EXAMINATION: BEST PRACTICES FOR HEALTH
AND WELL-BEING ASSESSMENT 2ND EDITION
BY KATE GAWLIK ALL CHAPTERS 1-29 WITH
RATIONALES| A+ GRADE LATEST UPDATE
2025/2026
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,TABLE OF CONTENTS
PART I: FOUNDATIONS OF CLINICAL PRACTICE
1. Approach to Evidence-Based Assessment of Health and Well-Being
2. Evidence-Based Assessment of Clinician Well-Being
3. Evidence-Based History Taking, Approach to Patient Visits, and Documentation
4. Evidence-Based, Culturally Sensitive, Therapeutic Communication
5. Evidence-Based Assessment of Children and Adolescents
6. Evidence-Based Assessment of the Older Adult
PART II: EVIDENCE-BASED PHYSICAL EXAMINATION AND ASSESSMENT OF BODY SYSTEMS
7. Evidence-Based General Survey Including Assessment of Vital Signs
8. Evidence-Based Assessment of Body Habitus, Body Mass Index, and Nutrition
9. Evidence-Based Assessment of the Cardiovascular System
10. Evidence-Based Assessment of the Vascular System
11. Evidence-Based Assessment of the Lungs and Respiratory System
12. Evidence-Based Assessment of the Skin, Hair, and Nails
13. Evidence-Based Assessment of the Lymphatic System
14. Evidence-Based Assessment of the Head and Neck
15. Evidence-Based Assessment of the Eyes
16. Evidence-Based Assessment of the Ears, Nose, and Throat
17. Evidence-Based Assessment of the Nervous System
18. Evidence-Based Assessment of the Musculoskeletal System
19. Evidence-Based Assessment of the Abdominal, Gastrointestinal, and Urological Systems
PART III: EVIDENCE-BASED PHYSICAL EXAMINATION AND ASSESSMENT OF SEXUAL AND
REPRODUCTIVE HEALTH
20. Evidence-Based Assessment of Sexual Orientation and Gender Identity
21. Evidence-Based Assessment of the Breasts and Axillae
22. Evidence-Based Assessment of The Male Genitalia, Prostate, Rectum, and Anus
23. Evidence-Based Assessment of the Female Genitourinary System
24. Evidence-Based Obstetric Assessment
Part IV: Evidence-Based Physical Examination and Assessment of Mental Health
25. Evidence-Based Assessment of Mental Health
26. Evidence-Based Assessment of Substance Use Disorder
27. Evidence-Based Assessment and Screening for Traumatic Experiences: Abuse, Neglect, and Intimate Partner
Violence
PART V: SPECIAL TOPICS IN EVIDENCE-BASED ASSESSMENT
28. Evidence-Based Assessment for Medical Clearance
29. Evidence-Based Assessment Using Telehealth Technologies
30. Evidence-Based Health and Well-Being Assessment: Putting It All Together
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, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL- BEING
MULTIPLE CHOICE
1. After Completing An Initial Assessment Of A Patient, The Nurse Has Charted That His Respirations
Are Eupneic And His Pulse Is 58 Beats Per Minute. These Types Of Data Would Be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: A
Objective Data Are What The Health Professional Observes By Inspecting, Percussing, Palpating, And
Auscultating During The Physical Examination. Subjective Data Is What The Person Says About Him Or
Herself During History Taking. The Terms Reflective And Introspective Are Not Used To Describe Data.
DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
2. A Patient Tells The Nurse That He Is Very Nervous, Is Nauseated, And Feels Hot. These Types Of Data
Would Be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: C
Subjective Data Are What The Person Says About Him Or Herself During History Taking. Objective Data
Are What The Health Professional Observes By Inspecting, Percussing, Palpating, And Auscultating During
The Physical Examination. The Terms Reflective And Introspective Are Not Used To Describe Data.
DIF: Cognitive Level: Understanding (Comprehension) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
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, 3. The Patients Record, Laboratory Studies, Objective Data, And Subjective Data Combine To Form The:
a. Data Base.
b. Admitting Data.
c. Financial Statement.
d. Discharge Summary.
ANSWER: A
Together With The Patients Record And Laboratory Studies, The Objective And Subjective Data Form The Data
Base. The Other Items Are Not Part Of The Patients Record, Laboratory Studies, Or Data.
DIF: Cognitive Level: Remembering (Knowledge) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
4. When Listening To A Patients Breath Sounds, The Nurse Is Unsure Of A Sound That Is Heard. The Nurses
Next Action Should Be To:
a. Immediately Notify The Patients Physician.
b. Document The Sound Exactly As It Was Heard.
c. Validate The Data By Asking A Coworker To Listen To The Breath Sounds.
d. Assess Again In 20 Minutes To Note Whether The Sound Is Still Present.
ANSWER: C
When Unsure Of A Sound Heard While Listening To A Patients Breath Sounds, The Nurse Validates The Data To
Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then He Or She Asks An Expert To Listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: Z. 2
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
5. The Nurse Is Conducting A Class For New Graduate Nurses. During The Teaching Session, The Nurse
Should Keep In Mind That Novice Nurses, Without A Background Of Skills And Experience From Which To
Draw, Are More Likely To Make Their Decisions Using:
a. Intuition.
b. A Set Of Rules.
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