Test Bank Bates Guide To Physical Examination And History Taking 13th Edition Bickley Questions And Answers

BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 1BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 2 BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEditionsdBickleysdTestsdBanksd&sdRationalessdChapterssd1-27|sdCompletesdGuidesdA+ CHAPTERsd1sdFoundationssdforsdClinicalsdProficiency 1.sdAftersdcompletingsdansdinitialsdassessmentsdofsdasdpatient,sdthesdnursesdhassdchartedsdthatsdhissdrespirationssdaresdeupneicsdandsdhissdpulsesdissd58sdbeatssdpersdminute.sdThesesdtypessdofsddatasdwouldsdbe: a.sdObjective. b.sdReflective. c.sdSubjective. d.sdIntrospective.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdABatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 3 Objectivesddatasdaresdwhatsdthesdhealthsdprofessionalsdobservessdbysdinspecting,sdpercussing,sdpalpating, andsdauscultatingsdduringsdthesdphysicalsdexamination.sdSubjectivesddatasdissdwhatsdthesdpersonsdsayssdabout himsdorsdherselfsdduringsdhistorysdtaking.sdThesdtermssdreflectivesdandsdintrospectivesdaresdnotsdusedsdto describesddata. 2.sdAsdpatientsdtellssdthesdnursesdthatsdhesdissdverysdnervous,sdissdnauseated,sdandsdfeelssdhot.sdThesesdtypessdof datasdwouldsdbe: a.sdObjective. b.sdReflective. c.sdSubjective. d.sdIntrospective.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdC Subjectivesddatasdaresdwhatsdthesdpersonsdsayssdaboutsdhimsdorsdherselfsdduringsdhistorysdtaking.sdObjectiveBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 4 datasdaresdwhatsdthesdhealthsdprofessionalsdobservessdbysdinspecting,sdpercussing,sdpalpating,sdand auscultatingsdduringsdthesdphysicalsdexamination.sdThesdtermssdreflectivesdandsdintrospectivesdaresdnotsdused tosddescribesddata. 3.sdThesdpatientssdrecord,sdlaboratorysdstudies,sdobjectivesddata,sdandsdsubjectivesddatasdcombinesdtosdform the: a.sdDatasdbase. b.sdAdmittingsddata. c.sdFinancialsdstatement. d.sdDischargesdsummary.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdA Togethersdwithsdthesdpatientssdrecordsdandsdlaboratorysdstudies,sdthesdobjectivesdandsdsubjectivesddatasdform thesddatasdbase.sdThesdothersditemssdaresdnotsdpartsdofsdthesdpatientssdrecord,sdlaboratorysdstudies,sdorsddata.BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 5 4.sdWhensdlisteningsdtosdasdpatientssdbreathsdsounds,sdthesdnursesdissdunsuresdofsdasdsoundsdthatsdissdheard.sdThe nursessdnextsdactionsdshouldsdbesdto: a.sdImmediatelysdnotifysdthesdpatientssdphysician. b.sdDocumentsdthesdsoundsdexactlysdassditsdwassdheard. c.sdValidatesdthesddatasdbysdaskingsdasdcoworkersdtosdlistensdtosdthesdbreathsdsounds. d.sdAssesssdagainsdinsd20sdminutessdtosdnotesdwhethersdthesdsoundsdissdstillsdpresent.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdC Whensdunsuresdofsdasdsoundsdheardsdwhilesdlisteningsdtosdasdpatientssdbreathsdsounds,sdthesdnursesdvalidatessdthe datasdtosdensuresdaccuracy.sdIfsdthesdnursesdhassdlesssdexperiencesdinsdansdarea,sdthensdhesdorsdshesdaskssdansdexpert tosdlisten.BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 6 5.sdThesdnursesdissdconductingsdasdclasssdforsdnewsdgraduatesdnurses.sdDuringsdthesdteachingsdsession,sdthe nursesdshouldsdkeepsdinsdmindsdthatsdnovicesdnurses,sdwithoutsdasdbackgroundsdofsdskillssdandsdexperience fromsdwhichsdtosddraw,sdaresdmoresdlikelysdtosdmakesdtheirsddecisionssdusing: asdIntuition. bsdAsdsetsdofsdrules. csdArticlessdinsdjournals. dsdAdvicesdfromsdsupervisors.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdB Novicesdnursessdoperatesdfromsdasdsetsdofsddefined,sdstructuredsdrules.sdThesdexpertsdpractitionersduses intuitivesdlinks. 6.sdExpertsdnursessdlearnsdtosdattendsdtosdasdpatternsdofsdassessmentsddatasdandsdactsdwithoutsdconsciouslysdlabelingsdit.sdThesesdresponsessdaresdreferredsdtosdas: asdIntuition.BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 7 bsdThesdnursingsdprocess. csdClinicalsdknowledge. dsdDiagnosticsdreasoning.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdA Intuitionsdissdcharacterizedsdbysdpatternsdrecognitionsdexpertsdnursessdlearnsdtosdattendsdtosdasdpatternsdofsdassessmentsddatasdandsdactsdwithoutsdconsciouslysdlabelingsdit.sdThesdothersdoptionssdaresdnotsdcorrect. 7.sdThesdnursesdissdreviewingsdinformationsdaboutsdevidence-basedsdpracticesd(EBP).sdWhichsdstatement bestsdreflectssdEBP? asdEBPsdreliessdonsdtraditionsdforsdsupportsdofsdbestsdpractices. bsdEBPsdissdsimplysdthesdusesdofsdbestsdpracticesdtechniquessdforsdthesdtreatmentsdofsdpatients. csdEBPsdemphasizessdthesdusesdofsdbestsdevidencesdwithsdthesdclinicianssdexperience. dsdThesdpatientssdownsdpreferencessdaresdnotsdimportantsdwithsdEBP.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdCBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 8 EBPsdissdasdsystematicsdapproachsdtosdpracticesdthatsdemphasizessdthesdusesdofsdbestsdevidencesdinsdcombination withsdthesdclinicianssdexperience,sdassdwellsdassdpatientsdpreferencessdandsdvalues,sdwhensdmakingsddecisions aboutsdcaresdandsdtreatment.sdEBPsdissdmoresdthansdsimplysdusingsdthesdbestsdpracticesdtechniquessdtosdtreat patients,sdandsdquestioningsdtraditionsdissdimportantsdwhensdnosdcompellingsdandsdsupportivesdresearch evidencesdexists. 8.sdThesdnursesdissdconductingsdasdclasssdonsdprioritysdsettingsdforsdasdgroupsdofsdnewsdgraduatesdnurses.sdWhichsdissdansdexamplesdofsdasdfirst-levelsdprioritysdproblem? asdPatientsdwithsdpostoperativesdpain bsdNewlysddiagnosedsdpatientsdwithsddiabetessdwhosdneedssddiabeticsdteaching csdIndividualsdwithsdasdsmallsdlacerationsdonsdthesdsolesdofsdthesdfootBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 9 dsdIndividualsdwithsdshortnesssdofsdbreathsdandsdrespiratorysddistresssdsdsdsdsdsdsdANS:sdsd-sdANS:sdD First-levelsdprioritysdproblemssdaresdthosesdthatsdaresdemergent,sdlifesdthreatening,sdandsdimmediatesd(e.g., establishingsdansdairway,sdsupportingsdbreathing,sdmaintainingsdcirculation,sdmonitoringsdabnormalsdvital signs)sd(seesdTablesd1-1). 9.sdWhensdconsideringsdprioritysdsettingsdofsdproblems,sdthesdnursesdkeepssdinsdmindsdthatsdsecond-levelsdprioritysdproblemssdincludesdwhichsdofsdthesesdaspects? asdLowsdself-esteem bsdLacksdofsdknowledge csdAbnormalsdlaboratorysdvalues dsdSeverelysdabnormalsdvitalsdsignssdsdsdsdsdsdsdANS:sdsd-sdANS:sdCBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 10 Second-levelsdprioritysdproblemssdaresdthosesdthatsdrequiresdpromptsdinterventionsdtosdforestallsdfurther deteriorationsd(e.g.,sdmentalsdstatussdchange,sdacutesdpain,sdabnormalsdlaboratorysdvalues,sdriskssdtosdsafety orsdsecurity)sd(seesdTablesd1-1). 10.sdWhichsdcriticalsdthinkingsdskillsdhelpssdthesdnursesdseesdrelationshipssdamongsdthesddata? asdValidation bsdClusteringsdrelatedsdcues csdIdentifyingsdgapssdinsddata dsdDistinguishingsdrelevantsdfromsdirrelevantsdsdsdsdsdsdsdANS:sdsd-sdANS:sdB Clusteringsdrelatedsdcuessdhelpssdthesdnursesdseesdrelationshipssdamongsdthesddata.BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 11 11.sdThesdnursesdknowssdthatsddevelopingsdappropriatesdnursingsdinterventionssdforsdasdpatientsdreliessdonsdthesdappropriatenesssdofsdthesddiagnosis. asdNursing bsdMedical csdAdmission dsdCollaborativesdsdsdsdsdsdsdANS:sdsd-sdANS:sdA Ansdaccuratesdnursingsddiagnosissdprovidessdthesdbasissdforsdthesdselectionsdofsdnursingsdinterventionssdtosdachievesdoutcomessdforsdwhichsdthesdnursesdissdaccountable.sdThesdothersditemssddosdnotsdcontributesdtosdthesddevelopmentsdofsdappropriatesdnursingsdinterventions. 12.sdThesdnursingsdprocesssdissdasdsequentialsdmethodsdofsdproblemsdsolvingsdthatsdnursessdusesdandsdincludessdwhichsdsteps? asdAssessment,sdtreatment,sdplanning,sdevaluation,sddischarge,sdandsdfollow-up bsdAdmission,sdassessment,sddiagnosis,sdtreatment,sdandsddischargesdplanningBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 12 csdAdmission,sddiagnosis,sdtreatment,sdevaluation,sdandsddischargesdplanning dsdAssessment,sddiagnosis,sdoutcomesdidentification,sdplanning,sdimplementation,sdandsdevaluationsdsdsdsdsdsdsdANS:sdsd-sdANS:sdD Thesdnursingsdprocesssdissdasdmethodsdofsdproblemsdsolvingsdthatsdincludessdassessment,sddiagnosis,sdoutcomesdidentification,sdplanning,sdimplementation,sdandsdevaluation. 13.sdAsdnewlysdadmittedsdpatientsdissdinsdacutesdpain,sdhassdnotsdbeensdsleepingsdwellsdlately,sdandsdissdhavingsddifficultysdbreathing.sdHowsdshouldsdthesdnursesdprioritizesdthesesdproblems? asdBreathing,sdpain,sdandsdsleep bsdBreathing,sdsleep,sdandsdpain csdSleep,sdbreathing,sdandsdpain dsdSleep,sdpain,sdandsdbreathingsdsdsdsdsdsdsdANS:sdsd-sdANS:sdA First-levelsdprioritysdproblemssdaresdimmediatesdpriorities,sdrememberingsdthesdABatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 13 BCssd(airway,sdbreathing,sdandsdcirculation),sdfollowedsdbysdsecond-levelsdproblems,sdandsdthensdthird-levelsdproblems. 14.sdWhichsdofsdthesesdwouldsdbesdformulatedsdbysdasdnursesdusingsddiagnosticsdreasoning? asdNursingsddiagnosis bsdMedicalsddiagnosis csdDiagnosticsdhypothesis dsdDiagnosticsdassessmentsdsdsdsdsdsdsdANS:sdsd-sdANS:sdC Diagnosticsdreasoningsdcallssdforsdthesdnursesdtosdformulatesdasddiagnosticsdhypothesis;sdthesdnursingsdprocesssdcallssdforsdasdnursingsddiagnosis. 15.sdBarrierssdtosdincorporatingsdEBPsdinclude: asdNursessdlacksdofsdresearchsdskillssdinsdevaluatingsdthesdqualitysdofsdresearchsdstudies. bsdLacksdofsdsignificantsdresearchsdstudies. csdInsufficientsdclinicalsdskillssdofsdnurses.BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 14 dsdInadequatesdphysicalsdassessmentsdskills.sdsdsdsdsdsdsdANS:sdsd-sdAssdindividuals,sdnursessdlacksdresearchsdskillssdinsdevaluatingsdthesdqualitysdofsdresearchsdstudies,sdaresdisolatedsdfromsdothersdcolleaguessdwhosdaresdknowledgeablesdinsdresearch,sdandsdoftensdlacksdthesdtimesdto visitsdthesdlibrarysdtosdreadsdresearch.sdThesdothersdresponsessdaresdnotsdconsideredsdbarriers. 16.sdWhatsdstepsdofsdthesdnursingsdprocesssdincludessddatasdcollectionsdbysdhealthsdhistory,sdphysicalsdexamination,sdandsdinterview? asdPlanning bsdDiagnosis csdEvaluation dsdAssessmentsdsdsdsdsdsdsdANS:sdsd-sdANS:sdD Datasdcollection,sdincludingsdperformingsdthesdhealthsdhistory,sdphysicalsdexamination,sdandsdinterview,sdissdthesdassessmentsdstepsdofsdthesdnursingsdprocesssd(seesdFiguresd1-2).BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 15 17.sdDuringsdasdstaffsdmeeting,sdnursessddiscusssdthesdproblemssdwithsdaccessingsdresearchsdstudiessdtosdincorporatesdevidence-basedsdclinicalsddecisionsdmakingsdintosdtheirsdpractice.sdWhichsdsuggestionsdbysdthesdnursesdmanagersdwouldsdbestsdhelpsdthesesdproblems? asdFormsdasdcommitteesdtosdconductsdresearchsdstudies. bsdPostsdpublishedsdresearchsdstudiessdonsdthesdunitssdbulletinsdboards. csdEncouragesdthesdnursessdtosdvisitsdthesdlibrarysdtosdreviewsdstudies. dsdTeachsdthesdnursessdhowsdtosdconductsdelectronicsdsearchessdforsdresearchsdstudies.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdD FacilitatingsdsupportsdforsdEBPsdwouldsdincludesdteachingsdthesdnursessdhowsdtosdconductsdelectronicsdsearches;sdtimesdtosdvisitsdthesdlibrarysdmaysdnotsdbesdavailablesdforsdmanysdnurses.sdActuallysdconducting researchsdstudiessdmaysdbesdhelpfulsdinsdthesdlong-runsdbutsdnotsdansdimmediatesdsolutionsdtosdreviewingsdexistingsdresearch. 18.sdWhensdreviewingsdthesdconceptssdofsdhealth,sdthesdnursesdrecallssdthatsdthesdcomponentssdofsdholistic healthsdincludesdwhichsdofsdthese?BatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 16 asdDiseasesdoriginatessdfromsdthesdexternalsdenvironment. bsdThesdindividualsdhumansdissdasdclosedsdsystem. csdNursessdaresdresponsiblesdforsdasdpatientssdhealthsdstate. dsdHolisticsdhealthsdviewssdthesdmind,sdbody,sdandsdspiritsdassdinterdependent.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdD Considerationsdofsdthesdwholesdpersonsdissdthesdessencesdofsdholisticsdhealth,sdwhichsdviewssdthesdmind,sdbody,sdandsdspiritsdassdinterdependent.sdThesdbasissdofsddiseasesdoriginatessdfromsdbothsdthesdexternalsdenvironmentsdandsdfromsdwithinsdthesdperson.sdBothsdthesdindividualsdhumansdandsdthesdexternalsdenvironmentsdaresdopen systems,sdcontinuallysdchangingsdandsdadapting,sdandsdeachsdpersonsdissdresponsiblesdforsdhissdorsdhersdownsdpersonalsdhealthsdstate. 19.sdThesdnursesdrecognizessdthatsdthesdconceptsdofsdpreventionsdinsddescribingsdhealthsdissdessentialsdbecause: asdDiseasesdcansdbesdpreventedsdbysdtreatingsdthesdexternalsdenvironment. bsdThesdmajoritysdofsddeathssdamongsdAmericanssdundersdagesd65sdyearssdaresdnotBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 17 preventable. csdPreventionsdplacessdthesdemphasissdonsdthesdlinksdbetweensdhealthsdandsdpersonal behavior. dsdThesdmeanssdtosdpreventionsdissdthroughsdtreatmentsdprovidedsdbysdprimarysdhealthsdcaresdpractitioners.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdC Asdnaturalsdprogressionsdtosdpreventionsdroundssdoutsdthesdpresentsdconceptsdofsdhealth.sdGuidelinessdtosdpreventionsdplacesdthesdemphasissdonsdthesdlinksdbetweensdhealthsdandsdpersonalsdbehavior. 20.sdThesdnursesdissdperformingsdasdphysicalsdassessmentsdonsdasdnewlysdadmittedsdpatient.sdAnsdexamplesdofsdobjectivesdinformationsdobtainedsdduringsdthesdphysicalsdassessmentsdincludessdthe: asdPatientssdhistorysdofsdallergies. bsdPatientssdusesdofsdmedicationssdatsdhome. csdLastsdmenstrualsdperiodsd1sdmonthsdago. dsd2sd5sdcmsdscarsdonsdthesdrightsdlowersdforearm.sdsdsdsdsdsdsdANS:sdsd-sdANS:sdDBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 18 Objectivesddatasdaresdthesdpatientssdrecord,sdlaboratorysdstudies,sdandsdconditionsdthatsdthesdhealthsdprofessionalsdobservessdbysdinspecting,sdpercussing,sdpalpating,sdandsdauscultatingsdduringsdthesdphysical examination.sdThesdothersdresponsessdreflectsdsubjectivesddata. 21.sdAsdvisitingsdnursesdissdmakingsdansdinitialsdhomesdvisitsdforsdasdpatientsdwhosdhassdmanysdchronicsdmedicalsdproblems.sdWhichsdtypesdofsddatasdbasesdissdmostsdappropriatesdtosdcollectsdinsdthissdsetting? asdAsdfollow-upsddatasdbasesdtosdevaluatesdchangessdatsdappropriatesdintervals bsdAnsdepisodicsddatasdbasesdbecausesdofsdthesdcontinuing,sdcomplexsdmedicalsdproblemssdofsdthissdpatient csdAsdcompletesdhealthsddatasdbasesdbecausesdofsdthesdnursessdprimarysdresponsibilitysdforsdmonitoringsdthesdpatientssdhealth dsdAnsdemergencysddatasdbasesdbecausesdofsdthesdneedsdtosdcolsdsdsdsdsdsdsdANS:sdsd-sdANS:sdC Thesdcompletesddatasdbasesdissdcollectedsdinsdasdprimarysdcaresdsetting,sdsuchsdassdasdpediatricsdorsdfamilysdpracticesdclinic,sdindependentsdorsdgroupsdprivateBatessdGuidesdTosdPhysicalsdExaminationsdandsdHistorysdTakingsd13thsdEdition AscorerssdsdsdsdsdPassTipssdExcellencesdCalibresdsdsdsdStuvia 19 sdpractice,sdcollegesdhealthsdservice,sdwomenssdhealthsdcaresdagency,sdvisitingsdnursesdagency,sdorsdcommunitysdhealthsdagency.sdInsdthesesdsettings,sdthesdnursesdissdthesdfirstsdhealthsdprofessionalsdtosdseesdthesdpatientsdandsdhassdthesdprimarysdresponsibilitysdforsdmonitoringsdthesdpersonssdhealthsdcare. 22.sdWhichsdsituationsdissdmostsdappropriatesdduringsdwhichsdthesdnursesdperformssdasdfocusedsdorsdproblem-centeredsdhistory?