TESTBANKforEvidence-Based
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Physical Examination: Best Practices
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g forHealthandWell-Being Assessment
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2nd Edition by Kate Gawlik
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ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
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Page 1 of 759
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, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL- BEING
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MULTIPLE CHOICE g
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
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eupneic 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 g
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself
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during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
g g g g g g g g g g g g g g g g g g g g
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C g
Subjective data are what the person says about him or herself during history taking. Objective data are what
g g g g g g g g g g g g g g g g g
the health professional observes by inspecting, percussing, palpating, and auscultating during the physical
g g g g g g g g g g g g g
examination. The terms reflective and introspective are not used to describe data.
g g g g g g g g g g g g
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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Page 2 of 759 g g g
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. g
b. Admitting data. g
c. Financial statement. g
d. Discharge summary. g
ANS: A g
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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The 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: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action
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should be to:
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a. Immediately notify the patients physician. g g g g
b. Document the sound exactly as it was heard. g g g g g g g
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C g
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
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accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
g g g g g g g g g g g g g g g g g g g
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
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in mind that novice nurses, without a background of skills and experience from which to draw, are more
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likely to make their decisions using:
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a. Intuition.
b. A set of rules. g g g
Page 3 of 759g g g
, c. Articles in journals. g g
d. Advice from supervisors. g g
ANS: B g
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive 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 to attend to a pattern of assessment data and act without consciously labeling it.
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These responses are referred to as:
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a. Intuition.
b. The nursing process. g g
c. Clinical knowledge. g
d. Diagnostic reasoning. g
ANS: A g
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment data and
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act without consciously labeling it. The other options are not correct.
g g g g g g g g g g g
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
g g g g g g g g g g g
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
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EBP?
g
a. EBP relies on tradition for support of best practices.
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b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with EBP.
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ANS: C
g g
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians
g g g g g g g g g g g g g g g g g g
experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is
g g g g g g g g g g g g g g g g g
more than simply using the best practice techniques to treat patients, and questioning tradition is important when
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no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application) REF: z. 5
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Page 4 of 759 g g g
g g g
Physical Examination: Best Practices
g g g
g forHealthandWell-Being Assessment
g g g g
2nd Edition by Kate Gawlik
g g g g g
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
g g g g g g
Page 1 of 759
g g g
, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL- BEING
g g g g g g g g g g
MULTIPLE CHOICE g
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
g g g g g g g g g g g g g g g
eupneic and his pulse is 58 beats per minute. These types of data would be:
g g g g g g g g g g g g g g g
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A g
Objective data are what the health professional observes by inspecting, percussing, palpating, and
g g g g g g g g g g g g
auscultating during the physical examination. Subjective data is what the person says about him or herself
g g g g g g g g g g g g g g g g
during history taking. The terms reflective and introspective are not used to describe data.
g g g g g g g g g g g g g g
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
g g g g g g g
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
g g g g g g g g g g
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
g g g g g g g g g g g g g g g g g g g g
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C g
Subjective data are what the person says about him or herself during history taking. Objective data are what
g g g g g g g g g g g g g g g g g
the health professional observes by inspecting, percussing, palpating, and auscultating during the physical
g g g g g g g g g g g g g
examination. The terms reflective and introspective are not used to describe data.
g g g g g g g g g g g g
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
g g g g g g g
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
g g g g g g g g g g
Page 2 of 759 g g g
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
g g g g g g g g g g g g g
a. Data base. g
b. Admitting data. g
c. Financial statement. g
d. Discharge summary. g
ANS: A g
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
g g g g g g g g g g g g g g g g
The other items are not part of the patients record, laboratory studies, or data.
g g g g g g g g g g g g g g
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
g g g g g g g
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
g g g g g g g g g g
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action
g g g g g g g g g g g g g g g g g g g g
should be to:
g g g
a. Immediately notify the patients physician. g g g g
b. Document the sound exactly as it was heard. g g g g g g g
c. Validate the data by asking a coworker to listen to the breath sounds.
g g g g g g g g g g g g
d. Assess again in 20 minutes to note whether the sound is still present.
g g g g g g g g g g g g
ANS: C g
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
g g g g g g g g g g g g g g g g g g g
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
g g g g g g g g g g g g g g g g g g g
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
g g g g g g g
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
g g g g g g g g g g
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
g g g g g g g g g g g g g g g g g
in mind that novice nurses, without a background of skills and experience from which to draw, are more
g g g g g g g g g g g g g g g g g g
likely to make their decisions using:
g g g g g g
a. Intuition.
b. A set of rules. g g g
Page 3 of 759g g g
, c. Articles in journals. g g
d. Advice from supervisors. g g
ANS: B g
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
g g g g g g g g g g g g g g g g
Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
g g g g g g g g g g g
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
g g g g g g g g g g g g g g g g
These responses are referred to as:
g g g g g g
a. Intuition.
b. The nursing process. g g
c. Clinical knowledge. g
d. Diagnostic reasoning. g
ANS: A g
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment data and
g g g g g g g g g g g g g g g g g
act without consciously labeling it. The other options are not correct.
g g g g g g g g g g g
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
g g g g g g g g g g g
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
g g g g g g g g g g g g
EBP?
g
a. EBP relies on tradition for support of best practices.
g g g g g g g g
b. EBP is simply the use of best practice techniques for the treatment of patients.
g g g g g g g g g g g g g
c. EBP emphasizes the use of best evidence with the clinicians experience.
g g g g g g g g g g
d. The patients own preferences are not important with EBP.
g g g g g g g g
ANS: C
g g
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians
g g g g g g g g g g g g g g g g g g
experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is
g g g g g g g g g g g g g g g g g
more than simply using the best practice techniques to treat patients, and questioning tradition is important when
g g g g g g g g g g g g g g g g g
no compelling and supportive research evidence exists.
g g g g g g g
DIF: Cognitive Level: Applying (Application) REF: z. 5
g g g g g g g
Page 4 of 759 g g g
