Test Bank For Advanced Health Assessment and Diagnostic Reasoning 3rd Edition by Jacqueline Rhoads For Advanced Health Assessment and Diagnostic Reasoning 3rd Edition by Jacqueline Rhoads

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Advanced Health Assessment and Diagnostic Reasoning 3 rd edition Rhoads
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TEST BANK S S




Chapter 1 Interview and History Taking Strategies MULTIPLE
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CHOICE
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1. The nurse is conducting an interview with a woman who has recently learned that she is p
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regnant and who has come to the clinic today to begin prenatal care. The woman states
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that s he and her husband are excited about the pregnancy but have a few questions. She looks
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nerv ously at her hands during the interview and sighs loudly. Considering the concept of commu
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nication, 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.
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c. Excited about her pregnancy, but her husband is not and this is upsetting to h er.
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d.
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Not excited about her pregnancy but believes the nurse will negatively resp ond to
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her if she states this.
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ANS: B SS




Communication is all behaviors, conscious and unconscious, verbal and nonverbal. All behavio rs have
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meaning. Her behavior does not imply that she is nervous about labor, upset by her h usband, or
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worried about the nurses response.
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2. Receiving is a part of the communication process. Which receiver is most likely to
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misinterpret a message sent by a health care professional?
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a. Well-adjusted adolescent who came in for a sports physical SS SS SS SS SS SS SS SS




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




c. Man whose wife has just been diagnosed with lung canc er
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d.
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Man with a hearing impairment who uses sign language to communicate and who has an inter
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preter with him
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ANS: C SS




The receiver attaches meaning determined by his or her experiences, culture, self-
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concept, and current physical and emotional states. The man whose wife has just been diagnos ed
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S S with lung cancer may be experiencing emotions that affect his receiving.
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3. The nurse makes which adjustment in the physical environment to promote the success of an
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interview?
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a. Reduces noise by turning off televisions and radios
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b. Reduces the distance between the interviewer and the patient to 2 feet or less
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c. Provides a dimmlight 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 some personal spa ce
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ANS: A
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The nurse should reduce noise by turning off the television, radio, and other unnecessary equi
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pment, because multiple stimuli are confusing. The interviewer and patient should be approxi
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mately 4 to 5 feet apart; the room should be well-
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lit, enabling the interviewer and patient to see each other clearly. Having a table or desk in be
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tween the two people creates the idea of a 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 her memory la ter.
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SS Which statement is trueregarding note-taking?
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a. Note-
taking may impede the nurses observation of the patients nonverbal behaviors. b.
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SS Note-
taking allows the patient to continue at his or her own pace as the nurse re
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SS cords what is said. SS SS SS




c.
Note-
taking allows the nurse to shift attention away from the patient, resulting in a n
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SS increased comfort level. SS SS




d.
Note-
taking allows the nurse to break eye contact with the patient, which may incr
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SS ease his or her level of comfort.
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ANS: A SS




The use of history forms and note-
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taking may be unavoidable. However, the nurse must be aware that note-
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taking during the interview has disadvantages. It breaks eye contact too often and shifts the att
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SS ention away from the patient,mwhich diminishes his or her sense of importance. Notetaking ma
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S S y also interrupt the patients narrative flow, and it impedes the observation of the
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patients nonverbal behavior. SS SS




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




a. Summary
b. Closing
c. Body
d. Opening or introductio n SS SS SS




SS ANS: D SS




When gathering a complete history, the nurse should give the reason for the interview during t he
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SS opening or introduction phase of the interview, not during or at the end of the
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SS interview.
6. A woman has just entered the emergency department after being battered by her husband. T he
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SS nurse needs to get some information from her to begin treatment. What is the best
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