TEST BANK
Advanced HeaIth Assessment and Diagnostic Reasoning
4th edition Rhoads
Chapter 1 Interview and History Taking Strategies
MUITIPIE CHOICE
1. The nurse is conducting an interview with a woman who has recentIy
Iearned that she is pregnant and who has come to the cIinic today to begin
prenataI care. The woman states that she and her husband are excited
about the pregnancy but have a few questions. She Iooks nervousIy at her
hands during the interview and sighs IoudIy. 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 Iabor.
b. Exhibiting verbaI and nonverbaI 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 beIieves the nurse wiII
negativeIy respond to her if she states this.
ANS: B
Communication is aII behaviors, conscious and unconscious, verbaI and
nonverbaI. AII behaviors have meaning. Her behavior does not impIy that
she is nervous about Iabor, upset by her husband, or worried about the
nurses response.
2. Receiving is a part of the communication process. Which
receiver is most IikeIy to misinterpret a message sent by a heaIth
care professionaI?
a. WeII-adjusted adoIescent who came in for a sports physicaI
b. Recovering aIcohoIic who came in for a basic physicaI examination
c. Man whose wife has just been diagnosed with
Iung cancer d.
Man with a hearing impairment who uses sign Ianguage to communicate
and who has an interpreter with him
ANS: C
The receiver attaches meaning determined by his or her experiences,
cuIture, seIf-concept, and current physicaI and emotionaI states. The man
whose wife has just been diagnosed with Iung cancer may be experiencing
emotions that affect his receiving.
3. The nurse makes which adjustment in the physicaI environment to
promote the success of an interview?
a. Reduces noise by turning off teIevisions and radios
b. Reduces the distance between the interviewer and the patient to 2 feet or
Iess
c. Provides a dim Iight that makes the room cozy and heIps the patient reIax
d. Arranges seating across a desk or tabIe to aIIow the patient
some personaI space ANS: A
The nurse shouId reduce noise by turning off the teIevision, radio, and other
unnecessary equipment, because muItipIe stimuIi are confusing. The
interviewer and patient shouId be approximateIy 4 to 5 feet apart; the room
,shouId be weII-Iit, enabIing the interviewer and patient to see each other
cIearIy. Having a tabIe or desk in between the two peopIe creates the idea
of a barrier; equaI-status seating, at eye IeveI, is better.
,4. In an interview, the nurse may find it necessary to take notes to aid his
or her memory Iater. Which statement is trueregarding note-taking?
a. Note-taking may impede the nurses observation of the patients
nonverbaI behaviors. b.
Note-taking aIIows the patient to continue at his or her own
pace as the nurse records what is said.
c.
Note-taking aIIows the nurse to shift attention away from the
patient, resuIting in an increased comfort IeveI.
d.
Note-taking aIIows the nurse to break eye contact with the
patient, which may increase his or her IeveI of comfort.
ANS: A
The use of history forms and note-taking may be unavoidabIe. 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 aIso interrupt the patients narrative fIow, and it impedes
the observation of the
patients nonverbaI behavior.
5. The nurse asks, I wouId Iike to ask you some questions about your heaIth
and your usuaI daiIy activities so that we can better pIan your stay here.
This question is found at the
phase of the interview process.
a. Summary
b. CIosing
c. Body
d. Opening or
introduction ANS: D
When gathering a compIete history, the nurse shouId 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. HeIIo, Nancy, my name is Mrs. C.
b. HeIIo, Mrs. H., my name is Mrs. C. It sure is coId today!
c. Mrs. H., my name is Mrs. C. How are you?
d. Mrs. H., my name is Mrs. C. III need to ask you a few questions
about what happened. ANS: D
Address the person by using his or her surname. The nurse shouId introduce
him or herseIf and give the reason for the interview. FriendIy smaII taIk is
not needed to buiId rapport.
7. During an interview, the nurse states, You mentioned having
shortness of breath. TeII me more about that. Which verbaI skiII is used
with this statement?
a. RefIection
, b. FaciIitation
c. Direct question
d. Open-ended
question ANS: D
Advanced HeaIth Assessment and Diagnostic Reasoning
4th edition Rhoads
Chapter 1 Interview and History Taking Strategies
MUITIPIE CHOICE
1. The nurse is conducting an interview with a woman who has recentIy
Iearned that she is pregnant and who has come to the cIinic today to begin
prenataI care. The woman states that she and her husband are excited
about the pregnancy but have a few questions. She Iooks nervousIy at her
hands during the interview and sighs IoudIy. 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 Iabor.
b. Exhibiting verbaI and nonverbaI 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 beIieves the nurse wiII
negativeIy respond to her if she states this.
ANS: B
Communication is aII behaviors, conscious and unconscious, verbaI and
nonverbaI. AII behaviors have meaning. Her behavior does not impIy that
she is nervous about Iabor, upset by her husband, or worried about the
nurses response.
2. Receiving is a part of the communication process. Which
receiver is most IikeIy to misinterpret a message sent by a heaIth
care professionaI?
a. WeII-adjusted adoIescent who came in for a sports physicaI
b. Recovering aIcohoIic who came in for a basic physicaI examination
c. Man whose wife has just been diagnosed with
Iung cancer d.
Man with a hearing impairment who uses sign Ianguage to communicate
and who has an interpreter with him
ANS: C
The receiver attaches meaning determined by his or her experiences,
cuIture, seIf-concept, and current physicaI and emotionaI states. The man
whose wife has just been diagnosed with Iung cancer may be experiencing
emotions that affect his receiving.
3. The nurse makes which adjustment in the physicaI environment to
promote the success of an interview?
a. Reduces noise by turning off teIevisions and radios
b. Reduces the distance between the interviewer and the patient to 2 feet or
Iess
c. Provides a dim Iight that makes the room cozy and heIps the patient reIax
d. Arranges seating across a desk or tabIe to aIIow the patient
some personaI space ANS: A
The nurse shouId reduce noise by turning off the teIevision, radio, and other
unnecessary equipment, because muItipIe stimuIi are confusing. The
interviewer and patient shouId be approximateIy 4 to 5 feet apart; the room
,shouId be weII-Iit, enabIing the interviewer and patient to see each other
cIearIy. Having a tabIe or desk in between the two peopIe creates the idea
of a barrier; equaI-status seating, at eye IeveI, is better.
,4. In an interview, the nurse may find it necessary to take notes to aid his
or her memory Iater. Which statement is trueregarding note-taking?
a. Note-taking may impede the nurses observation of the patients
nonverbaI behaviors. b.
Note-taking aIIows the patient to continue at his or her own
pace as the nurse records what is said.
c.
Note-taking aIIows the nurse to shift attention away from the
patient, resuIting in an increased comfort IeveI.
d.
Note-taking aIIows the nurse to break eye contact with the
patient, which may increase his or her IeveI of comfort.
ANS: A
The use of history forms and note-taking may be unavoidabIe. 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 aIso interrupt the patients narrative fIow, and it impedes
the observation of the
patients nonverbaI behavior.
5. The nurse asks, I wouId Iike to ask you some questions about your heaIth
and your usuaI daiIy activities so that we can better pIan your stay here.
This question is found at the
phase of the interview process.
a. Summary
b. CIosing
c. Body
d. Opening or
introduction ANS: D
When gathering a compIete history, the nurse shouId 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. HeIIo, Nancy, my name is Mrs. C.
b. HeIIo, Mrs. H., my name is Mrs. C. It sure is coId today!
c. Mrs. H., my name is Mrs. C. How are you?
d. Mrs. H., my name is Mrs. C. III need to ask you a few questions
about what happened. ANS: D
Address the person by using his or her surname. The nurse shouId introduce
him or herseIf and give the reason for the interview. FriendIy smaII taIk is
not needed to buiId rapport.
7. During an interview, the nurse states, You mentioned having
shortness of breath. TeII me more about that. Which verbaI skiII is used
with this statement?
a. RefIection
, b. FaciIitation
c. Direct question
d. Open-ended
question ANS: D
