test bank for evidencebased physical_examination best_practices for health and well being assessment 2nd edition

TESTBANKforEvidence-Based
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Physical Examination: Best Practices
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2nd Edition by Kate Gawlik
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ALL CHAPTERS 1-29 WITH RATIONALES|A+ GRADE
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,Chapter1.APPROACHTOEVIDENCE-BASEDASSESSMENTOFHEALTHANDWELL-BEING j




MULTIPLECHOICE

1. Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathisrespirationsare
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n eupneicandhispulseis58beatsperminute.Thesetypesofdatawouldbe:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:A

Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating,and
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auscultatingduringthephysicalexamination.Subjectivedataiswhatthepersonsaysabouthimorherselfduring
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historytaking.Thetermsreflectiveandintrospectivearenotusedtodescribedata.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.2

MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesofdatawouldbe:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:C

Subjective dataare whatthe personsaysabout himorherself during historytaking. Objective dataare what
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thehealthprofessional observes byinspecting, percussing, palpating, andauscultatingduringthe physical
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examination.Thetermsreflectiveandintrospectivearenotusedtodescribedata.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.2

MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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,3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe: j




a. Database.j




b. Admitting data. j




c. Financialstatement.

d. Dischargesummary.

ANS:A

Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataformthedatabase.The j j n




otheritemsarenotpartofthepatientsrecord,laboratorystudies,ordata.
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DIF:CognitiveLevel:Remembering(Knowledge)REF:z.2 j j




MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard.Thenursesnext j j




actionshouldbeto:
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a. Immediatelynotifythepatientsphysician.

b. Documentthesoundexactlyasitwasheard.
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c. Validatethedatabyaskingacoworkertolistentothebreath n n n n sounds.

d. Assessagainin 20 minutestonotewhetherthesoundisstill present.
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ANS:C

Whenunsureofasoundheardwhilelisteningtoapatientsbreathsounds,thenursevalidatesthedatatoensure
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accuracy.Ifthenursehaslessexperienceinanarea,thenheorsheasksanexperttolisten.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:z.2
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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5. Thenurseisconductingaclassfornewgraduatenurses.Duringtheteachingsession,thenurseshould keep j j n n in
mindthatnovicenurses,withoutabackgroundofskillsandexperiencefromwhichtodraw,aremore likelyto
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maketheirdecisionsusing:
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a. Intuition.

b. Asetofrules.



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, c. Articlesinjournals.

d. Advicefromsupervisors.

ANS:B

Novicenursesoperatefromasetofdefined,structuredrules.Theexpertpractitionerusesintuitivelinks.DIF: n




nn CognitiveLevel:Understanding(Comprehension)REF:z.3MSC:ClientNeeds:General
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6. Expertnurseslearntoattendtoapatternofassessmentdataandactwithoutconsciouslylabelingit.
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n Theseresponsesarereferredtoas:
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a. Intuition.

b. Thenursingprocess.

c. Clinicalknowledge.

d. Diagnosticreasoning.

ANS:A

Intuitionischaracterizedbypatternrecognitionexpertnurseslearntoattendtoapatternofassessmentdata
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n andactwithoutconsciouslylabelingit.Theotheroptionsarenotcorrect.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.4MSC:ClientNeeds:General j




7. Thenurseisreviewinginformationaboutevidence-basedpractice(EBP).Whichstatementbestreflects
EBP?
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a. EBPreliesontraditionforsupportofbestpractices. j




b. EBPissimplytheuseofbestpracticetechniquesforthetreatmentofpatients.
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c. EBPemphasizes theuseofbestevidencewiththeclinicians
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d. ThepatientsownpreferencesarenotimportantwithEBP.

ANS:C
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EBPis asystematicapproachtopracticethat emphasizestheuseofbest evidenceincombination withthe
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cliniciansexperience,aswellaspatientpreferencesandvalues,whenmakingdecisionsaboutcareandtreatment.
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EBPismorethansimplyusingthebestpracticetechniquestotreatpatients,andquestioningtraditionisimportant when
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nocompellingandsupportiveresearchevidenceexists.
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DIF:CognitiveLevel:Applying(Application)REF:z.5

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