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Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses 4th Edition Goolsby Test Bank

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Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses 4th Edition Goolsby Test Bank

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TESTgBANKgFORgADVANCEDgASSESS
MENT:gINTERPRETINGgFINDINGSgAND
gFORMULATINGgDIFFERENTIALgDIAGN
OSES




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Chapterg1.gAssessmentgandgClinicalgDecision-Making:gOverview

MultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.

1. Whichgtypegofgclinicalgdecision-makinggisgmostgreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichgofgthegfollowinggisgfalse?gTogobtaingadequateghistory,ghealth-caregprovidersgmustgbe:
A. Methodicalgandgsystematic
B. Attentivegtogthegpatient’sgverbalgandgnonverbalglanguage
C. Ablegtogaccuratelyginterpretgthegpatient’sgresponses
D. Adeptgatgreadinggintogthegpatient’sgstatements
3. Essentialgpartsgofgaghealthghistorygincludegallgofgthegfollowinggexcept:
A. Chiefgcomplaint
B. Historygofgthegpresentgillness
C. Currentgvitalgsigns
D. Allgofgthegabovegaregessentialghistorygcomponents
4. Whichgofgthegfollowinggisgfalse?gWhilegperforminggthegphysicalgexamination,gthegexaminerg
mustgbegablegto:
A. Differentiategbetweengnormalgandgabnormalgfindings
B. Recallgknowledgegofgagrangegofgconditionsgandgtheirgassociatedgsignsgandgsymptoms
C. Recognizeghowgcertaingconditionsgaffectgthegresponsegtogothergconditions
D. Foreseegunpredictablegfindings
5. Thegfollowinggisgthegleastgreliablegsourcegofginformationgforgdiagnosticgstatistics:
A. Evidence-basedginvestigations
B. Primarygreportsgofgresearch
C. Estimationgbasedgongagprovider’sgexperience
D. Publishedgmeta-analyses
6. Thegfollowinggcangbegusedgtogassistgingsoundgclinicalgdecision-making:
A. Algorithmgpublishedgingagpeer-reviewedgjournalgarticle
B. Clinicalgpracticegguidelines
C. Evidence-basedgresearch
D. Allgofgthegabove
7. Ifgagdiagnosticgstudyghasghighgsensitivity,gthisgindicatesga:
A. Highgpercentagegofgpersonsgwithgtheggivengconditiongwillghavegangabnormalgresult
B. Lowgpercentagegofgpersonsgwithgtheggivengconditiongwillghavegangabnormalgresult
C. Lowglikelihoodgofgnormalgresultgingpersonsgwithoutgaggivengcondition
D. Nonegofgthegabove




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8. Ifgagdiagnosticgstudyghasghighgspecificity,gthisgindicatesga:
A. Lowgpercentagegofghealthygindividualsgwillgshowgagnormalgresult
B. Highgpercentagegofghealthygindividualsgwillgshowgagnormalgresult
C. Highgpercentagegofgindividualsgwithgagdisordergwillgshowgagnormalgresult
D. Lowgpercentagegofgindividualsgwithgagdisordergwillgshowgangabnormalgresult
9. Aglikelihoodgratiogaboveg1gindicatesgthatgagdiagnosticgtestgshowingga:
A. Positivegresultgisgstronglygassociatedgwithgthegdisease
B. Negativegresultgisgstronglygassociatedgwithgabsencegofgthegdisease
C. Positivegresultgisgweaklygassociatedgwithgthegdisease
D. Negativegresultgisgweaklygassociatedgwithgabsencegofgthegdisease
10. Whichgofgthegfollowinggclinicalgreasoninggtoolsgisgdefinedgasgevidence-
basedgresourcegbasedgongmathematicalgmodelinggtogexpressgtheglikelihoodgofgagconditiongin
gselectgsituations,gsettings,gand/orgpatients?
A. Clinicalgpracticegguideline
B. Clinicalgdecisiongrule
C. Clinicalgalgorithm
D. Clinicalgrecommendation




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Chapterg1.gAssessmentgandgClinicalgDecision-
Making:gOverviewgAnswergSection

MULTIPLEgCHOICE

1. ANS:g g B
Croskerryg(2009)gdescribesgtwogmajorgtypesgofgclinicalgdiagnosticgdecision-
making:gintuitivegandganalytical.gIntuitivegdecision-makingg(similargtogAugenblinkgdecision-
making)gisgbasedgongthegexperiencegandgintuitiongofgthegcliniciangandgisglessgreliablegandg
pairedgwithgfairlygcommongerrors.gIngcontrast,ganalyticalgdecision-
makinggisgbasedgongcarefulgconsiderationgandghasggreatergreliabilitygwithgraregerrors.

PTS: 1
2. ANS:g g D
Togobtaingadequateghistory,gprovidersgmustgbegwellgorganized,gattentivegtogthegpatient’sgver
balgandgnonverbalglanguage,gandgablegtogaccuratelyginterpretgthegpatient’sgresponsesgtogque
stions.gRathergthangreadinggintogthegpatient’sgstatements,gtheygclarifyganygareasgofguncertai
nty.

PTS: 1
3. ANS:g g C
Vitalgsignsgaregpartgofgthegphysicalgexaminationgportiongofgpatientgassessment,gnotgpartgofgth
eghealthghistory.

PTS: 1
4. ANS:g g D
Whilegperforminggthegphysicalgexamination,gthegexaminergmustgbegablegtogdifferentiategbet
weengnormalgandgabnormalgfindings,grecallgknowledgegofgagrangegofgconditions,gincludingg
theirgassociatedgsignsgandgsymptoms,grecognizeghowgcertaingconditionsgaffectgthegresponseg
togothergconditions,gandgdistinguishgthegrelevancegofgvariedgabnormalgfindings.

PTS: 1
5. ANS:g g C
Sourcesgforgdiagnosticgstatisticsgincludegtextbooks,gprimarygreportsgofgresearch,gandgpublis
hedgmeta-
analyses.gAnothergsourcegofgstatistics,gthegonegthatghasgbeengmostgwidelygusedgandgavaila
blegforgapplicationgtogthegreasoninggprocess,gisgthegestimationgbasedgongagprovider’sgexpe
rience,galthoughgthesegaregrarelygaccurate.gOvergthegpastgdecade,gthegavailabilitygofgeviden
cegongwhichgtogbasegclinicalgreasoninggisgimproving,gandgtheregisgangincreasinggexpectatio
ngthatgclinicalgreasoninggbegbasedgongscientificgevidence.gEvidence-
basedgstatisticsgaregalsogincreasinglygbeinggusedgtogdevelopgresourcesgtogfacilitategclinicalg
decision-making.

PTS: 1
6. ANS:g g D
Togassistgingclinicalgdecision-making,gagnumbergofgevidence-
basedgresourcesghavegbeengdevelopedgtogassistgthegclinician.gResources,gsuchgasgalgorithms
gandgclinicalgpracticegguidelines,gassistgingclinicalgreasoninggwhengproperlygapplied.



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Mary Jo Goolsby, Laurie Grubbs Advanced Assessment
Publisher: 2018 ISBN: 9780803690059 Edition: Unknown

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