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Advanced Health Assessment and Clinical Diagnosis in Primary Care 5th Edition Dains Test Bank
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Full Test BankAdvanced Health Assessment and Clinical
Diagnosis in Primary Care 5th Edition
Dains Test Bank
Test Bank Directly From The publisher, 100% Verified Answers.
COVERS ALL CHAPTERS.
Download Immediately After the Order.
www.nursylab.com
,Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
____ 2. Which of the following is false? To obtain adequate history, health-care
providers must be:
om
A. Methodical and systematic
B. Attentive to the patient’s verbal and
.c
nonverbal language
p
C. Able to accurately interpret the patient’s
re
responses
D. Adept at reading into the patient’s
p
statements
st
te
____ 3. Essential parts of a health history include all of the following except:
A. Chief complaint
ng
B. History of the present illness
si
C. Current vital signs
D. All of the above are essential history
ur
components
yn
____ 4. Which of the following is false? While performing the physical
.m
examination, the examiner must be able to:
A. Differentiate between normal and
w
abnormal findings
w
B. Recall knowledge of a range of conditions
w
and their associated signs and symptoms
C. Recognize how certain conditions affect
the response to other conditions
D. Foresee unpredictable findings
____ 5. The following is the least reliable source of information for diagnostic
statistics:
A. Evidence-based investigations
B. Primary reports of research
C. Estimation based on a provider’s
experience
D. Published meta-analyses
,____ 6. The following can be used to assist in sound clinical decision-making:
A. Algorithm published in a peer-reviewed
journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
____ 7. If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given
condition will have an abnormal result
B. Low percentage of persons with the given
condition will have an abnormal result
om
C. Low likelihood of normal result in
persons without a given condition
D. None of the above
p .c
____ 8. If a diagnostic study has high specificity, this indicates a:
re
A. Low percentage of healthy individuals
will show a normal result
B.
p
High percentage of healthy individuals
st
will show a normal result
te
C. High percentage of individuals with a
ng
disorder will show a normal result
D. Low percentage of individuals with a
si
disorder will show an abnormal result
ur
____ 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
yn
A. Positive result is strongly associated with
the disease
.m
B. Negative result is strongly associated with
absence of the disease
w
C. Positive result is weakly associated with
w
the disease
w
D. Negative result is weakly associated with
absence of the disease
____ 10. Which of the following clinical reasoning tools is defined as evidence-
based resource based on mathematical modeling to express the likelihood of a condition
in select situations, settings, and/or patients?
A. Clinical practice guideline
B. Clinical decision rule
C. Clinical algorithm
D. Clinical recommendation
Chapter 1. Assessment and Clinical Decision-Making: Overview
, Answer Section
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making:
intuitive and analytical. Intuitive decision-making (similar to Augenblink decision-
making) is based on the experience and intuition of the clinician and is less reliable and
paired with fairly common errors. In contrast, analytical decision-making is based on
careful consideration and has greater reliability with rare errors.
PTS: 1
om
2. ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s
verbal and nonverbal language, and able to accurately interpret the patient’s responses to
.c
questions. Rather than reading into the patient’s statements, they clarify any areas of
p
uncertainty.
p re
PTS: 1 st
3. ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of
te
the health history.
ng
PTS: 1
si
4. ANS: D
ur
While performing the physical examination, the examiner must be able to differentiate
between normal and abnormal findings, recall knowledge of a range of conditions,
yn
including their associated signs and symptoms, recognize how certain conditions affect
.m
the response to other conditions, and distinguish the relevance of varied abnormal
findings.
w
w
PTS: 1
5. ANS: C
w
Sources for diagnostic statistics include textbooks, primary reports of research, and
published meta-analyses. Another source of statistics, the one that has been most widely
used and available for application to the reasoning process, is the estimation based on a
provider’s experience, although these are rarely accurate. Over the past decade, the
availability of evidence on which to base clinical reasoning is improving, and there is an
increasing expectation that clinical reasoning be based on scientific evidence. Evidence-
based statistics are also increasingly being used to develop resources to facilitate clinical
decision-making.
PTS: 1
6. ANS: D
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