Test Bank For Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2ND Edition By Kate Sustersic Gawlik, Bernadette Mazurek | All Chapters | LATEST UPDATED.

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




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,Chapter4n1.4nAPPROACH4nTO4nEVIDENCE-BASED4nASSESSMENT4nOF4nHEALTH4nAND4nWELL-
4nBEING



MULTIPLE4nCHOICE

1. After4ncompleting4nan4ninitial4nassessment4nof4na4npatient,4nthe4nnurse4nhas4ncharted4nthat4nhis4nrespir
ations4nare4neupneic4nand4nhis4npulse4nis4n584nbeats4nper4nminute.4nThese4ntypes4nof4ndata4nwould4nbe:

a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:4nA

Objective4ndata4nare4nwhat4nthe4nhealth4nprofessional4nobserves4nby4ninspecting,4npercussing,4npalpating,4nan
d4nauscultating4nduring4nthe4nphysical4nexamination.4nSubjective4ndata4nis4nwhat4nthe4nperson4nsays4nabout4nhi
m4nor4nherself4nduring4nhistory4ntaking.4nThe4nterms4nreflective4nand4nintrospective4nare4nnot4nused4nto4ndescri
be4ndata.

DIF:4nCognitive4nLevel:4nUnderstanding4n(Comprehension)4nREF:4nz.4n2

MSC:4nClient4nNeeds:4nSafe4nand4nEffective4nCare4nEnvironment:4nManagement4nof4nCare



2. A4npatient4ntells4nthe4nnurse4nthat4nhe4nis4nvery4nnervous,4nis4nnauseated,4nand4nfeels4nhot.4nThese4ntypes4nof
4ndata4nwould4nbe:



a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:4nC

Subjective4ndata4nare4nwhat4nthe4nperson4nsays4nabout4nhim4nor4nherself4nduring4nhistory4ntaking.4nObjecti
ve4ndata4nare4nwhat4nthe4nhealth4nprofessional4nobserves4nby4ninspecting,4npercussing,4npalpating,4nand4nau
scultating4nduring4nthe4nphysical4nexamination.4nThe4nterms4nreflective4nand4nintrospective4nare4nnot4nuse
d4nto4ndescribe4ndata.

DIF:4nCognitive4nLevel:4nUnderstanding4n(Comprehension)4nREF:4nz.4n2

MSC:4nClient4nNeeds:4nSafe4nand4nEffective4nCare4nEnvironment:4nManagement4nof4nCare


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,3. The4npatients4nrecord,4nlaboratory4nstudies,4nobjective4ndata,4nand4nsubjective4ndata4ncombine4nto4nform4nthe:

a. Data4nbase.

b. Admitting4ndata.

c. Financial4nstatement.

d. Discharge4nsummary.

ANS:4nA

Together4nwith4nthe4npatients4nrecord4nand4nlaboratory4nstudies,4nthe4nobjective4nand4nsubjective4ndata4nform4nt
he4ndata4nbase.4nThe4nother4nitems4nare4nnot4npart4nof4nthe4npatients4nrecord,4nlaboratory4nstudies,4nor4ndata.

DIF:4nCognitive4nLevel:4nRemembering4n(Knowledge)4nREF:4nz.4n2

MSC:4nClient4nNeeds:4nSafe4nand4nEffective4nCare4nEnvironment:4nManagement4nof4nCare



4. When4nlistening4nto4na4npatients4nbreath4nsounds,4nthe4nnurse4nis4nunsure4nof4na4nsound4nthat4nis4nheard.4nThe
4nnurses4nnext4naction4nshould4nbe4nto:



a. Immediately4nnotify4nthe4npatients4nphysician.

b. Document4nthe4nsound4nexactly4nas4nit4nwas4nheard.

c. Validate4nthe4ndata4nby4nasking4na4ncoworker4nto4nlisten4nto4nthe4nbreath4nsounds.

d. Assess4nagain4nin4n204nminutes4nto4nnote4nwhether4nthe4nsound4nis4nstill4npresent.

ANS:4nC

When4nunsure4nof4na4nsound4nheard4nwhile4nlistening4nto4na4npatients4nbreath4nsounds,4nthe4nnurse4nvalidates4nt
he4ndata4nto4nensure4naccuracy.4nIf4nthe4nnurse4nhas4nless4nexperience4nin4nan4narea,4nthen4nhe4nor4nshe4nasks4na
n4nexpert4nto4nlisten.

DIF:4nCognitive4nLevel:4nAnalyzing4n(Analysis)4nREF:4nz.4n2

MSC:4nClient4nNeeds:4nSafe4nand4nEffective4nCare4nEnvironment:4nManagement4nof4nCare



5. The4nnurse4nis4nconducting4na4nclass4nfor4nnew4ngraduate4nnurses.4nDuring4nthe4nteaching4nsession,4nthe4nnu
rse4nshould4nkeep4nin4nmind4nthat4nnovice4nnurses,4nwithout4na4nbackground4nof4nskills4nand4nexperience4nfro
m4nwhich4nto4ndraw,4nare4nmore4nlikely4nto4nmake4ntheir4ndecisions4nusing:

a. Intuition.

b. A4nset4nof4nrules.

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, c. Articles4nin4njournals.

d. Advice4nfrom4nsupervisors.

ANS:4nB

Novice4nnurses4noperate4nfrom4na4nset4nof4ndefined,4nstructured4nrules.4nThe4nexpert4npractitioner4nuses4nintuiti

ve4nlinks.4nDIF:4nCognitive4nLevel:4nUnderstanding4n(Comprehension)4nREF:4nz.4n34nMSC:4nClient4nNeeds:4n

General



6. Expert4nnurses4nlearn4nto4nattend4nto4na4npattern4nof4nassessment4ndata4nand4nact4nwithout4nconsciously4n
labeling4nit.4nThese4nresponses4nare4nreferred4nto4nas:

a. Intuition.

b. The4nnursing4nprocess.

c. Clinical4nknowledge.

d. Diagnostic4nreasoning.

ANS:4nA

Intuition4nis4ncharacterized4nby4npattern4nrecognition4nexpert4nnurses4nlearn4nto4nattend4nto4na4npattern4nof4nasse
ssment4ndata4nand4nact4nwithout4nconsciously4nlabeling4nit.4nThe4nother4noptions4nare4nnot4ncorrect.

DIF:4nCognitive4nLevel:4nUnderstanding4n(Comprehension)4nREF:4nz.4n44nMSC:4nClient4nNeeds:4nGeneral



7. The4nnurse4nis4nreviewing4ninformation4nabout4nevidence-
based4npractice4n(EBP).4nWhich4nstatement4nbest4nreflects4nEBP?

a. EBP4nrelies4non4ntradition4nfor4nsupport4nof4nbest4npractices.

b. EBP4nis4nsimply4nthe4nuse4nof4nbest4npractice4ntechniques4nfor4nthe4ntreatment4nof4npatients.

c. EBP4nemphasizes4nthe4nuse4nof4nbest4nevidence4nwith4nthe4nclinicians4nexperience.

d. The4npatients4nown4npreferences4nare4nnot4nimportant4nwith4n

EBP.4nANS:4nC

EBP4nis4na4nsystematic4napproach4nto4npractice4nthat4nemphasizes4nthe4nuse4nof4nbest4nevidence4nin4ncombination4n
with4nthe4nclinicians4nexperience,4nas4nwell4nas4npatient4npreferences4nand4nvalues,4nwhen4nmaking4ndecisions4nab
out4ncare4nand4ntreatment.4nEBP4nis4nmore4nthan4nsimply4nusing4nthe4nbest4npractice4ntechniques4nto4ntreat4npatient
s,4nand4nquestioning4ntradition4nis4nimportant4nwhen4nno4ncompelling4nand4nsupportive4nresearch4nevidence4nexist
s.
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