TEST BANK g
Advanced Health Assessment & Clinical Diagnosis in Primary Care
g g g g g g g g
by Joyce E. Dains
g g g
5th Edition
g
FULL TEST BANK!!!
g g
Nursedocs@2024
, Chapterg1.gAssessmentgandgClinicalgDecision-Making:gOverview
MultiplegChoice
Identifygtheg choiceg thatgbestgcompletesgthegstatementgorganswersgtheg question.
1.
g Whichgtypegofgclinicalg decision-makinggisgmostg reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
g2. Whichgofgthegfollowinggisgfalse?gTogobtaingadequateghistory,ghealth-
caregprovidersgmustgbe:
A. Methodicalgandgsystematic
B. Attentivegtogthegpatient’sgverbalgand
nonverbalg language
C. Ablegtogaccuratelyginterpretgthegpatient’s
responses
D. Adeptgatgreadinggintogthegpatient’s
statements
3.
g Essentialgpartsgofgag healthghistorygincludegallgofgtheg followinggexcept:
A. Chiefg complaint
B. Historygofgtheg presentg illness
C. Currentgvitalg signs
D. Allgofgthegabovegaregessentialg history
components
g4.
Whichgofgthegfollowinggisgfalse?gWhilegperforminggthegphysicalgexamin
ation,gthegexaminergmustgbegablegto:
A. Differentiategbetweengnormalgand
abnormalg findings
B. Recallgknowledgeg ofgagrangegofgconditions
andgtheirgassociatedgsignsgandgsymptoms
C. Recognizeghowgcertaingconditionsgaffect
thegresponsegtogothergconditions
D. Foreseegunpredictableg findings
5.
g
Thegfollowinggisgthegleastgreliablegsourcegofginformationgforgdiagnosticgstatisti
cs:
A. Evidence-basedg investigations
B. Primarygreportsg ofg research
C. Estimationgbasedgongagprovider’s
experience
D. Publishedgmeta-analyses
Nursedocs@2024
, 6.
g Thegfollowinggcangbegusedgtogassistgingsoundgclinicalg decision-making:
A. Algorithmg publishedgingag peer-reviewed
journalg article
B. Clinicalgpracticeg guidelines
C. Evidence-basedgresearch
D. Allgofgthegabove
7.
g Ifgagdiagnosticg studyghasghighgsensitivity,gthisgindicatesga:
A. Highgpercentagegofgpersonsgwithgtheg given
conditiongwillghavegangabnormalgresult
B. Lowgpercentagegofgpersonsgwithgtheg given
conditiongwillghavegangabnormalgresult
C. Lowglikelihoodg ofgnormalgresultgin
personsgwithoutgag givengcondition
D. Nonegofgthegabove
8.
g Ifgagdiagnosticgstudyghasghighgspecificity,gthisgindicatesga:
A. Lowgpercentagegofghealthygindividuals
willgshowgagnormalgresult
B. Highgpercentagegofghealthygindividuals
willgshowgagnormalgresult
C. Highgpercentagegofgindividualsgwithga
disordergwillgshowgagnormalgresult
D. Lowgpercentageg ofgindividualsgwithga
disordergwillgshowgangabnormalg result
9.
g Aglikelihoodgratiogaboveg 1gindicatesgthatgagdiagnosticg testgshowingga:
A. Positivegresultgisgstronglygassociatedgwith
thegdisease
B. Negativegresultgisgstronglygassociatedgwith
absenceg ofgtheg disease
C. Positivegresultgisgweaklygassociatedgwith
thegdisease
D. Negativegresultgisgweaklygassociatedgwith
absenceg ofgtheg disease
g10. Whichgofgthegfollowinggclinicalgreasoninggtoolsgisgdefinedgasgevidence-
gbasedgresourcegbasedgongmathematicalgmodelinggtogexpressgtheglikelihoodgofgagconditi
ongingselectgsituations,gsettings,gand/orgpatients?
A. Clinicalgpracticegguideline
B. Clinicalgdecisiongrule
C. Clinicalgalgorithm
D. Clinicalg recommendation
Chapterg1.gAssessmentgandgClinicalgDecision-Making:gOverview
Nursedocs@2024
, AnswergSection
MULTIPLEgCHOICE
1. ANS:g B
Croskerryg(2009)gdescribesgtwogmajorgtypesgofgclinicalgdiagnosticgdecision-
making:gintuitivegandganalytical.gIntuitivegdecision-
makingg(similargtogAugenblinkgdecision-
gmaking)gisgbasedgongthegexperiencegandgintuitiongofgthegcliniciangandgisglessgreliablega
ndgpairedgwithgfairlygcommongerrors.gIngcontrast,ganalyticalgdecision-
makinggisgbasedgongcarefulgconsiderationgandghasggreatergreliabilitygwithgraregerrors.
PTS: 1
2. ANS:g D
Togobtaingadequateghistory,gprovidersgmustgbegwellgorganized,gattentivegtogthegpatient’sg
verbalgandgnonverbalglanguage,gandgablegtogaccuratelyginterpretgthegpatient’sgresponsesgto
gquestions.gRathergthangreadinggintogthegpatient’sgstatements,gtheygclarifyganygareasgofgun
certainty.
PTS: 1
3. ANS:g C
Vitalgsignsgaregpartgofgthegphysicalgexaminationgportiongofgpatientgassessment,gnotgpartgof
gtheghealthghistory.
PTS: 1
4. ANS:g D
Whilegperforminggthegphysicalgexamination,gthegexaminergmustgbegablegtogdifferentiate
gbetweengnormalgandgabnormalgfindings,grecallgknowledgegofgagrangegofgconditions,gin
cludinggtheirgassociatedgsignsgandgsymptoms,grecognizeghowgcertaingconditionsgaffectgt
hegresponsegtogothergconditions,gandgdistinguishgthegrelevancegofgvariedgabnormalgfindi
ngs.
PTS: 1
5. ANS:g C
Sourcesgforgdiagnosticgstatisticsgincludegtextbooks,gprimarygreportsgofgresearch,gandgpu
blishedgmeta-
analyses.gAnothergsourcegofgstatistics,gthegonegthatghasgbeengmostgwidelygusedgandgavai
lablegforgapplicationgtogthegreasoninggprocess,gisgthegestimationgbasedgongagprovider’sge
xperience,galthoughgthesegaregrarelygaccurate.gOvergthegpastgdecade,gthegavailabilitygofg
evidencegongwhichgtogbasegclinicalgreasoninggisgimproving,gandgtheregisgangincreasingge
xpectationgthatgclinicalgreasoninggbegbasedgongscientificgevidence.gEvidence-
gbasedgstatisticsgaregalsogincreasinglygbeinggusedgtogdevelopgresourcesgtogfacilitategclini
calgdecision-making.
PTS: 1
6. ANS:g D
Nursedocs@2024
Advanced Health Assessment & Clinical Diagnosis in Primary Care
g g g g g g g g
by Joyce E. Dains
g g g
5th Edition
g
FULL TEST BANK!!!
g g
Nursedocs@2024
, Chapterg1.gAssessmentgandgClinicalgDecision-Making:gOverview
MultiplegChoice
Identifygtheg choiceg thatgbestgcompletesgthegstatementgorganswersgtheg question.
1.
g Whichgtypegofgclinicalg decision-makinggisgmostg reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
g2. Whichgofgthegfollowinggisgfalse?gTogobtaingadequateghistory,ghealth-
caregprovidersgmustgbe:
A. Methodicalgandgsystematic
B. Attentivegtogthegpatient’sgverbalgand
nonverbalg language
C. Ablegtogaccuratelyginterpretgthegpatient’s
responses
D. Adeptgatgreadinggintogthegpatient’s
statements
3.
g Essentialgpartsgofgag healthghistorygincludegallgofgtheg followinggexcept:
A. Chiefg complaint
B. Historygofgtheg presentg illness
C. Currentgvitalg signs
D. Allgofgthegabovegaregessentialg history
components
g4.
Whichgofgthegfollowinggisgfalse?gWhilegperforminggthegphysicalgexamin
ation,gthegexaminergmustgbegablegto:
A. Differentiategbetweengnormalgand
abnormalg findings
B. Recallgknowledgeg ofgagrangegofgconditions
andgtheirgassociatedgsignsgandgsymptoms
C. Recognizeghowgcertaingconditionsgaffect
thegresponsegtogothergconditions
D. Foreseegunpredictableg findings
5.
g
Thegfollowinggisgthegleastgreliablegsourcegofginformationgforgdiagnosticgstatisti
cs:
A. Evidence-basedg investigations
B. Primarygreportsg ofg research
C. Estimationgbasedgongagprovider’s
experience
D. Publishedgmeta-analyses
Nursedocs@2024
, 6.
g Thegfollowinggcangbegusedgtogassistgingsoundgclinicalg decision-making:
A. Algorithmg publishedgingag peer-reviewed
journalg article
B. Clinicalgpracticeg guidelines
C. Evidence-basedgresearch
D. Allgofgthegabove
7.
g Ifgagdiagnosticg studyghasghighgsensitivity,gthisgindicatesga:
A. Highgpercentagegofgpersonsgwithgtheg given
conditiongwillghavegangabnormalgresult
B. Lowgpercentagegofgpersonsgwithgtheg given
conditiongwillghavegangabnormalgresult
C. Lowglikelihoodg ofgnormalgresultgin
personsgwithoutgag givengcondition
D. Nonegofgthegabove
8.
g Ifgagdiagnosticgstudyghasghighgspecificity,gthisgindicatesga:
A. Lowgpercentagegofghealthygindividuals
willgshowgagnormalgresult
B. Highgpercentagegofghealthygindividuals
willgshowgagnormalgresult
C. Highgpercentagegofgindividualsgwithga
disordergwillgshowgagnormalgresult
D. Lowgpercentageg ofgindividualsgwithga
disordergwillgshowgangabnormalg result
9.
g Aglikelihoodgratiogaboveg 1gindicatesgthatgagdiagnosticg testgshowingga:
A. Positivegresultgisgstronglygassociatedgwith
thegdisease
B. Negativegresultgisgstronglygassociatedgwith
absenceg ofgtheg disease
C. Positivegresultgisgweaklygassociatedgwith
thegdisease
D. Negativegresultgisgweaklygassociatedgwith
absenceg ofgtheg disease
g10. Whichgofgthegfollowinggclinicalgreasoninggtoolsgisgdefinedgasgevidence-
gbasedgresourcegbasedgongmathematicalgmodelinggtogexpressgtheglikelihoodgofgagconditi
ongingselectgsituations,gsettings,gand/orgpatients?
A. Clinicalgpracticegguideline
B. Clinicalgdecisiongrule
C. Clinicalgalgorithm
D. Clinicalg recommendation
Chapterg1.gAssessmentgandgClinicalgDecision-Making:gOverview
Nursedocs@2024
, AnswergSection
MULTIPLEgCHOICE
1. ANS:g B
Croskerryg(2009)gdescribesgtwogmajorgtypesgofgclinicalgdiagnosticgdecision-
making:gintuitivegandganalytical.gIntuitivegdecision-
makingg(similargtogAugenblinkgdecision-
gmaking)gisgbasedgongthegexperiencegandgintuitiongofgthegcliniciangandgisglessgreliablega
ndgpairedgwithgfairlygcommongerrors.gIngcontrast,ganalyticalgdecision-
makinggisgbasedgongcarefulgconsiderationgandghasggreatergreliabilitygwithgraregerrors.
PTS: 1
2. ANS:g D
Togobtaingadequateghistory,gprovidersgmustgbegwellgorganized,gattentivegtogthegpatient’sg
verbalgandgnonverbalglanguage,gandgablegtogaccuratelyginterpretgthegpatient’sgresponsesgto
gquestions.gRathergthangreadinggintogthegpatient’sgstatements,gtheygclarifyganygareasgofgun
certainty.
PTS: 1
3. ANS:g C
Vitalgsignsgaregpartgofgthegphysicalgexaminationgportiongofgpatientgassessment,gnotgpartgof
gtheghealthghistory.
PTS: 1
4. ANS:g D
Whilegperforminggthegphysicalgexamination,gthegexaminergmustgbegablegtogdifferentiate
gbetweengnormalgandgabnormalgfindings,grecallgknowledgegofgagrangegofgconditions,gin
cludinggtheirgassociatedgsignsgandgsymptoms,grecognizeghowgcertaingconditionsgaffectgt
hegresponsegtogothergconditions,gandgdistinguishgthegrelevancegofgvariedgabnormalgfindi
ngs.
PTS: 1
5. ANS:g C
Sourcesgforgdiagnosticgstatisticsgincludegtextbooks,gprimarygreportsgofgresearch,gandgpu
blishedgmeta-
analyses.gAnothergsourcegofgstatistics,gthegonegthatghasgbeengmostgwidelygusedgandgavai
lablegforgapplicationgtogthegreasoninggprocess,gisgthegestimationgbasedgongagprovider’sge
xperience,galthoughgthesegaregrarelygaccurate.gOvergthegpastgdecade,gthegavailabilitygofg
evidencegongwhichgtogbasegclinicalgreasoninggisgimproving,gandgtheregisgangincreasingge
xpectationgthatgclinicalgreasoninggbegbasedgongscientificgevidence.gEvidence-
gbasedgstatisticsgaregalsogincreasinglygbeinggusedgtogdevelopgresourcesgtogfacilitategclini
calgdecision-making.
PTS: 1
6. ANS:g D
Nursedocs@2024
