1. Application Style Questions

2. What is an application style question? A type of question which SITUATES a student into the problem being presented Relies on students ability to combine several points of knowledge Can have multiple right answers but asks for the BEST answer Heavily relies on a students ability to recongnize actions and the rationales for said actions

3. Why are these questions used? Is a better discriminator of how a student understands the USE of knowledge More useful for practical courses Is required to prepare students for real situations Demonstrates advanced thinking of students

4. Example 3. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: A) patient’s history of allergies. B) patient’s use of medications at home. C) last menstrual period 1 month ago. D) 2 x 5 cm scar present on the right lower forearm.

5. Example 2 5. The nurse makes which adjustment in the physical environment in order to promote the success of an interview? A) Reduces noise by turning off televisions and radios B) Reduces the distance between the interviewer and the patient to 2 feet or less C) Provides a dim light that makes a room cozier and will help the patient relax D) Arranges seating across a desk or table to allow the patient some personal space

6. Example 3 9. Which of these statements represents subjective data the nurse obtained from the patient regarding the patient’s skin? A) Skin appears dry. B) No obvious lesions. C) Denies color change. D) Lesion noted lateral aspect right arm.

7. What elements did you notice?

8. Lets look one from the midterm Your patient complains of a pink frothy cough and states “it’s very hard to sleep at night.” Based on these complaints, the nurse recognizes the need to further assess which asepects of the cardiac assessment A) noting the PMI B) percussing lung fields C) accquiring an EKG D) ascultating heart sounds