive Level: Remembering (Knowledge) REF: Z.
2MSC: Client Needs: General
17. During A Staff Meeting, Nurses Discuss The Problems With Accessing Research Studies To
Incorporate Evidence-Based Clinical Decision Making Into Their Practice. Which Suggestion
By TheNurse Manager Would Best Help These Problems?


A Form A Committee To Conduct Research Studies.
.
B Post Published Research Studies On The Units Bulletin Boards.
.
C Encourage The Nurses To Visit The Library To Review Studies.
.
D Teach The Nurses How To Conduct Electronic Searches For Research Studies.
.

ANSWER: D
Facilitating Support For EBP Would Include Teaching The Nurses How To Conduct Electronic
Searches; Time To Visit The Library May Not Be Available For Many Nurses. Actually
ConductingResearch Studies May Be Helpful In The Long-Run But Not An Immediate Solution
To Reviewing Existing Research.

DIF: Cognitive Level: Applying (Application) REF: Z. 6

, MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
18. When Reviewing The Concepts Of Health, The Nurse Recalls That The Components
Of HolisticHealth Include Which Of These?


A Disease Originates From The External Environment.
.
B The Individual Human Is A Closed System.
.
C Nurses Are Responsible For A Patients Health State.
.
D Holistic Health Views The Mind, Body, And Spirit As Interdependent.
.

ANSWER: D
Consideration Of The Whole Person Is The Essence Of Holistic Health, Which Views The Mind,
Body,And Spirit As Interdependent. The Basis Of Disease Originates From Both The External
EnvironmentAnd From Within The Person. Both The Individual Human And The External
Environment Are Open Systems, Continually Changing And Adapting, And Each Person Is
Responsible For His Or Her Own Personal Health State.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 7
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
19. The Nurse Recognizes That The Concept Of Prevention In Describing Health Is Essential
Because:


A Disease Can Be Prevented By Treating The External Environment.
.
B The Majority Of Deaths Among Americans Under Age 65 Years
. Are NotPreventable.
C Prevention Places The Emphasis On The Link Between Health And
. PersonalBehavior.
D The Means To Prevention Is Through Treatment Provided By Primary Health Care
. Practitioners.

ANSWER: C
A Natural Progression To Prevention Rounds Out The Present Concept Of Health. Guidelines To
Prevention Place The Emphasis On The Link Between Health And Personal Behavior.

DIF: Cognitive Level: Understanding (Comprehension) REF: Z.
7MSC: Client Needs: General
20. The Nurse Is Performing A Physical Assessment On A Newly Admitted Patient. An
Example OfObjective Information Obtained During The Physical Assessment Includes The:

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