Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 1st Edition Test Bank

TESTBANK c
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Evidence-Based Physical Examination Best Practices for
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Health & Well-BeingAssessment by Kate Gawlic
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1st Edition
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TESTBANK c

,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OFHEALTH AND
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WELL-BEING
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Kate Gawlic: Evidence-Based Physical Examination Best Practices for Health & Well- BeingAssessment
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1st Edition
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MULTIPLE CHOICE c




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

ANS: A c




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

ANS: C c




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 auscultating
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during the physical examination. The terms reflective and introspective are not 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 ofCare
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3. The patients record, laboratorystudies, objective data, and subjective data combine to form the:
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a Data base. c




.
b Admitting data. c




.
c Financialstatement. c




.
d Dischargesummary. c




.

ANS: A c




Together with the patients record and laboratorystudies, the objective and subjective data form the
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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 ofCare
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4. When listening to a patients breath sounds, the nurse is unsure ofa sound that is heard. The nurses
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next action should be to:
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a Immediately notifythe patients physician. c c c c




.
b Document the sound exactlyas it was heard. c c c c c c c




.
c Validate the data byasking a coworker to listen to the breath sounds. c c c c c c c c c c c c




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

ANS: C c




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
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ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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, DIF: Cognitive Level: Analyzing (Analysis) REF:z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management ofCare
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
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nurse should keep in mind that novice nurses, without a background of skills and experience from
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which to draw, are more likely to make their decisions using:
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a Intuition.
.
b A set of rules.
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.
c Articles in journals. c c




.
d Advice from supervisors. c c




.

ANS: B c




Novice nurses operate from a set ofdefined, structured rules. The expert practitioner uses intuitive
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links.
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DIF:Cognitive Level: Understanding (Comprehension) REF:z. 3
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MSC: 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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labeling it. These responses are referred to as:
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a Intuition.
.
b The nursing process. c c




.
c Clinical knowledge. c




.
d Diagnosticreasoning. c




.

ANS: A c




Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
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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
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MSC: Client Needs: General
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7. The nurse is reviewing informationabout evidence-based practice (EBP). Which statement best
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reflects EBP?
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