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