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Evidence-Based Physical Examination Best Practices for Health & Well-
k k k k k k k k
Being Assessment 1st Edition Test Bank
k k k k k
Chapterk1.kAPPROACHkTOkEVIDENCE-BASEDkASSESSMENTkOFkHEALTHkANDkWELL-
kBEING
MULTIPLEkCHOICE
1. Afterkcompletingkankinitialkassessmentkofkakpatient,ktheknursekhaskchartedkthatkhiskrespirationska
rekeupneickandkhiskpulsekisk58kbeatskperkminute.kThesektypeskofkdatakwouldkbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:kA
Objectivekdatakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kand
kauscultatingkduringkthekphysicalkexamination.kSubjectivekdatakiskwhatkthekpersonksayskaboutkhimko
rkherselfkduringkhistoryktaking.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata
.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
2. Akpatientktellsktheknursekthatkhekiskveryknervous,kisknauseated,kandkfeelskhot.kThesektypeskofkd
atakwouldkbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:kC
Subjectivekdatakarekwhatkthekpersonksayskaboutkhimkorkherselfkduringkhistoryktaking.kObjective
MEDCONNOISSEURLIBRARIES.COM
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datakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultat
ingkduringkthekphysicalkexamination.kThektermskreflectivekandkintrospectivekareknotkusedktokdescrib
ekdata.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
3. Thekpatientskrecord,klaboratorykstudies,kobjectivekdata,kandksubjectivekdatakcombinektokformkt
he:
a Datakbase.
.
b Admittingkdata.
.
c Financialkstatement.
.
d Dischargeksummary.
.
ANS:kA
Togetherkwithkthekpatientskrecordkandklaboratorykstudies,kthekobjectivekandksubjectivekdatakformkth
ekdatakbase.kThekotherkitemskareknotkpartkofkthekpatientskrecord,klaboratorykstudies,korkdata.
DIF:kCognitivekLevel:kRememberingk(Knowledge)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
4. Whenklisteningktokakpatientskbreathksounds,ktheknursekiskunsurekofkaksoundkthatkiskheard.kThekn
ursesknextkactionkshouldkbekto:
a Immediatelyknotifykthekpatientskphysician.
.
b Documentktheksoundkexactlykaskitkwaskheard.
.
c Validatekthekdatakbykaskingkakcoworkerktoklistenktokthekbreathksounds.
.
d Assesskagainkink20kminutesktoknotekwhetherktheksoundkiskstillkpresent.
.
ANS:kC
Whenkunsurekofkaksoundkheardkwhileklisteningktokakpatientskbreathksounds,ktheknursekvalidateskthekda
taktokensurekaccuracy.kIfktheknursekhasklesskexperiencekinkankarea,kthenkhekorkshekaskskankexpertk toklis
ten.
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
DIF:kCognitivekLevel:kAnalyzingk(Analysis)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
5. Theknursekiskconductingkakclasskforknewkgraduateknurses.kDuringkthekteachingksession,kthek
nursekshouldkkeepkinkmindkthatknoviceknurses,kwithoutkakbackgroundkofkskillskandkexperiencekf
romkwhichktokdraw,karekmoreklikelyktokmakektheirkdecisionsk using:
a Intuition.
.
b Aksetkofkrules.
.
c Articleskinkjournals.
.
d Advicekfromksupervisors.
.
ANS:kB
Noviceknurseskoperatekfromkaksetkofkdefined,kstructuredkrules.kThekexpertkpractitionerkuseskintuitiv
eklinks.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k3k
MSC:kClientkNeeds:kGeneral
6. Expertknursesklearnktokattendktokakpatternkofkassessmentkdatakandkactkwithoutkconsciouslykl
abelingkit.kThesekresponseskarekreferredktokas:
a Intuition.
.
b Theknursingkprocess.
.
c Clinicalkknowledge.
.
d Diagnostickreasoning.
.
ANS:kA
Intuitionkiskcharacterizedkbykpatternkrecognitionexpertknursesklearnktokattendktokakpatternkofkassess
mentkdatakandkactkwithoutkconsciouslyklabelingkit.kThekotherkoptionskareknotkcorrect.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k4k
MSC:kClientkNeeds:kGeneral
7. Theknursekiskreviewingkinformationkaboutkevidence-
basedkpracticek(EBP).kWhichkstatementkbestkreflectskEBP?
MEDCONNOISSEURLIBRARIES.COM
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
Evidence-Based Physical Examination Best Practices for Health & Well-
k k k k k k k k
Being Assessment 1st Edition Test Bank
k k k k k
Chapterk1.kAPPROACHkTOkEVIDENCE-BASEDkASSESSMENTkOFkHEALTHkANDkWELL-
kBEING
MULTIPLEkCHOICE
1. Afterkcompletingkankinitialkassessmentkofkakpatient,ktheknursekhaskchartedkthatkhiskrespirationska
rekeupneickandkhiskpulsekisk58kbeatskperkminute.kThesektypeskofkdatakwouldkbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:kA
Objectivekdatakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kand
kauscultatingkduringkthekphysicalkexamination.kSubjectivekdatakiskwhatkthekpersonksayskaboutkhimko
rkherselfkduringkhistoryktaking.kThektermskreflectivekandkintrospectivekareknotkusedktokdescribekdata
.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
2. Akpatientktellsktheknursekthatkhekiskveryknervous,kisknauseated,kandkfeelskhot.kThesektypeskofkd
atakwouldkbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:kC
Subjectivekdatakarekwhatkthekpersonksayskaboutkhimkorkherselfkduringkhistoryktaking.kObjective
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
datakarekwhatkthekhealthkprofessionalkobserveskbykinspecting,kpercussing,kpalpating,kandkauscultat
ingkduringkthekphysicalkexamination.kThektermskreflectivekandkintrospectivekareknotkusedktokdescrib
ekdata.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
3. Thekpatientskrecord,klaboratorykstudies,kobjectivekdata,kandksubjectivekdatakcombinektokformkt
he:
a Datakbase.
.
b Admittingkdata.
.
c Financialkstatement.
.
d Dischargeksummary.
.
ANS:kA
Togetherkwithkthekpatientskrecordkandklaboratorykstudies,kthekobjectivekandksubjectivekdatakformkth
ekdatakbase.kThekotherkitemskareknotkpartkofkthekpatientskrecord,klaboratorykstudies,korkdata.
DIF:kCognitivekLevel:kRememberingk(Knowledge)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
4. Whenklisteningktokakpatientskbreathksounds,ktheknursekiskunsurekofkaksoundkthatkiskheard.kThekn
ursesknextkactionkshouldkbekto:
a Immediatelyknotifykthekpatientskphysician.
.
b Documentktheksoundkexactlykaskitkwaskheard.
.
c Validatekthekdatakbykaskingkakcoworkerktoklistenktokthekbreathksounds.
.
d Assesskagainkink20kminutesktoknotekwhetherktheksoundkiskstillkpresent.
.
ANS:kC
Whenkunsurekofkaksoundkheardkwhileklisteningktokakpatientskbreathksounds,ktheknursekvalidateskthekda
taktokensurekaccuracy.kIfktheknursekhasklesskexperiencekinkankarea,kthenkhekorkshekaskskankexpertk toklis
ten.
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
DIF:kCognitivekLevel:kAnalyzingk(Analysis)kREF:kz.k2
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment:kManagementkofkCare
5. Theknursekiskconductingkakclasskforknewkgraduateknurses.kDuringkthekteachingksession,kthek
nursekshouldkkeepkinkmindkthatknoviceknurses,kwithoutkakbackgroundkofkskillskandkexperiencekf
romkwhichktokdraw,karekmoreklikelyktokmakektheirkdecisionsk using:
a Intuition.
.
b Aksetkofkrules.
.
c Articleskinkjournals.
.
d Advicekfromksupervisors.
.
ANS:kB
Noviceknurseskoperatekfromkaksetkofkdefined,kstructuredkrules.kThekexpertkpractitionerkuseskintuitiv
eklinks.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k3k
MSC:kClientkNeeds:kGeneral
6. Expertknursesklearnktokattendktokakpatternkofkassessmentkdatakandkactkwithoutkconsciouslykl
abelingkit.kThesekresponseskarekreferredktokas:
a Intuition.
.
b Theknursingkprocess.
.
c Clinicalkknowledge.
.
d Diagnostickreasoning.
.
ANS:kA
Intuitionkiskcharacterizedkbykpatternkrecognitionexpertknursesklearnktokattendktokakpatternkofkassess
mentkdatakandkactkwithoutkconsciouslyklabelingkit.kThekotherkoptionskareknotkcorrect.
DIF:kCognitivekLevel:kUnderstandingk(Comprehension)kREF:kz.k4k
MSC:kClientkNeeds:kGeneral
7. Theknursekiskreviewingkinformationkaboutkevidence-
basedkpracticek(EBP).kWhichkstatementkbestkreflectskEBP?
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