v v
TEST BANK FOR ADVANCED HEALTH ASSESSMENT &
v v v v v v
CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION
v v v v v v
DAINS ISBN: 9780323594554
v v v
This Test Bank is Directly from The Publisher
v v v v v v v
Has All Chapters With 100% Correct Answers
v v v v v v v
INSTANT DOWNLOAD
v v
, lOMoARcPSD| 126
v v
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care
v v v v v v v v v v v
6th Edition Dains v v v
Chapter v1: vClinical vReasoning, vDifferential vDiagnosis, vEvidence-Based vPractice, vand vSymptom vAnalysis
Multiple vChoice
Identify vthe vchoice vthat vbest vcompletes vthe vstatement vor vanswers vthe vquestion.
1. Which vtype vof vclinical vdecision-making vis vmost vreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which vof vthe vfollowing vis vfalse? vTo vobtain vadequate vhistory, vhealth-care vproviders vmust vbe:
A. Methodical vand vsystematic
B. Attentive vto vthe vpatient‘s vverbal vand vnonverbal
vlanguage
C. Able vto vaccurately vinterpret vthe vpatient‘s vresponses
D. Adept vat vreading vinto vthe vpatient‘s vstatements
3. Essential vparts vof va vhealth vhistory vinclude vall vof vthe vfollowing vexcept:
A. Chief vcomplaint
B. History vof vthe vpresent villness
C. Current vvital vsigns
D. All vof vthe vabove vare vessential vhistory
vcomponents
4. Which vof vthe vfollowing vis vfalse? vWhile vperforming vthe vphysical vexamination, vthe vexaminer vmust vbe vable vto:
A. Differentiate vbetween vnormal vand vabnormal vfindings
B. Recall vknowledge vof va vrange vof vconditions vand vtheir vassociated vsigns vand
vsymptoms
C. Recognize vhow vcertain vconditions vaffect vthe vresponse vto vother vconditions
D. Foresee vunpredictable v findings
5. The vfollowing vis vthe vleast vreliable vsource vof vinformation vfor vdiagnostic vstatistics:
A. Evidence-based v investigations
B. Primary vreports vof vresearch
C. Estimation vbased von va vprovider‘s
vexperience
D. Published v meta-analyses
6. The vfollowing vcan vbe vused vto vassist vin vsound vclinical vdecision-making:
A. Algorithm vpublished vin va vpeer-reviewed vjournal
varticle
B. Clinical vpractice vguidelines
C. Evidence-based v research
D. All vof vthe vabove
7. If va vdiagnostic vstudy vhas vhigh vsensitivity, vthis vindicates va:
A. High vpercentage vof vpersons vwith vthe vgiven vcondition vwill vhave van vabnormal
vresult
B. Low vpercentage vof vpersons vwith vthe vgiven vcondition vwill vhave van vabnormal
vresult
C. Low vlikelihood vof vnormal vresult vin vpersons vwithout va vgiven vcondition
D. None vof vthe vabove
8. If va vdiagnostic vstudy vhas vhigh vspecificity, vthis vindicates va:
A. Low vpercentage vof vhealthy vindividuals vwill vshow va vnormal vresult
B. High vpercentage vof vhealthy vindividuals vwill vshow va vnormal vresult
C. High vpercentage vof vindividuals vwith va vdisorder vwill vshow va vnormal vresult
D. Low vpercentage vof vindividuals vwith va vdisorder vwill vshow van vabnormal
vresult
9. A vlikelihood vratio vabove v1 vindicates vthat va vdiagnostic vtest vshowing va:
A. Positive vresult vis vstrongly vassociated vwith vthe vdisease
B. Negative vresult vis vstrongly vassociated vwith vabsence vof vthe
vdisease
C. Positive vresult vis vweakly vassociated vwith vthe vdisease
D. Negative vresult vis vweakly vassociated vwith vabsence vof vthe
vdisease
10. Which vof vthe vfollowing vclinical vreasoning vtools vis vdefined vas vevidence-based vresource vbased von vmathematical
, lOMoARcPSD| 126
v modeling vto vexpress vthe vlikelihood vof va vcondition vin vselectv vvsituations, vsettings, vand/or vpatients?
, lOMoARcPSD| 126
v v
A. Clinical vpractice vguideline
B. Clinical vdecision vrule
C. Clinical valgorithm
Chapter v1: vClinical vreasoning, vdifferential vdiagnosis, vevidence-based vpractice, vand vsymptom vana
Answer vSection
MULTIPLE vCHOICE
1. ANS: B
Croskerry v(2009) vdescribes vtwo vmajor vtypes vof vclinical vdiagnostic vdecision-making: vintuitive vand vanalytical. vIntuitive
vdecision- vmaking v(similar vto vAugenblink vdecision-making) vis vbased von vthe vexperience vand vintuition vof vthe vclinician vand vis
vless vreliable vand vpaired vwith vfairly vcommon verrors. vIn vcontrast, vanalytical vdecision-making vis vbased von vcareful
vconsideration vand vhas vgreater vreliability vwith vrare verrors.
PTS: 1
2. ANS: D
To vobtain vadequate vhistory, vproviders vmust vbe vwell vorganized, vattentive vto vthe vpatient‘s vverbal vand vnonverbal vlanguage, vand
vable vto vaccurately vinterpret vthe vpatient‘s vresponses vto vquestions. vRather vthan vreading vinto vthe vpatient‘s vstatements, vthey
vclarify vany vareas vof vuncertainty.
PTS: 1
3. ANS: C
Vital vsigns vare vpart vof vthe vphysical vexamination vportion vof vpatient vassessment, vnot vpart vof vthe vhealth vhistory.
PTS: 1
4. ANS: D
While vperforming vthe vphysical vexamination, vthe vexaminer vmust vbe vable vto vdifferentiate vbetween vnormal vand vabnormal
vfindings, vrecall vknowledge vof va vrange vof vconditions, vincluding vtheir vassociated vsigns vand vsymptoms, vrecognize vhow vcertain
vconditions vaffect vthe vresponse vto vother vconditions, vand vdistinguish vthe vrelevance vof vvaried vabnormal vfindings.
PTS: 1
5. ANS: C
Sources vfor vdiagnostic vstatistics vinclude vtextbooks, vprimary vreports vof vresearch, vand vpublished vmeta-analyses. vAnother
vsource vof vstatistics, vthe vone vthat vhas vbeen vmost vwidely vused vand vavailable vfor vapplication vto vthe vreasoning vprocess, vis vthe
vestimation vbased von va vprovider‘s vexperience, valthough vthese vare vrarely vaccurate. vOver vthe vpast vdecade, vthe vavailability vof
vevidence von vwhich vto vbase vclinical vreasoning vis vimproving, v and vthere vis van vincreasing vexpectation vthat vclinical vreasoning
vbe vbased von vscientific vevidence.
Evidence-based vstatistics vare valso vincreasingly vbeing vused vto vdevelop v resources vto vfacilitate v clinical v decision-making.
PTS: 1
6. ANS: D
To vassist vin vclinical vdecision-making, va vnumber vof vevidence-based vresources vhave vbeen vdeveloped vto vassist vthe vclinician.
vResources, vsuch vas valgorithms vand vclinical vpractice vguidelines, vassist vin vclinical vreasoning vwhen vproperly vapplied.
PTS: 1
7. ANS: A
The vsensitivity vof va vdiagnostic vstudy vis vthe vpercentage vof vindividuals vwith vthe vtarget vcondition vwho vshow van vabnormal, vor
v positive, vresult. vA vhigh vsensitivity vindicates vthat va vgreater vpercentage vof vpersons vwith vthe vgiven vcondition vwill vhave van
vabnormal vresult.
PTS: 1
8. ANS: B
The vspecificity vof va vdiagnostic vstudy vis vthe vpercentage vof vnormal, vhealthy vindividuals vwho vhave va vnormal vresult. vThe
vgreater vthe vspecificity, vthe vgreater vthe vpercentage vof vindividuals vwho vwill vhave vnegative, vor vnormal, vresults vif vthey vdo vnot
vhave vthe vtarget vcondition.
PTS: 1
9. ANS: A
The vlikelihood vratio vis vthe vprobability vthat va vpositive vtest vresult vwill vbe vassociated vwith va vperson vwho vhas vthe vtarget
vcondition vand va vnegative vresult vwill vbe vassociated vwith va vhealthy vperson. vA vlikelihood vratio vabove v1 vindicates vthat va
vpositive vresult vis vassociated vwith vthe vdisease; va vlikelihood vratio vless vthan v1 vindicates vthat va vnegative vresult vis vassociated
vwith van vabsence vof vthe vdisease.