Question

CHAPTER 1 Evidence-Based Assessment 2. One of the critical thinking skills is identifying assumptions. Explain how the following statement contains an assumption. How would you get the facts in this situation? "Ellen, you have to break up with your boyfriend. He is too rough with you. He is no good for you." 3. Another critical thinking skill involves validation, or checking the accuracy and reliability of data. Describe how you would validate the following data. Mr. Quinn tells you his weight this morning on the clinic scale was 165 lb. The primary counselor tells you Ellen is depressed and angry about being admitted to residential treatment in the clinic. blowing, swooshing sound between the first and second heart sounds. 4. List the barriers to evidence-based practice, both on an individual level and on an organizational level 5. Differentiate subjective data from objective data by placing an S or an O after each of the following: complaint of sore shoulder unconscious blood in the urine family has just moved to a new area ; dizziness sore throat carache weight gain 6. For the following situations, state the type of data collection you would perform (i.e., complete database, focused or problem-centered database, follow up database, emergency database). OxyContin overdose ambulatory, apparently well individual who presents at outpatient clinic with a rash ; first visit to a health care provider for a checkup _ recently placed on antihypertensive medication Carole: SICAL EXAMINATION AND HEALTH ASSESSMENT S E by Sandsprid Three r eserved

Answer 1

2) The assumption is that Ellen's boyfriend is rude and does not take care of her at all . He is just pretending to love her for his needs .

3) a. Will check the weight again using the same weighing scale

b. Will have a conversation with Ellen to find out whether she is depressed and angry regarding admission

c. To validate again heart sounds will be heard between first and second intercostal space

4) The barriers of evidence based practice are :-

- Lack of value for research in practice

- Difficulty in briing change

- Lack of administrative support

- Lack of knowledge mentors

- Lack of knowlegde and time for research

- Research reports not easily available

- Complexity of research reports

- Lack of knowledge abot evidence based practice

- Workplace culture

- Local environment

- Clinical skills

- Financial and Human resources

- Patient values , concerns and expectations

- Ability to access and access evidence

5) Sore shoulder - objective data

Unconscious - objective data

Blood in urine - objective data

Family has just moved to a new area - subjective data

Dizziness - subjective data

Sore throat - subjective data

Earache - subjective data

Weight gain - objective data