Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
Chapter 04: Clinical Reasoning Ball: Seidel G ide Ph ical E a i a i
, 9 h Edi i
MULTIPLE CHOICE 1. After the subjective and objective data have been prioritized, the next step is to: a. order laboratory tests. b. formulate a problem list. c. initiate appropriate referrals. d. initiate therapy. ANS: B
After the data have been prioritized and a presumed diagnosis is made, the next step is to consider the appropriate laboratory tests, imaging studies, or specialty consultations. DIF: Cognitive Level: Understanding (Comprehension) MSC: Safe and Effective Care: Management of Care
OBJ: Nursing process
evaluating
2. New findings of unknown causes are: a. problems to be noted on the problem list. b. deferred for subsequent visits. c. diagnosed before physical examination. d. reserved for specialists. ANS: A
New findings of unknown causes are added to the problem list, but do not let them become a red herring that distracts yourNattention the central GTB.C URSINfrom OM issues. DIF: Cognitive Level: Understanding (Comprehension) MSC: Safe and Effective Care: Management of Care
OBJ: Nursing process
diagnosis
3. Which is an accepted method of making a diagnosis? a. Relying on intuition b. Making maximal use of laboratory tests c. Using first assumptions d. Using algorithms ANS: D
Methods to make a diagnosis include recognizing patterns, sampling the universe, and using algorithms. Do not rely on intuition, extensive use of laboratory findings, or always going with your first assumptions. DIF: Cognitive Level: Remembering (Knowledge) MSC: Safe and Effective Care: Management of Care
OBJ: Nursing process
diagnosis
4. The adage ha c mm blem cc c mm l ad i e he ac i i e : a. al a diag e he a ie s problem in terms of what their practice usually sees. b. refer any uncommon complaints to specialists as soon as possible. c. not consider more than one diagnosis unless necessary. d. examine uncommon problems critically before assuming that the issue is an
unusual presentation of a common problem.
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