,Chapter 1
Foundations For Clinical Proficiency
Multiple Choice
1. After Completing An Initial Assessment Of A Patient, The Nurse Has Charted That
HisRespirations Are Eupneic And His Pulse Is 58 Beats Per Minute. These Types Of
DataWould Be:
A. Objective.
B. Reflective.
C. Subjective.
D. Introspective.
ANS:: 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
AboutHim 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.
TheseTypes Of Data Would Be:
A Objective.
.
B Reflective.
.
C Subjective.
.
D Introspective.
.
ANS:: C
Subjective Data Are What The Person Says About Him Or Herself During History Taking. Objective
DataAre What The Health Professional Observes By Inspecting, Percussing, Palpating, And
Auscultating
,During The Physical Examination. The Terms Reflective And Introspective Are Not Used To
DescribeData.
3. The Patients Record, Laboratory Studies, Objective Data, And Subjective Data
CombineTo Form The:
A Data Base.
.
B Admitting Data.
.
C Financial Statement.
.
D Discharge Summary.
.
ANS:: 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,
OrData.
4. When Listening To A Patients Breath Sounds, The Nurse Is Unsure Of A Sound
ThatIs 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.
.
ANS:: C
When Unsure Of A Sound Heard While Listening To A Patients Breath Sounds, The Nurse Validates
TheData To Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then He Or She Asks An
ExpertTo 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
BackgroundOf 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.
.
D Advice From Supervisors.
.
ANS:: B
Novice Nurses Operate From A Set Of Defined, Structured Rules. The Expert Practitioner
UsesIntuitive Links.
6. Expert Nurses Learn To Attend To A Pattern Of Assessment Data And Act
WithoutConsciously Labeling It. These Responses Are Referred To As:
A Intuition.
.
B The Nursing Process.
.
C Clinical Knowledge.
.
D Diagnostic Reasoning.
.
ANS:: A
Intuition Is Characterized By Pattern Recognition Expert Nurses Learn To Attend To A Pattern
OfAssessment Data And Act Without Consciously Labeling It. The Other Options Are Not
Correct.
7. The Nurse Is Reviewing Information About Evidence-Based Practice (Ebp).
WhichStatement 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.
.
ANS:: 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
