Test Bank
Advanced Health Assessment and Diagnostic Reasoning
4th Edition
by Jacqueline Rhoads
,Table of Contents
Part 1 Strategies for Effective Health
Assessment
Chapter 1 Interview and History-Taking Strategies
Chapter 2 Physical ExaminationStrategies
Chapter 3 Documentation Strategies
Chapter 4 Cultural and Spiritual Assessment
Chapter 5 Nutritional Assessment
Part 2 Advanced Assessment of Systemic Disorders
Chapter 6 Mental Health Disorders
Chapter 7 Integumentary Disorders
Chapter 8 Eye Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
Chapter 11 Respiratory Disorders
Chapter 12 Cardiovascular Disorders
Chapter 13 Endocrine Disorders
Chapter 14 Gastrointestinal Disorders
Chapter 15 Neurological Disorders
Chapter 16 Male Genitourinary Disorders
Chapter 17 Female Genitourinary and Breast Disorders
Chapter 18 Musculoskeletal Disorders
,Chapter 1 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
Complexity: Moderate .
Ahead: Functions of the Interview and HealthHistory
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
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
Complexity: Difficult
Ahead: Functions of the Interview and HealthHistory
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
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
Complexity:
Moderate Ahead:
Interviewing
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Recall
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 surethat 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
Complexity: Difficult
Ahead: Taking a Health
History Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
.
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
Complexity: Moderate
Ahead: Taking a Health
History Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
6. In the mnemonic devise PQRST, WHICH of the following includes describing
thelocation of the symptoms?
A) Precipitating factors
B) Quality
C) Radiation
D) Severit
y
ANSWE
R:
B
Complexity: Difficult
Ahead: Taking a Health
History Subject: Chapter 1
Title: Interview and History-Taking Strategies
SECTION 2
1. What is the current mnemonic device for taking a health history?
A) PQRST
B) CLIENT OUTCOMES
C) PRACTICE
D) GOOD MEDICINE
ANSWER: B
COMPLEXITY: EASY
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Recall
2. When taking a PMI, 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
COMPLEXITY: DIFFICULT
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking Strategies
Taxonomy: Remember
3. WHICH of the following is a first-degree relative to the PATIENT who has experienced premature
onset ofCVD?
A) Sister at 62
B) Cousin at 62
C) Aunt at 59
D) Grandfather at 44
ANSWER: A
COMPLEXITY: DIFFICULT
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: ANALYSIS
4. Recording the PATIENT’s occupation falls under WHICH category?
A) PHI
B) FH
C) SH
D) ROS
ANSW
ER: C
COMPLEXITY: EASY
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
, TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Recall
5. A focused ROS:
A) involves a wider range and shallower level of questions than a comprehensive ROS.
B) includes questions directed toward the systems most likely to be involved in the PATIENT’s symptoms.
C) includes questions seeking significant positives to narrow down the body systems affected.
D) covers all body systems.
ANSWER: B
COMPLEXITY: MODERATE
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Application
6. A PATIENT comes to the clinic complaining of repeated headaches and lightheadedness. As
theprovider takes a health history, he or she should:
A) perform a comprehensive ROS.
B) skip the social history in order to focus on the current issue.
C) focus her interest and questions on the PATIENT’s neurologic system.
D) spend a good deal of time assessing the reliability of the information she is getting.
ANSWER: C
COMPLEXITY: DIFFICULT
AHEAD: Taking a Health History
Subject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: ANALYSIS
TRUE/FALSE
1. TRUE or FALSE? A PATIENT’s recall of his or her current health needs and past health is subject
to errorand is also a critical component in the caregiving process.
ANSWER: TRUE
COMPLEXITY:
MODERATE
AHEAD: Functions of the Interview and Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Recall
2. TRUE or FALSE? Ethnocentrism, belief in the superiority of one’s own beliefs and values, is a
majorbarrier to establishing effective PATIENT–provider relationships.
ANSWER: TRUE
COMPLEXITY:
EASY AHEAD:
Interviewing
Subject: CHAPTER
1
TITLE: Interview and History-Taking Strategies
Advanced Health Assessment and Diagnostic Reasoning
4th Edition
by Jacqueline Rhoads
,Table of Contents
Part 1 Strategies for Effective Health
Assessment
Chapter 1 Interview and History-Taking Strategies
Chapter 2 Physical ExaminationStrategies
Chapter 3 Documentation Strategies
Chapter 4 Cultural and Spiritual Assessment
Chapter 5 Nutritional Assessment
Part 2 Advanced Assessment of Systemic Disorders
Chapter 6 Mental Health Disorders
Chapter 7 Integumentary Disorders
Chapter 8 Eye Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
Chapter 11 Respiratory Disorders
Chapter 12 Cardiovascular Disorders
Chapter 13 Endocrine Disorders
Chapter 14 Gastrointestinal Disorders
Chapter 15 Neurological Disorders
Chapter 16 Male Genitourinary Disorders
Chapter 17 Female Genitourinary and Breast Disorders
Chapter 18 Musculoskeletal Disorders
,Chapter 1 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
Complexity: Moderate .
Ahead: Functions of the Interview and HealthHistory
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
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
Complexity: Difficult
Ahead: Functions of the Interview and HealthHistory
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
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
Complexity:
Moderate Ahead:
Interviewing
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Recall
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 surethat 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
Complexity: Difficult
Ahead: Taking a Health
History Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
.
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
Complexity: Moderate
Ahead: Taking a Health
History Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
6. In the mnemonic devise PQRST, WHICH of the following includes describing
thelocation of the symptoms?
A) Precipitating factors
B) Quality
C) Radiation
D) Severit
y
ANSWE
R:
B
Complexity: Difficult
Ahead: Taking a Health
History Subject: Chapter 1
Title: Interview and History-Taking Strategies
SECTION 2
1. What is the current mnemonic device for taking a health history?
A) PQRST
B) CLIENT OUTCOMES
C) PRACTICE
D) GOOD MEDICINE
ANSWER: B
COMPLEXITY: EASY
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Recall
2. When taking a PMI, 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
COMPLEXITY: DIFFICULT
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking Strategies
Taxonomy: Remember
3. WHICH of the following is a first-degree relative to the PATIENT who has experienced premature
onset ofCVD?
A) Sister at 62
B) Cousin at 62
C) Aunt at 59
D) Grandfather at 44
ANSWER: A
COMPLEXITY: DIFFICULT
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: ANALYSIS
4. Recording the PATIENT’s occupation falls under WHICH category?
A) PHI
B) FH
C) SH
D) ROS
ANSW
ER: C
COMPLEXITY: EASY
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
, TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Recall
5. A focused ROS:
A) involves a wider range and shallower level of questions than a comprehensive ROS.
B) includes questions directed toward the systems most likely to be involved in the PATIENT’s symptoms.
C) includes questions seeking significant positives to narrow down the body systems affected.
D) covers all body systems.
ANSWER: B
COMPLEXITY: MODERATE
AHEAD: Taking a Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Application
6. A PATIENT comes to the clinic complaining of repeated headaches and lightheadedness. As
theprovider takes a health history, he or she should:
A) perform a comprehensive ROS.
B) skip the social history in order to focus on the current issue.
C) focus her interest and questions on the PATIENT’s neurologic system.
D) spend a good deal of time assessing the reliability of the information she is getting.
ANSWER: C
COMPLEXITY: DIFFICULT
AHEAD: Taking a Health History
Subject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: ANALYSIS
TRUE/FALSE
1. TRUE or FALSE? A PATIENT’s recall of his or her current health needs and past health is subject
to errorand is also a critical component in the caregiving process.
ANSWER: TRUE
COMPLEXITY:
MODERATE
AHEAD: Functions of the Interview and Health
HistorySubject: CHAPTER 1
TITLE: Interview and History-Taking
STRATEGIES TAXONOMY: Recall
2. TRUE or FALSE? Ethnocentrism, belief in the superiority of one’s own beliefs and values, is a
majorbarrier to establishing effective PATIENT–provider relationships.
ANSWER: TRUE
COMPLEXITY:
EASY AHEAD:
Interviewing
Subject: CHAPTER
1
TITLE: Interview and History-Taking Strategies
