Test Bank for Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 1st Edition: ISBN- 9780826164537 All Chapters Fully Covered Complete Guide A+ .

,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

,data %siare %siwhat %sithe %sihealth %siprofessional %siobserves %siby %siinspecting, %sipercussing, %sipalpating,
%siand %siauscultating %siduring %sithe %siphysical %siexamination. %siThe %siterms %sireflective %siand

%siintrospective %siare %sinot %siused %sito %sidescribe %sidata.




DIF: %siCognitive %siLevel: %siUnderstanding %si(Comprehension) %siREF: %siz. %si2
MSC: %siClient %siNeeds: %siSafe %siand %siEffective %siCare %siEnvironment: %siManagement %siof %siCare
3. The %sipatients %sirecord, %silaboratory %sistudies, %siobjective %sidata, %siand %sisubjective %sidata
%sicombine %sito %siform %sithe:




a Data %sibase.
.
b Admitting %sidata.
.
c Financial %sistatement.
.
d Discharge %sisummary.
.

ANS: %siA
Together %siwith %sithe %sipatients %sirecord %siand %silaboratory %sistudies, %sithe %siobjective %siand
%sisubjective %sidata %siform %sithe %sidata %sibase. %siThe %siother %siitems %siare %sinot %sipart %siof %sithe

%sipatients %sirecord, %silaboratory %sistudies, %sior %sidata.




DIF: %siCognitive %siLevel: %siRemembering %si(Knowledge) %siREF: %siz. %si2
MSC: %siClient %siNeeds: %siSafe %siand %siEffective %siCare %siEnvironment: %siManagement %siof %siCare
4. When %silistening %sito %sia %sipatients %sibreath %sisounds, %sithe %sinurse %siis %siunsure %siof %sia %sisound
%sithat %siis %siheard. %siThe %sinurses %sinext %siaction %sishould %sibe %sito:




a Immediately %sinotify %sithe %sipatients %siphysician.
.
b Document %sithe %sisound %siexactly %sias %siit %siwas %siheard.
.
c Validate %sithe %sidata %siby %siasking %sia %sicoworker %sito %silisten %sito %sithe %sibreath %sisounds.
.
d Assess %siagain %siin %si20 %siminutes %sito %sinote %siwhether %sithe %sisound %siis %sistill %sipresent.
.

ANS: %siC
When %siunsure %siof %sia %sisound %siheard %siwhile %silistening %sito %sia %sipatients %sibreath %sisounds, %sithe
%sinurse %sivalidates %sithe %sidata %sito %siensure %siaccuracy. %siIf %sithe %sinurse %sihas %siless %siexperience %siin

%sian %siarea, %sithen %sihe %sior %sishe %siasks %sian %siexpert % s i to %silisten.

, DIF: %siCognitive %siLevel: %siAnalyzing %si(Analysis) %siREF: %siz. %si2
MSC: %siClient %siNeeds: %siSafe %siand %siEffective %siCare %siEnvironment: %siManagement %siof %siCare
5. The %sinurse %siis %siconducting %sia %siclass %sifor %sinew %sigraduate %sinurses. %siDuring %sithe
%siteaching %sisession, %sithe %sinurse %sishould %sikeep %siin %simind %sithat %sinovice %sinurses, %siwithout %sia

%sibackground %siof %siskills %siand %siexperience %sifrom %siwhich %sito %sidraw, %siare %simore %silikely %sito

%simake %sitheir %sidecisions % s i using:




a Intuition.
.
b A %siset %siof %sirules.
.
c Articles %siin %sijournals.
.
d Advice %sifrom %sisupervisors.
.

ANS: %siB
Novice %sinurses %sioperate %sifrom %sia %siset %siof %sidefined, %sistructured %sirules. %siThe %siexpert
%sipractitioner %siuses %siintuitive %silinks.




DIF: %siCognitive %siLevel: %siUnderstanding %si(Comprehension)
%siREF: %siz. %si3 %siMSC: %siClient %siNeeds: %siGeneral

6. Expert %sinurses %silearn %sito %siattend %sito %sia %sipattern %siof %siassessment %sidata %siand %siact
%siwithout %siconsciously %silabeling %siit. %siThese %siresponses %siare %sireferred %sito %sias:




a Intuition.
.
b The %sinursing %siprocess.
.
c Clinical %siknowledge.
.
d Diagnostic %sireasoning.
.

ANS: %siA
Intuition %siis %sicharacterized %siby %sipattern %sirecognitionexpert %sinurses %silearn %sito %siattend %sito %sia
%sipattern %siof %siassessment %sidata %siand %siact %siwithout %siconsciously %silabeling %siit. %siThe %siother

%sioptions %siare %sinot %sicorrect.




DIF: %siCognitive %siLevel: %siUnderstanding %si(Comprehension)
%siREF: %siz. %si4 %siMSC: %siClient %siNeeds: %siGeneral

7. The %sinurse %siis %sireviewing %siinformation %siabout %sievidence-based %sipractice %si(EBP). %siWhich
%sistatement %sibest %sireflects %siEBP?