TEST BANK FOR ADVANCED HEALTH
ASSESSMENT AND DIAGNOSTIC
REASONING 3RD EDITION BY RHOADS
Chapter,1,Interview,and,History,Taking,Strategies
MULTIPLE,CHOICE
1.,The,nurse,is,conducting,an,interview,with,a,woman,who,has,recently,learned,that,she,is,pregn
ant,and,who,has,come,to,the,clinic,today,to,begin,prenatal,care.,The,woman,states,that,she,and,
her,husband,are,excited,about,the,pregnancy,but,have,a,few,questions.,She,looks,nervously,at,h
er,hands,during,the,interview,and,sighs,loudly.,Considering,the,concept,of,communication,,whic
h,statement,does,the,nurse,know,to,be,most,accurate?,The,woman,is:,a.,Excited,about,her,preg
nancy,but,nervous,about,the,labor.
b. Exhibiting,verbal,and,nonverbal,behaviors,that,do,not,match.
c. Excited,about,her,pregnancy,,but,her,husband,is,not,and,this,is,upsetting,to,her.
d.
Not,excited,about,her,pregnancy,but,believes,the,nurse,will,negatively,respo
nd,to,her,if,she,states,this.
ANS:,B
Communication,is,all,behaviors,,conscious,and,unconscious,,verbal,and,nonverbal.,All,behaviors,
have,meaning.,Her,behavior,does,not,imply,that,she,is,nervous,about,labor,,upset,by,her,husban
d,,or,worried,about,the,nurses,response.
2.,Receiving,is,a,part,of,the,communication,process.,Which,receiver,is,most,likely,to,misinterpret,
a,message,sent,by,a,health,care,professional?
a. Well-adjusted,adolescent,who,came,in,for,a,sports,physical
b. Recovering,alcoholic,who,came,in,for,a,basic,physical,examination
c. Man,whose,wife,has,just,been,diagnosed,with,lung,cancer
d.
Man,with,a,hearing,impairment,who,uses,sign,language,to,communicate,and,who,has,an,interpr
eter,with,him
ANS:,C
The,receiver,attaches,meaning,determined,by,his,or,her,experiences,,culture,,self-
concept,,and,current,physical,and,emotional,states.,The,man,whose,wife,has,just,been,diagnose
d,with,lung,cancer,may,be,experiencing,emotions,that,affect,his,receiving.
3.,The,nurse,makes,which,adjustment,in,the,physical,environment,to,promote,the,success,of,an,i
nterview?
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,the,room,cozy,and,helps,the,patient,relax
,d. Arranges,seating,across,a,desk,or,table,to,allow,the,patient,some,personal,space
ANS:,A
The,nurse,should,reduce,noise,by,turning,off,the,television,,radio,,and,other,unnecessary,equip
ment,,because,multiple,stimuli,are,confusing.,The,interviewer,and,patient,should,be,approximat
ely,4,to,5,feet,apart;,the,room,should,be,well-
lit,,enabling,the,interviewer,and,patient,to,see,each,other,clearly.,Having,a,table,or,desk,in,betwe
en,the,two,people,creates,the,idea,of,a,barrier;,equal-status,seating,,at,eye,level,,is,better.
4.,In,an,interview,,the,nurse,may,find,it,necessary,to,take,notes,to,aid,his,or,her,memory,later.,W
hich,statement,is,trueregarding,note-taking?
a.,Note-taking,may,impede,the,nurses,observation,of,the,patients,nonverbal,behaviors.
b.
Note-
taking,allows,the,patient,to,continue,at,his,or,her,own,pace,as,the,nurse,reco
rds,what,is,said.
c.
Note-
taking,allows,the,nurse,to,shift,attention,away,from,the,patient,,resulting,in,a
n,increased,comfort,level.
d.
Note-
taking,allows,the,nurse,to,break,eye,contact,with,the,patient,,which,may,increase,his,
or,her,level,of,comfort.
ANS:,A
The,use,of,history,forms,and,note-
taking,may,be,unavoidable.,However,,the,nurse,must,be,aware,that,note-
taking,during,the,interview,has,disadvantages.,It,breaks,eye,contact,too,often,and,shifts,the,atte
ntion,away,from,the,patient,,which,diminishes,his,or,her,sense,of,importance.,Notetaking,may,al
so,interrupt,the,patients,narrative,flow,,and,it,impedes,the,observation,of,the,patients,nonverba
l,behavior.
5.,The,nurse,asks,,I,would,like,to,ask,you,some,questions,about,your,health,and,your,usual,daily,a
ctivities,so,that,we,can,better,plan,your,stay,here.,This,question,is,found,at,the,__________,phas
e,of,the,interview,process.,a.,Summary
b. Closing
c. Body
d. Opening,or,introduction
ANS:,D
When,gathering,a,complete,history,,the,nurse,should,give,the,reason,for,the,interview,during,th
e,opening,or,introduction,phase,of,the,interview,,not,during,or,at,the,end,of,the,interview.
6.,A,woman,has,just,entered,the,emergency,department,after,being,battered,by,her,husband.,Th
e,nurse,needs,to,get,some,information,from,her,to,begin,treatment.,What,is,the,best,choice,for,a
n,opening,phase,of,the,interview,with,this,patient?,a.,Hello,,Nancy,,my,name,is,Mrs.,C.
,b. Hello,,Mrs.,H.,,my,name,is,Mrs.,C.,It,sure,is,cold,today!
c. Mrs.,H.,,my,name,is,Mrs.,C.,How,are,you?
d. Mrs.,H.,,my,name,is,Mrs.,C.,Ill,need,to,ask,you,a,few,questions,about,what,happened.
ANS:,D
Address,the,person,by,using,his,or,her,surname.,The,nurse,should,introduce,him,or,herself,and,gi
ve,the,reason,for,the,interview.,Friendly,small,talk,is,not,needed,to,build,rapport.
7.,During,an,interview,,the,nurse,states,,You,mentioned,having,shortness,of,breath.,Tell,me
,more,about,that.,Which,verbal,skill,is,used,with,this,statement?,a.,Reflection
b. Facilitation
c. Direct,question
d. Open-ended,question
ANS:,D
The,open-
ended,question,asks,for,narrative,information.,It,states,the,topic,to,be,discussed,but,only,in,gene
ral,terms.,The,nurse,should,use,it,to,begin,the,interview,,to,introduce,a,new,section,of,questions,
,and,whenever,the,person,introduces,a,new,topic.
8.,A,patient,has,finished,giving,the,nurse,information,about,the,reason,he,is,seeking,care.,When,r
eviewing,the,data,,the,nurse,finds,that,some,information,about,past,hospitalizations,is,missing.
At,this,point,,which,statement,by,the,nurse,would,be,most,appropriate,to,gather,these,data?,
a.,Mr.,Y.,,at,your,age,,surely,you,have,been,hospitalized,before!
b.,Mr.,Y.,,I,just,need,permission,to,get,your,medical,records,from,County,Medical.,c.
Mr.,Y.,,you,mentioned,that,you,have,been,hospitalized,on,several,occasions.
Would,you,tell,me,more,about,that?,
d.
Mr.,Y.,,I,just,need,to,get,some,additional,information,about,your,past,hospitalizations.,Whe
n,was,the,last,time,you,were,admitted,for,chest,pain?
ANS:,D
The,nurse,should,use,direct,questions,after,the,persons,opening,narrative,to,fill,in,any,details,he,
or,she,left,out.,The,nurse,also,should,use,direct,questions,when,specific,facts,are,needed,,such,as
,when,asking,about,past,health,problems,or,during,the,review,of,systems.
9.,In,using,verbal,responses,to,assist,the,patients,narrative,,some,responses,focus,on,the,patien
ts,frame,of,reference,and,some,focus,on,the,health,care,providers,perspective.,An,example,of,a,
verbal,response,that,focuses,on,the,health,care,providers,perspective,would,be:,a.,Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
ANS:,D
When,the,health,care,provider,uses,the,response,of,confrontation,,the,frame,of,reference,shifts,
from,the,patients,perspective,to,the,perspective,of,the,health,care,provider,,and,the,health,care,
provider,starts,to,express,his,or,her,own,thoughts,and,feelings.,Empathy,,reflection,,and,facilitati
on,responses,focus,on,the,patients,frame,of,reference.
, 10.,When,taking,a,history,from,a,newly,admitted,patient,,the,nurse,notices,that,he,often,pause
s,and,expectantly,looks,at,the,nurse.,What,would,be,the,nurses,best,response,to,this,behavior?,
a.,Be,silent,,and,allow,him,to,continue,when,he,is,ready.,b.
Smile,at,him,and,say,,Dont,worry,about,all,of,this.,Im,sure,we,can,find,out,why,youre,
having,these,pains.
c.,Lean,back,in,the,chair,and,ask,,You,are,looking,at,me,kind,of,funny;,there,isnt,anything,wrong,,is
here,d.
Stand,up,and,say,,I,can,see,that,this,interview,is,uncomfortable,for,you.,W
e,can,continue,it,another,time.
ANS:,A
Silent,attentiveness,communicates,that,the,person,has,time,to,think,and,to,organize,what,he,or,s
he,wishes,to,say,without,an,interruption,from,the,nurse.,Health,professionals,most,often,interru
pt,this,thinking,silence.,The,other,responses,are,not,conducive,to,ideal,communication.
11.,A,woman,is,discussing,the,problems,she,is,having,with,her,2-year-
old,son.,She,says,,He,wont,go,to,sleep,at,night,,and,during,the,day,he,has,several,fits.,I,get,so,ups
et,when,that,happens.
The,nurses,best,verbal,response,would,be:,
a.,Go,on,,Im,listening.
b. Fits?,Tell,me,what,you,mean,by,this.
c. Yes,,it,can,be,upsetting,when,a,child,has,a,fit.
d. Dont,be,upset,when,he,has,a,fit;,every,2,year,old,has,fits.
ANS:,B
The,nurse,should,use,clarification,when,the,persons,word,choice,is,ambiguous,or,confusing,(e.g.,
,Tell,me,what,you,mean,by,fits.).,Clarification,is,also,used,to,summarize,the,persons,words,or,to,si
mplify,the,words,to,make,them,clearer;,the,nurse,should,then,ask,if,he,or,she,is,on,the,right,track
.
12.,A,17-year-old,single,mother,is,describing,how,difficult,it,is,to,raise,a,3-year-
old,child,by,herself.,During,the,course,of,the,interview,she,states,,I,cant,believe,my,boyfriend,left
,me,to,do,this,by,myself!,What,a,terrible,thing,to,do,to,me!,Which,of,these,responses,by,the,nurs
e,uses,empathy?
a. You,feel,alone.
b. You,cant,believe,he,left,you,alone?
c. It,must,be,so,hard,to,face,this,all,alone.
d. I,would,be,angry,,too;,raising,a,child,alone,is,no,picnic.
ANS:,C
An,empathetic,response,recognizes,the,feeling,and,puts,it,into,words.,It,names,the,feeling,,allow
s,its,expression,,and,strengthens,rapport.,Other,empathetic,responses,are,,This,must,be,very,har
d,for,you,,I,understand,,or,simply,placing,your,hand,on,the,persons,arm.,Simply,reflecting,the,per
sons,words,or,agreeing,with,the,person,is,not,an,empathetic,response.
13.,A,man,has,been,admitted,to,the,observation,unit,for,observation,after,being,treated,for,a,lar
ge,cut,on,his,forehead.,As,the,nurse,works,through,the,interview,,one,of,the,standard,questions,
ASSESSMENT AND DIAGNOSTIC
REASONING 3RD EDITION BY RHOADS
Chapter,1,Interview,and,History,Taking,Strategies
MULTIPLE,CHOICE
1.,The,nurse,is,conducting,an,interview,with,a,woman,who,has,recently,learned,that,she,is,pregn
ant,and,who,has,come,to,the,clinic,today,to,begin,prenatal,care.,The,woman,states,that,she,and,
her,husband,are,excited,about,the,pregnancy,but,have,a,few,questions.,She,looks,nervously,at,h
er,hands,during,the,interview,and,sighs,loudly.,Considering,the,concept,of,communication,,whic
h,statement,does,the,nurse,know,to,be,most,accurate?,The,woman,is:,a.,Excited,about,her,preg
nancy,but,nervous,about,the,labor.
b. Exhibiting,verbal,and,nonverbal,behaviors,that,do,not,match.
c. Excited,about,her,pregnancy,,but,her,husband,is,not,and,this,is,upsetting,to,her.
d.
Not,excited,about,her,pregnancy,but,believes,the,nurse,will,negatively,respo
nd,to,her,if,she,states,this.
ANS:,B
Communication,is,all,behaviors,,conscious,and,unconscious,,verbal,and,nonverbal.,All,behaviors,
have,meaning.,Her,behavior,does,not,imply,that,she,is,nervous,about,labor,,upset,by,her,husban
d,,or,worried,about,the,nurses,response.
2.,Receiving,is,a,part,of,the,communication,process.,Which,receiver,is,most,likely,to,misinterpret,
a,message,sent,by,a,health,care,professional?
a. Well-adjusted,adolescent,who,came,in,for,a,sports,physical
b. Recovering,alcoholic,who,came,in,for,a,basic,physical,examination
c. Man,whose,wife,has,just,been,diagnosed,with,lung,cancer
d.
Man,with,a,hearing,impairment,who,uses,sign,language,to,communicate,and,who,has,an,interpr
eter,with,him
ANS:,C
The,receiver,attaches,meaning,determined,by,his,or,her,experiences,,culture,,self-
concept,,and,current,physical,and,emotional,states.,The,man,whose,wife,has,just,been,diagnose
d,with,lung,cancer,may,be,experiencing,emotions,that,affect,his,receiving.
3.,The,nurse,makes,which,adjustment,in,the,physical,environment,to,promote,the,success,of,an,i
nterview?
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,the,room,cozy,and,helps,the,patient,relax
,d. Arranges,seating,across,a,desk,or,table,to,allow,the,patient,some,personal,space
ANS:,A
The,nurse,should,reduce,noise,by,turning,off,the,television,,radio,,and,other,unnecessary,equip
ment,,because,multiple,stimuli,are,confusing.,The,interviewer,and,patient,should,be,approximat
ely,4,to,5,feet,apart;,the,room,should,be,well-
lit,,enabling,the,interviewer,and,patient,to,see,each,other,clearly.,Having,a,table,or,desk,in,betwe
en,the,two,people,creates,the,idea,of,a,barrier;,equal-status,seating,,at,eye,level,,is,better.
4.,In,an,interview,,the,nurse,may,find,it,necessary,to,take,notes,to,aid,his,or,her,memory,later.,W
hich,statement,is,trueregarding,note-taking?
a.,Note-taking,may,impede,the,nurses,observation,of,the,patients,nonverbal,behaviors.
b.
Note-
taking,allows,the,patient,to,continue,at,his,or,her,own,pace,as,the,nurse,reco
rds,what,is,said.
c.
Note-
taking,allows,the,nurse,to,shift,attention,away,from,the,patient,,resulting,in,a
n,increased,comfort,level.
d.
Note-
taking,allows,the,nurse,to,break,eye,contact,with,the,patient,,which,may,increase,his,
or,her,level,of,comfort.
ANS:,A
The,use,of,history,forms,and,note-
taking,may,be,unavoidable.,However,,the,nurse,must,be,aware,that,note-
taking,during,the,interview,has,disadvantages.,It,breaks,eye,contact,too,often,and,shifts,the,atte
ntion,away,from,the,patient,,which,diminishes,his,or,her,sense,of,importance.,Notetaking,may,al
so,interrupt,the,patients,narrative,flow,,and,it,impedes,the,observation,of,the,patients,nonverba
l,behavior.
5.,The,nurse,asks,,I,would,like,to,ask,you,some,questions,about,your,health,and,your,usual,daily,a
ctivities,so,that,we,can,better,plan,your,stay,here.,This,question,is,found,at,the,__________,phas
e,of,the,interview,process.,a.,Summary
b. Closing
c. Body
d. Opening,or,introduction
ANS:,D
When,gathering,a,complete,history,,the,nurse,should,give,the,reason,for,the,interview,during,th
e,opening,or,introduction,phase,of,the,interview,,not,during,or,at,the,end,of,the,interview.
6.,A,woman,has,just,entered,the,emergency,department,after,being,battered,by,her,husband.,Th
e,nurse,needs,to,get,some,information,from,her,to,begin,treatment.,What,is,the,best,choice,for,a
n,opening,phase,of,the,interview,with,this,patient?,a.,Hello,,Nancy,,my,name,is,Mrs.,C.
,b. Hello,,Mrs.,H.,,my,name,is,Mrs.,C.,It,sure,is,cold,today!
c. Mrs.,H.,,my,name,is,Mrs.,C.,How,are,you?
d. Mrs.,H.,,my,name,is,Mrs.,C.,Ill,need,to,ask,you,a,few,questions,about,what,happened.
ANS:,D
Address,the,person,by,using,his,or,her,surname.,The,nurse,should,introduce,him,or,herself,and,gi
ve,the,reason,for,the,interview.,Friendly,small,talk,is,not,needed,to,build,rapport.
7.,During,an,interview,,the,nurse,states,,You,mentioned,having,shortness,of,breath.,Tell,me
,more,about,that.,Which,verbal,skill,is,used,with,this,statement?,a.,Reflection
b. Facilitation
c. Direct,question
d. Open-ended,question
ANS:,D
The,open-
ended,question,asks,for,narrative,information.,It,states,the,topic,to,be,discussed,but,only,in,gene
ral,terms.,The,nurse,should,use,it,to,begin,the,interview,,to,introduce,a,new,section,of,questions,
,and,whenever,the,person,introduces,a,new,topic.
8.,A,patient,has,finished,giving,the,nurse,information,about,the,reason,he,is,seeking,care.,When,r
eviewing,the,data,,the,nurse,finds,that,some,information,about,past,hospitalizations,is,missing.
At,this,point,,which,statement,by,the,nurse,would,be,most,appropriate,to,gather,these,data?,
a.,Mr.,Y.,,at,your,age,,surely,you,have,been,hospitalized,before!
b.,Mr.,Y.,,I,just,need,permission,to,get,your,medical,records,from,County,Medical.,c.
Mr.,Y.,,you,mentioned,that,you,have,been,hospitalized,on,several,occasions.
Would,you,tell,me,more,about,that?,
d.
Mr.,Y.,,I,just,need,to,get,some,additional,information,about,your,past,hospitalizations.,Whe
n,was,the,last,time,you,were,admitted,for,chest,pain?
ANS:,D
The,nurse,should,use,direct,questions,after,the,persons,opening,narrative,to,fill,in,any,details,he,
or,she,left,out.,The,nurse,also,should,use,direct,questions,when,specific,facts,are,needed,,such,as
,when,asking,about,past,health,problems,or,during,the,review,of,systems.
9.,In,using,verbal,responses,to,assist,the,patients,narrative,,some,responses,focus,on,the,patien
ts,frame,of,reference,and,some,focus,on,the,health,care,providers,perspective.,An,example,of,a,
verbal,response,that,focuses,on,the,health,care,providers,perspective,would,be:,a.,Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
ANS:,D
When,the,health,care,provider,uses,the,response,of,confrontation,,the,frame,of,reference,shifts,
from,the,patients,perspective,to,the,perspective,of,the,health,care,provider,,and,the,health,care,
provider,starts,to,express,his,or,her,own,thoughts,and,feelings.,Empathy,,reflection,,and,facilitati
on,responses,focus,on,the,patients,frame,of,reference.
, 10.,When,taking,a,history,from,a,newly,admitted,patient,,the,nurse,notices,that,he,often,pause
s,and,expectantly,looks,at,the,nurse.,What,would,be,the,nurses,best,response,to,this,behavior?,
a.,Be,silent,,and,allow,him,to,continue,when,he,is,ready.,b.
Smile,at,him,and,say,,Dont,worry,about,all,of,this.,Im,sure,we,can,find,out,why,youre,
having,these,pains.
c.,Lean,back,in,the,chair,and,ask,,You,are,looking,at,me,kind,of,funny;,there,isnt,anything,wrong,,is
here,d.
Stand,up,and,say,,I,can,see,that,this,interview,is,uncomfortable,for,you.,W
e,can,continue,it,another,time.
ANS:,A
Silent,attentiveness,communicates,that,the,person,has,time,to,think,and,to,organize,what,he,or,s
he,wishes,to,say,without,an,interruption,from,the,nurse.,Health,professionals,most,often,interru
pt,this,thinking,silence.,The,other,responses,are,not,conducive,to,ideal,communication.
11.,A,woman,is,discussing,the,problems,she,is,having,with,her,2-year-
old,son.,She,says,,He,wont,go,to,sleep,at,night,,and,during,the,day,he,has,several,fits.,I,get,so,ups
et,when,that,happens.
The,nurses,best,verbal,response,would,be:,
a.,Go,on,,Im,listening.
b. Fits?,Tell,me,what,you,mean,by,this.
c. Yes,,it,can,be,upsetting,when,a,child,has,a,fit.
d. Dont,be,upset,when,he,has,a,fit;,every,2,year,old,has,fits.
ANS:,B
The,nurse,should,use,clarification,when,the,persons,word,choice,is,ambiguous,or,confusing,(e.g.,
,Tell,me,what,you,mean,by,fits.).,Clarification,is,also,used,to,summarize,the,persons,words,or,to,si
mplify,the,words,to,make,them,clearer;,the,nurse,should,then,ask,if,he,or,she,is,on,the,right,track
.
12.,A,17-year-old,single,mother,is,describing,how,difficult,it,is,to,raise,a,3-year-
old,child,by,herself.,During,the,course,of,the,interview,she,states,,I,cant,believe,my,boyfriend,left
,me,to,do,this,by,myself!,What,a,terrible,thing,to,do,to,me!,Which,of,these,responses,by,the,nurs
e,uses,empathy?
a. You,feel,alone.
b. You,cant,believe,he,left,you,alone?
c. It,must,be,so,hard,to,face,this,all,alone.
d. I,would,be,angry,,too;,raising,a,child,alone,is,no,picnic.
ANS:,C
An,empathetic,response,recognizes,the,feeling,and,puts,it,into,words.,It,names,the,feeling,,allow
s,its,expression,,and,strengthens,rapport.,Other,empathetic,responses,are,,This,must,be,very,har
d,for,you,,I,understand,,or,simply,placing,your,hand,on,the,persons,arm.,Simply,reflecting,the,per
sons,words,or,agreeing,with,the,person,is,not,an,empathetic,response.
13.,A,man,has,been,admitted,to,the,observation,unit,for,observation,after,being,treated,for,a,lar
ge,cut,on,his,forehead.,As,the,nurse,works,through,the,interview,,one,of,the,standard,questions,
