TESTBANK FOR ADVANCED HEALTH
ASSESSMENT AND DIAGNOSTIC
REASONING 4TH EDITION BY JACQUELINE
RHOADS AND SANDRA WIGGINS
PETERSEN FULL TESTBANK ALL
CHAPTERS 1-18 LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS
Chapter 01: Interview and History-Taking Strategies
MULTIPLE CHOICE
1. Which of the following is an example of subjective data that may be collected during a health
assessment?
A) Height and weight
B) A patient's recall of his or her past health conditions
C) Results from an abdominal CT scan
D) Complete blood count
Answer: B
Rationale: Subjective data are information provided by the patient, including their perceptions, feelings,
and recall of health history. Height/weight, CT scans, and blood counts are all objective data measurable
by the examiner or diagnostic tools. Subjective data form the foundation of the health history and are
essential for understanding the patient's perspective.
2. Which of the following is true regarding the data taken in a health history?
A) Most health history data are objective and measurable.
B) Objective data are error-free, quantifiable data.
C) Subjective data, being inherently less accurate, are of less value than objective data.
D) A successful individualized plan of care must incorporate subjective data.
Answer: D
,Rationale: A successful care plan must integrate both subjective and objective data. Subjective data
provide the patient's unique perspective on their health concerns, symptoms, and experiences. While
subjective data may have limitations, they are not inherently less valuable than objective data. Objective
data can also contain errors.
3. What do Coulehan and Block define as "listening to the total communication . . . and letting the
patient know that you are really hearing"?
A) Cultural competence
B) Patience
C) Empathy
D) Top-tier communication
Answer: C
Rationale: Coulehan and Block define empathy as this type of active, engaged listening that
communicates genuine understanding. Empathy involves both understanding the patient's experience
and conveying that understanding to the patient, which is essential for building trust and therapeutic
relationships.
4. The provider is preparing to take a health history for a new patient. He takes the patient to a
private room and asks the patient to don a hospital gown. After stepping outside to give the patient
sufficient time to change, he then comes back in and asks permission to conduct the history. He sits
next to the patient at eye level, discreetly observes the patient for any sensory deficits, and asks the
patient if he may take brief notes of the conversation. During the conversation, he gives the patient
time to answer questions fully. He makes sure that his questions do not contain technical terms and
quietly observes the patient's nonverbal behaviors throughout. Which mistake did the provider
make?
A) He should have allowed the patient to remain fully clothed in their own clothing for their comfort.
B) He should not have omitted technical terminology. Patients like having a chance to learn.
C) He should have seated himself slightly above eye level to give the patient nonverbal reassurance of
his experience and professionalism.
D) He should have asked explicitly about the nonverbal changes he was noticing in order to gain a
deeper level of understanding of the patient's current condition.
Answer: A
Rationale: The provider made the mistake of having the patient change into a hospital gown for a health
history interview. Patients should remain fully clothed in their own clothing for comfort during the
history-taking portion. The provider should not interpret or confront patients about nonverbal behaviors
,directly, as this may make patients uncomfortable. Sitting at eye level (not above) promotes equality
and reduces intimidation.
5. Which of the following is true of both comprehensive and focused health histories?
A) They both include identifying data.
B) They both include a social history.
C) They both include a family history.
D) They are both conducted in emergency situations.
Answer: A
Rationale: Both comprehensive and focused health histories include identifying data (name, age,
gender, date, etc.). A comprehensive history includes all components (HPI, PMH, FH, SH, ROS), while a
focused history is problem-oriented and may omit some components like family history or social history.
Emergency situations typically use a focused, rapid history.
6. In the mnemonic device PQRST, which of the following includes describing the location of the
symptoms?
A) Precipitating factors
B) Quality
C) Radiation
D) Severity
Answer: B
Rationale: The "Q" in PQRST stands for Quality, which includes describing the location, character, and
associated symptoms of the complaint. "Radiation" refers to whether the pain moves or spreads
elsewhere. This question tests understanding that PQRST includes: Precipitating/Palliating factors,
Quality (including location), Radiation, Severity, and Timing.
7. What is the current mnemonic device for taking a health history?
A) PQRST
B) CLIENT OUTCOMES
C) PRACTICE
D) GOOD MEDICINE
Answer: B
, Rationale: The current mnemonic device for taking a health history is CLIENT OUTCOMES (though
PQRST is still used for assessing symptoms). The textbook identifies CLIENT OUTCOMES as the
comprehensive mnemonic for health history structure, ensuring all essential components are covered.
8. When taking a PMI (Past Medical History), which of the following is correct?
A) Do not take the statement "I'm allergic to..." at face value.
B) Ask the patient for a very brief summary of their current health.
C) If a patient states that they have been vaccinated with BCG, make sure to administer a PPD test.
D) CAM documentation is no longer a requirement.
Answer: A
Rationale: When patients report allergies, providers should verify details (what the reaction was, when
it occurred, how severe, etc.) rather than taking the statement at face value. PMI includes childhood
illnesses, adult illnesses, surgeries, injuries, hospitalizations, immunizations, allergies, and medications.
BCG vaccination may cause false-positive PPD results; CAM (complementary and alternative medicine)
documentation is still important.
9. Which of the following is a first-degree relative to the patient who has experienced premature
onset of CVD?
A) Sister at 62
B) Cousin at 62
C) Aunt at 59
D) Grandfather at 44
Answer: A
Rationale: First-degree relatives are parents, siblings, and children. Premature onset of cardiovascular
disease is defined as <55 years for males and <65 years for females. A sister at 62 is a first-degree
relative (and premature for females). Grandfather, aunt, and cousin are second-degree or beyond.
10. Recording the patient's occupation falls under which category?
A) PHI
B) FH
C) SH
D) ROS
Answer: C
ASSESSMENT AND DIAGNOSTIC
REASONING 4TH EDITION BY JACQUELINE
RHOADS AND SANDRA WIGGINS
PETERSEN FULL TESTBANK ALL
CHAPTERS 1-18 LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS
Chapter 01: Interview and History-Taking Strategies
MULTIPLE CHOICE
1. Which of the following is an example of subjective data that may be collected during a health
assessment?
A) Height and weight
B) A patient's recall of his or her past health conditions
C) Results from an abdominal CT scan
D) Complete blood count
Answer: B
Rationale: Subjective data are information provided by the patient, including their perceptions, feelings,
and recall of health history. Height/weight, CT scans, and blood counts are all objective data measurable
by the examiner or diagnostic tools. Subjective data form the foundation of the health history and are
essential for understanding the patient's perspective.
2. Which of the following is true regarding the data taken in a health history?
A) Most health history data are objective and measurable.
B) Objective data are error-free, quantifiable data.
C) Subjective data, being inherently less accurate, are of less value than objective data.
D) A successful individualized plan of care must incorporate subjective data.
Answer: D
,Rationale: A successful care plan must integrate both subjective and objective data. Subjective data
provide the patient's unique perspective on their health concerns, symptoms, and experiences. While
subjective data may have limitations, they are not inherently less valuable than objective data. Objective
data can also contain errors.
3. What do Coulehan and Block define as "listening to the total communication . . . and letting the
patient know that you are really hearing"?
A) Cultural competence
B) Patience
C) Empathy
D) Top-tier communication
Answer: C
Rationale: Coulehan and Block define empathy as this type of active, engaged listening that
communicates genuine understanding. Empathy involves both understanding the patient's experience
and conveying that understanding to the patient, which is essential for building trust and therapeutic
relationships.
4. The provider is preparing to take a health history for a new patient. He takes the patient to a
private room and asks the patient to don a hospital gown. After stepping outside to give the patient
sufficient time to change, he then comes back in and asks permission to conduct the history. He sits
next to the patient at eye level, discreetly observes the patient for any sensory deficits, and asks the
patient if he may take brief notes of the conversation. During the conversation, he gives the patient
time to answer questions fully. He makes sure that his questions do not contain technical terms and
quietly observes the patient's nonverbal behaviors throughout. Which mistake did the provider
make?
A) He should have allowed the patient to remain fully clothed in their own clothing for their comfort.
B) He should not have omitted technical terminology. Patients like having a chance to learn.
C) He should have seated himself slightly above eye level to give the patient nonverbal reassurance of
his experience and professionalism.
D) He should have asked explicitly about the nonverbal changes he was noticing in order to gain a
deeper level of understanding of the patient's current condition.
Answer: A
Rationale: The provider made the mistake of having the patient change into a hospital gown for a health
history interview. Patients should remain fully clothed in their own clothing for comfort during the
history-taking portion. The provider should not interpret or confront patients about nonverbal behaviors
,directly, as this may make patients uncomfortable. Sitting at eye level (not above) promotes equality
and reduces intimidation.
5. Which of the following is true of both comprehensive and focused health histories?
A) They both include identifying data.
B) They both include a social history.
C) They both include a family history.
D) They are both conducted in emergency situations.
Answer: A
Rationale: Both comprehensive and focused health histories include identifying data (name, age,
gender, date, etc.). A comprehensive history includes all components (HPI, PMH, FH, SH, ROS), while a
focused history is problem-oriented and may omit some components like family history or social history.
Emergency situations typically use a focused, rapid history.
6. In the mnemonic device PQRST, which of the following includes describing the location of the
symptoms?
A) Precipitating factors
B) Quality
C) Radiation
D) Severity
Answer: B
Rationale: The "Q" in PQRST stands for Quality, which includes describing the location, character, and
associated symptoms of the complaint. "Radiation" refers to whether the pain moves or spreads
elsewhere. This question tests understanding that PQRST includes: Precipitating/Palliating factors,
Quality (including location), Radiation, Severity, and Timing.
7. What is the current mnemonic device for taking a health history?
A) PQRST
B) CLIENT OUTCOMES
C) PRACTICE
D) GOOD MEDICINE
Answer: B
, Rationale: The current mnemonic device for taking a health history is CLIENT OUTCOMES (though
PQRST is still used for assessing symptoms). The textbook identifies CLIENT OUTCOMES as the
comprehensive mnemonic for health history structure, ensuring all essential components are covered.
8. When taking a PMI (Past Medical History), which of the following is correct?
A) Do not take the statement "I'm allergic to..." at face value.
B) Ask the patient for a very brief summary of their current health.
C) If a patient states that they have been vaccinated with BCG, make sure to administer a PPD test.
D) CAM documentation is no longer a requirement.
Answer: A
Rationale: When patients report allergies, providers should verify details (what the reaction was, when
it occurred, how severe, etc.) rather than taking the statement at face value. PMI includes childhood
illnesses, adult illnesses, surgeries, injuries, hospitalizations, immunizations, allergies, and medications.
BCG vaccination may cause false-positive PPD results; CAM (complementary and alternative medicine)
documentation is still important.
9. Which of the following is a first-degree relative to the patient who has experienced premature
onset of CVD?
A) Sister at 62
B) Cousin at 62
C) Aunt at 59
D) Grandfather at 44
Answer: A
Rationale: First-degree relatives are parents, siblings, and children. Premature onset of cardiovascular
disease is defined as <55 years for males and <65 years for females. A sister at 62 is a first-degree
relative (and premature for females). Grandfather, aunt, and cousin are second-degree or beyond.
10. Recording the patient's occupation falls under which category?
A) PHI
B) FH
C) SH
D) ROS
Answer: C
