Skip to document
Welcome to StudocuSign in to access the best study resources
Guest user
0followers
Upload
HomeMy LibraryAsk AI
  • You don't have any recent items yet.
My Library
  • You don't have any courses yet.
  • You don't have any books yet.
  • You don't have any Studylists yet.

Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2020)

Test Bank - Advanced Health Assessment and Clinical Diagnosis in Prima...
Course

Fundamentals Of Nursing (Nursing 100)

182 Documents
Students shared 182 documents in this course
Academic year: 2023/2024
Uploaded by:
AB
Anna Ben
Joseph F. McCloskey School of Nursing
151Uploads
715upvotes

Recommended for you

Comments

Please sign in or register to post comments.

Students also viewed

Related documents

Preview text

WWW.TBSM

Chapter 01: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and

Symptom Analysis

Dains: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th

Edition

MULTIPLE CHOICE

  1. Which type of clinical decision-making is most reliable? a. Intuitive b. Analytical c. Experiential d. Augenblick 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.

  2. Which of the following is false? To obtain adequate history, health-care providers must be: a. Methodical and systematic b. Attentive to the patient’s verbal and nonverbal language c. Able to accurately interpret the patient’s responses d. Adept at reading into the patient’s statements 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 questions. Rather than reading into the patient’s statements, they clarify any areas of uncertainty.

  3. Essential parts of a health history include all of the following except: a. Chief complaint b. History of the present illness c. Current vital signs d. All of the above are essential history components ANS: C Vital signs are part of the physical examination portion of patient assessment, not part of the health history.

  4. Which of the following is false? While performing the physical examination, the examiner must be able to: a. Differentiate between normal and abnormal findings b. Recall knowledge of a range of conditions and their associated signs and symptoms c. Recognize how certain conditions affect the response to other conditions d. Foresee unpredictable findings

W W W. T B S M. W S

Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2020)

Download All Chapters Here:

stuvia/doc/2668875/

WWW.TBSM

ANS: D While performing the physical examination, the examiner must be able to differentiate between normal and abnormal findings, recall knowledge of a range of conditions, including their associated signs and symptoms, recognize how certain conditions affect the response to other conditions, and distinguish the relevance of varied abnormal findings.

  1. 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 ANS: C 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.

  2. 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 ANS: D To assist in clinical decision-making, a number of evidence-based resources have been developed to assist the clinician. Resources, such as algorithms and clinical practice guidelines, assist in clinical reasoning when properly applied.

  3. 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 c. Low likelihood of normal result in persons without a given condition d. None of the above ANS: A The sensitivity of a diagnostic study is the percentage of individuals with the target condition who show an abnormal, or positive, result. A high sensitivity indicates that a greater percentage of persons with the given condition will have an abnormal result.

  4. If a diagnostic study has high specificity, this indicates a: a. Low percentage of healthy individuals will show a normal result b. High percentage of healthy individuals will show a normal result c. High percentage of individuals with a disorder will show a normal result d. Low percentage of individuals with a disorder will show an abnormal result ANS: B

W W W. T B S M. W S

Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2020)

Download All Chapters Here:

stuvia/doc/2668875/

Was this document helpful?

Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2020)

Course: Fundamentals Of Nursing (Nursing 100)

182 Documents
Students shared 182 documents in this course

University: Joseph F. McCloskey School of Nursing

Was this document helpful?
WWW.TBSM.WS
Chapter 01: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and
Symptom Analysis
Dains: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th
Edition
MULTIPLE CHOICE
1. Which type of clinical decision-making is most reliable?
a.
Intuitive
b.
Analytical
c.
Experiential
d.
Augenblick
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.
2. Which of the following is false? To obtain adequate history, health-care providers must be:
a.
Methodical and systematic
b.
c.
Able to accurately interpret the patient’s responses
d.
Adept at reading into the patient’s statements
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
questions. Rather than reading into the patient’s statements, they clarify any areas of
uncertainty.
3. Essential parts of a health history include all of the following except:
a.
Chief complaint
b.
History of the present illness
c.
Current vital signs
d.
All of the above are essential history components
ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
4. Which of the following is false? While performing the physical examination, the examiner
must be able to:
a.
Differentiate between normal and abnormal findings
b. Recall knowledge of a range of conditions and their associated signs and
symptoms
c.
Recognize how certain conditions affect the response to other conditions
d.
Foresee unpredictable findings
W W W . T B S M . W S
Test Bank - Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition (Dains, 2020)
Download All Chapters Here:
https://www.stuvia.com/doc/2668875/

Students also viewed

Related documents