TEST BANK for Evidence-Based
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
Page 1 of 1432
,Chapterh21.h2APPROACHh2TOh2EVIDENCE-BASEDh2ASSESSMENTh2OFh2HEALTHh2ANDh2WELL-
h2BEING
MULTIPLEh2CHOICE
1. Afterh2completingh2anh2initialh2assessmenth2ofh2ah2patient,h2theh2nurseh2hash2chartedh2thath2hish2respir
ationsh2areh2eupneich2andh2hish2pulseh2ish258h2beatsh2perh2minute.h2Theseh2typesh2ofh2datah2wouldh2be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h2A
Objectiveh2datah2areh2whath2theh2healthh2professionalh2observesh2byh2inspecting,h2percussing,h2palpating,h2an
dh2auscultatingh2duringh2theh2physicalh2examination.h2Subjectiveh2datah2ish2whath2theh2personh2saysh2abouth2hi
mh2orh2herselfh2duringh2historyh2taking.h2Theh2termsh2reflectiveh2andh2introspectiveh2areh2noth2usedh2toh2descri
beh2data.
DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
2. Ah2patienth2tellsh2theh2nurseh2thath2heh2ish2veryh2nervous,h2ish2nauseated,h2andh2feelsh2hot.h2Theseh2typesh2of
h2datah2wouldh2be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h2C
Subjectiveh2datah2areh2whath2theh2personh2saysh2abouth2himh2orh2herselfh2duringh2historyh2taking.h2Objecti
veh2datah2areh2whath2theh2healthh2professionalh2observesh2byh2inspecting,h2percussing,h2palpating,h2andh2au
scultatingh2duringh2theh2physicalh2examination.h2Theh2termsh2reflectiveh2andh2introspectiveh2areh2noth2use
dh2toh2describeh2data.
DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
Pageh22h2ofh2143
2
,3. Theh2patientsh2record,h2laboratoryh2studies,h2objectiveh2data,h2andh2subjectiveh2datah2combineh2toh2formh2the:
a. Datah2base.
b. Admittingh2data.
c. Financialh2statement.
d. Dischargeh2summary.
ANS:h2A
Togetherh2withh2theh2patientsh2recordh2andh2laboratoryh2studies,h2theh2objectiveh2andh2subjectiveh2datah2formh2t
heh2datah2base.h2Theh2otherh2itemsh2areh2noth2parth2ofh2theh2patientsh2record,h2laboratoryh2studies,h2orh2data.
DIF:h2Cognitiveh2Level:h2Rememberingh2(Knowledge)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
4. Whenh2listeningh2toh2ah2patientsh2breathh2sounds,h2theh2nurseh2ish2unsureh2ofh2ah2soundh2thath2ish2heard.h2The
h2nursesh2nexth2actionh2shouldh2beh2to:
a. Immediatelyh2notifyh2theh2patientsh2physician.
b. Documenth2theh2soundh2exactlyh2ash2ith2wash2heard.
c. Validateh2theh2datah2byh2askingh2ah2coworkerh2toh2listenh2toh2theh2breathh2sounds.
d. Assessh2againh2inh220h2minutesh2toh2noteh2whetherh2theh2soundh2ish2stillh2present.
ANS:h2C
Whenh2unsureh2ofh2ah2soundh2heardh2whileh2listeningh2toh2ah2patientsh2breathh2sounds,h2theh2nurseh2validatesh2t
heh2datah2toh2ensureh2accuracy.h2Ifh2theh2nurseh2hash2lessh2experienceh2inh2anh2area,h2thenh2heh2orh2sheh2asksh2a
nh2experth2toh2listen.
DIF:h2Cognitiveh2Level:h2Analyzingh2(Analysis)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
5. Theh2nurseh2ish2conductingh2ah2classh2forh2newh2graduateh2nurses.h2Duringh2theh2teachingh2session,h2theh2nu
rseh2shouldh2keeph2inh2mindh2thath2noviceh2nurses,h2withouth2ah2backgroundh2ofh2skillsh2andh2experienceh2fro
mh2whichh2toh2draw,h2areh2moreh2likelyh2toh2makeh2theirh2decisionsh2using:
a. Intuition.
b. Ah2seth2ofh2rules.
Pageh23h2ofh2143
2
, c. Articlesh2inh2journals.
d. Adviceh2fromh2supervisors.
ANS:h2B
Noviceh2nursesh2operateh2fromh2ah2seth2ofh2defined,h2structuredh2rules.h2Theh2experth2practitionerh2usesh2intuiti
veh2links.h2DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h23h2MSC:h2Clienth2Needs:h2
General
6. Experth2nursesh2learnh2toh2attendh2toh2ah2patternh2ofh2assessmenth2datah2andh2acth2withouth2consciouslyh2
labelingh2it.h2Theseh2responsesh2areh2referredh2toh2as:
a. Intuition.
b. Theh2nursingh2process.
c. Clinicalh2knowledge.
d. Diagnostich2reasoning.
ANS:h2A
Intuitionh2ish2characterizedh2byh2patternh2recognitionh2experth2nursesh2learnh2toh2attendh2toh2ah2patternh2ofh2asse
ssmenth2datah2andh2acth2withouth2consciouslyh2labelingh2it.h2Theh2otherh2optionsh2areh2noth2correct.
DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h24h2MSC:h2Clienth2Needs:h2General
7. Theh2nurseh2ish2reviewingh2informationh2abouth2evidence-
basedh2practiceh2(EBP).h2Whichh2statementh2besth2reflectsh2EBP?
a. EBPh2reliesh2onh2traditionh2forh2supporth2ofh2besth2practices.
b. EBPh2ish2simplyh2theh2useh2ofh2besth2practiceh2techniquesh2forh2theh2treatmenth2ofh2patients.
c. EBPh2emphasizesh2theh2useh2ofh2besth2evidenceh2withh2theh2cliniciansh2experience.
d. Theh2patientsh2ownh2preferencesh2areh2noth2importanth2withh2
EBP.h2ANS:h2C
EBPh2ish2ah2systematich2approachh2toh2practiceh2thath2emphasizesh2theh2useh2ofh2besth2evidenceh2inh2combinationh2
withh2theh2cliniciansh2experience,h2ash2wellh2ash2patienth2preferencesh2andh2values,h2whenh2makingh2decisionsh2ab
outh2careh2andh2treatment.h2EBPh2ish2moreh2thanh2simplyh2usingh2theh2besth2practiceh2techniquesh2toh2treath2patient
s,h2andh2questioningh2traditionh2ish2importanth2whenh2noh2compellingh2andh2supportiveh2researchh2evidenceh2exist
s.
Pageh24h2ofh2143
2
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
Page 1 of 1432
,Chapterh21.h2APPROACHh2TOh2EVIDENCE-BASEDh2ASSESSMENTh2OFh2HEALTHh2ANDh2WELL-
h2BEING
MULTIPLEh2CHOICE
1. Afterh2completingh2anh2initialh2assessmenth2ofh2ah2patient,h2theh2nurseh2hash2chartedh2thath2hish2respir
ationsh2areh2eupneich2andh2hish2pulseh2ish258h2beatsh2perh2minute.h2Theseh2typesh2ofh2datah2wouldh2be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h2A
Objectiveh2datah2areh2whath2theh2healthh2professionalh2observesh2byh2inspecting,h2percussing,h2palpating,h2an
dh2auscultatingh2duringh2theh2physicalh2examination.h2Subjectiveh2datah2ish2whath2theh2personh2saysh2abouth2hi
mh2orh2herselfh2duringh2historyh2taking.h2Theh2termsh2reflectiveh2andh2introspectiveh2areh2noth2usedh2toh2descri
beh2data.
DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
2. Ah2patienth2tellsh2theh2nurseh2thath2heh2ish2veryh2nervous,h2ish2nauseated,h2andh2feelsh2hot.h2Theseh2typesh2of
h2datah2wouldh2be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:h2C
Subjectiveh2datah2areh2whath2theh2personh2saysh2abouth2himh2orh2herselfh2duringh2historyh2taking.h2Objecti
veh2datah2areh2whath2theh2healthh2professionalh2observesh2byh2inspecting,h2percussing,h2palpating,h2andh2au
scultatingh2duringh2theh2physicalh2examination.h2Theh2termsh2reflectiveh2andh2introspectiveh2areh2noth2use
dh2toh2describeh2data.
DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
Pageh22h2ofh2143
2
,3. Theh2patientsh2record,h2laboratoryh2studies,h2objectiveh2data,h2andh2subjectiveh2datah2combineh2toh2formh2the:
a. Datah2base.
b. Admittingh2data.
c. Financialh2statement.
d. Dischargeh2summary.
ANS:h2A
Togetherh2withh2theh2patientsh2recordh2andh2laboratoryh2studies,h2theh2objectiveh2andh2subjectiveh2datah2formh2t
heh2datah2base.h2Theh2otherh2itemsh2areh2noth2parth2ofh2theh2patientsh2record,h2laboratoryh2studies,h2orh2data.
DIF:h2Cognitiveh2Level:h2Rememberingh2(Knowledge)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
4. Whenh2listeningh2toh2ah2patientsh2breathh2sounds,h2theh2nurseh2ish2unsureh2ofh2ah2soundh2thath2ish2heard.h2The
h2nursesh2nexth2actionh2shouldh2beh2to:
a. Immediatelyh2notifyh2theh2patientsh2physician.
b. Documenth2theh2soundh2exactlyh2ash2ith2wash2heard.
c. Validateh2theh2datah2byh2askingh2ah2coworkerh2toh2listenh2toh2theh2breathh2sounds.
d. Assessh2againh2inh220h2minutesh2toh2noteh2whetherh2theh2soundh2ish2stillh2present.
ANS:h2C
Whenh2unsureh2ofh2ah2soundh2heardh2whileh2listeningh2toh2ah2patientsh2breathh2sounds,h2theh2nurseh2validatesh2t
heh2datah2toh2ensureh2accuracy.h2Ifh2theh2nurseh2hash2lessh2experienceh2inh2anh2area,h2thenh2heh2orh2sheh2asksh2a
nh2experth2toh2listen.
DIF:h2Cognitiveh2Level:h2Analyzingh2(Analysis)h2REF:h2z.h22
MSC:h2Clienth2Needs:h2Safeh2andh2Effectiveh2Careh2Environment:h2Managementh2ofh2Care
5. Theh2nurseh2ish2conductingh2ah2classh2forh2newh2graduateh2nurses.h2Duringh2theh2teachingh2session,h2theh2nu
rseh2shouldh2keeph2inh2mindh2thath2noviceh2nurses,h2withouth2ah2backgroundh2ofh2skillsh2andh2experienceh2fro
mh2whichh2toh2draw,h2areh2moreh2likelyh2toh2makeh2theirh2decisionsh2using:
a. Intuition.
b. Ah2seth2ofh2rules.
Pageh23h2ofh2143
2
, c. Articlesh2inh2journals.
d. Adviceh2fromh2supervisors.
ANS:h2B
Noviceh2nursesh2operateh2fromh2ah2seth2ofh2defined,h2structuredh2rules.h2Theh2experth2practitionerh2usesh2intuiti
veh2links.h2DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h23h2MSC:h2Clienth2Needs:h2
General
6. Experth2nursesh2learnh2toh2attendh2toh2ah2patternh2ofh2assessmenth2datah2andh2acth2withouth2consciouslyh2
labelingh2it.h2Theseh2responsesh2areh2referredh2toh2as:
a. Intuition.
b. Theh2nursingh2process.
c. Clinicalh2knowledge.
d. Diagnostich2reasoning.
ANS:h2A
Intuitionh2ish2characterizedh2byh2patternh2recognitionh2experth2nursesh2learnh2toh2attendh2toh2ah2patternh2ofh2asse
ssmenth2datah2andh2acth2withouth2consciouslyh2labelingh2it.h2Theh2otherh2optionsh2areh2noth2correct.
DIF:h2Cognitiveh2Level:h2Understandingh2(Comprehension)h2REF:h2z.h24h2MSC:h2Clienth2Needs:h2General
7. Theh2nurseh2ish2reviewingh2informationh2abouth2evidence-
basedh2practiceh2(EBP).h2Whichh2statementh2besth2reflectsh2EBP?
a. EBPh2reliesh2onh2traditionh2forh2supporth2ofh2besth2practices.
b. EBPh2ish2simplyh2theh2useh2ofh2besth2practiceh2techniquesh2forh2theh2treatmenth2ofh2patients.
c. EBPh2emphasizesh2theh2useh2ofh2besth2evidenceh2withh2theh2cliniciansh2experience.
d. Theh2patientsh2ownh2preferencesh2areh2noth2importanth2withh2
EBP.h2ANS:h2C
EBPh2ish2ah2systematich2approachh2toh2practiceh2thath2emphasizesh2theh2useh2ofh2besth2evidenceh2inh2combinationh2
withh2theh2cliniciansh2experience,h2ash2wellh2ash2patienth2preferencesh2andh2values,h2whenh2makingh2decisionsh2ab
outh2careh2andh2treatment.h2EBPh2ish2moreh2thanh2simplyh2usingh2theh2besth2practiceh2techniquesh2toh2treath2patient
s,h2andh2questioningh2traditionh2ish2importanth2whenh2noh2compellingh2andh2supportiveh2researchh2evidenceh2exist
s.
Pageh24h2ofh2143
2