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

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Evidence-Based Physical Examination Best Practices for Health & bb bb bb bb bb bb bb




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Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH
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AND WELL- BEING
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MULTIPLE CHOICE bb




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


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


ANS: A bb




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


ANS: C bb




Subjective data are what the person says about him or herself during history taking. Objective
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data are what the health professional observes by inspecting, percussing, palpating, and
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bb auscultating during the physical examination. The terms reflective and introspective are not
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bb used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 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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to form the:
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a
. Data base. bb




bb b
. Admitting data. bb




bb c
. Financial statement. bb




bb d
. Discharge summary. bb




ANS: A bb




Together with the patients record and laboratory studies, the objective and subjective data form
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bb the data base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: z. 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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heard. The nurses next action should be to:
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a
. Immediately notify the patients physician. bb bb bb bb




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




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




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates
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the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
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bb expert to listen. bb bb




DIF: Cognitive Level: Analyzing (Analysis) REF: z. 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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the nurse should keep in mind that novice nurses, without a background of skills and
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bb experience from which to draw, are more likely to make their decisions using:
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a
. Intuition.
b
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. A set of rules.
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bb c


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. Articles in journals. bb bb




bb d
. Advice from supervisors. bb bb




ANS: B bb




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




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without
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bb consciously labeling it. These responses are referred to as:
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a
. Intuition.
bb b
. The nursing process.
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bb c
. Clinical knowledge. bb




bb d
. Diagnostic reasoning. bb




ANS: A bb




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


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