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History Taking 13th Edition Bickley Test
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Bank
,
, Bates’ Guide To Physical Examination and History Taking 13th Editi
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on Bickley Test Bank ew ew ew
CHAPTER
1 Foundations for Clinical Proficiency ew ew ew ew e
MULTIPLE CHOICE
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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 ew
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 des
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cribe data. ew
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 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 ew
Subjective data are what the person says about him or herself during history taking. Objec
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tive data are what the health professional observes by inspecting, percussing, palpating, and
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, Bates’ Guide To Physical Examination and History Taking 13th
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Edition Bickley Test Bank ew ew ew
auscultating during the physical examination. The terms reflective and introspective are not used
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to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 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 t
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o form the:
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a Data base. ew
.
b Admitting data. ew
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c Financial statement. ew
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d Discharge summary. ew
.
ANS: A ew
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: p. 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 hear
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d. The nurses next action should be to:
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a Immediately notify the patients physician. ew ew ew ew
.
b Document the sound exactly as it was heard. ew ew ew ew ew ew ew
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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 ew
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates th
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e data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an exp
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ert to listen.e w ew
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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