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History Taking 13th Edition Bickley Test
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Bank
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CHAPTER 1 Foundations for bv bv
ClinicalProficiency MULTIPLE
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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
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would
b v be: b v
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A b v
Objective data are what the health professional observes by inspecting,
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percussing, palpating, and auscultating during the physical examination.
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Subjective data is what the person
b v says about him or herself during
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history taking. The terms reflective and introspective are not used
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describe 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. Apatient tells the nurse that he is verynervous, is nauseated, and feels
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hot. These types of data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C b v
Subjective data are what the person says about him or herself during history taking.
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Objective data are what the health professional observes by inspecting, percussing,
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palpating, and
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auscultating during the physical examination. The terms
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b are not used
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to describe 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
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subjective data combine to form the:
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a Data b v base.
.
b Admitting data. bv
.
c Financial statement. b v
.
d Discharge summary. b v
.
ANS: A b v
Together with the patients record and laboratory studies, the objective and
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subjective data form the
b v data base. Theb v other items are not bv b v b v b v b v b v b v b v b v
b partv of the patientsb 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
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of a sound that is heard. The nurses next action should be to:
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a Immediately notify the bv b v b v patients physician. b v
.
b Document the b v b v sound b v exactly as bv b v it b v was b v heard.
.
c Validate the bv b v data b v by asking a bv b v b v coworker b v to listen b v b v to the b v b v breath
. sounds.
b v
d Assess again b v b v in b v 20 b v minutes b v to b v note b v whether b v the b v sound b v is b v still
. present.
b v
ANS: C b v
When unsure of a
b sound
v heard while listening to a patientsb v b v b v b v b v b v b v b v b v b v b v
b breath
v sounds, the nurse validates the data to ensure accuracy. If the
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nurse has less experience in an area, then he or she asks an expert
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listen.
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