Test Bank for Advanced Assessment: Interpreting Findings
and Formulating Differential Diagnoses, 5th Edition, Mary Jo
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
,Chapter 1. Assessment and Clinical Decision-Making: Overview
wv wv wv wv wv wv
Multiple Choice
wv
Identify the choice that best completes the statement or answers the question.
wv wv wv wv wv wv wv wv wv wv wv
wv 1. Which type of clinical decision-making is most reliable?
wv wv wv wv wv wv wv
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
wv 2. Which of the following is false? To obtain adequate history, health-care providers must be:
wv wv wv wv wv wv wv wv wv wv wv wv wv
A. Methodical and systematic wv wv
B. Attentive to the patient’s verbal and nonverbal language
wv wv wv wv wv wv wv
C. Able to accurately interpret the patient’s responses
wv wv wv wv wv wv
D. Adept at reading into the patient’s statements
wv wv wv wv wv wv
wv 3. Essential parts of a health history include all of the following except:
wv wv wv wv wv wv wv wv wv wv wv
A. Chief complaint wv
B. History of the present illness wv wv wv wv
C. Current vital signs wv wv
D. All of the above are essential history components
wv wv wv wv wv wv wv
wv 4. Which of the following is false? While performing the physical examination, the examiner
wv wv wv wv wv wv wv wv wv wv wv wv wv
must beable to: wv v
w wv
A. Differentiate between normal and abnormal findings wv wv wv wv wv
B. Recall knowledge of a range of conditions and their associated signs and symptoms
wv wv wv wv wv wv wv wv wv wv wv wv
C. Recognize how certain conditions affect the response to other conditions
wv wv wv wv wv wv wv wv wv
D. Foresee unpredictable findings wv wv
wv 5. The following is the least reliable source of information for diagnostic statistics:
wv wv wv wv wv wv wv wv wv wv wv
A. Evidence-based investigations wv
B. Primary reports of research wv wv wv
C. Estimation based on a provider’s experience wv wv wv wv wv
D. Published meta-analyses wv
wv 6. The following can be used to assist in sound clinical decision-making:
wv wv wv wv wv wv wv wv wv wv
A. Algorithm published in a peer-reviewed journal article wv wv wv wv wv wv
B. Clinical practice guidelines wv wv
C. Evidence-based research wv
D. All of the above wv wv wv
wv 7. If a diagnostic study has high sensitivity, this indicates a:
wv wv wv wv wv wv wv wv wv
A. High percentage of persons with the given condition will have an abnormal result
wv wv wv wv wv wv wv wv wv wv wv wv
B. Low percentage of persons with the given condition will have an abnormal result
wv wv wv wv wv wv wv wv wv wv wv wv
C. Low likelihood of normal result in persons without a given condition
wv wv wv wv wv wv wv wv wv wv
D. None of the above wv wv wv
,wv 8. If a diagnostic study has high specificity, this indicates a:
wv wv wv wv wv wv wv wv wv
A. Low percentage of healthy individuals will show a normal result
wv wv wv wv wv wv wv wv wv
B. High percentage of healthy individuals will show a normal result
wv wv wv wv wv wv wv wv wv
C. High percentage of individuals with a disorder will show a normal result
wv wv wv wv wv wv wv wv wv wv wv
D. Low percentage of individuals with a disorder will show an abnormal result
wv wv wv wv wv wv wv wv wv wv wv
wv 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
wv wv wv wv wv wv wv wv wv wv wv
A. Positive result is strongly associated with the disease
wv wv wv wv wv wv wv
B. Negative result is strongly associated with absence of the disease
wv wv wv wv wv wv wv wv wv
C. Positive result is weakly associated with the disease
wv wv wv wv wv wv wv
D. Negative result is weakly associated with absence of the disease
wv wv wv wv wv wv wv wv wv
wv 10. Which of the following clinical reasoning tools is defined as evidence-based resource based on
wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv
mathematical modeling to express the likelihood of a condition in select situations, settings,
wv wv wv wv wv wv wv wv wv wv wv wv wv
and/orpatients?
v
w
A. Clinical practice guideline
wv wv
B. Clinical decision rule
wv wv
C. Clinical algorithm wv
D. Clinical recommendation
wv
, Chapter 1. Assessment and Clinical Decision-Making:
wv wv wv wv wv wv
Answer Section
Overview wv
MULTIPLE CHOICE wv
1. ANS: B w v
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive
wv wv wv wv wv wv wv wv wv wv wv
and analytical. Intuitive decision-making (similar to Augenblink decision-making) is based on
wv wv wv wv wv wv wv wv wv wv wv
the experience and intuition of the clinician and is less reliable and paired with fairly
wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv
common errors. In contrast, analytical decision-making is based on careful consideration and
wv wv wv wv wv wv wv wv wv wv wv wv
has greater reliabilitywith rare errors.
wv wv v
w wv wv
PTS: 1
2. ANS: D w v
To obtain adequate history, providers must be well organized, attentive to the patient’s verbal
wv wv wv wv wv wv wv wv wv wv wv wv wv wv
andnonverbal language, and able to accurately interpret the patient’s responses to questions.
v
w wv wv wv wv wv wv wv wv wv wv wv wv
Rather than reading into the patient’s statements, they clarify any areas of uncertainty.
wv wv wv wv wv wv wv wv wv wv wv wv
PTS: 1
3. ANS: C w v
Vital signs are part of the physical examination portion of patient assessment, not part of the
wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv
healthhistory. v
w
PTS: 1
4. ANS: D w v
While performing the physical examination, the examiner must be able to differentiate between
wv wv wv wv wv wv wv wv wv wv wv wv v
w
normal and abnormal findings, recall knowledge of a range of conditions, including their
wv wv wv wv wv wv wv wv wv wv wv wv wv
associated signs and symptoms, recognize how certain conditions affect the response to other
wv wv wv wv wv wv wv wv wv wv wv wv wv
conditions, and distinguish the relevance of varied abnormal findings.
wv wv wv wv wv wv wv wv
PTS: 1
5. ANS: C w v
Sources for diagnostic statistics include textbooks, primary reports of research, and published
wv wv wv wv wv wv wv wv wv wv wv wv
meta-analyses. Another source of statistics, the one that has been most widely used andwv wv wv wv wv wv wv wv wv wv wv wv wv wv
available for application to the reasoning process, is the estimation based on a provider’s
wv wv wv wv wv wv wv wv wv wv wv wv wv wv
experience, although these are rarely accurate. Over the past decade, the availability of
wv wv wv wv wv wv wv wv wv wv wv wv wv
evidence on which to base clinical reasoning is improving, and there is an increasing
wv wv wv wv wv wv wv wv wv wv wv wv wv wv
expectation that clinical reasoningbe based on scientific evidence. Evidence-based statistics
wv wv wv v
w wv wv wv wv wv wv wv
are also increasingly being used to develop resources to facilitate clinical decision-making.
wv wv wv wv wv wv wv wv wv wv wv
PTS: 1
6. ANS: D w v
To assist in clinical decision-making, a number of evidence-based resources have been
wv wv wv wv wv wv wv wv wv wv wv wv
developedto assist the clinician. Resources, such as algorithms and clinical practice
v
w wv wv wv wv wv wv wv wv wv wv wv
guidelines, assist in clinical reasoning when properly applied. wv wv wv wv wv wv wv
This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 21:32:19 GMT -05:00
wv wv wv wv wv wv wv wv wv wv wv wv wv
https://www.coursehero.com/file/21739484/c1/
Downloaded by: Stuviaaa | wv wv wv wv
Distribution of this document is illegal
wv wv wv wv wv
and Formulating Differential Diagnoses, 5th Edition, Mary Jo
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
,Chapter 1. Assessment and Clinical Decision-Making: Overview
wv wv wv wv wv wv
Multiple Choice
wv
Identify the choice that best completes the statement or answers the question.
wv wv wv wv wv wv wv wv wv wv wv
wv 1. Which type of clinical decision-making is most reliable?
wv wv wv wv wv wv wv
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
wv 2. Which of the following is false? To obtain adequate history, health-care providers must be:
wv wv wv wv wv wv wv wv wv wv wv wv wv
A. Methodical and systematic wv wv
B. Attentive to the patient’s verbal and nonverbal language
wv wv wv wv wv wv wv
C. Able to accurately interpret the patient’s responses
wv wv wv wv wv wv
D. Adept at reading into the patient’s statements
wv wv wv wv wv wv
wv 3. Essential parts of a health history include all of the following except:
wv wv wv wv wv wv wv wv wv wv wv
A. Chief complaint wv
B. History of the present illness wv wv wv wv
C. Current vital signs wv wv
D. All of the above are essential history components
wv wv wv wv wv wv wv
wv 4. Which of the following is false? While performing the physical examination, the examiner
wv wv wv wv wv wv wv wv wv wv wv wv wv
must beable to: wv v
w wv
A. Differentiate between normal and abnormal findings wv wv wv wv wv
B. Recall knowledge of a range of conditions and their associated signs and symptoms
wv wv wv wv wv wv wv wv wv wv wv wv
C. Recognize how certain conditions affect the response to other conditions
wv wv wv wv wv wv wv wv wv
D. Foresee unpredictable findings wv wv
wv 5. The following is the least reliable source of information for diagnostic statistics:
wv wv wv wv wv wv wv wv wv wv wv
A. Evidence-based investigations wv
B. Primary reports of research wv wv wv
C. Estimation based on a provider’s experience wv wv wv wv wv
D. Published meta-analyses wv
wv 6. The following can be used to assist in sound clinical decision-making:
wv wv wv wv wv wv wv wv wv wv
A. Algorithm published in a peer-reviewed journal article wv wv wv wv wv wv
B. Clinical practice guidelines wv wv
C. Evidence-based research wv
D. All of the above wv wv wv
wv 7. If a diagnostic study has high sensitivity, this indicates a:
wv wv wv wv wv wv wv wv wv
A. High percentage of persons with the given condition will have an abnormal result
wv wv wv wv wv wv wv wv wv wv wv wv
B. Low percentage of persons with the given condition will have an abnormal result
wv wv wv wv wv wv wv wv wv wv wv wv
C. Low likelihood of normal result in persons without a given condition
wv wv wv wv wv wv wv wv wv wv
D. None of the above wv wv wv
,wv 8. If a diagnostic study has high specificity, this indicates a:
wv wv wv wv wv wv wv wv wv
A. Low percentage of healthy individuals will show a normal result
wv wv wv wv wv wv wv wv wv
B. High percentage of healthy individuals will show a normal result
wv wv wv wv wv wv wv wv wv
C. High percentage of individuals with a disorder will show a normal result
wv wv wv wv wv wv wv wv wv wv wv
D. Low percentage of individuals with a disorder will show an abnormal result
wv wv wv wv wv wv wv wv wv wv wv
wv 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
wv wv wv wv wv wv wv wv wv wv wv
A. Positive result is strongly associated with the disease
wv wv wv wv wv wv wv
B. Negative result is strongly associated with absence of the disease
wv wv wv wv wv wv wv wv wv
C. Positive result is weakly associated with the disease
wv wv wv wv wv wv wv
D. Negative result is weakly associated with absence of the disease
wv wv wv wv wv wv wv wv wv
wv 10. Which of the following clinical reasoning tools is defined as evidence-based resource based on
wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv
mathematical modeling to express the likelihood of a condition in select situations, settings,
wv wv wv wv wv wv wv wv wv wv wv wv wv
and/orpatients?
v
w
A. Clinical practice guideline
wv wv
B. Clinical decision rule
wv wv
C. Clinical algorithm wv
D. Clinical recommendation
wv
, Chapter 1. Assessment and Clinical Decision-Making:
wv wv wv wv wv wv
Answer Section
Overview wv
MULTIPLE CHOICE wv
1. ANS: B w v
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive
wv wv wv wv wv wv wv wv wv wv wv
and analytical. Intuitive decision-making (similar to Augenblink decision-making) is based on
wv wv wv wv wv wv wv wv wv wv wv
the experience and intuition of the clinician and is less reliable and paired with fairly
wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv
common errors. In contrast, analytical decision-making is based on careful consideration and
wv wv wv wv wv wv wv wv wv wv wv wv
has greater reliabilitywith rare errors.
wv wv v
w wv wv
PTS: 1
2. ANS: D w v
To obtain adequate history, providers must be well organized, attentive to the patient’s verbal
wv wv wv wv wv wv wv wv wv wv wv wv wv wv
andnonverbal language, and able to accurately interpret the patient’s responses to questions.
v
w wv wv wv wv wv wv wv wv wv wv wv wv
Rather than reading into the patient’s statements, they clarify any areas of uncertainty.
wv wv wv wv wv wv wv wv wv wv wv wv
PTS: 1
3. ANS: C w v
Vital signs are part of the physical examination portion of patient assessment, not part of the
wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv wv
healthhistory. v
w
PTS: 1
4. ANS: D w v
While performing the physical examination, the examiner must be able to differentiate between
wv wv wv wv wv wv wv wv wv wv wv wv v
w
normal and abnormal findings, recall knowledge of a range of conditions, including their
wv wv wv wv wv wv wv wv wv wv wv wv wv
associated signs and symptoms, recognize how certain conditions affect the response to other
wv wv wv wv wv wv wv wv wv wv wv wv wv
conditions, and distinguish the relevance of varied abnormal findings.
wv wv wv wv wv wv wv wv
PTS: 1
5. ANS: C w v
Sources for diagnostic statistics include textbooks, primary reports of research, and published
wv wv wv wv wv wv wv wv wv wv wv wv
meta-analyses. Another source of statistics, the one that has been most widely used andwv wv wv wv wv wv wv wv wv wv wv wv wv wv
available for application to the reasoning process, is the estimation based on a provider’s
wv wv wv wv wv wv wv wv wv wv wv wv wv wv
experience, although these are rarely accurate. Over the past decade, the availability of
wv wv wv wv wv wv wv wv wv wv wv wv wv
evidence on which to base clinical reasoning is improving, and there is an increasing
wv wv wv wv wv wv wv wv wv wv wv wv wv wv
expectation that clinical reasoningbe based on scientific evidence. Evidence-based statistics
wv wv wv v
w wv wv wv wv wv wv wv
are also increasingly being used to develop resources to facilitate clinical decision-making.
wv wv wv wv wv wv wv wv wv wv wv
PTS: 1
6. ANS: D w v
To assist in clinical decision-making, a number of evidence-based resources have been
wv wv wv wv wv wv wv wv wv wv wv wv
developedto assist the clinician. Resources, such as algorithms and clinical practice
v
w wv wv wv wv wv wv wv wv wv wv wv
guidelines, assist in clinical reasoning when properly applied. wv wv wv wv wv wv wv
This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 21:32:19 GMT -05:00
wv wv wv wv wv wv wv wv wv wv wv wv wv
https://www.coursehero.com/file/21739484/c1/
Downloaded by: Stuviaaa | wv wv wv wv
Distribution of this document is illegal
wv wv wv wv wv
