TEST BANK FOR ADVANCED HEALTH
ASSESSMENT AND DIAGNOSTIC
REASONING 5TH EDITION BY
JACQUELINE RHOADS, ALL CHAPTERS
COVERED.
,TEST BANK
Chapter1 InterviewandHistoryTakingStrategies MULTIPLECHOICE
1. Thenurseisconductinganinterviewwithawomanwhohasrecentlylearnedthatsheis
pregnantandwhohascometotheclinictodaytobeginprenatalcare.Thewomanstatesthatshe
andherhusbandareexcitedabouthepregnancybuthaveafewquestions.Shelooksnervously
atherhandsduringtheinterviewandsighsloudly.Consideringtheconceptofcommunication,
whichstatementdoesthenurseknowtobemostacurate?Thewomanis:
a.Excitedaboutherpregnancybutnervousabouthelabor.
b.Exhibitingverbalandnonverbalbehaviorsthatdonotmatch.
c.Excitedaboutherpregnancy,butherhusbandisnotandthisisupsetingtoher.
d. Notexcitedaboutherpregnancybutbelievesthenursewilnegatively
respondtoherifshestatesthis.
ANS:B
Communicationisalbehaviors,consciousandunconscious,verbalandnonverbal.Albehavior
s havemeaning.Herbehaviordoesnotimplythatsheisnervousaboutlabor,upsetbyher
husband,orworiedabouthenursesresponse.
2. Receivingisapartofthecommunicationproces.Whichreceiverismostlikelyt o
misinterpretamesagesentbyahealthcareprofesional?
a.Wel-adjustedadolescentwhocameinforasportsphysical
b.Recoveringalcoholicwhocameinforabasicphysicalexamination
c.Manwhosewifehasjustbendiagnosedwithlungcancer
d. Manwithahearingimpairmentwhousesignlanguagetocommunicateandwhohasan
interpreterwithhim
ANS:C
Thereceiveratachesmeaningdeterminedbyhisorherexperiences,culture,self-concept,and
curentphysicalandemotionalstates.Themanwhosewifehasjustbendiagnosedwithlung
cancermaybeexperiencingemotionsthataffecthisreceiving.
3. Thenursemakeswhichadjustmentinthephysicalenvironmentopromotethesucesofa
n interview?
a.Reducesnoisebyturningofftelevisionsandradios
b.Reducesthedistancebetwentheinterviewerandthepatiento2fetorles
,c.Providesadimlighthatmakestheroomcozyandhelpsthepatientrelax
d.Arangeseatingacrosadeskortabletoalowthepatientsomepersonalspace ANS:A
Thenurseshouldreducenoisebyturningoffthetelevision,radio,andotherunnecesary
equipment,becausemultiplestimuliareconfusing.Theinterviewerandpatientshouldbe
approximately4to5fetapart;theroomshouldbewel-lit,enablingtheinterviewerandpatient
tose eachotherclearl y.Havingatableordeskinbetwenthetwopeoplecreatestheideaofa
barier;equal-statuseating,ateyelevel,isbeter.
4. Inaninterview,thenursemayfniditnecesarytotakenotestoaidhisorhermemorylater.
Whichstatementistrueregardingnote -taking?
a. Note-takingmayimpedethenursesobservationofthepatientsnonverbalbehaviors.
b.
Note-takingalowsthepatientocontinueathisorherownpaceasthenurse recordswhatisaid.
c.
Note-takingalowsthenursetoshiftatentionawayfromthepatient,resulting
inanincreasedcomfortlevel.
d.
Note-takingalowsthenursetobreakeyecontactwiththepatient,whichmay
increasehisorherlevelofcomfort.
ANS:A
Theuseofhistoryformsandnote -
takingmaybeunavoidable.However,thenursemustbeaware thatnote -
takingduringtheinterviewhasdisadvantages.Itbreakseyecontactoooftenandshifts
theatentionawayfromthepatient,whichdiminisheshisorhersenseofimportance.Notetakin
g mayalsointerupthepatientsnarativefolw,anditimpedestheobservationofthe
patientsnonverbalbehavior.
5.
Thenurseasks,Iwouldliketoaskyousomequestionsaboutyourhealthandyourusuald
ail y activitiesothatwecanbeterplanyourstayhere.Thisquestionisfoundat he
phaseoftheinterviewproces.
, a.Summary b.Closing c.Body
d.Openingorintroduction ANS:D
Whengatheringacompletehistory,thenurseshouldgivethereasonfortheinterviewduringth
e openingorintroductionphaseoftheinterview,notduringoratheendoftheinterview.
6.
Awomanhasjustenteredtheemergencydepartmentafterbeingbateredbyherhusban
d.Th e
nursenedstogetsomeinformationfromhertobegintreatment.Whatisthebestchoiceforan
openingphaseoftheinterviewwiththispatient?
a.Helo,Nancy,mynameisMrs.C. b.Helo,Mrs.H.,mynameisMrs.C.Itsureiscoldtoday!
c.Mrs.H.,mynameisMrs.C.Howareyou?
d.Mrs.H.,mynameisMrs.C.Ilnedtoaskyouafewquestionsaboutwhathappened. ANS:D
Addresthepersonbyusinghisorhersurname.Thenurseshouldintroducehimorherselfand
givethereasonfortheinterview.Friendlysmaltalkisnotnededtobuildrapport.
7. Duringaninterview,thenursestates,Youmentionedhavingshortnesofbreath.Telm e
moreabouthat.Whichverbalskilisusedwiththistatement?
a. Refelction b.Facilitation
c.Directquestion d.Open-endedquestion ANS:D
Theopen-endedquestionasksfornarativeinformation.Itstatesthetopictobediscusedbut
onlyingeneralterms.Thenurseshoulduseitobegintheinterview,tointroduceanewsection
ofquestions,andwheneverthepersonintroducesanewtopic.
8.
Apatienthasfinishedgivingthenurseinformationabouthereasonheisekingcare.Whe
n
reviewingthedata,thenursefindsthatsomeinformationaboutpasthospitalizationsismising.
Athispoint,whichstatementbythenursewouldbemostappropriatetogatherthesedata?
a.Mr.Y.,atyourage,surelyyouhavebenhospitalizedbefore!
b.Mr.Y.,IjustnedpermisiontogetyourmedicalrecordsfromCountyMedical.
ASSESSMENT AND DIAGNOSTIC
REASONING 5TH EDITION BY
JACQUELINE RHOADS, ALL CHAPTERS
COVERED.
,TEST BANK
Chapter1 InterviewandHistoryTakingStrategies MULTIPLECHOICE
1. Thenurseisconductinganinterviewwithawomanwhohasrecentlylearnedthatsheis
pregnantandwhohascometotheclinictodaytobeginprenatalcare.Thewomanstatesthatshe
andherhusbandareexcitedabouthepregnancybuthaveafewquestions.Shelooksnervously
atherhandsduringtheinterviewandsighsloudly.Consideringtheconceptofcommunication,
whichstatementdoesthenurseknowtobemostacurate?Thewomanis:
a.Excitedaboutherpregnancybutnervousabouthelabor.
b.Exhibitingverbalandnonverbalbehaviorsthatdonotmatch.
c.Excitedaboutherpregnancy,butherhusbandisnotandthisisupsetingtoher.
d. Notexcitedaboutherpregnancybutbelievesthenursewilnegatively
respondtoherifshestatesthis.
ANS:B
Communicationisalbehaviors,consciousandunconscious,verbalandnonverbal.Albehavior
s havemeaning.Herbehaviordoesnotimplythatsheisnervousaboutlabor,upsetbyher
husband,orworiedabouthenursesresponse.
2. Receivingisapartofthecommunicationproces.Whichreceiverismostlikelyt o
misinterpretamesagesentbyahealthcareprofesional?
a.Wel-adjustedadolescentwhocameinforasportsphysical
b.Recoveringalcoholicwhocameinforabasicphysicalexamination
c.Manwhosewifehasjustbendiagnosedwithlungcancer
d. Manwithahearingimpairmentwhousesignlanguagetocommunicateandwhohasan
interpreterwithhim
ANS:C
Thereceiveratachesmeaningdeterminedbyhisorherexperiences,culture,self-concept,and
curentphysicalandemotionalstates.Themanwhosewifehasjustbendiagnosedwithlung
cancermaybeexperiencingemotionsthataffecthisreceiving.
3. Thenursemakeswhichadjustmentinthephysicalenvironmentopromotethesucesofa
n interview?
a.Reducesnoisebyturningofftelevisionsandradios
b.Reducesthedistancebetwentheinterviewerandthepatiento2fetorles
,c.Providesadimlighthatmakestheroomcozyandhelpsthepatientrelax
d.Arangeseatingacrosadeskortabletoalowthepatientsomepersonalspace ANS:A
Thenurseshouldreducenoisebyturningoffthetelevision,radio,andotherunnecesary
equipment,becausemultiplestimuliareconfusing.Theinterviewerandpatientshouldbe
approximately4to5fetapart;theroomshouldbewel-lit,enablingtheinterviewerandpatient
tose eachotherclearl y.Havingatableordeskinbetwenthetwopeoplecreatestheideaofa
barier;equal-statuseating,ateyelevel,isbeter.
4. Inaninterview,thenursemayfniditnecesarytotakenotestoaidhisorhermemorylater.
Whichstatementistrueregardingnote -taking?
a. Note-takingmayimpedethenursesobservationofthepatientsnonverbalbehaviors.
b.
Note-takingalowsthepatientocontinueathisorherownpaceasthenurse recordswhatisaid.
c.
Note-takingalowsthenursetoshiftatentionawayfromthepatient,resulting
inanincreasedcomfortlevel.
d.
Note-takingalowsthenursetobreakeyecontactwiththepatient,whichmay
increasehisorherlevelofcomfort.
ANS:A
Theuseofhistoryformsandnote -
takingmaybeunavoidable.However,thenursemustbeaware thatnote -
takingduringtheinterviewhasdisadvantages.Itbreakseyecontactoooftenandshifts
theatentionawayfromthepatient,whichdiminisheshisorhersenseofimportance.Notetakin
g mayalsointerupthepatientsnarativefolw,anditimpedestheobservationofthe
patientsnonverbalbehavior.
5.
Thenurseasks,Iwouldliketoaskyousomequestionsaboutyourhealthandyourusuald
ail y activitiesothatwecanbeterplanyourstayhere.Thisquestionisfoundat he
phaseoftheinterviewproces.
, a.Summary b.Closing c.Body
d.Openingorintroduction ANS:D
Whengatheringacompletehistory,thenurseshouldgivethereasonfortheinterviewduringth
e openingorintroductionphaseoftheinterview,notduringoratheendoftheinterview.
6.
Awomanhasjustenteredtheemergencydepartmentafterbeingbateredbyherhusban
d.Th e
nursenedstogetsomeinformationfromhertobegintreatment.Whatisthebestchoiceforan
openingphaseoftheinterviewwiththispatient?
a.Helo,Nancy,mynameisMrs.C. b.Helo,Mrs.H.,mynameisMrs.C.Itsureiscoldtoday!
c.Mrs.H.,mynameisMrs.C.Howareyou?
d.Mrs.H.,mynameisMrs.C.Ilnedtoaskyouafewquestionsaboutwhathappened. ANS:D
Addresthepersonbyusinghisorhersurname.Thenurseshouldintroducehimorherselfand
givethereasonfortheinterview.Friendlysmaltalkisnotnededtobuildrapport.
7. Duringaninterview,thenursestates,Youmentionedhavingshortnesofbreath.Telm e
moreabouthat.Whichverbalskilisusedwiththistatement?
a. Refelction b.Facilitation
c.Directquestion d.Open-endedquestion ANS:D
Theopen-endedquestionasksfornarativeinformation.Itstatesthetopictobediscusedbut
onlyingeneralterms.Thenurseshoulduseitobegintheinterview,tointroduceanewsection
ofquestions,andwheneverthepersonintroducesanewtopic.
8.
Apatienthasfinishedgivingthenurseinformationabouthereasonheisekingcare.Whe
n
reviewingthedata,thenursefindsthatsomeinformationaboutpasthospitalizationsismising.
Athispoint,whichstatementbythenursewouldbemostappropriatetogatherthesedata?
a.Mr.Y.,atyourage,surelyyouhavebenhospitalizedbefore!
b.Mr.Y.,IjustnedpermisiontogetyourmedicalrecordsfromCountyMedical.
