PlusBay.Plus
,Bates’fGuidefTofPhysicalfExaminationfandfHistoryfTaking,f13thfEditionfbyfBickley
PlusBay.Plus
,Bates’fGuidefTofPhysicalfExaminationfandfHistoryfTaking,f13thfEditionfbyfBickley
Bates'fGuideftofPhysicalfExaminationfandfHistoryfTakingf13thfEditionfBickleyfTestfBankfCH
APTERf1 ApproachftofthefClinicalfEncounter
Afterfcompletingfanfinitialfassessmentfoffafpatient,fthefnursefhasfchartedfthatfhisfrespiratio
nsfarefeupneicfandfhisfpulsefisf58fbeatsfperfminute.fTheseftypesfoffdatafwouldfbe:
a
Objective.
b
Reflective.
c
Subjective.
d
Introspective.
ANS:fA
Objectivefdatafarefwhatfthefhealthfprofessionalfobservesfbyfinspecting,fpercussing,fpalpa
ting,fandfauscultatingfduringfthefphysicalfexamination.fSubjectivefdatafisfwhatfthefperso
nfsaysfaboutfhimforfherselffduringfhistoryftaking.fTheftermsfreflectivefandfintrospectivefar
efnotfusedftofdescribefdata.
DIF:fCognitivef Level:f Understandingf (Comprehension)f REF:f p.f2
MSC:fClientf Needs:f SafefandfEffectivef Caref Environment:f ManagementfoffCare
• Afpatientftellsfthefnursefthatfhefisfveryfnervous,fisfnauseated,fandffeelsfhot.fThe
seftypesfoffdatafwouldfbe:
a
Objective.
b
Reflective.
c
Subjective.
d
Introspective.
ANS:fC
Subjectivefdatafarefwhatfthefpersonfsaysfaboutfhimforfherselffduringfhistoryftaking.fObjec
tivefdatafarefwhatfthefhealthfprofessionalfobservesfbyfinspecting,fpercussing,fpalpating,fa
ndfauscultatingfduringfthefphysicalfexamination.fTheftermsfreflectivefandfintrospectivefa
refnotfused
tofdescribef data.
PlusBay.Plus
, Bates’fGuidefTofPhysicalfExaminationfandfHistoryfTaking,f13thfEditionfbyfBickley
DIF:fCognitivef Level:f Understandingf (Comprehension)f REF:f p.f2
MSC:fClientf Needs:f SafefandfEffectivef Caref Environment:f ManagementfoffCare
• Thefpatientsfrecord,flaboratoryfstudies,fobjectivefdata,fandfsubjectivefdatafco
mbineftofformfthe:
a
Datafbase.
b
Admittingfdata.
c
Financialfstatement.
d
Dischargefsummary.
ANS:fA
Togetherfwithfthefpatientsfrecordfandflaboratoryfstudies,fthefobjectivefandfsubjectivefdataffor
mfthefdatafbase.fThefotherfitemsfarefnotfpartfoffthefpatientsfrecord,flaboratoryfstudies,forfdata
.
DIF:f Cognitivef Level:f Rememberingf (Knowledge)fREF:f p.f 2
MSC:fClientf Needs:f SafefandfEffectivef Caref Environment:f ManagementfoffCare
• Whenflisteningftofafpatientsfbreathfsounds,fthefnursefisfunsurefoffafsoundfthatfisfhear
d.fThefnursesfnextfactionfshouldfbefto:
a
Immediatelyf notifyf thef patientsf physician.
b
Documentfthefsoundfexactlyf asfitf wasf heard.
c Validatefthefdatafbyfaskingfafcoworkerftofliste
nftofthefbreathfsounds.
d Assessfagainfinf20fminutesftofnotefwhetherfth
efsoundfisfstillfpresent.
ANS:fC
Whenfunsurefoffafsoundfheardfwhileflisteningftofafpatientsfbreathfsounds,fthefnursefvalidatesft
hefdataftofensurefaccuracy.fIffthefnursefhasflessfexperiencefinfanfarea,fthenfheforfshefasksfanfex
pertftoflisten.
DIF:f Cognitivef Level:fAnalyzingf (Analysis)f REF:f p.f2
MSC:fClientf Needs:f SafefandfEffectivef Caref Environment:f ManagementfoffCare
• Thefnursefisfconductingfafclassfforfnewfgraduatefnurses.fDuringfthefteachingfsess
ion,fthefnursefshouldfkeepfinfmindfthatfnovicefnurses,fwithoutfa
backgroundfoffskillsfandfexperienceffromfwhichftofdraw,farefmoreflikelyftofmakeft
heirfdecisionsf using:
PlusBay.Plus