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NURS 5220 Exam 2 Questions and Answers Latest Update
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Solution 2024/2025Pepper
NURS 5220 Exam 2 Questions and Answers
Latest Update
Unless a life-threatening situation exists, the best guide to determining the
priority for the patient's condition should be based on:
A. intuition.
B. probability and utility.
C. the use of algorithms.
D. the examiner's initial favorite hypothesis. ANS✔✔ B Probability and utility
should always be your guides to sequencing your actions, unless a life-
threatening situation exists.
Which of the following should be considered when determining a need for
additional examination, testing, or procedures?
A. These should be done to obtain as much data as possible.
B. These should be done to attempt to get data that might be associated
with multiple problems.
C. These should be done only when it is absolutely necessary.
D. These should be done if they relate to the examiner's hypothesis. ANS✔✔
D: Clinical reasoning does not require a compulsive listing of all of the
possible options in diagnosis and management. Rather, it is dominated by
hypothesis development; asking whether a particular diagnosis should be
made depending on its probability; and whether a test may be indicated,
depending on the likelihood suggested by its sensitivity and specificity
, Solution 2024/2025
Pepper
Mr. Shaken is a 46-year-old patient who presents for a routine physical
examination. After you have identified and confirmed a problem, the next
step is to:
A. assess the data collected.
B. formulate a clinical opinion.
C. conduct further assessment.
D. determine the management plan. ANS✔✔ D: Clinical reasoning is the
process by which the information gathered from the history and physical
examination is merged with clinical knowledge, experience, and the current
best evidence to formulate the next steps in patient care—development of
the diagnostic and management plans.
The use of a computer could potentially be detrimental to the examiner
because:
A. It may become a substitute for critical thinking.
B. computer dysfunction makes it unreliable.
C. the computer is limited in the amount of data it can interpret.
D. the level of skill needed to run a diagnostic computer program is beyond
the computer skills of most examiners. ANS✔✔ A: There is an unacceptable
temptation at times to substitute electronic support for critical thinking and
judgment. It is your responsibility to artfully merge subjective and objective
data with best evidence and your knowledge and experience to make a
clinical judgment.
The ethical principle of utilitarianism is involved:
, Solution 2024/2025
Pepper
A. when the duties of health care providers are established by tradition and
cultural context.
B. when health care providers "do no harm."
C. when decisions regarding health care include appropriate use of
resources for the good of the community. Correct
D. when the interview is conducted appropriately. ANS✔✔ C: Utilitarianism
means you should consider appropriate use of resources with concern for
the greater good of the larger community.
Which is a guideline to sound decision making?
A. The underlying problem is always related to the chief complaint.
B Rare problems tend to have unusual presentations.
C. Common problems occur commonly, whereas rare ones do not.
D. A diagnosis should be made quickly to enhance patient confidence.
ANS✔✔ C: Remember that common problems occur commonly, and rare
ones do not. Common problems can have unusual presentations and rare
ones may have a seemingly common complaint.
Laboratory tests should be used to:
A. confirm a presumed diagnosis.
B. develop a list of potential problems.
, Solution 2024/2025
Pepper
C. rule out all possible causes of symptoms and clinical findings.
D. assist the examiner only when the data do not point to a specific
problem. ANS✔✔ A: After a match between the data (both subjective and
objective) and a presumed diagnosis is made, consider the appropriate
laboratory or radiologic studies to confirm the diagnosis.
A problem is best identified as:
A. something that bothers the patient.
B. something that is out of the ordinary.
C. something that is unexplainable.
D. something that will need further evaluation and/or attention. ANS✔✔ D: A
problem may be defined as anything that will need further evaluation and/or
attention.
Once a close match between the data and diagnosis is made, the next step
in the process is to:
A. return to the physical examination and repeat certain parts to validate
the presence of specific signs.
B. consider laboratory tests/consultations necessary for further evaluation.
C. confirm the presumptive diagnosis with patient.
D. reanalyze history data to determine where more information is needed.
ANS✔✔ B: After a match between the data (both subjective and objective)
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