Createdb By:b A
TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING
b b b b b
b FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSE
b b b b
S 5TH EDITION, MARY JO GOOLSBY, LAURIE GRUBBS ISBN
b b b b b b b b
-
10; 1719645930 / ISBN-13; 978-1719645935 A+
b b b b b
Chapterb 1.b Assessmentb andb Clinicalb Decision-Making:b Overview
Multipleb Choice
Identifyb theb choiceb thatb bestb completesb theb statementb orb answersb theb question.
Whichb typeb ofb clinicalb decision-makingb isb mostb reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Whichb ofb theb followingb isb false?b Tob obtainb adequateb history,b health-
careb providersb mustbbe:
A. Methodicalb andb systematic
B. Attentiveb tob theb patient’sb verbalb andb nonverbalb language
C. Ableb tob accuratelyb interpretb theb patient’sb responses
D. Adeptb atb readingb intob theb patient’sb statements
Essentialb partsb ofb ab healthb historyb includeb allb ofb theb followingb except:
A. Chiefb complaint
B. Historyb ofb theb presentb illness
C. Currentb vitalb signs
D. Allb ofb theb aboveb areb essentialb historyb components
Whichb ofb theb followingb isb false?b Whileb performingb theb physicalb examination,b thebexaminer
b mustbeb ableb to:
A. Differentiateb betweenb normalb andb abnormalb findings
B. Recallb knowledgeb ofb ab rangeb ofb conditionsb andb theirb associatedb signsb andb symptoms
A+ Page
,Createdb By:b A
C. Recognizeb howb certainb conditionsb affectb theb responseb tob otherb conditions
D. Foreseeb unpredictableb findings
A+ Page
,Createdb By:b A
Theb followingb isb theb leastb reliableb sourceb ofb informationb forb diagnosticb statistics:
A. Evidence-basedb investigations
B. Primaryb reportsb ofb research
C. Estimationb basedb onb ab provider’sb experience
D. Publishedb meta-analyses
Theb followingb canb beb usedb tob assistb inb soundb clinicalb decision-making:
A. Algorithmb publishedb inb ab peer-reviewedb journalb article
B. Clinicalb practiceb guidelines
C. Evidence-basedb research
D. Allb ofb theb above
Ifb ab diagnosticb studyb hasb highb sensitivity,b thisb indicatesb a:
A. Highb percentageb ofb personsb withb theb givenb conditionb willb haveb anb abnormalb result
B. Lowb percentageb ofb personsb withb theb givenb conditionb willb haveb anb abnormalb result
C. Lowb likelihoodb ofb normalb resultb inb personsb withoutb ab givenb condition
D. Noneb ofb theb above
Ifb ab diagnosticb studyb hasb highb specificity,b thisb indicatesb a:
A. Lowb percentageb ofb healthyb individualsb willb showb ab normalb result
B. Highb percentageb ofb healthyb individualsb willb showb ab normalb result
C. Highb percentageb ofb individualsb withb ab disorderb willb showb ab normalb result
D. Lowb percentageb ofb individualsb withb ab disorderb willb showb anb abnormalbre
sultbAb likelihoodb ratiob aboveb 1b indicatesb thatb ab diagnosticb testb showingb a:
A. Positiveb resultb isb stronglyb associatedb withb theb disease
B. Negativeb resultb isb stronglyb associatedb withb absenceb ofb theb disease
C. Positiveb resultb isb weaklyb associatedb withb theb disease
D. Negativeb resultb isb weaklyb associatedb withb absenceb ofb theb disease
10.b Whichb ofb theb followingb clinicalb reasoningb toolsb isb definedb asb evidence-
basedb resourceb basedb onb mathematicalb modelingb tob expressb theb likelihoodb ofb abconditi
b
onb inb selectsituations,b settings,b and/orb patients?
A+ Page
, Createdb By:b A
A. Clinicalb practiceb guideline
B. Clinicalb decisionb rule
C. Clinicalb algorithm
D. Clinicalbrecomme
ndationbAnswerbSection
MULTIPLEb CHOICE
1. ANS:b B
Croskerryb (2009)b describesb twob majorb typesb ofb clinicalb diagnosticb decision-
making:bintuitiveb andb analytical.b Intuitiveb decision-makingb (similarb tob Augenblinkb decision-
making)bisb basedb onb theb experienceb andb intuitionb ofb theb clinicianb andb isb lessb reliableb andb pai
redb withb fairlyb commonb errors.bInb contrast,b analyticalb decision-
makingb isb basedb onb carefulbconsiderationb andb hasb greaterb reliabilityb withb rareb errors.
PTS: 1
2. ANS:b D
Tob obtainb adequateb history,b providersb mustb beb wellb organized,b attentiveb tob the
patient’sbverbalandbnonverbalblanguage,bandbablebtobaccuratelybinterpretbthebpatient’sbrespon
sesb tob questions.b Ratherb thanb readingb intob theb patient’sb statements,b theyb clarifybanyb area
sb ofb uncertainty.
PTS: 1
3. ANS:b C
Vitalb signsb areb partb ofb theb physicalb examinationb portionb ofb patientb assessment,b notbpart
b ofb thehealthb history.
PTS: 1
4. ANS:bnD
A+ Page
TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING
b b b b b
b FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSE
b b b b
S 5TH EDITION, MARY JO GOOLSBY, LAURIE GRUBBS ISBN
b b b b b b b b
-
10; 1719645930 / ISBN-13; 978-1719645935 A+
b b b b b
Chapterb 1.b Assessmentb andb Clinicalb Decision-Making:b Overview
Multipleb Choice
Identifyb theb choiceb thatb bestb completesb theb statementb orb answersb theb question.
Whichb typeb ofb clinicalb decision-makingb isb mostb reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Whichb ofb theb followingb isb false?b Tob obtainb adequateb history,b health-
careb providersb mustbbe:
A. Methodicalb andb systematic
B. Attentiveb tob theb patient’sb verbalb andb nonverbalb language
C. Ableb tob accuratelyb interpretb theb patient’sb responses
D. Adeptb atb readingb intob theb patient’sb statements
Essentialb partsb ofb ab healthb historyb includeb allb ofb theb followingb except:
A. Chiefb complaint
B. Historyb ofb theb presentb illness
C. Currentb vitalb signs
D. Allb ofb theb aboveb areb essentialb historyb components
Whichb ofb theb followingb isb false?b Whileb performingb theb physicalb examination,b thebexaminer
b mustbeb ableb to:
A. Differentiateb betweenb normalb andb abnormalb findings
B. Recallb knowledgeb ofb ab rangeb ofb conditionsb andb theirb associatedb signsb andb symptoms
A+ Page
,Createdb By:b A
C. Recognizeb howb certainb conditionsb affectb theb responseb tob otherb conditions
D. Foreseeb unpredictableb findings
A+ Page
,Createdb By:b A
Theb followingb isb theb leastb reliableb sourceb ofb informationb forb diagnosticb statistics:
A. Evidence-basedb investigations
B. Primaryb reportsb ofb research
C. Estimationb basedb onb ab provider’sb experience
D. Publishedb meta-analyses
Theb followingb canb beb usedb tob assistb inb soundb clinicalb decision-making:
A. Algorithmb publishedb inb ab peer-reviewedb journalb article
B. Clinicalb practiceb guidelines
C. Evidence-basedb research
D. Allb ofb theb above
Ifb ab diagnosticb studyb hasb highb sensitivity,b thisb indicatesb a:
A. Highb percentageb ofb personsb withb theb givenb conditionb willb haveb anb abnormalb result
B. Lowb percentageb ofb personsb withb theb givenb conditionb willb haveb anb abnormalb result
C. Lowb likelihoodb ofb normalb resultb inb personsb withoutb ab givenb condition
D. Noneb ofb theb above
Ifb ab diagnosticb studyb hasb highb specificity,b thisb indicatesb a:
A. Lowb percentageb ofb healthyb individualsb willb showb ab normalb result
B. Highb percentageb ofb healthyb individualsb willb showb ab normalb result
C. Highb percentageb ofb individualsb withb ab disorderb willb showb ab normalb result
D. Lowb percentageb ofb individualsb withb ab disorderb willb showb anb abnormalbre
sultbAb likelihoodb ratiob aboveb 1b indicatesb thatb ab diagnosticb testb showingb a:
A. Positiveb resultb isb stronglyb associatedb withb theb disease
B. Negativeb resultb isb stronglyb associatedb withb absenceb ofb theb disease
C. Positiveb resultb isb weaklyb associatedb withb theb disease
D. Negativeb resultb isb weaklyb associatedb withb absenceb ofb theb disease
10.b Whichb ofb theb followingb clinicalb reasoningb toolsb isb definedb asb evidence-
basedb resourceb basedb onb mathematicalb modelingb tob expressb theb likelihoodb ofb abconditi
b
onb inb selectsituations,b settings,b and/orb patients?
A+ Page
, Createdb By:b A
A. Clinicalb practiceb guideline
B. Clinicalb decisionb rule
C. Clinicalb algorithm
D. Clinicalbrecomme
ndationbAnswerbSection
MULTIPLEb CHOICE
1. ANS:b B
Croskerryb (2009)b describesb twob majorb typesb ofb clinicalb diagnosticb decision-
making:bintuitiveb andb analytical.b Intuitiveb decision-makingb (similarb tob Augenblinkb decision-
making)bisb basedb onb theb experienceb andb intuitionb ofb theb clinicianb andb isb lessb reliableb andb pai
redb withb fairlyb commonb errors.bInb contrast,b analyticalb decision-
makingb isb basedb onb carefulbconsiderationb andb hasb greaterb reliabilityb withb rareb errors.
PTS: 1
2. ANS:b D
Tob obtainb adequateb history,b providersb mustb beb wellb organized,b attentiveb tob the
patient’sbverbalandbnonverbalblanguage,bandbablebtobaccuratelybinterpretbthebpatient’sbrespon
sesb tob questions.b Ratherb thanb readingb intob theb patient’sb statements,b theyb clarifybanyb area
sb ofb uncertainty.
PTS: 1
3. ANS:b C
Vitalb signsb areb partb ofb theb physicalb examinationb portionb ofb patientb assessment,b notbpart
b ofb thehealthb history.
PTS: 1
4. ANS:bnD
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