[email protected] TESTmkBANKmk BatesmkGuidemktomkPhysicalmkExaminationmkandmkHistorymk Taking mkmkmkmkmkmk13thmkEditionmkbymkLynnmkSmkBickleymkandmkSzilagyimkChaptersmk
[email protected] [email protected] Unitmk1.mkFoundationsmkofmkhealthmkassessment.mk Chaptermk1.mkApproachmktomkthemkclinicalmkencounter Chaptermk2.mkInterviewing,mkcommunication,mkandmkinterpersonalmkskills Chaptermk3.mkHealthmkhistory Chaptermk4.mkPhysicalmkexamination Chaptermk5.mkClinicalmkreasoning,mkassessment,mkandmkplan Chaptermk6.mkHealthmkmaintenancemkandmkscreening Chaptermk7.mkEvauatingmkclinicalmkevidencemk;mk Unitmk2.mkRegionalmkexaminations.mk Chaptermk8.mkGeneralmksurvey,mkvitalmksigns,mkandmkpain Chaptermk9.mkCognition,mkbehavior,mkandmkmentalmkstatus Chaptermk10.mkSkin,mkhair,mkandmknails Chaptermk11.mkHeadmkandmkneck Chaptermk12.mkEyes Chaptermk13.mkEarsmkandmknose Chaptermk14.mkThroatmkandmkoralmkcavity Chaptermk15.mkThoraxmkandmklungs Chaptermk16.mkCardiovascularmksystem Chaptermk17.mkPeripheralmkvascularmksystem Chaptermk18.mkBeastsmkandmkaxillae Chaptermk19.mkAbdomen Chaptermk20.mkMalemkgenitalia Chaptermk21.mkFemalemkgenitalia Chaptermk22.mkAnus,mkrectum,mkandmkprostate Chaptermk23.mkMusculoskeletalmksystem Chaptermk24.mkNervousmksystemmk;mk Unitmk3.mkSpecialmkpopulations.mk Chaptermk25.mkChildren:mkinfancymkthroughmkadolescence Chaptermk26.mkPregnantmkwoman
[email protected] CHAPTER:1mkFoundationsmkformkClinicalmkProficiencymk MULTIPLEmkCHOICE 1. Aftermkcompletingmkanmkinitialmkassessmentmkofmkamkpatient,mkthemknursemkhasmkchartedmkthatmkhismkrespirationsmkaremkeupneicmkandmkhismkpulsemkismk58mkbeatsmkpermkminute.mkThesemktypesmkofmkdatamkwouldmkbe: a . Objective. b . Reflective. c .
[email protected] d . Introspective. CORRECTmkANSWER(s)mk:mkmk:mkmkA Objectivemkdatamkaremkwhatmkthemkhealthmkprofessionalmkobservesmkbymkinspecting,mkpercussing,mkpalpating,mkandmkauscultatingmkduringmkthemkphysicalmkexamination.mkSubjectivemkdatamkismkwhatmkthemkpersonmksaysmkaboutmkhimmkormkherselfmkduringmkhistorymktaking.mkThemktermsmkreflectivemkandmkintrospectivemkaremknotmkusedmktomkdescribemkdata. DIF:mkCognitivemkLevel:mkUnderstandingmk(Comprehension)mkREF:mkp.mk2 MSC:mkClientmkNeeds:mkSafemkandmkEffectivemkCaremkEnvironment:mkManagementmkofmkCare 2. Amkpatientmktellsmkthemknursemkthatmkhemkismkverymknervous,mkismknauseated,mkandmkfeelsmkhot.mkThesemktypesmkofmkdatamkwouldmkbe: a . Objective. b . Reflective. c . Subjective. d . Introspective. CORRECTmkANSWER(s)mk:mkmk:mkmkC Subjectivemkdatamkaremkwhatmkthemkpersonmksaysmkaboutmkhimmkormkherselfmkduringmkhistorymktaking.mkObjectivemkdatamkaremkwhatmkthemkhealthmkprofessionalmkobservesmkbymkinspecting,mkpercussing,mkpalpating,mkandmkauscultatingmkduringmkthemkphysicalmkexamination.mkThemktermsmkreflectivemkandmkintrospectivemkaremknotmkusedBatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C tomkdescribemkdata. DIF:mkCognitivemkLevel:mkUnderstandingmk(Comprehension)mkREF:mkp.mk2 MSC:mkClientmkNeeds:mkSafemkandmkEffectivemkCaremkEnvironment:mkManagementmkofmkCare 3. Themkpatientsmkrecord,mklaboratorymkstudies,mkobjectivemkdata,mkandmksubjectivemkdatamkcombinemktomkformmkthe: a . Datamkbase. b . Admittingmkdata. c . Financialmkstatement. d . Dischargemksummary. CORRECTmkANSWER(s)mk:mkmk:mkmkA Togethermkwithmkthemkpatientsmkrecordmkandmklaboratorymkstudies,mkthemkobjectivemkandmksubjectivemkdatamkformmkthemkdatamkbase.mkThemkothermkitemsmkaremknotmkpartmkofmkthemkpatientsmkrecord,mklaboratorymkstudies,mkormkdata. DIF:mkCognitivemkLevel:mkRememberingmk(Knowledge)mkREF:mkp.mk2 MSC:mkClientmkNeeds:mkSafemkandmkEffectivemkCaremkEnvironment:mkManagementmkofmkCare 4. Whenmklisteningmktomkamkpatientsmkbreathmksounds,mkthemknursemkismkunsuremkofmkamksoundmkthatmkismkheard.mkThemknursesmknextmkactionmkshouldmkbemkto: a . Immediatelymknotifymkthemkpatientsmkphysician. b . Documentmkthemksoundmkexactlymkasmkitmkwasmkheard. c . Validatemkthemkdatamkbymkaskingmkamkcoworkermktomklistenmktomkthemkbreathmksounds. d . Assessmkagainmkinmk20mkminutesmktomknotemkwhethermkthemksoundmkismkstillmkpresent. CORRECTmkANSWER(s)mk:mkmk:mkmkC Whenmkunsuremkofmkamksoundmkheardmkwhilemklisteningmktomkamkpatientsmkbreathmksounds,mkthemknursemkvalidatesmkthemkdatamktomkensuremkaccuracy.mkIfmkthemknursemkhasmklessmkBatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C experiencemkinmkanmkarea,mkthenmkhemkormkshemkasksmkanmkexpertmktomklisten. DIF:mkCognitivemkLevel:mkAnalyzingmk(Analysis)mkREF:mkp.mk2 MSC:mkClientmkNeeds:mkSafemkandmkEffectivemkCaremkEnvironment:mkManagementmkofmkCareBatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C 5. Themknursemkismkconductingmkamkclassmkformknewmkgraduatemknurses.mkDuringmkthemkteachingmksession,mkthemknursemkshouldmkkeepmkinmkmindmkthatmknovicemknurses,mkwithoutmkamkbackgroundmkofmkskillsmkandmkexperiencemkfrommkwhichmktomkdraw,mkaremkmoremklikelymktomkmakemktheirmkdecisionsmkusing: a . Intuition. b . Amksetmkofmkrules. c . Articlesmkinmkjournals. d . Advicemkfrommksupervisors. CORRECTmkANSWER(s)mk:mkmk:mkmkB Novicemknursesmkoperatemkfrommkamksetmkofmkdefined,mkstructuredmkrules.mkThemkexpertmkpractitionermkusesmkintuitivemklinks. DIF:mkCognitivemkLevel:mkUnderstandingmk(Comprehension)mkREF:mkp.mk3mkMSC:mkClientmkNeeds:mkGeneral 6. Expertmknursesmklearnmktomkattendmktomkamkpatternmkofmkassessmentmkdatamkandmkactmkwithoutmkconsciouslymklabelingmkit.mkThesemkresponsesmkaremkreferredmktomkas: a . Intuition. b . Themknursingmkprocess. c . Clinicalmkknowledge. d . Diagnosticmkreasoning. CORRECTmkANSWER(s)mk:mkmk:mkmkA Intuitionmkismkcharacterizedmkbymkpatternmkrecognitionexpertmknursesmklearnmktomkattendmktomkamkpatternmkofmkassessmentmkdatamkandmkactmkwithoutmkconsciouslymklabelingmkit.mkThemkothermkoptionsmkaremknotmkcorrect.BatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C DIF:mkCognitivemkLevel:mkUnderstandingmk(Comprehension)mkREF:mkp.mk4mkMSC:mkClientmkNeeds:mkGeneral 7. Themknursemkismkreviewingmkinformationmkaboutmkevidence-basedmkpracticemk(EBP).mkWhichmkstatementmkbestmkreflectsmkEBP?BatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C a . EBPmkreliesmkonmktraditionmkformksupportmkofmkbestmkpractices. b . EBPmkismksimplymkthemkusemkofmkbestmkpracticemktechniquesmkformkthemktreatmentmkofmkpatients. c . EBPmkemphasizesmkthemkusemkofmkbestmkevidencemkwithmkthemkcliniciansmkexperience. d . ThemkpatientsmkownmkpreferencesmkaremknotmkimportantmkwithmkEBP. CORRECTmkANSWER(s)mk:mkmk:mkmkC EBPmkismkamksystematicmkapproachmktomkpracticemkthatmkemphasizesmkthemkusemkofmkbestmkevidencemkinmkcombinationmkwithmkthemkcliniciansmkexperience,mkasmkwellmkasmkpatientmkpreferencesmkandmkvalues,mkwhenmkmakingmkdecisionsmkaboutmkcaremkandmktreatment.mkEBPmkismkmoremkthanmksimplymkusingmkthemkbestmkpracticemktechniquesmktomktreatmkpatients,mkandmkquestioningmktraditionmkismkimportantmkwhenmknomkcompellingmkandmksupportivemkresearchmkevidencemkexists. DIF:mkCognitivemkLevel:mkApplyingmk(Application)mkREF:mkp.mk5 MSC:mkClientmkNeeds:mkSafemkandmkEffectivemkCaremkEnvironment:mkManagementmkofmkCare 8. Themknursemkismkconductingmkamkclassmkonmkprioritymksettingmkformkamkgroupmkofmknewmkgraduatemknurses.mkWhichmkismkanmkexamplemkofmkamkfirst-levelmkprioritymkproblem? a . Patientmkwithmkpostoperativemkpain b . Newlymkdiagnosedmkpatientmkwithmkdiabetesmkwhomkneedsmkdiabeticmkteaching c . Individualmkwithmkamksmallmklacerationmkonmkthemksolemkofmkthemkfoot d . Individualmkwithmkshortnessmkofmkbreathmkandmkrespiratorymkdistress CORRECTmkANSWER(s)mk:mkmk:mkmkD First-levelmkprioritymkproblemsmkaremkthosemkthatmkaremkemergent,mklifemkthreatening,mkandmkimmediatemk(e.g.,mkestablishingmkanmkairway,mksupportingmkbreathing,mkmaintainingmkcirculation,mkmonitoringmkabnormalmkvitalmksigns)mk(seemkTablemk1-1).BatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C DIF:mkCognitivemkLevel:mkUnderstandingmk(Comprehension)mkREF:mkp.mk4 MSC:mkClientmkNeeds:mkSafemkandmkEffectivemkCaremkEnvironment:mkManagementmkofmkCare 9. Whenmkconsideringmkprioritymksettingmkofmkproblems,mkthemknursemkkeepsmkinmkmindmkthatmksecond-levelmkprioritymkproblemsmkincludemkwhichmkofmkthesemkaspects?BatesmkGuidemkTomkPhysicalmkExaminationmkandmkHistorymkTakingmk13thmkEditionmkBickleymkTestmkBankmklatestmkupdated WWW.THENURSINGMASTERY.C a . Lowmkself-esteem b . Lackmkofmkknowledge c .