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
Page 6v1 6vof 6v
961
, Chapter 6v1. 6vAPPROACH 6vTO 6vEVIDENCE-BASED 6vASSESSMENT 6vOF 6vHEALTH 6vAND
6vWELL- 6vBEING
MULTIPLE 6vCHOICE
1. After 6vcompleting 6van 6vinitial 6vassessment 6vof 6va 6vpatient, 6vthe 6vnurse 6vhas 6vcharted 6vthat 6vhis
6vrespirations 6vare 6veupneic 6vand 6vhis 6vpulse 6vis 6v58 6vbeats 6vper 6vminute. 6vThese 6vtypes 6vof 6vdata
6vwould 6vbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 6vA
Objective 6vdata 6vare 6vwhat 6vthe 6vhealth 6vprofessional 6vobserves 6vby 6vinspecting, 6vpercussing, 6vpalpating,
6vand 6vauscultating 6vduring 6vthe 6vphysical 6vexamination. 6vSubjective 6vdata 6vis 6vwhat 6vthe 6vperson 6vsays
6vabout 6vhim 6vor 6vherself 6vduring 6vhistory 6vtaking. 6vThe 6vterms 6vreflective 6vand 6vintrospective 6vare 6vnot
6vused 6vto 6vdescribe 6vdata.
DIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
2. A 6vpatient 6vtells 6vthe 6vnurse 6vthat 6vhe 6vis 6vvery 6vnervous, 6vis 6vnauseated, 6vand 6vfeels 6vhot. 6vThese
6vtypes 6vof 6vdata 6vwould 6vbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 6vC
Subjective 6vdata 6vare 6vwhat 6vthe 6vperson 6vsays 6vabout 6vhim 6vor 6vherself 6vduring 6vhistory 6vtaking.
6vObjective 6vdata 6vare 6vwhat 6vthe 6vhealth 6vprofessional 6vobserves 6vby 6vinspecting, 6vpercussing,
6vpalpating, 6vand 6vauscultating 6vduring 6vthe 6vphysical 6vexamination. 6vThe 6vterms 6vreflective 6vand
6vintrospective 6vare 6vnot 6vused 6vto 6vdescribe 6vdata.
DIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
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,3. The 6vpatients 6vrecord, 6vlaboratory 6vstudies, 6vobjective 6vdata, 6vand 6vsubjective 6vdata 6vcombine 6vto 6vform 6vthe:
a. Data 6vbase.
b. Admitting 6vdata.
c. Financial 6vstatement.
d. Discharge 6vsummary.
ANS: 6vA
Together 6vwith 6vthe 6vpatients 6vrecord 6vand 6vlaboratory 6vstudies, 6vthe 6vobjective 6vand 6vsubjective 6vdata
6vform 6vthe 6vdata 6vbase. 6vThe 6vother 6vitems 6vare 6vnot 6vpart 6vof 6vthe 6vpatients 6vrecord, 6vlaboratory
6vstudies, 6vor 6vdata.
DIF: 6vCognitive 6vLevel: 6vRemembering 6v(Knowledge) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
4. When 6vlistening 6vto 6va 6vpatients 6vbreath 6vsounds, 6vthe 6vnurse 6vis 6vunsure 6vof 6va 6vsound 6vthat 6vis 6vheard.
6vThe 6vnurses 6vnext 6vaction 6vshould 6vbe 6vto:
a. Immediately 6vnotify 6vthe 6vpatients 6vphysician.
b. Document 6vthe 6vsound 6vexactly 6vas 6vit 6vwas 6vheard.
c. Validate 6vthe 6vdata 6vby 6vasking 6va 6vcoworker 6vto 6vlisten 6vto 6vthe 6vbreath 6vsounds.
d. Assess 6vagain 6vin 6v20 6vminutes 6vto 6vnote 6vwhether 6vthe 6vsound 6vis 6vstill 6vpresent.
ANS: 6vC
When 6vunsure 6vof 6va 6vsound 6vheard 6vwhile 6vlistening 6vto 6va 6vpatients 6vbreath 6vsounds, 6vthe 6vnurse
6vvalidates 6vthe 6vdata 6vto 6vensure 6vaccuracy. 6vIf 6vthe 6vnurse 6vhas 6vless 6vexperience 6vin 6van 6varea, 6vthen
6vhe 6vor 6vshe 6vasks 6van 6vexpert 6vto 6vlisten.
DIF: 6vCognitive 6vLevel: 6vAnalyzing 6v(Analysis) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
5. The 6vnurse 6vis 6vconducting 6va 6vclass 6vfor 6vnew 6vgraduate 6vnurses. 6vDuring 6vthe 6vteaching 6vsession,
6vthe 6vnurse 6vshould 6vkeep 6vin 6vmind 6vthat 6vnovice 6vnurses, 6vwithout 6va 6vbackground 6vof 6vskills 6vand
6vexperience 6vfrom 6vwhich 6vto 6vdraw, 6vare 6vmore 6vlikely 6vto 6vmake 6vtheir 6vdecisions 6vusing:
a. Intuition.
b. A 6vset 6vof 6vrules.
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961
, c. Articles 6vin 6vjournals.
d. Advice 6vfrom 6vsupervisors.
ANS: 6vB
Novice 6vnurses 6voperate 6vfrom 6va 6vset 6vof 6vdefined, 6vstructured 6vrules. 6vThe 6vexpert 6vpractitioner 6vuses
intuitive 6vlinks. 6vDIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v3 6vMSC:
6v
6v Client 6vNeeds: 6vGeneral
6. Expert 6vnurses 6vlearn 6vto 6vattend 6vto 6va 6vpattern 6vof 6vassessment 6vdata 6vand 6vact 6vwithout
6vconsciously 6vlabeling 6vit. 6vThese 6vresponses 6vare 6vreferred 6vto 6vas:
a. Intuition.
b. The 6vnursing 6vprocess.
c. Clinical 6vknowledge.
d. Diagnostic 6vreasoning.
ANS: 6vA
Intuition 6vis 6vcharacterized 6vby 6vpattern 6vrecognition 6vexpert 6vnurses 6vlearn 6vto 6vattend 6vto 6va 6vpattern 6vof
6vassessment 6vdata 6vand 6vact 6vwithout 6vconsciously 6vlabeling 6vit. 6vThe 6vother 6voptions 6vare 6vnot 6vcorrect.
DIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v4 6vMSC: 6vClient 6vNeeds: 6vGeneral
7. The 6vnurse 6vis 6vreviewing 6vinformation 6vabout 6vevidence-based 6vpractice 6v(EBP). 6vWhich 6vstatement
6vbest 6vreflects 6vEBP?
a. EBP 6vrelies 6von 6vtradition 6vfor 6vsupport 6vof 6vbest 6vpractices.
b. EBP 6vis 6vsimply 6vthe 6vuse 6vof 6vbest 6vpractice 6vtechniques 6vfor 6vthe 6vtreatment 6vof 6vpatients.
c. EBP 6vemphasizes 6vthe 6vuse 6vof 6vbest 6vevidence 6vwith 6vthe 6vclinicians 6vexperience.
d. The 6vpatients 6vown 6vpreferences 6vare 6vnot 6vimportant
with 6vEBP. 6vANS: 6vC
6v
EBP 6vis 6va 6vsystematic 6vapproach 6vto 6vpractice 6vthat 6vemphasizes 6vthe 6vuse 6vof 6vbest 6vevidence 6vin
6vcombination 6vwith 6vthe 6vclinicians 6vexperience, 6vas 6vwell 6vas 6vpatient 6vpreferences 6vand 6vvalues, 6vwhen
6vmaking 6vdecisions 6vabout 6vcare 6vand 6vtreatment. 6vEBP 6vis 6vmore 6vthan 6vsimply 6vusing 6vthe 6vbest 6vpractice
6vtechniques 6vto 6vtreat 6vpatients, 6vand 6vquestioning 6vtradition 6vis 6vimportant 6vwhen 6vno 6vcompelling 6vand
6vsupportive 6vresearch 6vevidence 6vexists.
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961
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
Page 6v1 6vof 6v
961
, Chapter 6v1. 6vAPPROACH 6vTO 6vEVIDENCE-BASED 6vASSESSMENT 6vOF 6vHEALTH 6vAND
6vWELL- 6vBEING
MULTIPLE 6vCHOICE
1. After 6vcompleting 6van 6vinitial 6vassessment 6vof 6va 6vpatient, 6vthe 6vnurse 6vhas 6vcharted 6vthat 6vhis
6vrespirations 6vare 6veupneic 6vand 6vhis 6vpulse 6vis 6v58 6vbeats 6vper 6vminute. 6vThese 6vtypes 6vof 6vdata
6vwould 6vbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 6vA
Objective 6vdata 6vare 6vwhat 6vthe 6vhealth 6vprofessional 6vobserves 6vby 6vinspecting, 6vpercussing, 6vpalpating,
6vand 6vauscultating 6vduring 6vthe 6vphysical 6vexamination. 6vSubjective 6vdata 6vis 6vwhat 6vthe 6vperson 6vsays
6vabout 6vhim 6vor 6vherself 6vduring 6vhistory 6vtaking. 6vThe 6vterms 6vreflective 6vand 6vintrospective 6vare 6vnot
6vused 6vto 6vdescribe 6vdata.
DIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
2. A 6vpatient 6vtells 6vthe 6vnurse 6vthat 6vhe 6vis 6vvery 6vnervous, 6vis 6vnauseated, 6vand 6vfeels 6vhot. 6vThese
6vtypes 6vof 6vdata 6vwould 6vbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 6vC
Subjective 6vdata 6vare 6vwhat 6vthe 6vperson 6vsays 6vabout 6vhim 6vor 6vherself 6vduring 6vhistory 6vtaking.
6vObjective 6vdata 6vare 6vwhat 6vthe 6vhealth 6vprofessional 6vobserves 6vby 6vinspecting, 6vpercussing,
6vpalpating, 6vand 6vauscultating 6vduring 6vthe 6vphysical 6vexamination. 6vThe 6vterms 6vreflective 6vand
6vintrospective 6vare 6vnot 6vused 6vto 6vdescribe 6vdata.
DIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
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,3. The 6vpatients 6vrecord, 6vlaboratory 6vstudies, 6vobjective 6vdata, 6vand 6vsubjective 6vdata 6vcombine 6vto 6vform 6vthe:
a. Data 6vbase.
b. Admitting 6vdata.
c. Financial 6vstatement.
d. Discharge 6vsummary.
ANS: 6vA
Together 6vwith 6vthe 6vpatients 6vrecord 6vand 6vlaboratory 6vstudies, 6vthe 6vobjective 6vand 6vsubjective 6vdata
6vform 6vthe 6vdata 6vbase. 6vThe 6vother 6vitems 6vare 6vnot 6vpart 6vof 6vthe 6vpatients 6vrecord, 6vlaboratory
6vstudies, 6vor 6vdata.
DIF: 6vCognitive 6vLevel: 6vRemembering 6v(Knowledge) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
4. When 6vlistening 6vto 6va 6vpatients 6vbreath 6vsounds, 6vthe 6vnurse 6vis 6vunsure 6vof 6va 6vsound 6vthat 6vis 6vheard.
6vThe 6vnurses 6vnext 6vaction 6vshould 6vbe 6vto:
a. Immediately 6vnotify 6vthe 6vpatients 6vphysician.
b. Document 6vthe 6vsound 6vexactly 6vas 6vit 6vwas 6vheard.
c. Validate 6vthe 6vdata 6vby 6vasking 6va 6vcoworker 6vto 6vlisten 6vto 6vthe 6vbreath 6vsounds.
d. Assess 6vagain 6vin 6v20 6vminutes 6vto 6vnote 6vwhether 6vthe 6vsound 6vis 6vstill 6vpresent.
ANS: 6vC
When 6vunsure 6vof 6va 6vsound 6vheard 6vwhile 6vlistening 6vto 6va 6vpatients 6vbreath 6vsounds, 6vthe 6vnurse
6vvalidates 6vthe 6vdata 6vto 6vensure 6vaccuracy. 6vIf 6vthe 6vnurse 6vhas 6vless 6vexperience 6vin 6van 6varea, 6vthen
6vhe 6vor 6vshe 6vasks 6van 6vexpert 6vto 6vlisten.
DIF: 6vCognitive 6vLevel: 6vAnalyzing 6v(Analysis) 6vREF: 6vz. 6v2
MSC: 6vClient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment: 6vManagement 6vof 6vCare
5. The 6vnurse 6vis 6vconducting 6va 6vclass 6vfor 6vnew 6vgraduate 6vnurses. 6vDuring 6vthe 6vteaching 6vsession,
6vthe 6vnurse 6vshould 6vkeep 6vin 6vmind 6vthat 6vnovice 6vnurses, 6vwithout 6va 6vbackground 6vof 6vskills 6vand
6vexperience 6vfrom 6vwhich 6vto 6vdraw, 6vare 6vmore 6vlikely 6vto 6vmake 6vtheir 6vdecisions 6vusing:
a. Intuition.
b. A 6vset 6vof 6vrules.
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961
, c. Articles 6vin 6vjournals.
d. Advice 6vfrom 6vsupervisors.
ANS: 6vB
Novice 6vnurses 6voperate 6vfrom 6va 6vset 6vof 6vdefined, 6vstructured 6vrules. 6vThe 6vexpert 6vpractitioner 6vuses
intuitive 6vlinks. 6vDIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v3 6vMSC:
6v
6v Client 6vNeeds: 6vGeneral
6. Expert 6vnurses 6vlearn 6vto 6vattend 6vto 6va 6vpattern 6vof 6vassessment 6vdata 6vand 6vact 6vwithout
6vconsciously 6vlabeling 6vit. 6vThese 6vresponses 6vare 6vreferred 6vto 6vas:
a. Intuition.
b. The 6vnursing 6vprocess.
c. Clinical 6vknowledge.
d. Diagnostic 6vreasoning.
ANS: 6vA
Intuition 6vis 6vcharacterized 6vby 6vpattern 6vrecognition 6vexpert 6vnurses 6vlearn 6vto 6vattend 6vto 6va 6vpattern 6vof
6vassessment 6vdata 6vand 6vact 6vwithout 6vconsciously 6vlabeling 6vit. 6vThe 6vother 6voptions 6vare 6vnot 6vcorrect.
DIF: 6vCognitive 6vLevel: 6vUnderstanding 6v(Comprehension) 6vREF: 6vz. 6v4 6vMSC: 6vClient 6vNeeds: 6vGeneral
7. The 6vnurse 6vis 6vreviewing 6vinformation 6vabout 6vevidence-based 6vpractice 6v(EBP). 6vWhich 6vstatement
6vbest 6vreflects 6vEBP?
a. EBP 6vrelies 6von 6vtradition 6vfor 6vsupport 6vof 6vbest 6vpractices.
b. EBP 6vis 6vsimply 6vthe 6vuse 6vof 6vbest 6vpractice 6vtechniques 6vfor 6vthe 6vtreatment 6vof 6vpatients.
c. EBP 6vemphasizes 6vthe 6vuse 6vof 6vbest 6vevidence 6vwith 6vthe 6vclinicians 6vexperience.
d. The 6vpatients 6vown 6vpreferences 6vare 6vnot 6vimportant
with 6vEBP. 6vANS: 6vC
6v
EBP 6vis 6va 6vsystematic 6vapproach 6vto 6vpractice 6vthat 6vemphasizes 6vthe 6vuse 6vof 6vbest 6vevidence 6vin
6vcombination 6vwith 6vthe 6vclinicians 6vexperience, 6vas 6vwell 6vas 6vpatient 6vpreferences 6vand 6vvalues, 6vwhen
6vmaking 6vdecisions 6vabout 6vcare 6vand 6vtreatment. 6vEBP 6vis 6vmore 6vthan 6vsimply 6vusing 6vthe 6vbest 6vpractice
6vtechniques 6vto 6vtreat 6vpatients, 6vand 6vquestioning 6vtradition 6vis 6vimportant 6vwhen 6vno 6vcompelling 6vand
6vsupportive 6vresearch 6vevidence 6vexists.
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