Test Bank for Bates' Guide to Physical Examination and History Taking 13th Edition (LWW; August 26,2020) by Lynn S. Bickley, Peter G.
Szilagyi, ISBN No; 9781975210878, All Chapters 1-20 (NEWEST 2024)
STUDYGUIDESOLUTIONS
, Test Bank for Bates' Guide to Physical Examination and History Taking 13th Edition (LWW; August 26,2020) by Lynn S. Bickley, Peter G.
Szilagyi, ISBN No; 9781975210878, All Chapters 1-20 (NEWEST 2024)
CHAPTER 1
Foundations for Clinical Proficiency
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.
ANSWER: 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.
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.
.
ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective data are what the health professional
observes by inspecting, percussing, palpating, and auscultating
STUDYGUIDESOLUTIONS
, Test Bank for Bates' Guide to Physical Examination and History Taking 13th Edition (LWW; August 26,2020) by Lynn S. Bickley, Peter G.
Szilagyi, ISBN No; 9781975210878, All Chapters 1-20 (NEWEST 2024)
during the physical examination. The terms reflective and introspective are not used to describe data.
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base. The other items are
not part of the patients record, laboratory studies, or data.
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action
should be to:
a Immediately notify the patients physician.
.
b Document the sound exactly as it was heard.
.
c Validate the data by asking a coworker to listen to the breath sounds.
.
d Assess again in 20 minutes to note whether the sound is still present.
.
ANSWER: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy. If the nurse has
less experience in an area, then he or she asks an expert to listen.
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in
mind that novice nurses, without a background of skills and experience from which to draw, are more likely to
make their decisions using:
a Intuition.
.
b A set of rules.
.
c Articles in journals.
.
STUDYGUIDESOLUTIONS
, Test Bank for Bates' Guide to Physical Examination and History Taking 13th Edition (LWW; August 26,2020) by Lynn S. Bickley, Peter G.
Szilagyi, ISBN No; 9781975210878, All Chapters 1-20 (NEWEST 2024)
d Advice from supervisors.
.
ANSWER: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
responses are referred to as:
a Intuition.
.
b The nursing process.
.
c Clinical knowledge.
.
d Diagnostic reasoning.
.
ANSWER: A
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. The other options are not correct.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
a EBP relies on tradition for support of best practices.
.
b EBP is simply the use of best practice techniques for the treatment of patients.
.
c EBP emphasizes the use of best evidence with the clinicians experience.
.
d The patients own preferences are not important with EBP.
.
ANSWER: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicians experience, as
well as patient preferences and values, when
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