Physical Examination, 2nd
Edition
Objective data - ANSWERSObjective data is what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data - ANSWERSSubjective data is what the person says about him or herself during
history taking.
Database - ANSWERSThe objective and subjective data together with the patient's record and
laboratory studies, form the database.
Assessment - ANSWERSThe process of evaluating a patient's health status through observation and
examination.
Breath sounds - ANSWERSSounds heard when listening to a patient's lungs, which can indicate
various health conditions.
Validation of data - ANSWERSThe process of ensuring the accuracy of assessment data by repeating
the assessment or consulting another nurse.
Cognitive Level: Understanding - ANSWERSA level of cognitive processing that involves
comprehending and interpreting information.
Cognitive Level: Remembering - ANSWERSA level of cognitive processing that involves recalling
previously learned information.
Management of Care - ANSWERSClient Needs: Safe and Effective Care Environment, focusing on the
organization and delivery of patient care.
Assessment Techniques - ANSWERSMethods used by healthcare professionals to gather information
about a patient's health status.
,Physical Examination - ANSWERSA systematic examination of a patient to assess their health status.
Nurse's action when unsure of breath sounds - ANSWERSValidate the data by asking another nurse
to listen to the breath sounds.
Patient's record - ANSWERSDocumentation that includes a patient's medical history, treatment
plans, and assessment data.
Laboratory studies - ANSWERSTests performed on patient samples to provide objective data
regarding health status.
Charting - ANSWERSThe process of documenting a patient's health information and assessment
findings.
Eupneic - ANSWERSReferring to normal, unlabored breathing.
Pulse rate - ANSWERSThe number of heartbeats per minute, measured in beats per minute (bpm).
Nauseous - ANSWERSA feeling of sickness with an inclination to vomit.
Feeling hot - ANSWERSA subjective sensation often associated with fever or anxiety.
Reflective data - ANSWERSData that is not commonly used to describe patient assessments.
Introspective data - ANSWERSData that is not commonly used to describe patient assessments.
Assessment data - ANSWERSInformation collected during the assessment process, including both
objective and subjective data.
Clinical setting safety - ANSWERSPractices and protocols that ensure the safety of both patients and
healthcare providers during assessments.
,Health professional - ANSWERSAn individual trained to provide healthcare services, such as a nurse
or physician.
Physical examination techniques - ANSWERSSpecific methods used to assess various aspects of a
patient's health during a physical examination.
Patient assessment - ANSWERSThe systematic evaluation of a patient to gather information about
their health status.
Data collection - ANSWERSThe process of gathering information from various sources to inform
patient care.
Care environment - ANSWERSThe setting in which healthcare is delivered, including the physical and
emotional aspects.
Validation - ANSWERSThe process of confirming the accuracy of assessment data by repeating the
assessment or asking another nurse to assess.
Novice Nurses - ANSWERSNurses without a background of skills and experience, more likely to base
decisions on a set of defined, structured rules.
Evidence-Based Practice (EBP) - ANSWERSA systematic approach to practice that emphasizes the use
of research evidence in combination with the clinician's expertise and clinical knowledge, as well as
patient values and preferences.
First-Level Priority Problems - ANSWERSEmergent, life-threatening, and immediate issues that
require immediate attention, such as establishing an airway or supporting breathing.
Second-Level Priority Problems - ANSWERSProblems that require prompt intervention to prevent
further deterioration, such as abnormal laboratory values.
Clustering Related Cues - ANSWERSA critical-thinking skill that involves grouping together
assessment data that appear to be associated, helping the nurse see relationships among the data.
Nursing Process - ANSWERSA sequential method of problem solving that includes assessment,
diagnosis, planning, implementation, and evaluation.
, ABCs - ANSWERSA mnemonic for remembering the order of priority in nursing: Airway, Breathing,
and Circulation.
Barrier to EBP - ANSWERSNurses' lack of research skills in evaluating the quality of research studies.
Cognitive Level: Applying - ANSWERSA level of cognitive processing that involves the application of
knowledge to new situations.
Cognitive Level: Analyzing - ANSWERSA level of cognitive processing that involves breaking down
information into parts to understand it better.
Intuition - ANSWERSThe ability to understand something instinctively, without the need for
conscious reasoning, often developed over time.
Clinical Competency - ANSWERSThe ability to perform clinical tasks effectively, which develops over
time with experience.
Patient Values and Preferences - ANSWERSThe individual beliefs and choices of patients that should
be considered in care and treatment decisions.
Emergent Problems - ANSWERSHealth issues that require immediate attention to prevent serious
consequences.
Structured Rules - ANSWERSDefined guidelines that novice nurses use to make decisions in clinical
practice.
Evidence-Based Decision Making - ANSWERSThe process of making clinical decisions based on the
best available evidence, clinical expertise, and patient preferences.
Critical-Thinking Skills - ANSWERSSkills that enable nurses to analyze information, evaluate evidence,
and make informed decisions.
Patient Teaching - ANSWERSThe process of educating patients about their health conditions and
care needs.