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 5x1 5xof 5x961
, Chapter 5x1. 5xAPPROACH 5xTO 5xEVIDENCE-BASED 5xASSESSMENT 5xOF 5xHEALTH 5xAND
5xWELL- 5xBEING
MULTIPLE 5xCHOICE
1. After 5xcompleting 5xan 5xinitial 5xassessment 5xof 5xa 5xpatient, 5xthe 5xnurse 5xhas 5xcharted 5xthat 5xhis
5xrespirations 5xare 5xeupneic 5xand 5xhis 5xpulse 5xis 5x58 5xbeats 5xper 5xminute. 5xThese 5xtypes 5xof 5xdata
5xwould 5xbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 5xA
Objective 5xdata 5xare 5xwhat 5xthe 5xhealth 5xprofessional 5xobserves 5xby 5xinspecting, 5xpercussing, 5xpalpating,
5xand 5xauscultating 5xduring 5xthe 5xphysical 5xexamination. 5xSubjective 5xdata 5xis 5xwhat 5xthe 5xperson 5xsays
5xabout 5xhim 5xor 5xherself 5xduring 5xhistory 5xtaking. 5xThe 5xterms 5xreflective 5xand 5xintrospective 5xare 5xnot
5xused 5xto 5xdescribe 5xdata.
DIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
2. A 5xpatient 5xtells 5xthe 5xnurse 5xthat 5xhe 5xis 5xvery 5xnervous, 5xis 5xnauseated, 5xand 5xfeels 5xhot. 5xThese
5xtypes 5xof 5xdata 5xwould 5xbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 5xC
Subjective 5xdata 5xare 5xwhat 5xthe 5xperson 5xsays 5xabout 5xhim 5xor 5xherself 5xduring 5xhistory 5xtaking.
5xObjective 5xdata 5xare 5xwhat 5xthe 5xhealth 5xprofessional 5xobserves 5xby 5xinspecting, 5xpercussing,
5xpalpating, 5xand 5xauscultating 5xduring 5xthe 5xphysical 5xexamination. 5xThe 5xterms 5xreflective 5xand
5xintrospective 5xare 5xnot 5xused 5xto 5xdescribe 5xdata.
DIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
Page 5x2 5xof 5x961
,3. The 5xpatients 5xrecord, 5xlaboratory 5xstudies, 5xobjective 5xdata, 5xand 5xsubjective 5xdata 5xcombine 5xto 5xform 5xthe:
a. Data 5xbase.
b. Admitting 5xdata.
c. Financial 5xstatement.
d. Discharge 5xsummary.
ANS: 5xA
Together 5xwith 5xthe 5xpatients 5xrecord 5xand 5xlaboratory 5xstudies, 5xthe 5xobjective 5xand 5xsubjective 5xdata
5xform 5xthe 5xdata 5xbase. 5xThe 5xother 5xitems 5xare 5xnot 5xpart 5xof 5xthe 5xpatients 5xrecord, 5xlaboratory
5xstudies, 5xor 5xdata.
DIF: 5xCognitive 5xLevel: 5xRemembering 5x(Knowledge) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
4. When 5xlistening 5xto 5xa 5xpatients 5xbreath 5xsounds, 5xthe 5xnurse 5xis 5xunsure 5xof 5xa 5xsound 5xthat 5xis 5xheard.
5xThe 5xnurses 5xnext 5xaction 5xshould 5xbe 5xto:
a. Immediately 5xnotify 5xthe 5xpatients 5xphysician.
b. Document 5xthe 5xsound 5xexactly 5xas 5xit 5xwas 5xheard.
c. Validate 5xthe 5xdata 5xby 5xasking 5xa 5xcoworker 5xto 5xlisten 5xto 5xthe 5xbreath 5xsounds.
d. Assess 5xagain 5xin 5x20 5xminutes 5xto 5xnote 5xwhether 5xthe 5xsound 5xis 5xstill 5xpresent.
ANS: 5xC
When 5xunsure 5xof 5xa 5xsound 5xheard 5xwhile 5xlistening 5xto 5xa 5xpatients 5xbreath 5xsounds, 5xthe 5xnurse
5xvalidates 5xthe 5xdata 5xto 5xensure 5xaccuracy. 5xIf 5xthe 5xnurse 5xhas 5xless 5xexperience 5xin 5xan 5xarea, 5xthen
5xhe 5xor 5xshe 5xasks 5xan 5xexpert 5xto 5xlisten.
DIF: 5xCognitive 5xLevel: 5xAnalyzing 5x(Analysis) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
5. The 5xnurse 5xis 5xconducting 5xa 5xclass 5xfor 5xnew 5xgraduate 5xnurses. 5xDuring 5xthe 5xteaching 5xsession,
5xthe 5xnurse 5xshould 5xkeep 5xin 5xmind 5xthat 5xnovice 5xnurses, 5xwithout 5xa 5xbackground 5xof 5xskills 5xand
5xexperience 5xfrom 5xwhich 5xto 5xdraw, 5xare 5xmore 5xlikely 5xto 5xmake 5xtheir 5xdecisions 5xusing:
a. Intuition.
b. A 5xset 5xof 5xrules.
Page 5x3 5xof 5x961
, c. Articles 5xin 5xjournals.
d. Advice 5xfrom 5xsupervisors.
ANS: 5xB
Novice 5xnurses 5xoperate 5xfrom 5xa 5xset 5xof 5xdefined, 5xstructured 5xrules. 5xThe 5xexpert 5xpractitioner 5xuses
intuitive 5xlinks. 5xDIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x3 5xMSC:
5x
5x Client 5xNeeds: 5xGeneral
6. Expert 5xnurses 5xlearn 5xto 5xattend 5xto 5xa 5xpattern 5xof 5xassessment 5xdata 5xand 5xact 5xwithout
5xconsciously 5xlabeling 5xit. 5xThese 5xresponses 5xare 5xreferred 5xto 5xas:
a. Intuition.
b. The 5xnursing 5xprocess.
c. Clinical 5xknowledge.
d. Diagnostic 5xreasoning.
ANS: 5xA
Intuition 5xis 5xcharacterized 5xby 5xpattern 5xrecognition 5xexpert 5xnurses 5xlearn 5xto 5xattend 5xto 5xa 5xpattern 5xof
5xassessment 5xdata 5xand 5xact 5xwithout 5xconsciously 5xlabeling 5xit. 5xThe 5xother 5xoptions 5xare 5xnot 5xcorrect.
DIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x4 5xMSC: 5xClient 5xNeeds: 5xGeneral
7. The 5xnurse 5xis 5xreviewing 5xinformation 5xabout 5xevidence-based 5xpractice 5x(EBP). 5xWhich 5xstatement
5xbest 5xreflects 5xEBP?
a. EBP 5xrelies 5xon 5xtradition 5xfor 5xsupport 5xof 5xbest 5xpractices.
b. EBP 5xis 5xsimply 5xthe 5xuse 5xof 5xbest 5xpractice 5xtechniques 5xfor 5xthe 5xtreatment 5xof 5xpatients.
c. EBP 5xemphasizes 5xthe 5xuse 5xof 5xbest 5xevidence 5xwith 5xthe 5xclinicians 5xexperience.
d. The 5xpatients 5xown 5xpreferences 5xare 5xnot 5ximportant
with 5xEBP. 5xANS: 5xC
5x
EBP 5xis 5xa 5xsystematic 5xapproach 5xto 5xpractice 5xthat 5xemphasizes 5xthe 5xuse 5xof 5xbest 5xevidence 5xin
5xcombination 5xwith 5xthe 5xclinicians 5xexperience, 5xas 5xwell 5xas 5xpatient 5xpreferences 5xand 5xvalues, 5xwhen
5xmaking 5xdecisions 5xabout 5xcare 5xand 5xtreatment. 5xEBP 5xis 5xmore 5xthan 5xsimply 5xusing 5xthe 5xbest 5xpractice
5xtechniques 5xto 5xtreat 5xpatients, 5xand 5xquestioning 5xtradition 5xis 5ximportant 5xwhen 5xno 5xcompelling 5xand
5xsupportive 5xresearch 5xevidence 5xexists.
Page 5x4 5xof 5x961
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
Page 5x1 5xof 5x961
, Chapter 5x1. 5xAPPROACH 5xTO 5xEVIDENCE-BASED 5xASSESSMENT 5xOF 5xHEALTH 5xAND
5xWELL- 5xBEING
MULTIPLE 5xCHOICE
1. After 5xcompleting 5xan 5xinitial 5xassessment 5xof 5xa 5xpatient, 5xthe 5xnurse 5xhas 5xcharted 5xthat 5xhis
5xrespirations 5xare 5xeupneic 5xand 5xhis 5xpulse 5xis 5x58 5xbeats 5xper 5xminute. 5xThese 5xtypes 5xof 5xdata
5xwould 5xbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 5xA
Objective 5xdata 5xare 5xwhat 5xthe 5xhealth 5xprofessional 5xobserves 5xby 5xinspecting, 5xpercussing, 5xpalpating,
5xand 5xauscultating 5xduring 5xthe 5xphysical 5xexamination. 5xSubjective 5xdata 5xis 5xwhat 5xthe 5xperson 5xsays
5xabout 5xhim 5xor 5xherself 5xduring 5xhistory 5xtaking. 5xThe 5xterms 5xreflective 5xand 5xintrospective 5xare 5xnot
5xused 5xto 5xdescribe 5xdata.
DIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
2. A 5xpatient 5xtells 5xthe 5xnurse 5xthat 5xhe 5xis 5xvery 5xnervous, 5xis 5xnauseated, 5xand 5xfeels 5xhot. 5xThese
5xtypes 5xof 5xdata 5xwould 5xbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 5xC
Subjective 5xdata 5xare 5xwhat 5xthe 5xperson 5xsays 5xabout 5xhim 5xor 5xherself 5xduring 5xhistory 5xtaking.
5xObjective 5xdata 5xare 5xwhat 5xthe 5xhealth 5xprofessional 5xobserves 5xby 5xinspecting, 5xpercussing,
5xpalpating, 5xand 5xauscultating 5xduring 5xthe 5xphysical 5xexamination. 5xThe 5xterms 5xreflective 5xand
5xintrospective 5xare 5xnot 5xused 5xto 5xdescribe 5xdata.
DIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
Page 5x2 5xof 5x961
,3. The 5xpatients 5xrecord, 5xlaboratory 5xstudies, 5xobjective 5xdata, 5xand 5xsubjective 5xdata 5xcombine 5xto 5xform 5xthe:
a. Data 5xbase.
b. Admitting 5xdata.
c. Financial 5xstatement.
d. Discharge 5xsummary.
ANS: 5xA
Together 5xwith 5xthe 5xpatients 5xrecord 5xand 5xlaboratory 5xstudies, 5xthe 5xobjective 5xand 5xsubjective 5xdata
5xform 5xthe 5xdata 5xbase. 5xThe 5xother 5xitems 5xare 5xnot 5xpart 5xof 5xthe 5xpatients 5xrecord, 5xlaboratory
5xstudies, 5xor 5xdata.
DIF: 5xCognitive 5xLevel: 5xRemembering 5x(Knowledge) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
4. When 5xlistening 5xto 5xa 5xpatients 5xbreath 5xsounds, 5xthe 5xnurse 5xis 5xunsure 5xof 5xa 5xsound 5xthat 5xis 5xheard.
5xThe 5xnurses 5xnext 5xaction 5xshould 5xbe 5xto:
a. Immediately 5xnotify 5xthe 5xpatients 5xphysician.
b. Document 5xthe 5xsound 5xexactly 5xas 5xit 5xwas 5xheard.
c. Validate 5xthe 5xdata 5xby 5xasking 5xa 5xcoworker 5xto 5xlisten 5xto 5xthe 5xbreath 5xsounds.
d. Assess 5xagain 5xin 5x20 5xminutes 5xto 5xnote 5xwhether 5xthe 5xsound 5xis 5xstill 5xpresent.
ANS: 5xC
When 5xunsure 5xof 5xa 5xsound 5xheard 5xwhile 5xlistening 5xto 5xa 5xpatients 5xbreath 5xsounds, 5xthe 5xnurse
5xvalidates 5xthe 5xdata 5xto 5xensure 5xaccuracy. 5xIf 5xthe 5xnurse 5xhas 5xless 5xexperience 5xin 5xan 5xarea, 5xthen
5xhe 5xor 5xshe 5xasks 5xan 5xexpert 5xto 5xlisten.
DIF: 5xCognitive 5xLevel: 5xAnalyzing 5x(Analysis) 5xREF: 5xz. 5x2
MSC: 5xClient 5xNeeds: 5xSafe 5xand 5xEffective 5xCare 5xEnvironment: 5xManagement 5xof 5xCare
5. The 5xnurse 5xis 5xconducting 5xa 5xclass 5xfor 5xnew 5xgraduate 5xnurses. 5xDuring 5xthe 5xteaching 5xsession,
5xthe 5xnurse 5xshould 5xkeep 5xin 5xmind 5xthat 5xnovice 5xnurses, 5xwithout 5xa 5xbackground 5xof 5xskills 5xand
5xexperience 5xfrom 5xwhich 5xto 5xdraw, 5xare 5xmore 5xlikely 5xto 5xmake 5xtheir 5xdecisions 5xusing:
a. Intuition.
b. A 5xset 5xof 5xrules.
Page 5x3 5xof 5x961
, c. Articles 5xin 5xjournals.
d. Advice 5xfrom 5xsupervisors.
ANS: 5xB
Novice 5xnurses 5xoperate 5xfrom 5xa 5xset 5xof 5xdefined, 5xstructured 5xrules. 5xThe 5xexpert 5xpractitioner 5xuses
intuitive 5xlinks. 5xDIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x3 5xMSC:
5x
5x Client 5xNeeds: 5xGeneral
6. Expert 5xnurses 5xlearn 5xto 5xattend 5xto 5xa 5xpattern 5xof 5xassessment 5xdata 5xand 5xact 5xwithout
5xconsciously 5xlabeling 5xit. 5xThese 5xresponses 5xare 5xreferred 5xto 5xas:
a. Intuition.
b. The 5xnursing 5xprocess.
c. Clinical 5xknowledge.
d. Diagnostic 5xreasoning.
ANS: 5xA
Intuition 5xis 5xcharacterized 5xby 5xpattern 5xrecognition 5xexpert 5xnurses 5xlearn 5xto 5xattend 5xto 5xa 5xpattern 5xof
5xassessment 5xdata 5xand 5xact 5xwithout 5xconsciously 5xlabeling 5xit. 5xThe 5xother 5xoptions 5xare 5xnot 5xcorrect.
DIF: 5xCognitive 5xLevel: 5xUnderstanding 5x(Comprehension) 5xREF: 5xz. 5x4 5xMSC: 5xClient 5xNeeds: 5xGeneral
7. The 5xnurse 5xis 5xreviewing 5xinformation 5xabout 5xevidence-based 5xpractice 5x(EBP). 5xWhich 5xstatement
5xbest 5xreflects 5xEBP?
a. EBP 5xrelies 5xon 5xtradition 5xfor 5xsupport 5xof 5xbest 5xpractices.
b. EBP 5xis 5xsimply 5xthe 5xuse 5xof 5xbest 5xpractice 5xtechniques 5xfor 5xthe 5xtreatment 5xof 5xpatients.
c. EBP 5xemphasizes 5xthe 5xuse 5xof 5xbest 5xevidence 5xwith 5xthe 5xclinicians 5xexperience.
d. The 5xpatients 5xown 5xpreferences 5xare 5xnot 5ximportant
with 5xEBP. 5xANS: 5xC
5x
EBP 5xis 5xa 5xsystematic 5xapproach 5xto 5xpractice 5xthat 5xemphasizes 5xthe 5xuse 5xof 5xbest 5xevidence 5xin
5xcombination 5xwith 5xthe 5xclinicians 5xexperience, 5xas 5xwell 5xas 5xpatient 5xpreferences 5xand 5xvalues, 5xwhen
5xmaking 5xdecisions 5xabout 5xcare 5xand 5xtreatment. 5xEBP 5xis 5xmore 5xthan 5xsimply 5xusing 5xthe 5xbest 5xpractice
5xtechniques 5xto 5xtreat 5xpatients, 5xand 5xquestioning 5xtradition 5xis 5ximportant 5xwhen 5xno 5xcompelling 5xand
5xsupportive 5xresearch 5xevidence 5xexists.
Page 5x4 5xof 5x961
