TEST BANK j
Advanced Health Assessment & Clinical Diagnosis in Primary Care
j j j j j j j j
by Joyce E. Dains
j j j
5th Edition
j
FULL TEST BANK!!!
j j
Nursedocs@2024
, Chapterj1.jAssessmentjandjClinicaljDecision-Making:jOverview
MultiplejChoice
Identifyjthej choicej thatjbestjcompletesjthejstatementjorjanswersjthej question.
1.
j Whichjtypejofjclinicalj decision-makingjisjmostj reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
j2. Whichjofjthejfollowingjisjfalse?jTojobtainjadequatejhistory,jhealth-
carejprovidersjmustjbe:
A. Methodicaljandjsystematic
B. Attentivejtojthejpatient’sjverbaljand
nonverbalj language
C. Ablejtojaccuratelyjinterpretjthejpatient’s
responses
D. Adeptjatjreadingjintojthejpatient’s
statements
3.
j Essentialjpartsjofjaj healthjhistoryjincludejalljofjthejfollowingjexcept:
A. Chiefj complaint
B. Historyjofjthej presentj illness
C. Currentjvitalj signs
D. Alljofjthejabovejarejessentialj history
components
4.
j
Whichjofjthejfollowingjisjfalse?jWhilejperformingjthejphysicaljexaminati
on,jthejexaminerjmustjbejablejto:
A. Differentiatejbetweenjnormaljand
abnormalj findings
B. Recalljknowledgej ofjajrangejofjconditions
andjtheirjassociatedjsignsjandjsymptoms
C. Recognizejhowjcertainjconditionsjaffect
thejresponsejtojotherjconditions
D. Foreseejunpredictablej findings
5.
j
Thejfollowingjisjthejleastjreliablejsourcejofjinformationjforjdiagnosticjstatistics:
A. Evidence-basedj investigations
B. Primaryjreportsj ofjresearch
C. Estimationjbasedjonjajprovider’s
experience
D. Publishedjmeta-analyses
Nursedocs@2024
, 6.
j Thejfollowingjcanjbejusedjtojassistjinjsoundjclinicalj decision-making:
A. Algorithmj publishedjinjajpeer-reviewed
journalj article
B. Clinicaljpracticej guidelines
C. Evidence-basedjresearch
D. Alljofjthejabove
7.
j Ifjajdiagnosticjstudyjhasjhighjsensitivity,jthisjindicatesja:
A. Highjpercentagejofjpersonsjwithjthejgiven
conditionjwilljhavejanjabnormaljresult
B. Lowjpercentagejofjpersonsjwithjthejgiven
conditionjwilljhavejanjabnormaljresult
C. Lowjlikelihoodj ofjnormaljresultjin
personsjwithoutjajgivenjcondition
D. Nonejofjthejabove
8.
j Ifjajdiagnosticjstudyjhasjhighjspecificity,jthisjindicatesja:
A. Lowjpercentagejofjhealthyjindividuals
willjshowjajnormaljresult
B. Highjpercentagejofjhealthyjindividuals
willjshowjajnormaljresult
C. Highjpercentagejofjindividualsjwithja
disorderjwilljshowjajnormaljresult
D. Lowjpercentagej ofjindividualsjwithja
disorderjwilljshowjanjabnormalj result
9.
j Ajlikelihoodjratiojabovej1jindicatesjthatjajdiagnosticjtestjshowingja:
A. Positivejresultjisjstronglyjassociatedjwith
thejdisease
B. Negativejresultjisjstronglyjassociatedjwith
absencej ofjthej disease
C. Positivejresultjisjweaklyjassociatedjwith
thejdisease
D. Negativejresultjisjweaklyjassociatedjwith
absencej ofjthej disease
j10. Whichjofjthejfollowingjclinicaljreasoningjtoolsjisjdefinedjasjevidence-
jbasedjresourcejbasedjonjmathematicaljmodelingjtojexpressjthejlikelihoodjofjajconditionjin
jselectjsituations,jsettings,jand/orjpatients?
A. Clinicaljpracticejguideline
B. Clinicaljdecisionjrule
C. Clinicaljalgorithm
D. Clinicalj recommendation
Chapterj1.jAssessmentjandjClinicaljDecision-Making:jOverview
Nursedocs@2024
, AnswerjSection
MULTIPLEjCHOICE
1. ANS:j B
Croskerryj(2009)jdescribesjtwojmajorjtypesjofjclinicaljdiagnosticjdecision-
making:jintuitivejandjanalytical.jIntuitivejdecision-
makingj(similarjtojAugenblinkjdecision-
jmaking)jisjbasedjonjthejexperiencejandjintuitionjofjthejclinicianjandjisjlessjreliablejandjpai
redjwithjfairlyjcommonjerrors.jInjcontrast,janalyticaljdecision-
makingjisjbasedjonjcarefuljconsiderationjandjhasjgreaterjreliabilityjwithjrarejerrors.
PTS: 1
2. ANS:j D
Tojobtainjadequatejhistory,jprovidersjmustjbejwelljorganized,jattentivejtojthejpatient’sjverba
ljandjnonverbaljlanguage,jandjablejtojaccuratelyjinterpretjthejpatient’sjresponsesjtojquestions
.jRatherjthanjreadingjintojthejpatient’sjstatements,jtheyjclarifyjanyjareasjofjuncertainty.
PTS: 1
3. ANS:j C
Vitaljsignsjarejpartjofjthejphysicaljexaminationjportionjofjpatientjassessment,jnotjpartjofjthej
healthjhistory.
PTS: 1
4. ANS:j D
Whilejperformingjthejphysicaljexamination,jthejexaminerjmustjbejablejtojdifferentiatejbet
weenjnormaljandjabnormaljfindings,jrecalljknowledgejofjajrangejofjconditions,jincludingjt
heirjassociatedjsignsjandjsymptoms,jrecognizejhowjcertainjconditionsjaffectjthejresponsejt
ojotherjconditions,jandjdistinguishjthejrelevancejofjvariedjabnormaljfindings.
PTS: 1
5. ANS:j C
Sourcesjforjdiagnosticjstatisticsjincludejtextbooks,jprimaryjreportsjofjresearch,jandjpublis
hedjmeta-
analyses.jAnotherjsourcejofjstatistics,jthejonejthatjhasjbeenjmostjwidelyjusedjandjavailable
jforjapplicationjtojthejreasoningjprocess,jisjthejestimationjbasedjonjajprovider’sjexperience
,jalthoughjthesejarejrarelyjaccurate.jOverjthejpastjdecade,jthejavailabilityjofjevidencejonjw
hichjtojbasejclinicaljreasoningjisjimproving,jandjtherejisjanjincreasingjexpectationjthatjclin
icaljreasoningjbejbasedjonjscientificjevidence.jEvidence-
jbasedjstatisticsjarejalsojincreasinglyjbeingjusedjtojdevelopjresourcesjtojfacilitatejclinicaljd
ecision-making.
PTS: 1
6. ANS:j D
Nursedocs@2024
Advanced Health Assessment & Clinical Diagnosis in Primary Care
j j j j j j j j
by Joyce E. Dains
j j j
5th Edition
j
FULL TEST BANK!!!
j j
Nursedocs@2024
, Chapterj1.jAssessmentjandjClinicaljDecision-Making:jOverview
MultiplejChoice
Identifyjthej choicej thatjbestjcompletesjthejstatementjorjanswersjthej question.
1.
j Whichjtypejofjclinicalj decision-makingjisjmostj reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
j2. Whichjofjthejfollowingjisjfalse?jTojobtainjadequatejhistory,jhealth-
carejprovidersjmustjbe:
A. Methodicaljandjsystematic
B. Attentivejtojthejpatient’sjverbaljand
nonverbalj language
C. Ablejtojaccuratelyjinterpretjthejpatient’s
responses
D. Adeptjatjreadingjintojthejpatient’s
statements
3.
j Essentialjpartsjofjaj healthjhistoryjincludejalljofjthejfollowingjexcept:
A. Chiefj complaint
B. Historyjofjthej presentj illness
C. Currentjvitalj signs
D. Alljofjthejabovejarejessentialj history
components
4.
j
Whichjofjthejfollowingjisjfalse?jWhilejperformingjthejphysicaljexaminati
on,jthejexaminerjmustjbejablejto:
A. Differentiatejbetweenjnormaljand
abnormalj findings
B. Recalljknowledgej ofjajrangejofjconditions
andjtheirjassociatedjsignsjandjsymptoms
C. Recognizejhowjcertainjconditionsjaffect
thejresponsejtojotherjconditions
D. Foreseejunpredictablej findings
5.
j
Thejfollowingjisjthejleastjreliablejsourcejofjinformationjforjdiagnosticjstatistics:
A. Evidence-basedj investigations
B. Primaryjreportsj ofjresearch
C. Estimationjbasedjonjajprovider’s
experience
D. Publishedjmeta-analyses
Nursedocs@2024
, 6.
j Thejfollowingjcanjbejusedjtojassistjinjsoundjclinicalj decision-making:
A. Algorithmj publishedjinjajpeer-reviewed
journalj article
B. Clinicaljpracticej guidelines
C. Evidence-basedjresearch
D. Alljofjthejabove
7.
j Ifjajdiagnosticjstudyjhasjhighjsensitivity,jthisjindicatesja:
A. Highjpercentagejofjpersonsjwithjthejgiven
conditionjwilljhavejanjabnormaljresult
B. Lowjpercentagejofjpersonsjwithjthejgiven
conditionjwilljhavejanjabnormaljresult
C. Lowjlikelihoodj ofjnormaljresultjin
personsjwithoutjajgivenjcondition
D. Nonejofjthejabove
8.
j Ifjajdiagnosticjstudyjhasjhighjspecificity,jthisjindicatesja:
A. Lowjpercentagejofjhealthyjindividuals
willjshowjajnormaljresult
B. Highjpercentagejofjhealthyjindividuals
willjshowjajnormaljresult
C. Highjpercentagejofjindividualsjwithja
disorderjwilljshowjajnormaljresult
D. Lowjpercentagej ofjindividualsjwithja
disorderjwilljshowjanjabnormalj result
9.
j Ajlikelihoodjratiojabovej1jindicatesjthatjajdiagnosticjtestjshowingja:
A. Positivejresultjisjstronglyjassociatedjwith
thejdisease
B. Negativejresultjisjstronglyjassociatedjwith
absencej ofjthej disease
C. Positivejresultjisjweaklyjassociatedjwith
thejdisease
D. Negativejresultjisjweaklyjassociatedjwith
absencej ofjthej disease
j10. Whichjofjthejfollowingjclinicaljreasoningjtoolsjisjdefinedjasjevidence-
jbasedjresourcejbasedjonjmathematicaljmodelingjtojexpressjthejlikelihoodjofjajconditionjin
jselectjsituations,jsettings,jand/orjpatients?
A. Clinicaljpracticejguideline
B. Clinicaljdecisionjrule
C. Clinicaljalgorithm
D. Clinicalj recommendation
Chapterj1.jAssessmentjandjClinicaljDecision-Making:jOverview
Nursedocs@2024
, AnswerjSection
MULTIPLEjCHOICE
1. ANS:j B
Croskerryj(2009)jdescribesjtwojmajorjtypesjofjclinicaljdiagnosticjdecision-
making:jintuitivejandjanalytical.jIntuitivejdecision-
makingj(similarjtojAugenblinkjdecision-
jmaking)jisjbasedjonjthejexperiencejandjintuitionjofjthejclinicianjandjisjlessjreliablejandjpai
redjwithjfairlyjcommonjerrors.jInjcontrast,janalyticaljdecision-
makingjisjbasedjonjcarefuljconsiderationjandjhasjgreaterjreliabilityjwithjrarejerrors.
PTS: 1
2. ANS:j D
Tojobtainjadequatejhistory,jprovidersjmustjbejwelljorganized,jattentivejtojthejpatient’sjverba
ljandjnonverbaljlanguage,jandjablejtojaccuratelyjinterpretjthejpatient’sjresponsesjtojquestions
.jRatherjthanjreadingjintojthejpatient’sjstatements,jtheyjclarifyjanyjareasjofjuncertainty.
PTS: 1
3. ANS:j C
Vitaljsignsjarejpartjofjthejphysicaljexaminationjportionjofjpatientjassessment,jnotjpartjofjthej
healthjhistory.
PTS: 1
4. ANS:j D
Whilejperformingjthejphysicaljexamination,jthejexaminerjmustjbejablejtojdifferentiatejbet
weenjnormaljandjabnormaljfindings,jrecalljknowledgejofjajrangejofjconditions,jincludingjt
heirjassociatedjsignsjandjsymptoms,jrecognizejhowjcertainjconditionsjaffectjthejresponsejt
ojotherjconditions,jandjdistinguishjthejrelevancejofjvariedjabnormaljfindings.
PTS: 1
5. ANS:j C
Sourcesjforjdiagnosticjstatisticsjincludejtextbooks,jprimaryjreportsjofjresearch,jandjpublis
hedjmeta-
analyses.jAnotherjsourcejofjstatistics,jthejonejthatjhasjbeenjmostjwidelyjusedjandjavailable
jforjapplicationjtojthejreasoningjprocess,jisjthejestimationjbasedjonjajprovider’sjexperience
,jalthoughjthesejarejrarelyjaccurate.jOverjthejpastjdecade,jthejavailabilityjofjevidencejonjw
hichjtojbasejclinicaljreasoningjisjimproving,jandjtherejisjanjincreasingjexpectationjthatjclin
icaljreasoningjbejbasedjonjscientificjevidence.jEvidence-
jbasedjstatisticsjarejalsojincreasinglyjbeingjusedjtojdevelopjresourcesjtojfacilitatejclinicaljd
ecision-making.
PTS: 1
6. ANS:j D
Nursedocs@2024
