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TEST BANK For Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 5th Edition by Goolsby, All Chapters 1 to 22 complete Verified Solution|Grade A+£14.72
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TEST BANK For Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 5th Edition by Goolsby, All Chapters 1 to 22 complete Verified Solution|Grade A+
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ADVANCED ASSESSMENT: INTERPRETING FINDINGS
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ADVANCED ASSESSMENT: INTERPRETING FINDINGS
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Advanced Assessment
TEST BANK For Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 5th Edition by Goolsby, All Chapters 1 to 22 complete Verified Solution|Grade A+TEST BANK For Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 5th Edition by Goolsby, All...
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TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th Edition by Goolsby
TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th Edition by Goolsby
TEST BANK For Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 5th Edition by Goolsby, Verified Chapters 1 - 22, Complete Newest Version
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
itju itju i t ju i tju itju i t ju
Multiple Choice itju
Identify the choice that best completes the statement or answers the question.
i t ju i t ju i t ju i t ju itju i t ju i t ju i t ju itju i t ju i t ju
1. Which type of clinical decision-making is most reliable?
it j u it j u it j u it j u it ju it j u it j u
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-
itju itju itju itju itju itju itju itju itju itju
care providers must be:
itju itju itju
A. Methodical and systematic it j u it j u
B. Attentive to the patient’s verbal and itju itju itju itju itju
nonverbal language it j u
C. Able to accurately interpret the patient’s itju itju it j u it j u itju
responses
D. Adept at reading into the patient’s itju itju itju itju itju
statements
3. Essential parts of a health history include all of the following except:
itju itju itju itju it ju itju itju itju i t ju itju itju
A. Chief complaint it ju
B. History of the present illness itju it ju itju itju
C. Current vital signs it ju it j u
D. All of the above are essential history itju itju itju itju itju itju
components
4. Which of the following is false? While performing the itju itju itju itju itju itju itju itju
itju physical examination, the examiner must be able to:
itju itju itju itju itju itju itju
A. Differentiate between normal and it j u it j u it j u
abnormal findings it ju
B. Recall knowledge of a range of itju itju itju it ju itju
conditions itju
and their associated signs and symptoms itju itju itju itju it ju
C. Recognize how certain conditions affect itju it j u itju itju
the response to other conditions itju itju it ju itju
D. Foresee unpredictable findings it j u itju
5. The following is the least reliable source of information for
itju itju itju itju itju itju itju itju itju
itju diagnostic statistics: itju
A. Evidence-based investigations itju
B. Primary reports of research itju itju itju
C. Estimation based on a provider’s itju it ju itju it ju
experience
D. Published meta-analyses it j u
, 6. The following can be used to assist in sound clinical decision-making:
itju it ju itju it ju it ju itju itju it j u itju it ju
A. Algorithm published in a peer-reviewed itju itju it ju it j u
journal article it j u
B. Clinical practice guidelines itju it j u
C. Evidence-based research itju
D. All of the above itju itju itju
7. If a diagnostic study has high sensitivity, this indicates a:
itju itju itju itju itju itju itju itju itju
A. High percentage of persons with the itju itju itju itju itju
given itju
condition will have an abnormal result itju itju it j u itju it j u
B. Low percentage of persons with the itju itju itju itju itju
given itju
condition will have an abnormal result itju itju it j u itju it j u
C. Low likelihood of normal result in it j u it ju it ju itju itju
persons without a given condition itju itju itju itj u
D. None of the above itju itju itju
8. If a diagnostic study has high specificity, this indicates a:
itju itju itju itju itju itju itju itju itju
A. Low percentage of healthy individuals it j u it ju it ju it j u
will show a normal result itju itju itju itju
B. High percentage of healthy individuals it j u it j u it j u it j u
will show a normal result itju itju itju itju
C. High percentage of individuals with a itju itju itju itju itju
disorder will show a normal result itju itju itju itju itju
D. Low percentage of individuals with a itju itju itju itju itju
disorder will show an abnormal result itju itju it ju itju itju
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
itju itju itju itj u itju itju itju itju itju itju itju
A. Positive result is strongly associated it j u it j u it j u it j u
with it j u
the disease itju
B. Negative result is strongly associated it j u it j u it j u it j u
with it j u
absence of the disease itju itju itju
C. Positive result is weakly associated with it ju it j u it j u it j u it j u
the disease itju
D. Negative result is weakly associated it j u it j u it j u it j u
with it j u
absence of the disease itju itju itju
10. Which of the following clinical reasoning tools is defined as
itju itju itju itju itju itju itju itju itju
itju evidence- based resource based on mathematical modeling to express the likelihood
itju itju itju itju itju itju itju itju itju itju
itju of a condition in select situations, settings, and/or patients?
itju itju itju itju itju itju itju itju
A. Clinical practice guideline itju it j u
B. Clinical decision rule itju it j u
C. Clinical algorithm itju
D. Clinical recommendation itju
Chapter 1. Assessment and Clinical Decision-Making: Overview
itju itju i t ju i tju itju i t ju
, Answer Section itju
MULTIPLE CHOICE itju
1. ANS: B i t j u i t j u
Croskerry (2009) describes two major types of clinical diagnostic decision-making:
itju itju itju itju itju itju itju itju itju
intuitive and analytical. Intuitive decision-making (similar to Augenblink decision-
itju itju itju itju itju itju itju itju itju
making) is based on the experience and intuition of the clinician and is less
itju itju itju itju itju itju itju itju itju itju itju itju itju itju
reliable and paired with fairly common errors. In contrast, analytical decision-
itju itju itju itju itju itju itju itju itju itju itju
making is based on careful consideration and has greater reliability with rare
itju itju itju itju itju itju itju itju itju itju itju
errors.
itju
PTS: 1
2. ANS: D i t j u i t j u
To obtain adequate history, providers must be well organized, attentive to the
itju itju itju itju itju itju itju itju itju itju itju
patient’s verbal and nonverbal language, and able to accurately interpret the patient’s
itju itju itju itju itju itju itju itju itju itju itju itju
responses to questions. Rather than reading into the patient’s statements, they clarify
itju itju itju itju itju itju itju itju itju itju itju itju
any areas of uncertainty.
itju itju itju itju
PTS: 1
3. ANS: C i t j u i t j u
Vital signs are part of the physical examination portion of patient assessment, not
itju itju itju itju itju itju itju itju itju itju itju itju
part of the health history.
itju itju itju itju itju
PTS: 1
4. ANS: D i t j u i t j u
While performing the physical examination, the examiner must be able to
itju itju itju itju itju itju itju itju itju itju
differentiate between normal and abnormal findings, recall knowledge of a range
itju itju itju itju itju itju itju itju itju itju itju
of conditions, including their associated signs and symptoms, recognize how
itju itju itju itju itju itju itju itju itju itju
certain conditions affect the response to other conditions, and distinguish the
itju itju itju itju itju itju itju itju itju itju itju
relevance of varied abnormal findings.
itju itju itju itju itju
PTS: 1
5. ANS: C i t j u i t j u
Sources for diagnostic statistics include textbooks, primary reports of research, and
itju itju itju itju itju itju itju itju itju itju
published meta-analyses. Another source of statistics, the one that has been most
itju itju itju itju itju itju itju itju itju itju itju itju
widely used and available for application to the reasoning process, is the estimation
itju itju itju itju itju itju itju itju itju itju itju itju itju
based on a provider’s experience, although these are rarely accurate. Over the past
itju itju itju itju itju itju itju itju itju itju itju itju itju
decade, the availability of evidence on which to base clinical reasoning is
itju itju itju itju itju itju itju itju itju itju itju itju
improving, and there is an increasing expectation that clinical reasoning be based on
itju itju itju itju itju itju itju itju itju itju itju itju itju
scientific evidence. Evidence- based statistics are also increasingly being used to
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