TEST BANK FOR ADVANCED ASSESSMENT:
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INTERPRETING FINDINGS AND
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FORMULATING DIFFERENTIAL
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DIAGNOSES 5TH EDITION, MARY JO
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GOOLSBY, LAURIE GRUBBS ISBN-10;
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1719645930 / ISBN-13; 978-1719645935
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,Chapter q 1. q Assessment q and q Clinical q Decision-Making: q Overview
Multiple qChoice
Identify qthe qchoice qthat qbest qcompletes qthe qstatement qor qanswers qthe qquestion.
q 1. Which qtype qof qclinical qdecision-making qis qmost qreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
q 2. Which qof qthe qfollowing qis qfalse? qTo qobtain qadequate qhistory, qhealth-care qproviders qmust qbe:
A. Methodical qand qsystematic
B. Attentive qto qthe qpatient’s qverbal qand qnonverbal qlanguage
C. Able qto qaccurately qinterpret qthe qpatient’s qresponses
D. Adept qat qreading qinto qthe qpatient’s qstatements
q 3. Essential qparts qof qa qhealth qhistory qinclude qall qof qthe qfollowing qexcept:
A. Chief qcomplaint
B. History qof qthe qpresent qillness
C. Current qvital qsigns
D. All qof qthe qabove qare qessential qhistory qcomponents
q 4. Which qof qthe qfollowing qis qfalse? qWhile qperforming qthe qphysical qexamination, qthe qexaminer
qmust qbeqable qto:
A. Differentiate qbetween qnormal qand qabnormal qfindings
B. Recall qknowledge qof qa qrange qof qconditions qand qtheir qassociated qsigns qand qsymptoms
C. Recognize qhow qcertain qconditions qaffect qthe qresponse qto qother qconditions
D. Foresee qunpredictable qfindings
q 5. The qfollowing qis qthe qleast qreliable qsource qof qinformation qfor qdiagnostic qstatistics:
A. Evidence-based qinvestigations
B. Primary qreports qof qresearch
C. Estimation qbased qon qa qprovider’s qexperience
D. Published qmeta-analyses
q 6. The qfollowing qcan qbe qused qto qassist qin qsound qclinical qdecision-making:
A. Algorithm qpublished qin qa qpeer-reviewed qjournal qarticle
B. Clinical qpractice qguidelines
C. Evidence-based qresearch
D. All qof qthe qabove
q 7. If qa qdiagnostic qstudy qhas qhigh qsensitivity, qthis qindicates qa:
A. High qpercentage qof qpersons qwith qthe qgiven qcondition qwill qhave qan qabnormal qresult
B. Low qpercentage qof qpersons qwith qthe qgiven qcondition qwill qhave qan qabnormal qresult
C. Low qlikelihood qof qnormal qresult qin qpersons qwithout qa qgiven qcondition
D. None qof qthe qabove
,q 8. If qa qdiagnostic qstudy qhas qhigh qspecificity, qthis qindicates qa:
A. Low qpercentage qof qhealthy qindividuals qwill qshow qa qnormal qresult
B. High qpercentage qof qhealthy qindividuals qwill qshow qa qnormal qresult
C. High qpercentage qof qindividuals qwith qa qdisorder qwill qshow qa qnormal qresult
D. Low qpercentage qof qindividuals qwith qa qdisorder qwill qshow qan qabnormal qresult
q 9. A qlikelihood qratio qabove q1 qindicates qthat qa qdiagnostic qtest qshowing qa:
A. Positive qresult qis qstrongly qassociated qwith qthe qdisease
B. Negative qresult qis qstrongly qassociated qwith qabsence qof qthe qdisease
C. Positive qresult qis qweakly qassociated qwith qthe qdisease
D. Negative qresult qis qweakly qassociated qwith qabsence qof qthe qdisease
q q q q 10. qWhich qof qthe qfollowing qclinical qreasoning qtools qis qdefined qas qevidence-based qresource
qbased qon qmathematical qmodeling qto qexpress qthe qlikelihood qof qa qcondition qin qselect
qsituations, qsettings, qand/orqpatients?
A. Clinical qpractice qguideline
B. Clinical qdecision qrule
C. Clinical qalgorithm
D. Clinical qrecommendation
, Answer qSection
MULTIPLE qCHOICE
1. ANS: q B
Croskerry q(2009) qdescribes qtwo qmajor qtypes qof qclinical qdiagnostic qdecision-making:
qintuitive qand qanalytical. qIntuitive qdecision-making q(similar qto qAugenblink qdecision-making)
qis qbased qon qthe qexperience qand qintuition qof qthe qclinician qand qis qless qreliable qand qpaired
qwith qfairly qcommon qerrors. qIn qcontrast, qanalytical qdecision-making qis qbased qon qcareful
qconsideration qand qhas qgreater qreliabilityqwith qrare qerrors.
PTS: 1
2. ANS: q D
To qobtain qadequate qhistory, qproviders qmust qbe qwell qorganized, qattentive qto qthe qpatient’s
qverbal qandqnonverbal qlanguage, qand qable qto qaccurately qinterpret qthe qpatient’s qresponses qto
qquestions. qRather qthan qreading qinto qthe qpatient’s qstatements, qthey qclarify qany qareas qof
quncertainty.
PTS: 1
3. ANS: q C
Vital qsigns qare qpart qof qthe qphysical qexamination qportion qof qpatient qassessment, qnot qpart qof qthe
qhealthqhistory.
PTS: 1
4. ANS: q D
While qperforming qthe qphysical qexamination, qthe qexaminer qmust qbe qable qto qdifferentiate
qbetweenqnormal qand qabnormal qfindings, qrecall qknowledge qof qa qrange qof qconditions,
qincluding qtheir qassociated qsigns qand qsymptoms, qrecognize qhow qcertain qconditions qaffect qthe
qresponse qto qother qconditions, qand qdistinguish qthe qrelevance qof qvaried qabnormal qfindings.
PTS: 1
5. ANS: q C
Sources qfor qdiagnostic qstatistics qinclude qtextbooks, qprimary qreports qof qresearch, qand
qpublished qmeta-analyses. qAnother qsource qof qstatistics, qthe qone qthat qhas qbeen qmost qwidely
qused qand qavailable qfor qapplication qto qthe qreasoning qprocess, qis qthe qestimation qbased qon qa
qprovider’s qexperience, qalthough qthese qare qrarely qaccurate. qOver qthe qpast qdecade, qthe
qavailability qof qevidence qon qwhich qto qbase qclinical qreasoning qis qimproving, qand qthere qis
qan qincreasing qexpectation qthat qclinical qreasoningqbe qbased qon qscientific qevidence.
qEvidence-based qstatistics qare qalso qincreasingly qbeing qused qto qdevelop qresources qto
qfacilitate qclinical qdecision-making.
PTS: 1
6. ANS: q D
To qassist qin qclinical qdecision-making, qa qnumber qof qevidence-based qresources qhave qbeen
qdevelopedqto qassist qthe qclinician. qResources, qsuch qas qalgorithms qand qclinical qpractice
qguidelines, qassist qin qclinical qreasoning qwhen qproperly qapplied.
