test bank for evidence based physicalexamination best practices for health and well being assessment 2nd edition

TESTBANKforEvidence-Based s s s




PhysicalExamination:BestPractices
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forHealthandWell-BeingAssessment
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2ndEditionbyKateGawlik
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ALLCHAPTERS1-29WITHRATIONALES|A+GRADE
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, Chapter 1.APPROACHTO EVIDENCE-BASEDASSESSMENTOFHEALTH ANDWELL- BEING
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MULTIPLECHOICE s




1. After completinganinitial assessment ofa patient,the nurse has chartedthat his respirations are eupneic
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and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:A s




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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duringthe physical examination. Subjective data is what the person says about himor herself during history
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taking. The terms reflective and introspective are not used to describe data.
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DIF:CognitiveLevel:Understanding(Comprehension)REF:z.2
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MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
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2. Apatient tellsthe nurse that he isverynervous, is nauseated,and feels hot.These types of data would be:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:C s




Subjective data are what the person says about himor herself during historytaking. Objective data are what the
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health professional observes by inspecting, percussing, palpating, and auscultating during the physical
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examination. The terms reflective and introspective are not used to describe data.
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DIF:CognitiveLevel: Understanding(Comprehension)REF:z.2
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MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
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,3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe:
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a. Data base. s




b. Admittingdata. s




c. Financial statement. s




d. Dischargesummary. s




ANS:A s




Together withthepatientsrecordandlaboratorystudies, theobjective andsubjective data formthe data base. The
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other items are not part of the patients record, laboratory studies, or data.
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DIF:Cognitive Level:Remembering(Knowledge) REF:z.2
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MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
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4. Whenlisteningto a patients breath sounds, the nurseis unsure ofa sound thatisheard.The nurses next action
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should be to:
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a. Immediatelynotifythepatientsphysician. s s s s




b. Document thesoundexactlyas it was heard. s s s s s s s




c. Validatethe data byaskinga coworkertolistentothebreath sounds. s s s s s s s s s s s s




d. Assessagainin 20 minutesto note whether the soundis still present. s s s s s s s s s s s s




ANS:C s




When unsure of a sound heardwhilelisteningto a patientsbreathsounds, the nurse validates the datato ensure
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accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:z.2
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MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
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5. The nurseisconductinga classfornewgraduate nurses. Duringtheteachingsession, the nurseshould keep in
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mind that novice nurses, without a background of skills and experience from which to draw, are more likely to
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make their decisions using:
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a. Intuition.

b. Aset of rules. s s s




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, c. Articlesinjournals. s s




d. Advicefromsupervisors. s s




ANS:B s




Novice nurses operatefroma set ofdefined, structuredrules.Theexpertpractitioner usesintuitive links. DIF:
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Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
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6. Expert nurses learn toattend toa patternof assessment dataandact withoutconsciouslylabelingit. These
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responses are referred to as:
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a. Intuition.

b. The nursing process. s s




c. Clinicalknowledge. s




d. Diagnosticreasoning. s




ANS:A s




Intuitionischaracterized bypattern recognition expertnurses learn toattend toapatternofassessment data and act
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without consciously labeling it. The other options are not correct.
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DIF:CognitiveLevel: Understanding(Comprehension)REF: z.4MSC: Client Needs: General
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7. The nurseisreviewinginformationabout evidence-based practice(EBP).Whichstatement bestreflects EBP?
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a. EBP relieson traditionforsupport ofbest practices.
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b. EBPis simplythe useof best practice techniquesforthetreatment of patients.
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c. EBPemphasizes theuseofbestevidence withthe clinicians experience.
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d. ThepatientsownpreferencesarenotimportantwithEBP.
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ANS: C
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EBP is asystematicapproach to practicethat emphasizes the use ofbest evidencein combination withthe clinicians
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experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is more
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than simply using the best practice techniques to treat patients, and questioning tradition is important when no
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compelling and supportive research evidence exists.
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DIF:CognitiveLevel:Applying(Application)REF:z.5
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