Test Bank For Bates' Guide To Physical Examination and History Taking 13th Edition by Lynn S. Bickley Complete Guide A+ LATEST UPDATES QUESTION ANS ANSWERS

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TestBankForBates'GuideToPhysicalExamination and
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History Taking 13th Edition by Lynn S. Bickley Complete Guide A+
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LATEST UPDATES QUESTION ANS ANSWERS.
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Bates’ Guide To Physical Examination and History Taking 13th
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Edition Bickley Test Bank ss ss ss ss




CHAPTER 1 Foundations for Clinical Proficiency
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MULTIPLE CHOICE
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1. After completing an initial assessment of a patient, the nurse has charted that his
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respirations are 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 ss



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
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or herself during history taking. The terms reflective and introspective are not used to describe
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data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 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
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data would be:
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a Objective.
.

b Reflective.
.

c Subjective.
.

d Introspective.
.




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ANS: C ss



Subjective data are what the person says about him or herself during history taking. Objective data
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are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. The terms reflective and introspective are not used to describe
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data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to
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form the:
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a Data base. ss



.

b Admitting data. ss



.

c Financial statement. ss



.

d Discharge summary. ss



.


ANS: A ss



Together with the patients record and laboratory studies, the objective and subjective data form
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the data base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 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.
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The nurses next action should be to:
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a Immediately notify the patients physician. ss ss ss ss



.

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



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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 ss



When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
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listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 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
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nurse should keep in mind that novice nurses, without a background of skills and experience
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from which to draw, are more likely to make their decisions using:
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a Intuition.
.

b A set of rules.
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.

c Articles in journals. ss ss



.

d Advice from supervisors. ss ss



.


ANS: B ss



Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
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intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
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MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
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labeling it. These responses are referred to as:
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a Intuition.
.

b The nursing process. ss ss



.




THENURSINGMASTERY
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