EXAM QUESTIONS AND SOLUTIONS
⫸ Ms. A states, ―My life is just too painful. It isn't worth it.‖ She
appears depressed. Which one of the following statements is the most
appropriate caregiver response?
A. Try to think about the good things in life.
B. What in life is causing you pain?
C. You can't mean what you're saying.
D. If you think about it, nothing is worth getting this upset about..
Answer: B.
Specific but open ended questions are best used when the patient has
feelings of loss of self worth and depression.
⫸ You are collecting a history from a 16-year-old girl. Her mother is
sitting next to her in the examination room. When collecting history
from older children or adolescents, they should be
A. given the opportunity to be interviewed without the parent at some
point during the
interview.
B. mailed a questionnaire in advance to avoid the need for them to
talk.
C. ignored while you address all questions to the parent.
D. allowed to direct the flow of the interview.. Answer: A.
Adolescent should be given the opportunity to give info directly.
Enhances the probability that the adolescent will follow your advice.
,⫸ Information that is needed during the initial interview of a
pregnant woman includes all the following except
A. the gender that the woman hopes the baby will be.
B. past medical history.
C. healthcare practices.
D. the woman's remembering (knowledge) about pregnancy.. Answer:
A.
⫸ When interviewing older adults, the examiner should
speak extremely loudly, because most older adults
A. have significant hearing
impairment.
B. provide a written questionnaire in place of an interview.
C. position himself or herself facing the patient.
D. dim the lights to decrease anxiety.. Answer: C. Position him or
herself facing the patient.
This will ensure that the patient can see his or her face and may be
assist in the ability to better understand the examiner.
⫸ To what extent should the patient with a physical disability or
emotional disorder be involved in providing health history
information to the health professional?
,A. The patient should be present during information collection but
should not be
addressed directly.
B. All information should be collected from past records and family
members while
the patient is in another room.
C. The patient should be involved only when you sense that he or she
may feel
ignored.
D. The patient should be fully involved to the limit of his or her
ability.. Answer: D. The patient should be fully involved to the limit
of his or her ability.
Although they may not be able to give an effective history, they must
be respected, and the history must be obtained from them to the
greatest extent possible.
⫸ When taking a history, the nurse should
A. ask the patient to give you any information he or she can recall
about his or her
health.
B. start the interview with the patient's family history.
C. use a chronologic and sequential framework.
D. use a holistic and eclectic structure.. Answer: C.
Provider should proceed in a chronologic and sequential framework.
Ask patients to give any information they can recall about their health
, ⫸ When questioning the patient regarding his or her sexual history,
which question should be asked initially?
A. Do you have any particular sexual likes or dislikes?
B. Do you have any worries or concerns regarding your sexual life?
C. How often do you have intercourse and with whom?
D. Do you have any reason to think you may have been exposed to a
sexually
transmitted infection?. Answer: B.
When approaching questioning about a sensitive area, it is
recommended that the provider first ask open-ended questions that
explore the patient's feelings about the issue.
⫸ A guideline for history taking is for caregivers to
A. ask direct questions before open-ended questions so that data move
from simple to
complex.
B. ask for a complete history at once so that data are not forgotten
between meetings.
C. make notes sparingly so that the patient can be observed during the
history taking.
D. write detailed information as stated by patients so that their
priorities are reflected.. Answer: C.