TEST BANK for Evidence-Based Physical Examination: Best Practices for Health and Well-Being Assessment 2nd Edition by Kate Gawlik

TEST BANK for Evidence-Based
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL50CHAPTERS501-2950WITH50RATIONALES|50A+50GRADE




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, Chapter501.50APPROACH50TO50EVIDENCE-
BASED50ASSESSMENT50OF50HEALTH50AND50WELL-50BEING

MULTIPLE50CHOICE

1. After50completing50an50initial50assessment50of50a50patient,50the50nurse50has50charted50that50his5
0respirations50are50eupneic50and50his50pulse50is505850beats50per50minute.50These50types50of50data
50would50be:


a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:50A

Objective50data50are50what50the50health50professional50observes50by50inspecting,50percussing,50palpating
,50and50auscultating50during50the50physical50examination.50Subjective50data50is50what50the50person50says
50about50him50or50herself50during50history50taking.50The50terms50reflective50and50introspective50are50not
50used50to50describe50data.


DIF:50Cognitive50Level:50Understanding50(Comprehension)50REF:50z.502

MSC:50Client50Needs:50Safe50and50Effective50Care50Environment:50Management50of50Care



2. A50patient50tells50the50nurse50that50he50is50very50nervous,50is50nauseated,50and50feels50hot.50These50t
ypes50of50data50would50be:

a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:50C

Subjective50data50are50what50the50person50says50about50him50or50herself50during50history50taking.50O
bjective50data50are50what50the50health50professional50observes50by50inspecting,50percussing,50palpatin
g,50and50auscultating50during50the50physical50examination.50The50terms50reflective50and50introspectiv
e50are50not50used50to50describe50data.

DIF:50Cognitive50Level:50Understanding50(Comprehension)50REF:50z.502

MSC:50Client50Needs:50Safe50and50Effective50Care50Environment:50Management50of50Care

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,3. The50patients50record,50laboratory50studies,50objective50data,50and50subjective50data50combine50to50form50th
e:

a. Data50base.

b. Admitting50data.

c. Financial50statement.

d. Discharge50summary.

ANS:50A

Together50with50the50patients50record50and50laboratory50studies,50the50objective50and50subjective50data50f
orm50the50data50base.50The50other50items50are50not50part50of50the50patients50record,50laboratory50studies,
50or50data.


DIF:50Cognitive50Level:50Remembering50(Knowledge)50REF:50z.502

MSC:50Client50Needs:50Safe50and50Effective50Care50Environment:50Management50of50Care



4. When50listening50to50a50patients50breath50sounds,50the50nurse50is50unsure50of50a50sound50that50is50hear
d.50The50nurses50next50action50should50be50to:

a. Immediately50notify50the50patients50physician.

b. Document50the50sound50exactly50as50it50was50heard.

c. Validate50the50data50by50asking50a50coworker50to50listen50to50the50breath50sounds.

d. Assess50again50in502050minutes50to50note50whether50the50sound50is50still50present.

ANS:50C

When50unsure50of50a50sound50heard50while50listening50to50a50patients50breath50sounds,50the50nurse50vali
dates50the50data50to50ensure50accuracy.50If50the50nurse50has50less50experience50in50an50area,50then50he50
or50she50asks50an50expert50to50listen.

DIF:50Cognitive50Level:50Analyzing50(Analysis)50REF:50z.502

MSC:50Client50Needs:50Safe50and50Effective50Care50Environment:50Management50of50Care



5. The50nurse50is50conducting50a50class50for50new50graduate50nurses.50During50the50teaching50session,50t
he50nurse50should50keep50in50mind50that50novice50nurses,50without50a50background50of50skills50and50ex
perience50from50which50to50draw,50are50more50likely50to50make50their50decisions50using:

a. Intuition.

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, b. A50set50of50rules.




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