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Advanced Health Assessment and Clinical Diagnosis in Primary Care 5th Edition Dains Test Bank

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Advanced Health Assessment and Clinical Diagnosis in Primary Care 5th Edition Dains Test Bank. INSTANT DELIVERY ISBN: 8 eText ISBN: 6253 Authors: Joyce E Dains Linda Ciofu Baumann Pamela Scheibel Edition: 5th This is NOT a book! This is a Test Bank (Study Questions) to help you study for your Tests. No delay, the download is quick and instantaneous right after you checkout! Test banks can give you the tools you need to help you study better. This download has a no waiting period so that means that you will be able to download this test bank right away. Note: This product may take a few minutes to download.,Advanced Health Assessment and Clinical Diagnosis in Primary Care 5th Edition Dains Test Bank ISBN-13: 7992 ISBN-10: 4 Boost your grades with instantly downloadable Advanced Health Assessment and Clinical Diagnosis in Primary Care 5th Edition Dains Test Bank to help prepare you for upcoming exams and give you the psychological advantage needed to walk into your test day with confidence. No delay, the downloadable and affordable Nursing Test Bank is quick and instantaneous right after you checkout so you can study anywhere you have a computer, cell phone, or tablet! Take the ‚Äònext step’ in health assessment! ¬†Advanced Health Assessment and Clinical Diagnosis in Primary Care, 5th Edition ¬†goes beyond basic history and physical examination to help you master the diagnostic reasoning process. You’ll develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practice nursing experts Joyce Dains, Linda Baumann, and Pamela Scheibel, this edition includes new chapters on evidence-based preventive health screening and on heartburn and indigestion, along with a new full-color design. Master the differential diagnosis process outlined in this book, and you’ll be able to accurately diagnose the majority of patients seen in today’s primary care settings. A clear, consistent diagnostic reasoning process ¬†takes you to the next step of health assessment ‚Äî beyond basic history and physical examination to diagnostic reasoning. Diagnostic Reasoning: Focused History ¬†sections use ‚Äòself-questions’ to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in the differential diagnosis. Diagnostic Reasoning: Focused Physical Examination ¬†sections ¬†explain how to perform more advanced diagnostic techniques and interpret the findings. Key Questions ¬†guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient’s responses might signify. Laboratory and Diagnostic Studies ¬†sections ¬†outline the types of studies that might be appropriate based on the focused history and focused physical examination. Differential Diagnosis ¬†sections ¬†offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies. Differential Diagnosis ¬†tables ¬†provide a quick-reference summary of possible diagnoses for each patient problem. Evidence-Based Practice ¬†boxes¬† ‚Äî more than 30 are NEW ‚Äî ¬† summarize the scientific evidence related to the diagnosis of patient problems. Alphabetical Table of Contents¬† provides a convenient listing of common health problems.

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TESTBANKFORADVANCEDHEALTHASSESSMENT&
n CLINICALDIAGNOSISINPRIMARYCARE6THEDITION
DAINSISBN:9780323594554
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ThisTestBankisDirectlyfromThePublisher
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nHasAllChaptersWith100%Correct Answers
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n INSTANTDOWNLOAD n

, lOMoARcPSD| n126
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TestBankforAdvancedHealthAssessment&ClinicalDiagnosisinPrimaryCare6th
n n n n n n n




EditionDains n




Chapter1:Clinical Reasoning,DifferentialDiagnosis,Evidence-BasedPractice,andSymptomAnalysis
n N n n n n n n




MultipleChoice
Identifythechoice thatbestcompletesthestatementoranswers thequestion.
n n




1. Which type ofclinical decision-makingis mostreliable?
n n n n




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

2. Which ofthefollowingis false?Toobtainadequatehistory, health-care providers must be:
n n n n n n n n




A. Methodical andsystematic n




B. Attentive to the patient‘s verbal and nonverbal language N n n N N




C. Ableto accuratelyinterpret thepatient‘s responses
n N n n n




D. Adept at reading into thepatient‘s statements
n n N N n N




3. Essential parts ofa health historyinclude all ofthefollowingexcept:
n N n N n n n n n




A. Chiefcomplaint n




B. Historyofthe present illness n n n




C. Current vital signs n n




D. All ofthe above areessential historycomponents
n n n n




4. Which of the followingis false? Whileperformingthephysical examination,the examiner must beableto:
N n n n n n N n n




A. Differentiatebetweennormal and abnormal findings n N n




B. Recallknowledge of arange of conditions and their associated signs and symptoms n n n N N n N n N




C. Recognize howcertain conditionsaffect the responseto other conditions
n n n N n




D. Foresee unpredictable findingsn n




5. Thefollowingistheleast reliablesource of information for diagnosticstatistics: n n N n n




A. Evidence-based investigations n




B. Primaryreports ofresearch n




C. Estimation based on aprovider‘sexperience n n n n




D. Published meta-analyses n




6. The followingcan be used to assist insound clinical decision-making:
n n n N n n n




A. Algorithm published in a peer-reviewed journal article
N N n N n n




B. Clinical practice guidelines N n




C. Evidence-based research n




D. All oftheabove
n n




7. Ifa diagnosticstudyhas high sensitivity, thisindicates a:
n n n n n




A. High percentageof persons withthegivencondition will haveanabnormalresult
n n N n n n n n n n n




B. Lowpercentage of persons with the given condition willhave anabnormal result n N n n n n n n n




C. Lowlikelihood of normal result inpersons withouta given condition
n N n n n n n n N




D. None oftheabove n




8. Ifadiagnosticstudyhas high specificity, this indicates a:
n n n n N n




A. Lowpercentage ofhealthyindividuals will show a normal result n n n n N




B. High percentage ofhealthyindividualswillshowa normal result
n n n n n N n




C. High percentage ofindividuals with adisorderwillshowa normalresult
n n n n n n n n




D. Lowpercentage ofindividuals withadisorder will showan abnormal result
n n n n n n n N n




9. A likelihood ratio above 1 indicatesthat a diagnostictestshowing a:
N n N n n n n N n N




A. Positive resultis stronglyassociated withthedisease
n n n n




B. Negativeresult is stronglyassociated with absence of the disease n N n n n N n




C. Positiveresultis weaklyassociated withthedisease
n n N n n n




D. Negativeresultis weaklyassociated withabsence ofthe disease n n n n




10. Which of thefollowingclinical reasoning toolsisdefinedasevidence-based resource based on mathematical modeling to
n N n n N N n n n N n N n n n




nexpress the likelihood of a condition in select situations, settings, and/or patients?
n n n n n n n n n n n

, lOMoARcPSD| n126
n




A. Clinical practice guideline N n




B. Clinical decision rule N n




C. Clinical algorithm n




Chapter1:Clinicalreasoning,differentialdiagnosis,evidence-basedpractice,and symptomana
n n n n




AnswerSection
n




MULTIPLECHOICE
n




1. ANS: B
Croskerry(2009) describes two major types of clinical diagnostic decision-making: intuitive and analytical. Intuitive decision-
n n n n n n n n n n n n n n




making (similar to Augenblinkdecision-making) is based on the experience and intuition ofthe clinician and is less reliable and paired
n N n n n n n n n n n n n n n n N n n n n




with fairly common errors. In contrast, analytical decision-making is based on careful consideration and has greater reliability
n n n n n n n n n n n n n n n n n




with rare errors.
n n n




PTS: 1
2. ANS: D
To obtain adequate history, providers must be well organized, attentive tothe patient‘s verbal and nonverbal language, and able to
n n n n n n n n n n n n n n n n n n




accurately interpret the patient‘s responses to questions. Rather than reading into the patient‘s statements, they clarify any areas of
n n n n n n n n n n n n n n n n n n n




uncertainty.
n




PTS: 1
3. ANS: C
Vitalsigns arepart ofthephysical examination portion ofpatient assessment, not part of the health history.
N n n n n n n n n N n




PTS: 1
4. ANS: D
While performing the physical examination, the examiner must be able to differentiate between normal and abnormal findings, recall
n n n n n n n n n n n n n n n n n




knowledge ofa range ofconditions, includingtheir associated signs and symptoms, recognize howcertain conditionsaffect the response
n n n n n n n n n n n n n n n n n n n




to other conditions, and distinguish the relevance of varied abnormal findings.
n n n n n n n n n n n




PTS: 1
5. ANS: C
Sources for diagnostic statistics includetextbooks, primaryreports of research, and published meta-analyses. Another source of
n n n n n n n n n n n n n n n




statistics,theonethathasbeen most widelyused and available for application tothereasoningprocess,istheestimation basedon a
n n n n n n n N N n n n n n n n n n n n




provider‘s experience, although these are rarely accurate. Over the past decade, the availability of evidence on which to base
n n n n n n n n n n n n n n n n n n n




clinical reasoning is improving, and there is an increasing expectation that clinical reasoning be based on scientific evidence.
n n N n n n n n n n n n n n n n n n




Evidence-based statistics are also increasinglybeing used to develop resourcesto facilitate clinical decision-making.
n N n n n n n n n n n n n




PTS: 1
6. ANS: D
To assist in clinical decision-making, anumber ofevidence-based resourceshavebeen developed toassist the clinician. Resources, such
n n n n n n n n n n n n n n n n n




as algorithms and clinical practice guidelines, assist in clinical reasoning when properlyapplied.
n n n n n n n n n n n n




PTS: 1
7. ANS: A
The sensitivityof a diagnostic studyis the percentage of individuals with the target condition who show an abnormal, or positive,
n n n n n n n n n n n n n n n n n n




result. Ahigh sensitivityindicates that a greater percentage of persons with the given condition will have an abnormal result.
n n n n n n n n n n n n n n n n n n




PTS: 1
8. ANS: B
The specificityof a diagnostic studyis the percentage of normal, healthyindividuals who have a normal result. The greater the
n n n n n n n n n n n n n n n n n




specificity, the greater the percentage of individuals who will have negative, or normal, results if they do not have the target
n n n n n n n n n n n n n n n n n n n n n




condition.
n




PTS: 1
9. ANS: A
The likelihood ratio is the probabilitythat a positive test result willbe associated with a person who hasthetarget condition and a
n n n n n n n n n n n n N n n n n n n n n n




negative result will be associated with a healthy person. A likelihood ratio above 1 indicates that a positive result is associated with the
n n n n n n n n n n n n n n n n n n n n n n n




disease; a likelihood ratioless than 1 indicates that a negative result is associated with an absence of the disease.
n n n n n n n n n n n n n n n n n n n n

, lOMoARcPSD| n126
n




PTS: 1
10. ANS: B
Clinicaldecision (or prediction) rules provideanother support for clinical reasoning. Clinical decision rules areevidence-based resources
n n n n n n n n n n n n N n n n




that provide probabilistic statements regarding the likelihood that a condition exists if certain variables are met with regard to the
n n n n n N n n n n n n n n n n n n n n




nprognosis of patients with specific findings. Decision rules use mathematical models and are specific to certain situations, settings,
n n n n n n n n n n n n n n n n n




nand/or patient characteristics.
n n




PTS: 1

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