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