TEST BANK FOR Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition ;All Chapters / Full Complete

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Physical Examination: Best Practices
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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 j




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 j




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:
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a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS: C j




Subjective data are what the person says about him or herself during history taking. Objective data are
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what the health professional observes by inspecting, percussing, palpating, and auscultating during the
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physical examination. 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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Page 2 of 759j j j

,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. j




b. Admitting data. j




c. Financial statement. j




d. Discharge summary. j




ANS: A j




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
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action should be to:
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a. Immediately notify the patients physician. j j j j




b. Document the sound exactly as it was heard. j j j j j j j




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 j




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.
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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. j j j




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, c. Articles in journals. j j




d. Advice from supervisors. j j




ANS: B j




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
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j 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. j j




c. Clinical knowledge. j




d. Diagnostic reasoning. j




ANS: A j




Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment data
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and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
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EBP?
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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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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and treatment.
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EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is important
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when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application) REF: z. 5
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