Evidence-
o
Based Physical Examination Best Practices for Health & We
o o o o o o o o
ll-BeingAssessment by Kate Gawlic
o o o
1st Edition
o
,TESTBANK
o
,Chaptero1.oAPPROACHoTOoEVIDENCE-
BASEDoASSESSMENToOFoHEALTHoANDoWELL-BEING
KateoGawlic:oEvidence-BasedoPhysicaloExaminationoBestoPracticesoforoHealtho&oWell-
oBeingAssessmento1stoEdition
MULTIPLEoCHOICE
1. Afterocompletingoanoinitialoassessmentoofoaopatient,otheonurseohasochartedothatohisorespirationsoa
reoeupneicoandohisopulseoiso58obeatsoperominute.oTheseotypesoofodataowouldobe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:oA
Objectiveodataoareowhatotheohealthoprofessionaloobservesobyoinspecting,opercussing,opalpating,oan
doauscultatingoduringotheophysicaloexamination.oSubjectiveodataoisowhatotheopersonosaysoaboutohi
mooroherselfoduringohistoryotaking.oTheotermsoreflectiveoandointrospectiveoareonotousedotoodescribe
odata.
DIF:oCognitiveoLevel:oUnderstandingo(Comprehension)oREF:oz.o2
MSC:oClientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare
2. Aopatientotellsotheonurseothatoheoisoveryonervous,oisonauseated,oandofeelsohot.oTheseotypesoofod
ataowouldobe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:oC
Subjectiveodataoareowhatotheopersonosaysoaboutohimooroherselfoduringohistoryotaking.oObjective
, dataoareowhatotheohealthoprofessionaloobservesobyoinspecting,opercussing,opalpating,oandoauscultati
ngoduringotheophysicaloexamination.oTheotermsoreflectiveoandointrospectiveoareonotousedotoodescribeo
data.
DIF:oCognitiveoLevel:oUnderstandingo(Comprehension)oREF:oz.o2
MSC:oClientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare
3. Theopatientsorecord,olaboratoryostudies,oobjectiveodata,oandosubjectiveodataocombineotooformot
he:
a Dataobase.
.
b Admittingodata.
.
c Financialostatement.
.
d Dischargeosummary.
.
ANS:oA
Togetherowithotheopatientsorecordoandolaboratoryostudies,otheoobjectiveoandosubjectiveodataoformot
heodataobase.oTheootheroitemsoareonotopartoofotheopatientsorecord,olaboratoryostudies,oorodata.
DIF:oCognitiveoLevel:oRememberingo(Knowledge)oREF:oz.o2
MSC:oClientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare
4. Whenolisteningotooaopatientsobreathosounds,otheonurseoisounsureoofoaosoundothatoisoheard.oTheon
ursesonextoactionoshouldobeoto:
a Immediatelyonotifyotheopatientsophysician.
.
b Documentotheosoundoexactlyoasoitowasoheard.
.
c Validateotheodataobyoaskingoaocoworkerotoolistenotootheobreathosounds.
.
d Assessoagainoino20ominutesotoonoteowhetherotheosoundoisostillopresent.
.
ANS:oC
Whenounsureoofoaosoundoheardowhileolisteningotooaopatientsobreathosounds,otheonurseovalidatesotheoda
taotooensureoaccuracy.oIfotheonurseohasolessoexperienceoinoanoarea,othenoheoorosheoasksoanoexperto toolis
ten.