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, Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
Bates' Guide to Physical Examination and History Taking 13th Edition Bickley Test Bank
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
CHAPTER 1 Approach to the Clinical Encounter MSC: Client Needs: Safe and Effective Care Environment: Management of Care
After completing an initial assessment of a patient, the nurse has charted that his • The patients record, laboratory studies, objective data, and subjective data
respirations are eupneic and his pulse is 58 beats per minute. These types of data combine to form the:
would be:
a
Data base.
a
Objective.
b
Admitting data.
b
Reflective.
c
Financial statement.
c
Subjective.
d
Discharge summary.
d
Introspective.
ANS: A
ANS: A Together with the patients record and laboratory studies, the objective and subjective data
Objective data are what the health professional observes by inspecting, percussing, form the data base. The other items are not part of the patients record, laboratory studies,
palpating, and auscultating during the physical examination. Subjective data is what or data.
the person says about him or herself during history taking. The terms reflective and
introspective are not used to describe data. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2 • When listening to a patients breath sounds, the nurse is unsure of a sound that is
MSC: Client Needs: Safe and Effective Care Environment: Management of Care heard. The nurses next action should be to:
• A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be: a
Immediately notify the patients physician.
a b
Objective. Document the sound exactly as it was heard.
b c Validate the data by asking a coworker to
Reflective.
listen to the breath sounds.
c d
Subjective. Assess again in 20 minutes to note whether
the sound is still present.
d
Introspective.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse
ANS: C validates the data to ensure accuracy. If the nurse has less experience in an area, then he or
Subjective data are what the person says about him or herself during history taking. she asks an expert to listen.
Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical examination. The terms reflective and DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
introspective are not used MSC: Client Needs: Safe and Effective Care Environment: Management of Care
to describe data. • 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
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