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,PHYSICA EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
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Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initia assessment!!of a patient, the nurse has charted that his respirations are eupneic and
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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 F
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history
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taking. The terms reflective and introspective are not used to describe data.
F F F F F F F F F F F
DIF: Cognitive Level: Understanding (Comprehension)
F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
2. A patient tells the nurse that he is very n e r vNo uUsR, SisINnaGuTsB
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teOdM
, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C F
Subjective data are what the person says about him or herself during history taking. Objective data are what the
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health professional observes by inspecting, percussing, palpating, and auscultating during the physical
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examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. F
b. Admitting data. F
,PHYSICA EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
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c. -Financial statement. F
d. Discharge summary. F
ANS: A F
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. F F F F
b. Document the sound exactly as it was heard. F F F F F F F
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
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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)
F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
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keep in mind that novice nurses, without a background of skills and experience from which to draw, are more
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likely to make their decisions using:
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a. Intuition.
b. A set of rules.
F F F
c. Articles in journals. F F
d. Advice from supervisors. F F
ANS: B F
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension)
F F F F
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MSC: Client Needs: General
F F F
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
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responses are referred to as: F F F F
a. Intuition.
b. The nursing process. F F
c. Clinical knowledge. F
d. Diagnostic reasoning. F
ANS: A F
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
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act without consciously labeling it. The other options are not correct.
F F F F F F F F F F
DIF: Cognitive Level: Understanding (Comprehension)
F F F F F
MSC: Client Needs: General
F F F
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
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EBP?
a. EBP relies on tradition for supportNoUfR
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FacBt.iC
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. F F F F
b. EBP is simply the use of best practice techniques for the treatment of patients.
F F F F F F F F F F F F F
c. EBP emphasizes the use of best evidence with the clinicians experience.
F F F F F F F F F F
d. The patients own preferences are not important with EBP.
F F F F F F F F
ANS: C F
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care
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and treatment. EBP is more than simply using the best practice techniques to treat patients, and
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questioning tradition is important when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example
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of a first-level priority problem?
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a. Patient with postoperative pain F F F
b. Newly diagnosed patient with diabetes who needs diabetic teaching
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