ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC
REASONING 5TH EDITION (JONES & BARTLETT, 2024) BY
JACQUELINE RHOADS AND SANDRA WIGGINS PETERSEN,
ISBN NO; 9781284295306, ALL 18 CHAPTERS COVERED
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, Test Bank for Advanced Health Assessment and Diagnostic Reasoning
5th Edition (Jones & Bartlett, 2024) by Jacqueline Rhoads and Sandra
Wiggins Petersen, Isbn no; 9781284295306, all 18 Chapters Covered
TABLE OF CONTENTS
Part 1: Strategies for Effective Health Assessment
1. Interview & History-Taking Strategies
2. Physical Examination Strategies
3. Documentation Strategies
4. Cultural & Spiritual Assessment
5. Nutritional Assessment
Part 2: Advanced Assessment of Systemic Disorders
6. Mental Health Disorders
7. Integumentary (Skin) Disorders
8. Eye Disorders
9. Ear Disorders
10. Nose, Sinus, Mouth & Throat Disorders
11. Respiratory Disorders
12. Cardiovascular Disorders
13. Endocrine Disorders
14. Gastrointestinal Disorders
15. Neurological Disorders
16. Male Genitourinary Disorders
17. Female Genitourinary & Breast Disorders
18. Musculoskeletal Disorders
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, Test Bank for Advanced Health Assessment and Diagnostic Reasoning
5th Edition (Jones & Bartlett, 2024) by Jacqueline Rhoads and Sandra
Wiggins Petersen, Isbn no; 9781284295306, all 18 Chapters Covered
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 pregnant 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 her hands during the interview and sighs loudly. Considering the
concept of communication, which statement does the nurse know to be most accurate? The
woman is:
a. Excited about her pregnancy 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 respond 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 husband, 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
interpreter 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 diagnosed
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 interview?
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
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, 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
equipment, because multiple stimuli are confusing. The interviewer and patient should be
approximately 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 between 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. Which statement is true regarding note-taking?
a. Note-taking may impede the nurse’s observation of the patient’s nonverbal
behaviors.
b. Note-taking allows the patient to continue at his or her own pace as the nurse records
what is said.
c. Note-taking allows the nurse to shift attention away from the patient, resulting in an
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 attention away from the patient, which diminishes his or her sense of
importance. Notetaking may also interrupt the patient’s narrative flow, and it impedes the
observation of the patient’s nonverbal behavior.
5. The nurse asks, I would like to ask you some questions about your health and your
usual daily activities so that we can better plan your stay here. This question is found at the
phase 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 the 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. The nurse needs to get some information from her to begin treatment. What is the
best choice for an opening phase of the interview with this patient?
a. Hello, Nancy, my name is Mrs. C.
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