TEST BANK FOR Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition ;All Chapters / Full Complete

Evidence-Based Physical Examination Best Practices for Health & Well-
Fi Fi Fi Fi Fi Fi Fi Fi


Being Assessment 2nd Edition Test Bank
Fi Fi Fi Fi

,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
Fi Fi Fi Fi Fi Fi Fi Fi Fi


BEING
Fi


MULTIPLE CHOICE Fi


1. After completing an initial assessment of a patient, the nurse has charted that his respiration
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


s are eupneic and his pulse is 58 beats per minute. These types of data would be:
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi




a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: A Fi


Objective data are what the health professional observes by inspecting, percussing, palpating, a
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


nd auscultating during the physical examination. Subjective data is what the person says about
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


him or herself during history taking. The terms reflective and introspective are not used to desc
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


ribe data. Fi




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
Fi Fi Fi Fi Fi Fi Fi


MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types o
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


f data would be:
Fi Fi Fi




a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: C Fi


Subjective data are what the person says about him or herself during history taking. Objective
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi

,data are what the health professional observes by inspecting, percussing, palpating, and auscult
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


ating during the physical examination. The terms reflective and introspective are not used to des
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


cribe data. Fi




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
Fi Fi Fi Fi Fi Fi Fi


MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


3. The patients record, laboratory studies, objective data, and subjective data combine to for
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


m the: Fi




a Data base. Fi


.
b Admitting data. Fi


.
c Financial statement. Fi


.
d Discharge summary. Fi


.

ANS: A Fi


Together with the patients record and laboratory studies, the objective and subjective data form
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


the data base. The other items are not part of the patients record, laboratory studies, or data.
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi




DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
Fi Fi Fi Fi Fi Fi Fi


MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. Th
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


e nurses next action should be to:
Fi Fi Fi Fi Fi Fi




a Immediately notify the patients physician. Fi Fi Fi Fi


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


.
c Validate the data by asking a coworker to listen to the breath sounds.
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


.
d Assess again in 20 minutes to note whether the sound is still present.
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


.

ANS: C Fi


When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi F


data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
i Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


to listen.
F i Fi

, DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
Fi Fi Fi Fi Fi Fi Fi


MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


5. The nurse is conducting a class for new graduate nurses. During the teaching session, th
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


e nurse should keep in mind that novice nurses, without a background of skills and experien
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


ce from which to draw, are more likely to make their decisions using:
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi F i




a Intuition.
.
b A set of rules.
Fi Fi Fi


.
c Articles in journals. Fi Fi


.
d Advice from supervisors. Fi Fi


.

ANS: B Fi


Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuiti
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


ve links. Fi




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3
Fi Fi Fi Fi Fi Fi Fi


MSC: Client Needs: General
Fi Fi Fi Fi


6. Expert nurses learn to attend to a pattern of assessment data and act without consciousl
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


y labeling it. These responses are referred to as:
Fi Fi Fi Fi Fi Fi Fi Fi




a Intuition.
.
b The nursing process.
Fi Fi


.
c Clinical knowledge. Fi


.
d Diagnostic reasoning. Fi


.

ANS: A Fi


Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of asses
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi


sment data and act without consciously labeling it. The other options are not correct.
Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi Fi




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4
Fi Fi Fi Fi Fi Fi Fi


MSC: Client Needs: General
Fi Fi Fi Fi


7. The nurse is reviewing information about evidence-
Fi Fi Fi Fi Fi Fi


based practice (EBP). Which statement best reflects EBP?
Fi Fi Fi Fi Fi Fi Fi