Test Bank For Advanced Health Assessment and Diagnostic Reasoning, 4th Edition by Jacqueline Rhoads, All Chapters 1 - 18, Verified Newest Version

Advanced Health Assessment and Diagnostic
Reasoning,
4th Edition by Rhoads
All Chapters 1-18




TEST BANK

,TABLE OF CONTENT
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Chapter 1 Interview and History-Taking
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Strategies Chapter 2 Physical Examination
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Strategies Chapter 3 Documentation Strategies
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Chapter 4 Cultural and Spiritual Assessment
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h t Chapter 5 Nutritional Assessment
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Chapter 6 Mental Health Disorders
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h t Chapter 7 Integumentary Disorders
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h t Chapter h t 8 Eye Disorders
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Chapter h t 9 Ear Disorders
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Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
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h t Chapter 11 Respiratory Disorders
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Chapter 12 Cardiovascular
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Disorders Chapter 13 Endocrine
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Disorders Chapter 14
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h t Gastrointestinal Disorders Chapter ht h t




h t 15 Neurological Disorders
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Chapter 16 Male Genitourinary Disorders
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Chapter 17 Female Genitourinary and Breast Disorders
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h t Chapter 18 Musculoskeletal Disorder
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,Chapter 1 Interview and H istory Taking Strategies ht ht ht ht ht ht



MULTIPLE CHOICE ht


1. The nurse is conducting an interview with a woman who has recently learned
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that she is pregnant and who has come to the clinic today to begin prenatal
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care. The woman states that she and her husband are excited about the
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pregnancy but have a few questions. She looks nervously at her hands during
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the interview and sighs loudly. Considering the concept of communication,
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which statement does the nurse know to be most accurate? The woman is:
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a. Excited about her pregnancy but nervous about the labor.
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b. Exhibiting verbal and nonverbal behaviors that do not match. ht ht ht ht ht ht ht ht


c. Excited about her pregnancy, but her husband is not and this
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is upsetting to her. d.
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Not excited about her pregnancy but believes the nurse will
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negatively respond to her if she states this.
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ANS: B ht


Communication is all behaviors, conscious and unconscious, verbal and nonverbal. ht ht ht ht ht ht ht ht ht


h tAll behaviors have meaning. Her behavior does not imply that she is nervous
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about labor, upset by her husband, or worried about the nurses response.
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2. Receiving is a part of the communication process. Which receiver is ht ht ht ht ht ht ht ht ht ht


most likely to misinterpret a message sent by a health care
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professional?
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a. Well-adjusted adolescent who came in for a sports physical ht ht ht ht ht ht ht ht


b. Recovering alcoholic who came in for a basic physical examination ht ht ht ht ht ht ht ht ht


c. Man whose wife has just been diagnosed with
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lung cancer d.
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Man with a hearing impairment who uses sign language to communicate and who
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has an interpreter with him
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ANS: C ht


The receiver attaches meaning determined by his or her experiences, culture, self-
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h tconcept, and current physical and emotional states. The man whose wife has
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just been diagnosed with lung cancer may be experiencing emotions that
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affect his receiving.
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3. The nurse makes which adjustment in the physical environment to promote
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the success of an interview?
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a. Reduces noise by turning off televisions and radios ht ht ht ht ht ht ht


b. Reduces the distance between the interviewer and the patient to 2 feet or less
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c. Provides a dim light that makes the room cozy and helps the patient relax
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d. Arranges seating across a desk or table to allow the patient ht ht ht ht ht ht ht ht ht ht


some personal space
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ANS: A ht


The nurse should reduce noise by turning off the television, radio, and other
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h tunnecessary equipment, because multiple stimuli are confusing. The ht ht ht ht ht ht ht


interviewer and patient should be approximately 4 to 5 feet apart; the room
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should be well-lit, enabling the interviewer and patient to see each other
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clearly. Having a table or desk in between the two people creates the idea of a
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barrier; equal-status seating, at eye level, is better.
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, 4. In an interview, the nurse may find it necessary to take notes to aid his or
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her memory later. Which statement is trueregarding note-taking?
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a. Note-taking may impede the nurses observation of the ht ht ht ht ht ht ht


patients nonverbal behaviors. b.
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Note-taking allows the patient to continue at his or her own pace as ht ht ht ht ht ht ht ht ht ht ht ht


the nurse records what is said.
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c.
Note-taking allows the nurse to shift attention away from the ht ht ht ht ht ht ht ht ht


patient, resulting in an increased comfort level.
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d.
Note-taking allows the nurse to break eye contact with the patient, ht ht ht ht ht ht ht ht ht ht


which may increase his or her level of comfort.
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ANS: A ht


The use of history forms and note-taking may be unavoidable. However, the
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htnurse must be aware that note-taking during the interview has
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htdisadvantages. It breaks eye contact too often and shifts the attention away h t h t h t ht ht ht ht ht ht ht ht


from the patient, which diminishes his or her sense of importance. Notetaking
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may also interrupt the patients narrative flow, and it impedes the observation
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of the
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patients nonverbal behavior. ht ht


5. The nurse asks, I would like to ask you some questions about your health and
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your usual daily activities so that we can better plan your stay here. This
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question is found at the
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htphase of the interview process. h t ht ht ht


a. Summary
b. Closing
c. Body
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htintroduction
ANS: D
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When gathering a complete history, the nurse should give the reason for the
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h tinterview during the opening or introduction phase of the interview, not during
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or at the end of the interview.
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6. A woman has just entered the emergency department after being battered by
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her husband. The nurse needs to get some information from her to begin
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treatment. What is the best choice for an opening phase of the interview with
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this patient?
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a. Hello, Nancy, my name is Mrs. C. ht ht ht ht ht ht


b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
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c. Mrs. H., my name is Mrs. C. How are you?
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d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about
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what happened.
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ANS: D ht


Address the person by using his or her surname. The nurse should introduce him
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or herself and give the reason for the interview. Friendly small talk is not
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needed to build rapport.
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7. During an interview, the nurse states, You mentioned having shortness of
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h tbreath. Tell me more about that. Which verbal skill is used with this
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