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 878
,Chapter ht1. htAPPROACH htTO htEVIDENCE-BASED htASSESSMENT htOF htHEALTH htAND htWELL-
htBEING
MULTIPLE htCHOICE
1. After htcompleting htan htinitial htassessment htof hta htpatient, htthe htnurse hthas htcharted htthat hthis
htrespirations htare hteupneic htand hthis htpulse htis ht58 htbeats htper htminute. htThese httypes htof htdata
htwould htbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: htA
Objective htdata htare htwhat htthe hthealth htprofessional htobserves htby htinspecting, htpercussing, htpalpating,
htand htauscultating htduring htthe htphysical htexamination. htSubjective htdata htis htwhat htthe htperson htsays htabout
hthim htor htherself htduring hthistory httaking. htThe htterms htreflective htand htintrospective htare htnot htused htto
htdescribe htdata.
DIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
2. A htpatient httells htthe htnurse htthat hthe htis htvery htnervous, htis htnauseated, htand htfeels hthot. htThese httypes htof
htdata htwould htbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: htC
Subjective htdata htare htwhat htthe htperson htsays htabout hthim htor htherself htduring hthistory httaking.
htObjective htdata htare htwhat htthe hthealth htprofessional htobserves htby htinspecting, htpercussing, htpalpating,
htand htauscultating htduring htthe htphysical htexamination. htThe htterms htreflective htand htintrospective htare
htnot htused htto htdescribe htdata.
DIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
Page ht2 htof ht878
,3. The htpatients htrecord, htlaboratory htstudies, htobjective htdata, htand htsubjective htdata htcombine htto htform htthe:
a. Data htbase.
b. Admitting htdata.
c. Financial htstatement.
d. Discharge htsummary.
ANS: htA
Together htwith htthe htpatients htrecord htand htlaboratory htstudies, htthe htobjective htand htsubjective htdata htform
htthe htdata htbase. htThe htother htitems htare htnot htpart htof htthe htpatients htrecord, htlaboratory htstudies, htor htdata.
DIF: htCognitive htLevel: htRemembering ht(Knowledge) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
4. When htlistening htto hta htpatients htbreath htsounds, htthe htnurse htis htunsure htof hta htsound htthat htis htheard. htThe
htnurses htnext htaction htshould htbe htto:
a. Immediately htnotify htthe htpatients htphysician.
b. Document htthe htsound htexactly htas htit htwas htheard.
c. Validate htthe htdata htby htasking hta htcoworker htto htlisten htto htthe htbreath htsounds.
d. Assess htagain htin ht20 htminutes htto htnote htwhether htthe htsound htis htstill htpresent.
ANS: htC
When htunsure htof hta htsound htheard htwhile htlistening htto hta htpatients htbreath htsounds, htthe htnurse htvalidates
htthe htdata htto htensure htaccuracy. htIf htthe htnurse hthas htless htexperience htin htan htarea, htthen hthe htor htshe htasks
htan htexpert htto htlisten.
DIF: htCognitive htLevel: htAnalyzing ht(Analysis) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
5. The htnurse htis htconducting hta htclass htfor htnew htgraduate htnurses. htDuring htthe htteaching htsession, htthe
htnurse htshould htkeep htin htmind htthat htnovice htnurses, htwithout hta htbackground htof htskills htand htexperience
htfrom htwhich htto htdraw, htare htmore htlikely htto htmake httheir htdecisions htusing:
a. Intuition.
b. A htset htof htrules.
Page ht3 htof ht878
, c. Articles htin htjournals.
d. Advice htfrom htsupervisors.
ANS: htB
Novice htnurses htoperate htfrom hta htset htof htdefined, htstructured htrules. htThe htexpert htpractitioner htuses
ht intuitive htlinks. htDIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht3 htMSC: htClient
ht Needs: htGeneral
6. Expert htnurses htlearn htto htattend htto hta htpattern htof htassessment htdata htand htact htwithout htconsciously
htlabeling htit. htThese htresponses htare htreferred htto htas:
a. Intuition.
b. The htnursing htprocess.
c. Clinical htknowledge.
d. Diagnostic htreasoning.
ANS: htA
Intuition htis htcharacterized htby htpattern htrecognition htexpert htnurses htlearn htto htattend htto hta htpattern htof
htassessment htdata htand htact htwithout htconsciously htlabeling htit. htThe htother htoptions htare htnot htcorrect.
DIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht4 htMSC: htClient htNeeds: htGeneral
7. The htnurse htis htreviewing htinformation htabout htevidence-based htpractice ht(EBP). htWhich htstatement htbest
htreflects htEBP?
a. EBP htrelies hton httradition htfor htsupport htof htbest htpractices.
b. EBP htis htsimply htthe htuse htof htbest htpractice httechniques htfor htthe httreatment htof htpatients.
c. EBP htemphasizes htthe htuse htof htbest htevidence htwith htthe htclinicians htexperience.
d. The htpatients htown htpreferences htare htnot htimportant htwith
EBP. htANS: htC
ht
EBP htis hta htsystematic htapproach htto htpractice htthat htemphasizes htthe htuse htof htbest htevidence htin htcombination
htwith htthe htclinicians htexperience, htas htwell htas htpatient htpreferences htand htvalues, htwhen htmaking htdecisions
htabout htcare htand httreatment. htEBP htis htmore htthan htsimply htusing htthe htbest htpractice httechniques htto httreat
htpatients, htand htquestioning httradition htis htimportant htwhen htno htcompelling htand htsupportive htresearch
htevidence htexists.
Page ht4 htof ht878
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 878
,Chapter ht1. htAPPROACH htTO htEVIDENCE-BASED htASSESSMENT htOF htHEALTH htAND htWELL-
htBEING
MULTIPLE htCHOICE
1. After htcompleting htan htinitial htassessment htof hta htpatient, htthe htnurse hthas htcharted htthat hthis
htrespirations htare hteupneic htand hthis htpulse htis ht58 htbeats htper htminute. htThese httypes htof htdata
htwould htbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: htA
Objective htdata htare htwhat htthe hthealth htprofessional htobserves htby htinspecting, htpercussing, htpalpating,
htand htauscultating htduring htthe htphysical htexamination. htSubjective htdata htis htwhat htthe htperson htsays htabout
hthim htor htherself htduring hthistory httaking. htThe htterms htreflective htand htintrospective htare htnot htused htto
htdescribe htdata.
DIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
2. A htpatient httells htthe htnurse htthat hthe htis htvery htnervous, htis htnauseated, htand htfeels hthot. htThese httypes htof
htdata htwould htbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: htC
Subjective htdata htare htwhat htthe htperson htsays htabout hthim htor htherself htduring hthistory httaking.
htObjective htdata htare htwhat htthe hthealth htprofessional htobserves htby htinspecting, htpercussing, htpalpating,
htand htauscultating htduring htthe htphysical htexamination. htThe htterms htreflective htand htintrospective htare
htnot htused htto htdescribe htdata.
DIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
Page ht2 htof ht878
,3. The htpatients htrecord, htlaboratory htstudies, htobjective htdata, htand htsubjective htdata htcombine htto htform htthe:
a. Data htbase.
b. Admitting htdata.
c. Financial htstatement.
d. Discharge htsummary.
ANS: htA
Together htwith htthe htpatients htrecord htand htlaboratory htstudies, htthe htobjective htand htsubjective htdata htform
htthe htdata htbase. htThe htother htitems htare htnot htpart htof htthe htpatients htrecord, htlaboratory htstudies, htor htdata.
DIF: htCognitive htLevel: htRemembering ht(Knowledge) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
4. When htlistening htto hta htpatients htbreath htsounds, htthe htnurse htis htunsure htof hta htsound htthat htis htheard. htThe
htnurses htnext htaction htshould htbe htto:
a. Immediately htnotify htthe htpatients htphysician.
b. Document htthe htsound htexactly htas htit htwas htheard.
c. Validate htthe htdata htby htasking hta htcoworker htto htlisten htto htthe htbreath htsounds.
d. Assess htagain htin ht20 htminutes htto htnote htwhether htthe htsound htis htstill htpresent.
ANS: htC
When htunsure htof hta htsound htheard htwhile htlistening htto hta htpatients htbreath htsounds, htthe htnurse htvalidates
htthe htdata htto htensure htaccuracy. htIf htthe htnurse hthas htless htexperience htin htan htarea, htthen hthe htor htshe htasks
htan htexpert htto htlisten.
DIF: htCognitive htLevel: htAnalyzing ht(Analysis) htREF: htz. ht2
MSC: htClient htNeeds: htSafe htand htEffective htCare htEnvironment: htManagement htof htCare
5. The htnurse htis htconducting hta htclass htfor htnew htgraduate htnurses. htDuring htthe htteaching htsession, htthe
htnurse htshould htkeep htin htmind htthat htnovice htnurses, htwithout hta htbackground htof htskills htand htexperience
htfrom htwhich htto htdraw, htare htmore htlikely htto htmake httheir htdecisions htusing:
a. Intuition.
b. A htset htof htrules.
Page ht3 htof ht878
, c. Articles htin htjournals.
d. Advice htfrom htsupervisors.
ANS: htB
Novice htnurses htoperate htfrom hta htset htof htdefined, htstructured htrules. htThe htexpert htpractitioner htuses
ht intuitive htlinks. htDIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht3 htMSC: htClient
ht Needs: htGeneral
6. Expert htnurses htlearn htto htattend htto hta htpattern htof htassessment htdata htand htact htwithout htconsciously
htlabeling htit. htThese htresponses htare htreferred htto htas:
a. Intuition.
b. The htnursing htprocess.
c. Clinical htknowledge.
d. Diagnostic htreasoning.
ANS: htA
Intuition htis htcharacterized htby htpattern htrecognition htexpert htnurses htlearn htto htattend htto hta htpattern htof
htassessment htdata htand htact htwithout htconsciously htlabeling htit. htThe htother htoptions htare htnot htcorrect.
DIF: htCognitive htLevel: htUnderstanding ht(Comprehension) htREF: htz. ht4 htMSC: htClient htNeeds: htGeneral
7. The htnurse htis htreviewing htinformation htabout htevidence-based htpractice ht(EBP). htWhich htstatement htbest
htreflects htEBP?
a. EBP htrelies hton httradition htfor htsupport htof htbest htpractices.
b. EBP htis htsimply htthe htuse htof htbest htpractice httechniques htfor htthe httreatment htof htpatients.
c. EBP htemphasizes htthe htuse htof htbest htevidence htwith htthe htclinicians htexperience.
d. The htpatients htown htpreferences htare htnot htimportant htwith
EBP. htANS: htC
ht
EBP htis hta htsystematic htapproach htto htpractice htthat htemphasizes htthe htuse htof htbest htevidence htin htcombination
htwith htthe htclinicians htexperience, htas htwell htas htpatient htpreferences htand htvalues, htwhen htmaking htdecisions
htabout htcare htand httreatment. htEBP htis htmore htthan htsimply htusing htthe htbest htpractice httechniques htto httreat
htpatients, htand htquestioning httradition htis htimportant htwhen htno htcompelling htand htsupportive htresearch
htevidence htexists.
Page ht4 htof ht878
