Bates’ Guide To Physical Exaination and History Taking 13th Edition Bickley Test Bank & Rational

Bates’ Guide To Physical Exaination and History Taking 13th Edition Bickley Test Bank ULTIPLE CHOICE 1. After copleting an initial assessent of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per inute. These types of data would be: a . Objective. CHAPTER 1 Foundations for Clinical Proficiency 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 exaination. Subjective data is what the person says about hi or herself during history taking. The ters reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Coprehension) REF: p. 2 SC: Client Needs: Safe and Effective Care Environent: anageent 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 hi or herself during history taking. Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical exaination. The ters reflective and introspective are not used to describe data. DIF: Cognitive Level: Understanding (Coprehension) REF: p. 2 SC: Client Needs: Safe and Effective Care Environent: anageent of Care 3. The patients record, laboratory studies, objective data, and subjective data cobine to for the: a . Data base. b . Aditting data. c . Financial stateent. d . Discharge suary. ANS: A Together with the patients record and laboratory studies, the objective and subjective data for the data base. The other ites are not part of the patients record, laboratory studies, or data. DIF: Cognitive Level: Reebering (Knowledge) REF: p. 2 SC: Client Needs: Safe and Effective Care Environent: anageent 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 . Iediately notify the patients physician. b . Docuent 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 inutes 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. DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2 SC: Client Needs: Safe and Effective Care Environent: anageent of Care WWW.NURSYLAB.CO 5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in ind that novice nurses, without a background of skills and experience fro which to draw, are ore likely to ake their decisions using: a . Intuition. b . A set of rules. c . Articles in journals. d . Advice fro supervisors. ANS: B Novice nurses operate fro a set of defined, structured rules. The expert practitioner uses intuitive links. DIF: Cognitive Level: Understanding (Coprehension) REF: p. 3 SC: Client Needs: General 6. Expert nurses learn to attend to a pattern of assessent data and act without consciously labeling 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 assessent data and act without consciously labeling it. The other options are not correct. DIF: Cognitive Level: Understanding (Coprehension) REF: p. 4 SC: Client Needs: General 7. The nurse is reviewing inforation about evidence-based practice (EBP). Which stateent best reflects EBP? a . EBP relies on tradition for support of best practices. b . EBP is siply the use of best practice techniques for the treatent of patients. c . EBP ephasizes the use of best evidence with the clinicians experience. d . The patients own preferences are not iportant with EBP. ANS: C EBP is a systeatic approach to practice that ephasizes the use of best evidence in cobination with the clinicians experience, as well as patient preferences and values, when aking decisions about care and treatent. EBP is ore than siply using the best practice techniques to treat patients, and questioning tradition is iportant when no copelling and supportive research evidence exists. DIF: Cognitive Level: Applying (Application) REF: p. 5 SC: Client Needs: Safe and Effective Care Environent: anageent of Care 8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exaple of a first-level priority proble? a . Patient with postoperative pain b . Newly diagnosed patient with diabetes who needs diabetic teaching c . Individual with a sall laceration on the sole of the foot d . Individual with shortness of breath and respiratory distress ANS: D First-level priority probles are those that are eergent, life threatening, and iediate (e.g., establishing an airway, supporting breathing, aintaining circulation, onitoring abnoral vital signs) (see Table 1-1). DIF: Cognitive Level: Understanding (Coprehension) REF: p. 4 SC: Client Needs: Safe and Effective Care Environent: anageent of Care 9. When considering priority setting of probles, the nurse