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Bates' Nursing Guide to Physical Examination and History Taking
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Bates' Nursing Guide to Physical Examination and History Taking
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Bates' Nursing Guide to Physical Examination and History Taking
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Bates' Nursing Guide to Physical Examination and History Taking
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BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH EDITION BY BICKLEY
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TEST BANK For Bates' Nursing Guide to PhysicalExamination and History Taking, 3rd Edition By Beth
Hogan-Quigley; Mary Louis Palm
the physical examination should be performed once you understand the -
ANSWER:patient's concerns and have elicited a careful history
when learning about physical assessment, students often want to proceed directly to
the examination; however, - ANSWER:the collection of subjective information during
history taking assists to focus your examination accordingly
the physical examination is a process to obtain ____________________ from the
patient - ANSWER:objective data
the ____________________ in the health history is obtained prior to the
examination and will assist the nurse to navigate through a complex examination -
ANSWER:subjective data
a finding in one system may not be an ____________ finding - ANSWER:isolated
for example, the patient who presents with a chief complaint of blurred vision may
be having vision changes because of age, an injury, a retina or macular affliction, or
changes due to hyperglycemia
what is the purpose of the physical examination? - ANSWER:to determine changes in
a patient's health status and how to respond to a problem as well as promote
healthy lifestyles and well-being
how to prepare for the physical examination? - ANSWER:-reflect on your approach to
the patient
-adjust the lighting and the environment
-check that the equipment is available and in working order
-make the patient comfortable
-choose the sequence of examination
as you enter the room to conduct a physical examination, identify - ANSWER:yourself
as a nursing student
appear calm and organized, even when you feel inexperienced
it is common to forget part of the examination, especially at first
if that occurs, simply examine that area out of sequence
it is not unusual to go back to the patient and ask to check one or two items that
might have been overlooked
beginners will need to spend more time than experienced nurses on select portions
of the examination, such as - ANSWER:the fundoscopic examination or cardiac
auscultation
, to avoid alarming the patient, warn the patient ahead of time by saying, for example,
- ANSWER:"i would like to spend extra time listening to your heart and the heart
sounds, but this doesn't mean i hear anything wrong"
many patients view the physical examination with some anxiety. they feel -
ANSWER:vulnerable, physically exposed, apprehensive about possible pain, and
uneasy about what the nurse may find
at the same time, they appreciate your concern about their health and respond to
your attention
the skillful nurse is thorough without _____________, systematic but
______________, and ___________ yet not afraid to cause discomfort should it be
required - ANSWER:-wasting time
-flexible
-gentle
when doing a physical examination the skillful nurse - ANSWER:examines each
region of the body and at the same time is aware of the whole patient, notes the
wince or worried glance, and shares information that calms, explains, and reassures
as a beginner, avoid _________________ your findings - ANSWER:interpreting
you are not the patient's primary caregiver, and your views may be premature or
incorrect
as you grow in experience and responsibility, sharing findings will become more
appropriate
if the patient has specific concerns, discuss them with your - ANSWER:faculty
at times, you may discover abnormalities such as an ominous mass or a deep
ulceration. always avoid - ANSWER:showing distaste, alarm, or other negative
reactions
keeping your verbal and nonverbal communication in check is always paramount
if you find anything that is unusual or disturbing, always talk with your clinical
instructor
nurses practice in a variety of settings and ___________ and ____________ are
warranted to insure adequate lighting and a conductive environment for physical
examination and patient care - ANSWER:-flexibility
-creativity
for the best results in a physical examination it is important to
"__________________" so that both you and the patient are comfortable -
ANSWER:set the stage
awkward positioning for both you and the patient, impairs - ANSWER:detection of
physical findings
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