TESTBANK l
l
Evidence-Based Physical Examination Best Practices for
l l l l
Health & Well-BeingAssessment by Kate Gawlic
l l l l l l
1st Edition
l
TEST BANK l
,Chapter l1. lAPPROACH lTO lEVIDENCE-BASED lASSESSMENT lOF lHEALTH lAND
lWELL-BEING
Kate lGawlic: lEvidence-Based lPhysical lExamination lBest lPractices lfor lHealth l& lWell-
lBeingAssessment l1st lEdition
MULTIPLE lCHOICE
1. After lcompleting lan linitial lassessment lof la lpatient, lthe lnurse lhas lcharted lthat lhis
lrespirations lare leupneic land lhis lpulse lis l58 lbeats lper lminute. lThese l types lof ldata lwould lbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: lA
Objective ldata lare lwhat lthe lhealth lprofessional lobserves lby linspecting, lpercussing,
lpalpating, l and lauscultating lduring lthe lphysical lexamination. lSubjective ldata lis lwhat lthe
lperson lsays labout lhim lor lherself lduring lhistory ltaking. lThe lterms lreflective land
lintrospective lare lnot lused lto ldescribe ldata.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
2. A lpatient ltells lthe lnurse lthat lhe lis lvery lnervous, lis lnauseated, land lfeels lhot. lThese ltypes
lof ldata lwould lbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: lC
Subjective ldata lare lwhat lthe lperson lsays labout lhim lor lherself lduring lhistory ltaking. lObjective
,data lare lwhat lthe lhealth lprofessional lobserves lby linspecting, lpercussing, lpalpating, land
lauscultating lduring lthe lphysical lexamination. lThe lterms lreflective land lintrospective lare lnot
lused lto ldescribe ldata.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
3. The lpatients lrecord, llaboratory lstudies, lobjective ldata, land lsubjective ldata lcombine lto
lform lthe:
a Data lbase.
.
b Admitting ldata.
.
c Financial lstatement.
.
d Discharge lsummary.
.
ANS: lA
Together lwith lthe lpatients lrecord land llaboratory lstudies, lthe lobjective land lsubjective ldata lform
lthe ldata lbase. lThe lother litems lare lnot lpart lof lthe lpatients lrecord, llaboratory lstudies, lor ldata.
DIF: lCognitive lLevel: lRemembering l(Knowledge) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
4. When llistening lto la lpatients lbreath lsounds, lthe lnurse lis lunsure lof la lsound lthat lis lheard.
lThe lnurses lnext laction lshould lbe lto:
a Immediately lnotify lthe lpatients lphysician.
.
b Document lthe lsound lexactly las lit lwas lheard.
.
c Validate lthe ldata lby lasking la lcoworker lto llisten lto lthe lbreath lsounds.
.
d Assess lagain lin l20 lminutes lto lnote lwhether lthe lsound lis lstill lpresent.
.
ANS: lC
When lunsure lof la lsound lheard lwhile llistening lto la lpatients lbreath lsounds, lthe lnurse lvalidates
lthe ldata lto lensure laccuracy. lIf lthe lnurse lhas lless lexperience lin lan larea, lthen lhe lor lshe lasks lan
lexpert l to llisten.
, DIF: lCognitive lLevel: lAnalyzing l(Analysis) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
5. The lnurse lis lconducting la lclass lfor lnew lgraduate lnurses. lDuring lthe lteaching lsession,
lthe lnurse lshould lkeep lin lmind lthat lnovice lnurses, lwithout la lbackground lof lskills land
lexperience lfrom lwhich lto ldraw, lare lmore llikely lto l make ltheir ldecisions l using:
a Intuition.
.
b A lset lof lrules.
.
c Articles lin ljournals.
.
d Advice lfrom lsupervisors.
.
ANS: lB
Novice lnurses loperate lfrom la lset lof ldefined, lstructured lrules. lThe lexpert lpractitioner luses
lintuitive llinks.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l3
lMSC: lClient lNeeds: l General
6. Expert lnurses llearn lto lattend lto la lpattern lof lassessment ldata land lact lwithout
lconsciously llabeling lit. lThese lresponses lare lreferred lto las:
a Intuition.
.
b The lnursing lprocess.
.
c Clinical lknowledge.
.
d Diagnostic lreasoning.
.
ANS: lA
Intuition lis lcharacterized lby lpattern lrecognitionexpert lnurses llearn lto lattend lto la lpattern lof
lassessment ldata land lact lwithout lconsciously llabeling lit. lThe lother loptions lare lnot lcorrect.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l4
lMSC: lClient lNeeds: l General
7. The lnurse lis lreviewing linformation labout levidence-based lpractice l(EBP). lWhich
lstatement lbest lreflects l EBP?
l
Evidence-Based Physical Examination Best Practices for
l l l l
Health & Well-BeingAssessment by Kate Gawlic
l l l l l l
1st Edition
l
TEST BANK l
,Chapter l1. lAPPROACH lTO lEVIDENCE-BASED lASSESSMENT lOF lHEALTH lAND
lWELL-BEING
Kate lGawlic: lEvidence-Based lPhysical lExamination lBest lPractices lfor lHealth l& lWell-
lBeingAssessment l1st lEdition
MULTIPLE lCHOICE
1. After lcompleting lan linitial lassessment lof la lpatient, lthe lnurse lhas lcharted lthat lhis
lrespirations lare leupneic land lhis lpulse lis l58 lbeats lper lminute. lThese l types lof ldata lwould lbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: lA
Objective ldata lare lwhat lthe lhealth lprofessional lobserves lby linspecting, lpercussing,
lpalpating, l and lauscultating lduring lthe lphysical lexamination. lSubjective ldata lis lwhat lthe
lperson lsays labout lhim lor lherself lduring lhistory ltaking. lThe lterms lreflective land
lintrospective lare lnot lused lto ldescribe ldata.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
2. A lpatient ltells lthe lnurse lthat lhe lis lvery lnervous, lis lnauseated, land lfeels lhot. lThese ltypes
lof ldata lwould lbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: lC
Subjective ldata lare lwhat lthe lperson lsays labout lhim lor lherself lduring lhistory ltaking. lObjective
,data lare lwhat lthe lhealth lprofessional lobserves lby linspecting, lpercussing, lpalpating, land
lauscultating lduring lthe lphysical lexamination. lThe lterms lreflective land lintrospective lare lnot
lused lto ldescribe ldata.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
3. The lpatients lrecord, llaboratory lstudies, lobjective ldata, land lsubjective ldata lcombine lto
lform lthe:
a Data lbase.
.
b Admitting ldata.
.
c Financial lstatement.
.
d Discharge lsummary.
.
ANS: lA
Together lwith lthe lpatients lrecord land llaboratory lstudies, lthe lobjective land lsubjective ldata lform
lthe ldata lbase. lThe lother litems lare lnot lpart lof lthe lpatients lrecord, llaboratory lstudies, lor ldata.
DIF: lCognitive lLevel: lRemembering l(Knowledge) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
4. When llistening lto la lpatients lbreath lsounds, lthe lnurse lis lunsure lof la lsound lthat lis lheard.
lThe lnurses lnext laction lshould lbe lto:
a Immediately lnotify lthe lpatients lphysician.
.
b Document lthe lsound lexactly las lit lwas lheard.
.
c Validate lthe ldata lby lasking la lcoworker lto llisten lto lthe lbreath lsounds.
.
d Assess lagain lin l20 lminutes lto lnote lwhether lthe lsound lis lstill lpresent.
.
ANS: lC
When lunsure lof la lsound lheard lwhile llistening lto la lpatients lbreath lsounds, lthe lnurse lvalidates
lthe ldata lto lensure laccuracy. lIf lthe lnurse lhas lless lexperience lin lan larea, lthen lhe lor lshe lasks lan
lexpert l to llisten.
, DIF: lCognitive lLevel: lAnalyzing l(Analysis) lREF: lz. l2
MSC: lClient lNeeds: lSafe land lEffective lCare lEnvironment: lManagement lof lCare
5. The lnurse lis lconducting la lclass lfor lnew lgraduate lnurses. lDuring lthe lteaching lsession,
lthe lnurse lshould lkeep lin lmind lthat lnovice lnurses, lwithout la lbackground lof lskills land
lexperience lfrom lwhich lto ldraw, lare lmore llikely lto l make ltheir ldecisions l using:
a Intuition.
.
b A lset lof lrules.
.
c Articles lin ljournals.
.
d Advice lfrom lsupervisors.
.
ANS: lB
Novice lnurses loperate lfrom la lset lof ldefined, lstructured lrules. lThe lexpert lpractitioner luses
lintuitive llinks.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l3
lMSC: lClient lNeeds: l General
6. Expert lnurses llearn lto lattend lto la lpattern lof lassessment ldata land lact lwithout
lconsciously llabeling lit. lThese lresponses lare lreferred lto las:
a Intuition.
.
b The lnursing lprocess.
.
c Clinical lknowledge.
.
d Diagnostic lreasoning.
.
ANS: lA
Intuition lis lcharacterized lby lpattern lrecognitionexpert lnurses llearn lto lattend lto la lpattern lof
lassessment ldata land lact lwithout lconsciously llabeling lit. lThe lother loptions lare lnot lcorrect.
DIF: lCognitive lLevel: lUnderstanding l(Comprehension) lREF: lz. l4
lMSC: lClient lNeeds: l General
7. The lnurse lis lreviewing linformation labout levidence-based lpractice l(EBP). lWhich
lstatement lbest lreflects l EBP?
