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1 jFoundationsjforjClinicaljProficiency jMULTIPLEjCHOICE
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tojdescribejdata. DIF:jCognitivejLevel:jUnderstandingj(Comprehension)jREF:jp.j 2 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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a . EBPjreliesjonjtraditionjforjsupportjofjbestjpractices. b . EBPjisjsimplyjthejusejofjbestjpracticejtechniquesjforjthejtreatmentjofjpatients. c . EBPjemphasizesjthejusejofjbestjevidencejwithjthejcliniciansj experience. d . ThejpatientsjownjpreferencesjarejnotjimportantjwithjEBP. ANS:jC EBPjisjajsystematicjapproachjtojpracticejthatjemphasizesjthejusejofjbestjevidencejinjcombinatio njwithjthejcliniciansjexperience,jasjwelljasjpatientjpreferencesjandjvalues,jwhenjmakingjdecisio nsjaboutjcarejandjtreatment.jEBPjisjmorejthanjsimplyjusingjthejbestjpracticejtechniquesjtojtreat jpatients,jandjquestioningjtraditionjisjimportantjwhenjnojcompellingjandjsupportivejresearchjevi dencejexists. DIF:jCognitivejLevel:jApplyingj(Application)jREF:jp.j 5 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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a . Lowjself-esteem b . Lackjofjknowledge c . Abnormaljlaboratoryjvalues d . Severelyjabnormaljvitaljsigns ANS:jC Second- leveljpriorityjproblemsjarejthosejthatjrequirejpromptjinterventionjtojforestalljfurtherjdeteriorati onj(e.g.,jmentaljstatusjchange,jacutejpain,jabnormaljlaboratoryjvalues,jrisksjtojsafetyjorjsecurit y)j(seejTablej 1 - 1). DIF:jCognitivejLevel:jUnderstandingj(Comprehension)jREF:jp.j 4 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
- Whichjcriticaljthinkingjskilljhelpsjthejnursejseejrelationshipsjamongjthej data? a . Validation b . Clusteringjrelatedjcues c . Identifyingjgapsjinjdata d . Distinguishingjrelevantjfromjirrelevant ANS:jB Clusteringjrelatedjcuesjhelpsjthejnursejseejrelationshipsjamongjthejdata. DIF:jCognitivejLevel:jUnderstandingj(Comprehension)jREF:jp.j 2 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
- Thejnursejknowsjthatjdevelopingjappropriatejnursingjinterventionsjforjajpatientjreliesjonjth ejappropriatenessjofjthe diagnosis. a Nursing . b Medical .
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d Sleep,jpain,jandjbreathing . ANS:jA First- leveljpriorityjproblemsjarejimmediatejpriorities,jrememberingjthejABCsj(airway,jbreathing,jandj circulation),jfollowedjbyjsecond-leveljproblems,jandjthenjthird-leveljproblems. DIF:jCognitivejLevel:jAnalyzingj(Analysis)jREF:jp.j 4 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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a . Patientsjhistoryjofjallergies. b . Patientsjusejofjmedicationsjatjhome. c . Lastjmenstrualjperiodj 1 jmonthjago. d . 2 j 5 jcmjscarjonjthejrightjlowerjforearm. ANS:jD Objectivejdatajarejthejpatientsjrecord,jlaboratoryjstudies,jandjconditionjthatjthejhealthjprofessio naljobservesjbyjinspecting,jpercussing,jpalpating,jandjauscultatingjduringjthejphysicaljexaminati on.jThejotherjresponsesjreflectjsubjectivejdata. DIF:jCognitivejLevel:jApplyingj(Application)jREF:jp.j 2 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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a . Patientjisjadmittedjtojajlong-termjcarejfacility. b . Patientjhasjajsuddenjandjseverejshortnessjofjbreath. c . Patientjisjadmittedjtojthejhospitaljforjsurgeryjthejfollowingjday. d . Patientjinjanjoutpatientjclinicjhasjcoldjandjinfluenza-likejsymptoms. ANS:jD Injajfocusedjorjproblem- centeredjdatajbase,jthejnursejcollectsjajminijdatajbase,jwhichjisjsmallerj injscopejthanjthejcompl etedjdatajbase.jThisjminijdatajbasejprimarilyjconcernsjonejproblem,jonejcuejcomplex,jorjonejbo dyjsystem. DIF:jCognitivejLevel:jApplyingj(Application)jREF:jp.j 7 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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c . Percussion.
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d Auscultation. . ANS:jB Thejskillsjrequisitejforjthejphysicaljexaminationjarejinspection,jpalpation,jpercussion,jandjauscu ltation.jThejskillsjarejperformedjonejatjajtimejandjinjthisjorderj(withjthejexceptionjofjthejabdo minaljassessment,jduringjwhichjauscultationjtakesjplacejbeforejpalpationjandjpercussion).jTheja ssessmentjofjeachjbodyjsystemjbeginsjwithjinspection.jAjfocusedjinspectionjtakesjtimejandjyiel dsjajsurprisingjamountjofjinformation. DIF:jCognitivejLevel:jRememberingj(Knowledge)jREF:jp.j 115 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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b . Bilaterallyjpercussjthejthorax,jnotingjanyjdifferencesjinjpercussionj tones. c . Calljforjajchestjx- rayjstudy,jandjwaitjforjthejresultsjbeforejbeginningjanjassessment. d . Inspectjthejthoraxjforjanyjnewjmassesjandjbleedingjassociatedjwithjrespiratio ns. ANS:jB Percussionjisjalwaysjavailable,jportable,jandjoffersjinstantjfeedbackjregardingjchangesjinjunder lyingjtissuejdensity,jwhichjmayjyieldjcluesjofjthejpatientsjphysicaljstatus. DIF:jCognitivejLevel:jAnalyzingj(Analysis)jREF:jp.j 115 MSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment:jManagementjofjCare
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c Shouldjbejlightlyjheldjagainstjthejpersonsjskinjtojblockjoutjlow-pitchedjsounds. . d Shouldjbejlightlyjheldjagainstjthejpersonsjskinjtojlistenjforjextrajheartjsounds
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