TESTBANKforEvidence-Based
l l l
Physical Examination: Best Practices fo
l l l l
rHealth and Well- l l l
Being Assessment 2nd Edition by Kate G
l l l l l l
awlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
l l l l l l
Pagel1lofl973
,Chapterl1.lAPPROACHlTOlEVIDENCE-BASEDlASSESSMENTlOFlHEALTHlANDlWELL-lBEING
MULTIPLElCHOICE
1. Afterlcompletinglanlinitiallassessmentloflalpatient,lthelnurselhaslchartedlthatlhislrespirationslareleup
neiclandlhislpulselisl58lbeatslperlminute.lTheseltypeslofldatalwouldlbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:lA
Objectiveldatalarelwhatlthelhealthlprofessionallobserveslbylinspecting,lpercussing,lpalpating,landlauscultatin
glduringlthelphysicallexamination.lSubjectiveldatalislwhatlthelpersonlsayslaboutlhimlorlherselflduringlhistorylt
aking.lTheltermslreflectivelandlintrospectivelarelnotlusedltoldescribeldata.
DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
2. Alpatientltellslthelnurselthatlhelislverylnervous,lislnauseated,landlfeelslhot.lTheseltypeslofldatalwouldlbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:lC
Subjectiveldatalarelwhatlthelpersonlsayslaboutlhimlorlherselflduringlhistoryltaking.lObjectiveldatalarelwhat
lthelhealthlprofessionallobserveslbylinspecting,lpercussing,lpalpating,landlauscultatinglduringlthelphysicall
examination.lTheltermslreflectivelandlintrospectivelarelnotlusedltoldescribeldata.
DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
Pagel2lofl973
,3. Thelpatientslrecord,llaboratorylstudies,lobjectiveldata,landlsubjectiveldatalcombineltolformlthe:
a. Datalbase.
b. Admittingldata.
c. Financiallstatement.
d. Dischargelsummary.
ANS:lA
Togetherlwithlthelpatientslrecordlandllaboratorylstudies,lthelobjectivelandlsubjectiveldatalformltheldatalbase.lT
helotherlitemslarelnotlpartloflthelpatientslrecord,llaboratorylstudies,lorldata.
DIF:lCognitivelLevel:lRememberingl(Knowledge)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
4. Whenllisteningltolalpatientslbreathlsounds,lthelnurselislunsureloflalsoundlthatlislheard.lThelnurseslnextlaction
lshouldlbelto:
a. Immediatelylnotifylthelpatientslphysician.
b. Documentlthelsoundlexactlylaslitlwaslheard.
c. Validateltheldatalbylaskinglalcoworkerltollistenltolthelbreathlsounds.
d. Assesslagainlinl20lminutesltolnotelwhetherlthelsoundlislstilllpresent.
ANS:lC
Whenlunsureloflalsoundlheardlwhilellisteningltolalpatientslbreathlsounds,lthelnurselvalidatesltheldataltolensurel
accuracy.lIflthelnurselhasllesslexperiencelinlanlarea,lthenlhelorlshelaskslanlexpertltollisten.
DIF:lCognitivelLevel:lAnalyzingl(Analysis)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
5. Thelnurselislconductinglalclasslforlnewlgraduatelnurses.lDuringlthelteachinglsession,lthelnurselshouldlkeepl
inlmindlthatlnovicelnurses,lwithoutlalbackgroundloflskillslandlexperiencelfromlwhichltoldraw,larelmorellikel
yltolmakeltheirldecisionslusing:
a. Intuition.
b. Alsetloflrules.
Pagel3lofl973
, c. Articleslinljournals.
d. Advicelfromlsupervisors.
ANS:lB
Novicelnursesloperatelfromlalsetlofldefined,lstructuredlrules.lThelexpertlpractitionerluseslintuitivellinks.lDIF:l
CognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l3lMSC:lClientlNeeds:lGeneral
6. Expertlnursesllearnltolattendltolalpatternloflassessmentldatalandlactlwithoutlconsciouslyllabelinglit.lThes
elresponseslarelreferredltolas:
a. Intuition.
b. Thelnursinglprocess.
c. Clinicallknowledge.
d. Diagnosticlreasoning.
ANS:lA
Intuitionlislcharacterizedlbylpatternlrecognitionlexpertlnursesllearnltolattendltolalpatternloflassessmentldataland
lactlwithoutlconsciouslyllabelinglit.lThelotherloptionslarelnotlcorrect.
DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l4lMSC:lClientlNeeds:lGeneral
7. Thelnurselislreviewinglinformationlaboutlevidence-
basedlpracticel(EBP).lWhichlstatementlbestlreflectslEBP?
a. EBPlrelieslonltraditionlforlsupportloflbestlpractices.
b. EBPlislsimplyltheluseloflbestlpracticeltechniqueslforltheltreatmentloflpatients.
c. EBPlemphasizesltheluseloflbestlevidencelwithlthelclinicianslexperience.
d. ThelpatientslownlpreferenceslarelnotlimportantlwithlEBP.lA
NS:lC
EBPlislalsystematiclapproachltolpracticelthatlemphasizesltheluseloflbestlevidencelinlcombinationlwithlthelclinicians
lexperience,laslwelllaslpatientlpreferenceslandlvalues,lwhenlmakingldecisionslaboutlcarelandltreatment.lEBPlislmor
elthanlsimplylusinglthelbestlpracticeltechniquesltoltreatlpatients,landlquestioningltraditionlislimportantlwhenlnolco
mpellinglandlsupportivelresearchlevidencelexists.
DIF:lCognitivelLevel:lApplyingl(Application)lREF:lz.l5
Pagel4lofl973
l l l
Physical Examination: Best Practices fo
l l l l
rHealth and Well- l l l
Being Assessment 2nd Edition by Kate G
l l l l l l
awlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
l l l l l l
Pagel1lofl973
,Chapterl1.lAPPROACHlTOlEVIDENCE-BASEDlASSESSMENTlOFlHEALTHlANDlWELL-lBEING
MULTIPLElCHOICE
1. Afterlcompletinglanlinitiallassessmentloflalpatient,lthelnurselhaslchartedlthatlhislrespirationslareleup
neiclandlhislpulselisl58lbeatslperlminute.lTheseltypeslofldatalwouldlbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:lA
Objectiveldatalarelwhatlthelhealthlprofessionallobserveslbylinspecting,lpercussing,lpalpating,landlauscultatin
glduringlthelphysicallexamination.lSubjectiveldatalislwhatlthelpersonlsayslaboutlhimlorlherselflduringlhistorylt
aking.lTheltermslreflectivelandlintrospectivelarelnotlusedltoldescribeldata.
DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
2. Alpatientltellslthelnurselthatlhelislverylnervous,lislnauseated,landlfeelslhot.lTheseltypeslofldatalwouldlbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:lC
Subjectiveldatalarelwhatlthelpersonlsayslaboutlhimlorlherselflduringlhistoryltaking.lObjectiveldatalarelwhat
lthelhealthlprofessionallobserveslbylinspecting,lpercussing,lpalpating,landlauscultatinglduringlthelphysicall
examination.lTheltermslreflectivelandlintrospectivelarelnotlusedltoldescribeldata.
DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
Pagel2lofl973
,3. Thelpatientslrecord,llaboratorylstudies,lobjectiveldata,landlsubjectiveldatalcombineltolformlthe:
a. Datalbase.
b. Admittingldata.
c. Financiallstatement.
d. Dischargelsummary.
ANS:lA
Togetherlwithlthelpatientslrecordlandllaboratorylstudies,lthelobjectivelandlsubjectiveldatalformltheldatalbase.lT
helotherlitemslarelnotlpartloflthelpatientslrecord,llaboratorylstudies,lorldata.
DIF:lCognitivelLevel:lRememberingl(Knowledge)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
4. Whenllisteningltolalpatientslbreathlsounds,lthelnurselislunsureloflalsoundlthatlislheard.lThelnurseslnextlaction
lshouldlbelto:
a. Immediatelylnotifylthelpatientslphysician.
b. Documentlthelsoundlexactlylaslitlwaslheard.
c. Validateltheldatalbylaskinglalcoworkerltollistenltolthelbreathlsounds.
d. Assesslagainlinl20lminutesltolnotelwhetherlthelsoundlislstilllpresent.
ANS:lC
Whenlunsureloflalsoundlheardlwhilellisteningltolalpatientslbreathlsounds,lthelnurselvalidatesltheldataltolensurel
accuracy.lIflthelnurselhasllesslexperiencelinlanlarea,lthenlhelorlshelaskslanlexpertltollisten.
DIF:lCognitivelLevel:lAnalyzingl(Analysis)lREF:lz.l2
MSC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment:lManagementloflCare
5. Thelnurselislconductinglalclasslforlnewlgraduatelnurses.lDuringlthelteachinglsession,lthelnurselshouldlkeepl
inlmindlthatlnovicelnurses,lwithoutlalbackgroundloflskillslandlexperiencelfromlwhichltoldraw,larelmorellikel
yltolmakeltheirldecisionslusing:
a. Intuition.
b. Alsetloflrules.
Pagel3lofl973
, c. Articleslinljournals.
d. Advicelfromlsupervisors.
ANS:lB
Novicelnursesloperatelfromlalsetlofldefined,lstructuredlrules.lThelexpertlpractitionerluseslintuitivellinks.lDIF:l
CognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l3lMSC:lClientlNeeds:lGeneral
6. Expertlnursesllearnltolattendltolalpatternloflassessmentldatalandlactlwithoutlconsciouslyllabelinglit.lThes
elresponseslarelreferredltolas:
a. Intuition.
b. Thelnursinglprocess.
c. Clinicallknowledge.
d. Diagnosticlreasoning.
ANS:lA
Intuitionlislcharacterizedlbylpatternlrecognitionlexpertlnursesllearnltolattendltolalpatternloflassessmentldataland
lactlwithoutlconsciouslyllabelinglit.lThelotherloptionslarelnotlcorrect.
DIF:lCognitivelLevel:lUnderstandingl(Comprehension)lREF:lz.l4lMSC:lClientlNeeds:lGeneral
7. Thelnurselislreviewinglinformationlaboutlevidence-
basedlpracticel(EBP).lWhichlstatementlbestlreflectslEBP?
a. EBPlrelieslonltraditionlforlsupportloflbestlpractices.
b. EBPlislsimplyltheluseloflbestlpracticeltechniqueslforltheltreatmentloflpatients.
c. EBPlemphasizesltheluseloflbestlevidencelwithlthelclinicianslexperience.
d. ThelpatientslownlpreferenceslarelnotlimportantlwithlEBP.lA
NS:lC
EBPlislalsystematiclapproachltolpracticelthatlemphasizesltheluseloflbestlevidencelinlcombinationlwithlthelclinicians
lexperience,laslwelllaslpatientlpreferenceslandlvalues,lwhenlmakingldecisionslaboutlcarelandltreatment.lEBPlislmor
elthanlsimplylusinglthelbestlpracticeltechniquesltoltreatlpatients,landlquestioningltraditionlislimportantlwhenlnolco
mpellinglandlsupportivelresearchlevidencelexists.
DIF:lCognitivelLevel:lApplyingl(Application)lREF:lz.l5
Pagel4lofl973
