TESTBANK x
x
Evidence-Based Physical Examination Best Practices
x x x
for Health & Well-BeingAssessment by Kate Gawlic
x x x x x x x
1st Edition
x
TEST BANK x
,Chapter x1. xAPPROACH xTO xEVIDENCE-BASED xASSESSMENT xOF xHEALTH
xAND xWELL-BEING
Kate xGawlic: xEvidence-Based xPhysical xExamination xBest xPractices xfor xHealth x& xWell-
xBeingAssessment x1st xEdition
MULTIPLE xCHOICE
1. After xcompleting xan xinitial xassessment xof xa xpatient, xthe xnurse xhas xcharted xthat
xhis xrespirations xare xeupneic xand xhis xpulse xis x 58 xbeats xper xminute. xThese xtypes xof
xdata xwould xbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: xA
Objective xdata xare xwhat xthe xhealth xprofessional xobserves xby xinspecting,
xpercussing, xpalpating, xand xauscultating xduring xthe xphysical xexamination.
xSubjective xdata xis xwhat xthe xperson xsays xabout xhim xor xherself xduring xhistory
xtaking. xThe xterms xreflective xand xintrospective xare xnot xused xto xdescribe xdata.
DIF: xCognitive xLevel: xUnderstanding x(Comprehension) xREF: xz. x2
MSC: xClient xNeeds: xSafe xand xEffective xCare xEnvironment: xManagement xof xCare
2. A xpatient xtells xthe xnurse xthat xhe xis xvery xnervous, xis xnauseated, xand xfeels xhot.
xThese xtypes xof xdata xwould xbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
,ANS: xC
Subjective xdata xare xwhat xthe xperson xsays xabout xhim xor xherself xduring xhistory xtaking. xObjective
, data xare xwhat xthe xhealth xprofessional xobserves xby xinspecting, xpercussing,
xpalpating, xand xauscultating xduring xthe xphysical xexamination. xThe xterms xreflective
xand xintrospective xare xnot xused xto xdescribe xdata.
DIF: xCognitive xLevel: xUnderstanding x(Comprehension) xREF: xz. x2
MSC: xClient xNeeds: xSafe xand xEffective xCare xEnvironment: xManagement xof xCare
3. The xpatients xrecord, xlaboratory xstudies, xobjective xdata, xand xsubjective xdata
xcombine xto xform xthe:
a Data xbase.
.
b Admitting xdata.
.
c Financial xstatement.
.
d Discharge xsummary.
.
ANS: xA
Together xwith xthe xpatients xrecord xand xlaboratory xstudies, xthe xobjective xand
xsubjective xdata xform xthe xdata xbase. xThe xother xitems xare xnot xpart xof xthe xpatients
xrecord, xlaboratory xstudies, xor xdata.
DIF: xCognitive xLevel: xRemembering x(Knowledge) xREF: xz. x2
MSC: xClient xNeeds: xSafe xand xEffective xCare xEnvironment: xManagement xof xCare
4. When xlistening xto xa xpatients xbreath xsounds, xthe xnurse xis xunsure xof xa xsound
xthat xis xheard. xThe xnurses xnext xaction xshould xbe xto:
a Immediately xnotify xthe xpatients xphysician.
.
b Document xthe xsound xexactly xas xit xwas xheard.
.
c Validate xthe xdata xby xasking xa xcoworker xto xlisten xto xthe xbreath xsounds.
.
d Assess xagain xin x20 xminutes xto xnote xwhether xthe xsound xis xstill xpresent.
.
ANS: xC
When xunsure xof xa xsound xheard xwhile xlistening xto xa xpatients xbreath xsounds, xthe
xnurse xvalidates xthe xdata xto xensure xaccuracy. xIf xthe xnurse xhas xless xexperience xin xan
xarea, xthen xhe xor xshe xasks xan xexpert x to xlisten.
x
Evidence-Based Physical Examination Best Practices
x x x
for Health & Well-BeingAssessment by Kate Gawlic
x x x x x x x
1st Edition
x
TEST BANK x
,Chapter x1. xAPPROACH xTO xEVIDENCE-BASED xASSESSMENT xOF xHEALTH
xAND xWELL-BEING
Kate xGawlic: xEvidence-Based xPhysical xExamination xBest xPractices xfor xHealth x& xWell-
xBeingAssessment x1st xEdition
MULTIPLE xCHOICE
1. After xcompleting xan xinitial xassessment xof xa xpatient, xthe xnurse xhas xcharted xthat
xhis xrespirations xare xeupneic xand xhis xpulse xis x 58 xbeats xper xminute. xThese xtypes xof
xdata xwould xbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: xA
Objective xdata xare xwhat xthe xhealth xprofessional xobserves xby xinspecting,
xpercussing, xpalpating, xand xauscultating xduring xthe xphysical xexamination.
xSubjective xdata xis xwhat xthe xperson xsays xabout xhim xor xherself xduring xhistory
xtaking. xThe xterms xreflective xand xintrospective xare xnot xused xto xdescribe xdata.
DIF: xCognitive xLevel: xUnderstanding x(Comprehension) xREF: xz. x2
MSC: xClient xNeeds: xSafe xand xEffective xCare xEnvironment: xManagement xof xCare
2. A xpatient xtells xthe xnurse xthat xhe xis xvery xnervous, xis xnauseated, xand xfeels xhot.
xThese xtypes xof xdata xwould xbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
,ANS: xC
Subjective xdata xare xwhat xthe xperson xsays xabout xhim xor xherself xduring xhistory xtaking. xObjective
, data xare xwhat xthe xhealth xprofessional xobserves xby xinspecting, xpercussing,
xpalpating, xand xauscultating xduring xthe xphysical xexamination. xThe xterms xreflective
xand xintrospective xare xnot xused xto xdescribe xdata.
DIF: xCognitive xLevel: xUnderstanding x(Comprehension) xREF: xz. x2
MSC: xClient xNeeds: xSafe xand xEffective xCare xEnvironment: xManagement xof xCare
3. The xpatients xrecord, xlaboratory xstudies, xobjective xdata, xand xsubjective xdata
xcombine xto xform xthe:
a Data xbase.
.
b Admitting xdata.
.
c Financial xstatement.
.
d Discharge xsummary.
.
ANS: xA
Together xwith xthe xpatients xrecord xand xlaboratory xstudies, xthe xobjective xand
xsubjective xdata xform xthe xdata xbase. xThe xother xitems xare xnot xpart xof xthe xpatients
xrecord, xlaboratory xstudies, xor xdata.
DIF: xCognitive xLevel: xRemembering x(Knowledge) xREF: xz. x2
MSC: xClient xNeeds: xSafe xand xEffective xCare xEnvironment: xManagement xof xCare
4. When xlistening xto xa xpatients xbreath xsounds, xthe xnurse xis xunsure xof xa xsound
xthat xis xheard. xThe xnurses xnext xaction xshould xbe xto:
a Immediately xnotify xthe xpatients xphysician.
.
b Document xthe xsound xexactly xas xit xwas xheard.
.
c Validate xthe xdata xby xasking xa xcoworker xto xlisten xto xthe xbreath xsounds.
.
d Assess xagain xin x20 xminutes xto xnote xwhether xthe xsound xis xstill xpresent.
.
ANS: xC
When xunsure xof xa xsound xheard xwhile xlistening xto xa xpatients xbreath xsounds, xthe
xnurse xvalidates xthe xdata xto xensure xaccuracy. xIf xthe xnurse xhas xless xexperience xin xan
xarea, xthen xhe xor xshe xasks xan xexpert x to xlisten.
