BATES' GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK

Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley

,Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley

,Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley


BATES' GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH

EDITION BICKLEY TEST BANK



CHAPTER 1 Approach to the Clinical Encounter
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After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic and his pulse is 58 beats per minute. These types
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of data would be:
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a
Objective.

b
Reflective.

c
Subjective.

d
Introspective.


ANS: A Ws



Objective data are what the health professional observes by inspecting,
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percussing, palpating, and auscultating during the physical examination.
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Subjective data is what the person says about him or herself during history
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taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• A patient tells the nurse that he is very nervous, is nauseated, and feels
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hot. These types of data would be:
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a
Objective.

b
Reflective.

c
Subjective.

d
Introspective.


ANS: C Ws



Subjective data are what the person says about him or herself during history
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taking. Objective data are what the health professional observes by inspecting,
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percussing, palpating, and auscultating during the physical examination. The
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terms reflective and introspective are not used
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to describe data.
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, Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley



DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• The patients record, laboratory studies, objective data, and subjective
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data combine to form the:
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a
Data base. Ws




b
Admitting data. Ws




c
Financial statement. Ws




d
Discharge summary. Ws




ANS: A Ws



Together with the patients record and laboratory studies, the objective and subjective
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data form the data base. The other items are not part of the patients record,
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laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• When listening to a patients breath sounds, the nurse is unsure of a sound
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that is heard. The nurses next action should be to:
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a
Immediately notify the patients physician. Ws Ws Ws Ws




b
Document the sound exactly as it was Ws Ws Ws Ws Ws Ws



heard.
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c Validate the data by asking a coworker
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to listen to the breath sounds.
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d Assess again in 20 minutes to note
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whether the sound is still present.
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ANS: C Ws



When unsure of a sound heard while listening to a patients breath sounds, the nurse
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validates the data to ensure accuracy. If the nurse has less experience in an area, then
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he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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• The nurse is conducting a class for new graduate nurses. During the
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teaching session, the nurse should keep in mind that novice nurses,
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without a
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