Table of content
1. Approach to Evidence-Based Assessment of Health and Well-Being
2. Evidence-Based History-Taking Approach for Wellness Exams, Episodic Visits, and
Chronic Care Management
3. Approach to Implementing and Documenting Patient-Centered, Culturally Sensitive
Evidence-Based Assessment
4. Evidence-Based Assessment of Children and Adolescents
5. Approach to the Physical Examination: General Survey and Assessment of Vital Signs
6. Evidence-Based Assessment of the Heart and Circulatory System
7. Evidence-Based Assessment of the Lungs and Respiratory System
8. Approach to Evidence-Based Assessment of Body Habitus (Height, Weight, Body Mass
Index, Nutrition)
9. Evidence-Based Assessment of Skin, Hair, and Nails
10. Evidence-Based Assessment of the Lymphatic System
11. Evidence-Based Assessment of the Head and Neck
12. Evidence-Based Assessment of the Eye
13. Evidence-Based Assessment of the Ears, Nose, and Throat
14. Evidence-Based Assessment of the Nervous System
15. Evidence-Based Assessment of the Musculoskeletal System
16. Evidence-Based Assessment of the Abdominal, Gastrointestinal, and Urological
Systems
17. Evidence-Based Assessment of the Breasts and Axillae
18. Evidence-Based Assessment of Sexual Orientation, Gender Identity, and Health
19. Evidence-Based Assessment of Male Genitalia, Prostate, Rectum, and Anus
20. Evidence-Based Assessment of the Female Genitourinary System
21. Evidence-Based Obstetric Assessment
22. Evidence-Based Assessment of Mental Health
23. Evidence-Based Assessment of Substance Use Disorder
24. Evidence-Based Assessment and Screening for Traumatic Experiences: Abuse, Neglect,
and Intimate Partner Violence
25. Evidence-Based Therapeutic Communication and Motivational Interviewing in Health
Assessment
26. Evidence-Based History and Physical Examinations for Sports Participation Evaluation
27. Using Health Technology in Evidence-Based Assessment
28. Evidence-Based Assessment of Personal Health and Well-Being for Clinicians: Key
Strategies to Achieve Optimal Wellness
29. Evidence-Based Health and Well-Being Assessment: Putting it All Together
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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 eupneic 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 auscultating during the physical examination. Subjective data is what the person says about
him or herself 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
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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 data 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
nurses 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.
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