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

TEST BANK for Evidence-Based
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PhysicalExamination:BestPractices fo k




r HealthandWell-
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Being Assessment 2nd Edition by Kate
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Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
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, Chapterk1.kAPPROACHkTOkEVIDENCE-BASEDkASSESSMENTkOFkHEALTHkANDkWELL-
kBEING



MULTIPLEkCHOICE

1. Afterkcompletingkankinitialkassessmentkofkakpatient,ktheknursekhaskchartedkthatkhiskrespirationskarek
eupneickandkhiskpulsekisk58kbeatskperkminute.kThesektypeskofkdatakwouldkbe:

a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:kA

Objectivekdatakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkausculta
tingkduringkthekphysicalkexamination.kSubjectivekdatakiskwhatkthekpersonksayskaboutkhimkorkherselfkduringkh
istoryktaking.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata.

DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare



2. Akpatientktellsktheknursekthatkhekiskveryknervous,kisknauseated,kandkfeelskhot.kThesektypeskofkdatakwouldk
be:

a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:kC

Subjectivekdatakarekwhatkthekpersonksayskaboutkhimkorkherselfkduringkhistoryktaking.kObjectivekdatakarek
whatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultatingkduringkthek
physicalkexamination.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata.

DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare




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,3. Thekpatientskrecord,klaboratorykstudies,kobjectivekdata,kandksubjectivekdatakcombinektokformkthe:

a. Datakbase.

b. Admittingkdata.

c. Financialkstatement.

d. Dischargeksummary.

ANS:kA

Togetherkwithkthekpatientskrecordkandklaboratorykstudies,kthekobjectivekandksubjectivekdatakformkthekdatakba
se.kThekotherkitemskareknotkpartkofkthekpatientskrecord,klaboratorykstudies,korkdata.

DIF:kCognitivekLevel:kRememberingk(Knowledge)kREF:kz.k2

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare



4. Whenklisteningktokakpatientskbreathksounds,ktheknursekiskunsurekofkaksoundkthatkiskheard.kTheknursesknextka
ctionkshouldkbekto:

a. Immediatelyknotifykthekpatientskphysician.

b. Documentktheksoundkexactlykaskitkwaskheard.

c. Validatekthekdatakbykaskingkakcoworkerktoklistenktokthekbreathksounds.

d. Assesskagainkink20kminutesktoknotekwhetherktheksoundkiskstillkpresent.

ANS:kC

Whenkunsurekofkaksoundkheardkwhileklisteningktokakpatientskbreathksounds,ktheknursekvalidateskthekdataktoken
surekaccuracy.kIfktheknursekhasklesskexperiencekinkankarea,kthenkhekorkshekaskskankexpertktoklisten.

DIF:kCognitivekLevel:kAnalyzingk(Analysis)kREF:kz.k2

MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare



5. Theknursekiskconductingkakclasskforknewkgraduateknurses.kDuringkthekteachingksession,ktheknursekshouldk
keepkinkmindkthatknoviceknurses,kwithoutkakbackgroundkofkskillskandkexperiencekfromkwhichktokdraw,karek
moreklikelyktokmakektheirkdecisionskusing:

a. Intuition.

b. Aksetkofkrules.



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, c. Articleskinkjournals.

d. Advicekfromksupervisors.

ANS:kB

Noviceknurseskoperatekfromkaksetkofkdefined,kstructuredkrules.kThekexpertkpractitionerkuseskintuitiveklinks.kD

IF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k3kMSC:kClientkNeeds:kGeneral



6. Expertknursesklearnktokattendktokakpatternkofkassessmentkdatakandkactkwithoutkconsciouslyklabelingkit.k
Thesekresponseskarekreferredktokas:

a. Intuition.

b. Theknursingkprocess.

c. Clinicalkknowledge.

d. Diagnostickreasoning.

ANS:kA

Intuitionkiskcharacterizedkbykpatternkrecognitionkexpertknursesklearnktokattendktokakpatternkofkassessmentkdat
akandkactkwithoutkconsciouslyklabelingkit.kThekotherkoptionskareknotkcorrect.

DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k4kMSC:kClientkNeeds:kGeneral



7. Theknursekiskreviewingkinformationkaboutkevidence-
basedkpracticek(EBP).kWhichkstatementkbestkreflectskEBP?

a. EBPkrelieskonktraditionkforksupportkofkbestkpractices.

b. EBPkisksimplykthekusekofkbestkpracticektechniqueskforkthektreatmentkofkpatients.

c. EBPkemphasizeskthekusekofkbestkevidencekwithkthekclinicianskexperience.

d. ThekpatientskownkpreferenceskareknotkimportantkwithkEBP.k

ANS:kC

EBPkiskaksystematickapproachktokpracticekthatkemphasizeskthekusekofkbestkevidencekinkcombinationkwithkthekclini
cianskexperience,kaskwellkaskpatientkpreferenceskandkvalues,kwhenkmakingkdecisionskaboutkcarekandktreatment.kE
BPkiskmorekthanksimplykusingkthekbestkpracticektechniquesktoktreatkpatients,kandkquestioningktraditionkiskimporta
ntkwhenknokcompellingkandksupportivekresearchkevidencekexists.

DIF:kCognitivekLevel:kApplyingk(Application)kREF:kz.k5

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