Created k By:k Ak Solution
TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING
k k k k k k
FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES
k k k k k
5TH EDITION, MARY JO GOOLSBY, LAURIE GRUBBS ISBN-
k k k k k k k
10; 1719645930 / ISBN-13; 978-1719645935 A+
k k k k k
Chapterk1.kAssessmentkandkClinicalkDecision-Making:kOverview
Multiplek Choice
Identifyk thek choicek that k best k completesk thek statement k ork answersk thek question.
k
Whichk typek of k clinicalk decision-makingk isk most k reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Whichk of k thek followingk isk false?k Tok obtaink adequatek history,k health-carek providersk must k be:
A. Methodicalk and k systematic
B. Attentivek tok thek patient’sk verbalk and k nonverbalk language
C. Ablek tok accuratelyk interpret k thek patient’sk responses
D. Adept k at k readingk intok thek patient’sk statements
Essentialk partsk of k ak healthk historyk includek allk of k thek followingk except:
A. Chief k complaint
B. Historyk of k thek present k illness
C. Current k vitalk signs
D. Allk of k thek abovek arek essentialk historyk components
Whichk of k thek followingk isk false?k Whilek performingk thek physicalk examination,k thek examinerk must k b
ek ablek to:
A. Differentiatek betweenk normalk and k abnormalk findings
B. Recallk knowledgek of k ak rangek of k conditionsk and k theirk associated k signsk and k symptoms
C. Recognizek howk certaink conditionsk affect k thek responsek tok otherk conditions
D. Foreseek unpredictablek findings
A+ Pagek1
,Created k By:k Ak Solution
Thek followingk isk thek least k reliablek sourcek of k informationk fork diagnostick statistics:
A. Evidence-based k investigations
B. Primaryk reportsk of k research
C. Estimationk based k onk ak provider’sk experience
D. Published k meta-analyses
Thek followingk cank bek used k tok assist k ink sound k clinicalk decision-making:
A. Algorithmk published k ink ak peer-reviewed k journalk article
B. Clinicalk practicek guidelines
C. Evidence-based k research
D. Allk of k thek above
If k ak diagnostick studyk hask highk sensitivity,k thisk indicatesk a:
A. Highk percentagek of k personsk withk thek givenk conditionk willk havek ank abnormalk result
B. Low k percentagek of k personsk withk thek givenk conditionk willk havek ank abnormalk result
C. Low k likelihood k of k normalk result k ink personsk without k ak givenk condition
D. Nonek of k thek above
k
k
If k ak diagnostick studyk hask highk specificity,k thisk indicatesk a:
A. Low k percentagek of k healthyk individualsk willk showk ak normalk result
B. Highk percentagek of k healthyk individualsk willk showk ak normalk result
C. Highk percentagek of k individualsk withk ak disorderk willk show k ak normalk result
D. Low k percentagek of k individualsk withk ak disorderk willk show k ank abnormalk result
Ak likelihood k ratiok abovek 1k indicatesk that k ak diagnostick test k showingk a:
A. Positivek result k isk stronglyk associated k withk thek disease
B. Negativek result k isk stronglyk associated k withk absencek of k thek disease
C. Positivek result k isk weaklyk associated k withk thek disease
D. Negativek result k isk weaklyk associated k withk absencek of k thek disease
k
k kkk 10.k Whichk of k thek followingk clinicalk reasoningk toolsk isk defined k ask evidence-
based k resourcek based k onk mathematicalk modelingk tok expressk thek likelihood k ofk akconditionk ink select k s
ituations,k settings,k and/ork patients?
A. Clinicalk practicek guideline
B. Clinicalk decisionk rule
A+ Pagek2
,Created k By:k Ak Solution
C. Clinicalk algorithm
D. Clinicalk recommendation
k
Answerk Section
MULTIPLEk CHOICE
1. ANS:k B
Croskerryk (2009)k describesk twok majork typesk of k clinicalk diagnostick decision-
making:k intuitivek and k analytical.k Intuitivek decision-makingk (similark tok Augenblinkk decision-
making)k isk based k onk thek experiencek and k intuitionk of k thek cliniciank and k isk lessk reliablek and k paired k wit
hk fairlyk commonk errors.k Ink contrast,k analyticalk decision-
makingk isk based k onk carefulk considerationk and k hask greaterk reliabilityk withk rarek errors.
PTS: 1
2. ANS:k D
Tok obtaink adequatek history,k providersk must k bekwellk organized,k attentivek tok thek patient’sk verbalk and k
nonverbalk language,k and k ablek tok accuratelyk interpret k thekpatient’sk responsesk tokquestions.k Ratherk th
ank readingk intok thek patient’sk statements,k theyk clarifyk anyk areask of k uncertainty.
PTS: 1
3. ANS:k C
Vitalk signsk arek part k of k thekphysicalk examinationk portionk of k patient k assessment,k notk part kofk thek health
k history.
PTS: 1
4. ANS:k D
Whilek performingk thek physicalk examination,k thek examinerk must k bek ablek tok differentiatek betweenk no
rmalk and k abnormalk findings,k recallk knowledgek of k akrangek ofk conditions,k includingk theirk associatedks
ignsk and k symptoms,k recognizek howk certaink conditionsk affectk thek responsek tok otherk conditions,k and k
distinguishk thek relevancek of k varied k abnormalk findings.
A+ Pagek3
, Created k By:k Ak Solution
PTS: 1
5. ANS:k C
Sourcesk fork diagnostick statisticsk includek textbooks,k primaryk reportsk of k research,k and k published k met
a-
analyses.k Anotherk sourcek of k statistics,k thek onekthat khask beenk most kwidelyk usedk andkavailablek fork app
licationk tok thek reasoningk process,k isk thek estimationk based k onk ak provider’sk experience,k althoughk thes
ek arek rarelyk accurate.k Overk thek past k decade,k thek availabilityk of k evidencek onkwhichk tok basek clinicalk re
asoningk isk improving,k and k therek isk ank increasingk expectationk that k clinicalk reasoningk bek based k onk sci
entifick evidence.k Evidence-
based k statisticsk arek alsok increasinglyk beingk used k tok developk resourcesk tok facilitatek clinicalk decision-
making.
PTS: 1
6. ANS:k D
Tok assist k ink clinicalk decision-making,k ak numberk of k evidence-
based k resourcesk havek beenk developed k tok assist k thekclinician.k Resources,k suchk ask algorithmsk and k clin
icalk practicek guidelines,k assist k ink clinicalk reasoningk whenk properlyk applied.
k
PTS: 1
7. ANS:k A
Thek sensitivityk of k ak diagnostick studyk isk thek percentagekof kindividualsk withkthektarget k conditionk whok
show k ank abnormal,k ork positive,k result.k A k highk sensitivityk indicatesk that k ak greaterk percentagek of k pers
onsk withk thek givenk conditionk willk havek ank abnormalk result.
PTS: 1
8. ANS:k B
Thek specificityk of k ak diagnostick studykisk thekpercentagek ofk normal,k healthyk individualsk whok havek ak n
ormalk result.k Thek greaterk thek specificity,k thek greaterk thek percentagek ofkindividualsk whok willk havek ne
gative,k ork normal,k resultsk if k theyk dok not k havek thek target k condition.
PTS: 1
9. ANS:k A
A+ Pagek4
TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING
k k k k k k
FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES
k k k k k
5TH EDITION, MARY JO GOOLSBY, LAURIE GRUBBS ISBN-
k k k k k k k
10; 1719645930 / ISBN-13; 978-1719645935 A+
k k k k k
Chapterk1.kAssessmentkandkClinicalkDecision-Making:kOverview
Multiplek Choice
Identifyk thek choicek that k best k completesk thek statement k ork answersk thek question.
k
Whichk typek of k clinicalk decision-makingk isk most k reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Whichk of k thek followingk isk false?k Tok obtaink adequatek history,k health-carek providersk must k be:
A. Methodicalk and k systematic
B. Attentivek tok thek patient’sk verbalk and k nonverbalk language
C. Ablek tok accuratelyk interpret k thek patient’sk responses
D. Adept k at k readingk intok thek patient’sk statements
Essentialk partsk of k ak healthk historyk includek allk of k thek followingk except:
A. Chief k complaint
B. Historyk of k thek present k illness
C. Current k vitalk signs
D. Allk of k thek abovek arek essentialk historyk components
Whichk of k thek followingk isk false?k Whilek performingk thek physicalk examination,k thek examinerk must k b
ek ablek to:
A. Differentiatek betweenk normalk and k abnormalk findings
B. Recallk knowledgek of k ak rangek of k conditionsk and k theirk associated k signsk and k symptoms
C. Recognizek howk certaink conditionsk affect k thek responsek tok otherk conditions
D. Foreseek unpredictablek findings
A+ Pagek1
,Created k By:k Ak Solution
Thek followingk isk thek least k reliablek sourcek of k informationk fork diagnostick statistics:
A. Evidence-based k investigations
B. Primaryk reportsk of k research
C. Estimationk based k onk ak provider’sk experience
D. Published k meta-analyses
Thek followingk cank bek used k tok assist k ink sound k clinicalk decision-making:
A. Algorithmk published k ink ak peer-reviewed k journalk article
B. Clinicalk practicek guidelines
C. Evidence-based k research
D. Allk of k thek above
If k ak diagnostick studyk hask highk sensitivity,k thisk indicatesk a:
A. Highk percentagek of k personsk withk thek givenk conditionk willk havek ank abnormalk result
B. Low k percentagek of k personsk withk thek givenk conditionk willk havek ank abnormalk result
C. Low k likelihood k of k normalk result k ink personsk without k ak givenk condition
D. Nonek of k thek above
k
k
If k ak diagnostick studyk hask highk specificity,k thisk indicatesk a:
A. Low k percentagek of k healthyk individualsk willk showk ak normalk result
B. Highk percentagek of k healthyk individualsk willk showk ak normalk result
C. Highk percentagek of k individualsk withk ak disorderk willk show k ak normalk result
D. Low k percentagek of k individualsk withk ak disorderk willk show k ank abnormalk result
Ak likelihood k ratiok abovek 1k indicatesk that k ak diagnostick test k showingk a:
A. Positivek result k isk stronglyk associated k withk thek disease
B. Negativek result k isk stronglyk associated k withk absencek of k thek disease
C. Positivek result k isk weaklyk associated k withk thek disease
D. Negativek result k isk weaklyk associated k withk absencek of k thek disease
k
k kkk 10.k Whichk of k thek followingk clinicalk reasoningk toolsk isk defined k ask evidence-
based k resourcek based k onk mathematicalk modelingk tok expressk thek likelihood k ofk akconditionk ink select k s
ituations,k settings,k and/ork patients?
A. Clinicalk practicek guideline
B. Clinicalk decisionk rule
A+ Pagek2
,Created k By:k Ak Solution
C. Clinicalk algorithm
D. Clinicalk recommendation
k
Answerk Section
MULTIPLEk CHOICE
1. ANS:k B
Croskerryk (2009)k describesk twok majork typesk of k clinicalk diagnostick decision-
making:k intuitivek and k analytical.k Intuitivek decision-makingk (similark tok Augenblinkk decision-
making)k isk based k onk thek experiencek and k intuitionk of k thek cliniciank and k isk lessk reliablek and k paired k wit
hk fairlyk commonk errors.k Ink contrast,k analyticalk decision-
makingk isk based k onk carefulk considerationk and k hask greaterk reliabilityk withk rarek errors.
PTS: 1
2. ANS:k D
Tok obtaink adequatek history,k providersk must k bekwellk organized,k attentivek tok thek patient’sk verbalk and k
nonverbalk language,k and k ablek tok accuratelyk interpret k thekpatient’sk responsesk tokquestions.k Ratherk th
ank readingk intok thek patient’sk statements,k theyk clarifyk anyk areask of k uncertainty.
PTS: 1
3. ANS:k C
Vitalk signsk arek part k of k thekphysicalk examinationk portionk of k patient k assessment,k notk part kofk thek health
k history.
PTS: 1
4. ANS:k D
Whilek performingk thek physicalk examination,k thek examinerk must k bek ablek tok differentiatek betweenk no
rmalk and k abnormalk findings,k recallk knowledgek of k akrangek ofk conditions,k includingk theirk associatedks
ignsk and k symptoms,k recognizek howk certaink conditionsk affectk thek responsek tok otherk conditions,k and k
distinguishk thek relevancek of k varied k abnormalk findings.
A+ Pagek3
, Created k By:k Ak Solution
PTS: 1
5. ANS:k C
Sourcesk fork diagnostick statisticsk includek textbooks,k primaryk reportsk of k research,k and k published k met
a-
analyses.k Anotherk sourcek of k statistics,k thek onekthat khask beenk most kwidelyk usedk andkavailablek fork app
licationk tok thek reasoningk process,k isk thek estimationk based k onk ak provider’sk experience,k althoughk thes
ek arek rarelyk accurate.k Overk thek past k decade,k thek availabilityk of k evidencek onkwhichk tok basek clinicalk re
asoningk isk improving,k and k therek isk ank increasingk expectationk that k clinicalk reasoningk bek based k onk sci
entifick evidence.k Evidence-
based k statisticsk arek alsok increasinglyk beingk used k tok developk resourcesk tok facilitatek clinicalk decision-
making.
PTS: 1
6. ANS:k D
Tok assist k ink clinicalk decision-making,k ak numberk of k evidence-
based k resourcesk havek beenk developed k tok assist k thekclinician.k Resources,k suchk ask algorithmsk and k clin
icalk practicek guidelines,k assist k ink clinicalk reasoningk whenk properlyk applied.
k
PTS: 1
7. ANS:k A
Thek sensitivityk of k ak diagnostick studyk isk thek percentagekof kindividualsk withkthektarget k conditionk whok
show k ank abnormal,k ork positive,k result.k A k highk sensitivityk indicatesk that k ak greaterk percentagek of k pers
onsk withk thek givenk conditionk willk havek ank abnormalk result.
PTS: 1
8. ANS:k B
Thek specificityk of k ak diagnostick studykisk thekpercentagek ofk normal,k healthyk individualsk whok havek ak n
ormalk result.k Thek greaterk thek specificity,k thek greaterk thek percentagek ofkindividualsk whok willk havek ne
gative,k ork normal,k resultsk if k theyk dok not k havek thek target k condition.
PTS: 1
9. ANS:k A
A+ Pagek4
