Test Bank For Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 1st Edition By Kate Sustersic Gawlik, Bernadette Mazurek Melnyk, Alice M. Teall 9780826164537 Chapter 1-29 Complete Guide .

Evidence-Based Physical Examination Best Practices for Health & Well-
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Being Assessment 1st Edition Test Bank h1 h1 h1 h1 h1




Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING
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MULTIPLE CHOICE h1


1. After completing an initial assessment of a patient, the nurse has charted that his respirati
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ons 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 h1


Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data is what the person says abo
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ut him or herself during history taking. The terms reflective and introspective are not used to
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describe data.
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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
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of data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: C h1


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 auscu
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ltating during the physical examination. The terms reflective and introspective are not used to
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describe data. h1




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:
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a Data base. h1


.
b Admitting data. h1


.
c Financial statement. h1


.
d Discharge summary. h1


.

ANS: A h1


Together with the patients record and laboratory studies, the objective and subjective data for
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m the data base. The other items are not part of the patients record, laboratory studies, or dat
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a.

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.
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The nurses next action should be to:
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a Immediately notify the patients physician. h1 h1 h1 h1


.
b Document the sound exactly as it was heard. h1 h1 h1 h1 h1 h1 h1


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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 h1


When unsure of a sound heard while listening to a patients breath sounds, the nurse validates t
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he data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
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expert 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,
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the nurse should keep in mind that novice nurses, without a background of skills and exp
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erience 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. h1 h1


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d Advice from supervisors. h1 h1


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ANS: B h1


Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intu
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itive links.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z.
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3 MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciou
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sly 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. h1


.
d Diagnostic reasoning. h1


.

ANS: A h1


Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of ass
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essment data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z.
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4 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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