Exam (elaborations) TEST BANK ADVANCED PRACTICE NURSING ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO

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Chapter s s 1. Assessment
s s s s and s s Clinical s s Decision-Making: s s Overview

Multiple Choice s s


Identify themchoice that best completes the statement or answers the question.
ss ss s s s s ss ss s s ss ss ss




s s 1. Which s s type s s of s s clinical decision-making is
s s s s s s most reliable? s s


A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

s2. s Which of the following is false? To obtain adequate
s s s s s s s s s s s s s s s s


s s history, health- care providers must be:
s s ss ss ss ss


A. Methodical and systematic s s s s



B. Attentive to the patient’s verbal and s s s s s s s s s s


nonverbal language s s



C. Able to accurately interpret the s s s s s s s s

patient’s s s


responses
D. Adept at reading into the patient’s s s s s ss s s s s


statements

s s 3. Essential parts of s s s s s s a health
s s history include all of the following except:
s s s s s s s s s s s s ss


A. Chief complaint s s


B. History of the present illness s s s s s s s s


C. Current vital signs s s s s


D. All of the above are essential
ss s s s s s s s s


history
s s


components

4.
s s


Which of the following is false? While performing the physical
s s s s s s s s s s s s s s s s s s


s s examina tion, the examiner must be able to:
ss s s s s s s s s s s s s


A. Differentiate between normal and ss s s s s


abnormal findings ss s s


B. Recall knowledge of a range of ss s s s s s s s s

conditions s s


and their associated signs and s s s s s s s s


symptoms s s


C. Recognize how certain conditions s s s s s s

affect s s


the response to other conditions s s s s s s s s


D. Foresee unpredictable findings s s s s




5. s s


The following is the
s s s s s s s s least reliable
s s s s source s s of s s information s s for diagnostic s s s s statistic
s:
A. Evidence-based investigations ss ss


B. Primary reports of research s s s s s s


C. Estimation based on a provider’s s s s s s s s s


experience
D. Published meta-analyses s s

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s s 6. The following can
s s s s s s be used to assist in sound clinical decision-making:
s s s s s s s s s s s s s s


A. Algorithm published in a peer-reviewed ss s s ss ss


journal article ss ss


B. Clinical practice guidelines s s s s


C. Evidence-based research ss ss


D. All of the above ss s s s s




s s 7. If s s a diagnostic study has high sensitivity, this indicates a:
s s s s s s s s s s s s s s s s


A. High percentage of persons with the s s s s s s s s s s


given s s


condition will have an abnormal s s s s s s s s


result s s


B. Low percentage of persons with the s s s s s s s s s s


given s s


condition will have an abnormal s s s s s s s s


result s s


C. Low likelihood of normal result in s s s s s s s s s s


persons without a given condition s s s s s s s s


D. None of the above s s s s s s




s s 8. If s s a diagnostic study has high specificity, this indicates a:
s s s s s s s s s s s s s s s s


A. Low percentage of healthy individuals s s s s s s s s


will show a normal result ss s s s s s s


B. High percentage of healthy s s s s s s


individuals s s


will show a normal result ss s s s s s s


C. High percentage of individuals with s s s s s s s s


a s s


disorder will show a normal result s s s s s s s s s s


D. Low percentage of individuals with s s s s s s s s


a s s


disorder will show an abnormal s s s s s s s s


result s s




s s 9. A likelihood
ss s s ratio s s above s s 1 indicates that a diagnostic test showing a:
s s s s s s s s s s s s ss


A. Positive result is strongly associated
s s s s s s s s


with
s s


the diseases s


B. Negative result is strongly associated
s s s s s s s s


with
s s


absence of the disease s s s s s s


C. Positive result is weakly associated
s s s s s s s s


with
s s


the diseases s


D. Negative result is weakly associated
s s s s s s s s


with
s s


absence of the disease s s s s s s




s 10. Which of the following clinical reasoning tools is defined as
s s s s s s s s s s s s s s s s s s s


s s evidence- based resource based on mathematical modeling to express the
ss s s s s s s s s s s s s s s s s


s s likelihood of a conditi on in select situations, settings, and/or patients?
s s s s s s s s s s s s s s s s s s s s


A. Clinical practice guideline s s s s


B. Clinical decision rule s s s s

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C. Clinical s s algorithm
D. Clinical s s recommendation
Chapter s s 1. Assessment
s s s s and s s Clinical s s Decision-Making: s s Overview