TEST BANK FOR Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition ;All Chapters / Full Complete

Evidence-Based Physical Examination Best Practices for Health & Well-
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Being Assessment 2end Edition Test Bank r5 r5 r5 r5 r5




Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING
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MULTIPLE CHOICE r5


1. After completing an initial assessment of a patient, the nurse has charted that his respiration
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s are 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 r5


Objective data are what the health professional observes by inspecting, percussing, palpating, a
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nd auscultating during the physical examination. Subjective data is what the person says about
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him or herself during history taking. The terms reflective and introspective are not used to desc
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ribe data.r5




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types o
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f data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: C r5


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 auscult
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ating during the physical examination. The terms reflective and introspective are not used to des
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cribe data. r5




DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to for
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m the: r5




a Data base. r5


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b Admitting data. r5


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c Financial statement. r5


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d Discharge summary. r5


.

ANS: A r5


Together with the patients record and laboratory studies, the objective and subjective data form
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the 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 of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. Th
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e nurses next action should be to:
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a Immediately notify the patients physician. r5 r5 r5 r5


.
b Document the sound exactly as it was heard. r5 r5 r5 r5 r5 r5 r5


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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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.

ANS: C r5


When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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5data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an exper
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t 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 of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, th
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e nurse should keep in mind that novice nurses, without a background of skills and experien
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ce from 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. r5 r5


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d Advice from supervisors. r5 r5


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ANS: B r5


Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuiti
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ve links.r5




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 consciousl
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y labeling it. These responses are referred to as:
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a Intuition.
.
b The nursing process.
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.
c Clinical knowledge. r5


.
d Diagnostic reasoning. r5


.

ANS: A r5


Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of asses
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sment 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 information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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