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Exam (elaborations)

HEALTH ASSESSMENT TEST BANK 2023/2024

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HEALTH ASSESSMENT TEST BANK 2023/2024

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Bates’ Guide To Physical Examination and History Taking 13t
g g g g g g g g


h Edition Bickley Test Bank
g g g g



AdvNursingAssessment(UniversityofSouthAlabama)




StuDocuisnotsponsoredorendorsedbyanycollegeoruniversity
DownloadedbyErinMiller()

, Bates’GuideToPhysicalExaminationandHistoryTaking13th
EditionBickleyTestBank
CHAPTER
1FoundationsforClinicalProficiencyg
MULTIPLEgCHOICE
1. Aftercompletinganinitialassessmentofapatient,thenursehaschartedthathisrespirations garegeup
neicgandghisgpulsegisg58gbeatsgpergminute.gThesegtypesgofgdatagwouldgbe:


a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:gA
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,g
andauscultatingduringthephysicalexamination.Subjectivedataiswhatthepersonsaysaboutghimgorg
herselfgduringghistorygtaking.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdescribegd
ata.

DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafeandgEffectiveCareEnvironment:ManagementofgCare
2. Apatienttellsthenursethatheisverynervous,isnauseated,andfeelshot.Thesetypesof gdatagwoul
dgbe:


a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:gC
Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectived
atagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultat
inggduringgthegphysicalgexamination.gThegtermsgreflectivegandgintrospectivegaregnotgused

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,todescribegdata.

DIF:CognitiveLevel:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafeandgEffectiveCareEnvironment:ManagementofgCare
3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoform gthe:


a Datagbase.
.
b Admittingdata.
.
c Financialstatement.
.
d Dischargesummary.
.

ANS:gA
Togethergwithgthegpatientsgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagform
gthegdatagbase.gThegothergitemsgaregnotgpartgofgthegpatientsgrecord,glaboratorygstudies,gorgdata.



DIF:CognitiveLevel:Remembering(Knowledge)REF:p.2
MSC:ClientNeeds:SafeandgEffectiveCareEnvironment:ManagementofgCare
4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard.The gnursesgne
xtgactiongshouldgbegto:


a Immediatelynotifythepatientsphysician.
.
b Documentthesoundexactlyasitwasheard.
.
c Validatethedatabyaskingacoworkertolistentothebreathsounds.
.
d Assessagainin20minutestonotewhetherthesoundisstillpresent.
.

ANS:gC
Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatientsgbreathgsounds,gthegnursegvalidatesgth
egdatagtogensuregaccuracy.gIfgthegnurseghasglessgexperiencegingangarea,gthenghegorgshegasksgangexp
erttoglisten.

DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
MSC:ClientNeeds:SafeandgEffectiveCareEnvironment:ManagementofgCare




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, 5. Thegnursegisgconductinggagclassgforgnewggraduategnurses.gDuringgthegteachinggsession,gth
egnurseshouldkeepinmindthatnovicenurses,withoutabackgroundofskillsandexperiencegfromg
whichgtogdraw,garegmoreglikelygtogmakegtheirgdecisionsusing:


a Intuition.
.
b Agsetofgrules.
.
c Articlesinjournals.
.
d Advicegfromsupervisors.
.

ANS:gB
Novicenursesoperatefromasetofdefined,structuredrules.Theexpertpractitioneruses gintuitiveglinks
.

DIF:CognitiveLevel:Understanding(Comprehension)REF:p.3gMS
C:gClientgNeeds:gGeneral
6. Expertnurseslearntoattendtoapatternofassessmentdataandactwithoutconsciously glabeling
git.gThesegresponsesgaregreferredgtogas:



a Intuition.
.
b Thegnursingprocess.
.
c Clinicalknowledge.
.
d Diagnosticreasoning.
.

ANS:gA
Intuitionischaracterizedbypatternrecognitionexpertnurseslearntoattendtoapatternof gassessmentgd
atagandgactgwithoutgconsciouslyglabelinggit.gThegothergoptionsgaregnotgcorrect.

DIF:CognitiveLevel:Understanding(Comprehension)REF:p.4gMS
C:gClientgNeeds:gGeneral
7. Thenurseisreviewinginformationaboutevidence-
basedpractice(EBP).WhichstatementgbestgreflectsgEBP?




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