Evidence-Based Physical Examination Best Practices for
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Health & Well-Being Assessment 1st Edition Test Bank
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,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING
d
MULTIPLE CHOICE d
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
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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 d
Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data is what the person says about
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him or herself during history taking. The terms reflective and introspective are not used to
d d d d d d d d d d d d d d d
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
d d d d d d d d d d d d d d d d d
data would be:
d d d
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C d
Subjective data are what the person says about him or herself during history taking. Objective
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,data are what the health professional observes by inspecting, percussing, palpating, and
d d d d d d d d d d d
auscultating during the physical examination. The terms reflective and introspective are not used
d d d d d d d d d d d d d
to describe data.
d d d
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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3. The patients record, laboratory studies, objective data, and subjective data combine to form
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the:
d
a Data base. d
.
b Admitting data. d
.
c Financial statement. d
.
d Discharge summary. d
.
ANS: A d
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: 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
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nurses next action should be to:
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a Immediately notify the patients physician. d d d d
.
b Document the sound exactly as it was heard. d d d d d d d
.
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 d
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
d d d d d d d d d d d d d d d d d d d d
to listen.
d d
, 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
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nurse should keep in mind that novice nurses, without a background of skills and experience
d d d d d d d d d d d d d d d
from which to draw, are more likely to make their decisions using:
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a Intuition.
.
b A set of rules.
d d d
.
c Articles in journals. d d
.
d Advice from supervisors. d d
.
ANS: B d
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
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intuitive links.
d d
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 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. d d
.
c Clinical knowledge. d
.
d Diagnostic reasoning. d
.
ANS: A d
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
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dassessment data and act without consciously labeling it. The other options are not correct.
d d d d d d d d d d d d d
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4
d d d d d d d
MSC: Client Needs: General
d d d d
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
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best reflects EBP?
d d d
d d d d d
Health & Well-Being Assessment 1st Edition Test Bank
d d d d d d d d
,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
d d d d d d d d d
BEING
d
MULTIPLE CHOICE d
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
d d d d d d d d d d d d d d
are eupneic and his pulse is 58 beats per minute. These types of data would be:
d d d d d d d d d d d d d d d d
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A d
Objective data are what the health professional observes by inspecting, percussing, palpating,
d d d d d d d d d d d
and auscultating during the physical examination. Subjective data is what the person says about
d d d d d d d d d d d d d d
him or herself during history taking. The terms reflective and introspective are not used to
d d d d d d d d d d d d d d d
describe data.
d d
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
d d d d d d d
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d d d d d d d d d d
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
d d d d d d d d d d d d d d d d d
data would be:
d d d
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C d
Subjective data are what the person says about him or herself during history taking. Objective
d d d d d d d d d d d d d d
,data are what the health professional observes by inspecting, percussing, palpating, and
d d d d d d d d d d d
auscultating during the physical examination. The terms reflective and introspective are not used
d d d d d d d d d d d d d
to describe data.
d d d
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
d d d d d d d
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d d d d d d d d d d
3. The patients record, laboratory studies, objective data, and subjective data combine to form
d d d d d d d d d d d d
the:
d
a Data base. d
.
b Admitting data. d
.
c Financial statement. d
.
d Discharge summary. d
.
ANS: A d
Together with the patients record and laboratory studies, the objective and subjective data form
d d d d d d d d d d d d d
the data base. The other items are not part of the patients record, laboratory studies, or data.
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
d d d d d d d
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d d d d d d d d d d
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
d d d d d d d d d d d d d d d d d
nurses next action should be to:
d d d d d d
a Immediately notify the patients physician. d d d d
.
b Document the sound exactly as it was heard. d d d d d d d
.
c Validate the data by asking a coworker to listen to the breath sounds.
d d d d d d d d d d d d
.
d Assess again in 20 minutes to note whether the sound is still present.
d d d d d d d d d d d d
.
ANS: C d
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
d d d d d d d d d d d d d d d d
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
d d d d d d d d d d d d d d d d d d d d
to listen.
d d
, DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
d d d d d d d
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d d d d d d d d d d
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
d d d d d d d d d d d d d d
nurse should keep in mind that novice nurses, without a background of skills and experience
d d d d d d d d d d d d d d d
from which to draw, are more likely to make their decisions using:
d d d d d d d d d d d d
a Intuition.
.
b A set of rules.
d d d
.
c Articles in journals. d d
.
d Advice from supervisors. d d
.
ANS: B d
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
d d d d d d d d d d d d d
intuitive links.
d d
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3
d d d d d d d
MSC: Client Needs: General
d d d d
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
d d d d d d d d d d d d d d
labeling it. These responses are referred to as:
d d d d d d d d
a Intuition.
.
b The nursing process. d d
.
c Clinical knowledge. d
.
d Diagnostic reasoning. d
.
ANS: A d
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
d d d d d d d d d d d d d
dassessment data and act without consciously labeling it. The other options are not correct.
d d d d d d d d d d d d d
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4
d d d d d d d
MSC: Client Needs: General
d d d d
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
d d d d d d d d d d
best reflects EBP?
d d d
