Advanced Health Assessment and Diagnostic Reasoning 3rd edition Rhoads
ss ss ss ss ss ss ss ss
TEST BANK
ss
,Chapter ss1 ssInterview ssand ssHistory ssTaking ssStrategies
MULTIPLE ssCHOICE
1. The ssnurse ssis ssconducting ssan ssinterview sswith ssa sswoman sswho sshas ssrecently sslearned ssthat
ssshe ssis sspregnant ssand sswho sshas sscome ssto ssthe ssclinic sstoday ssto ssbegin ssprenatal sscare. ssThe
sswoman ssstates ssthat ssshe ssand ssher sshusband ssare ssexcited ssabout ssthe sspregnancy ssbut sshave ssa
ssfew ssquestions. ssShe sslooks ssnervously ssat ssher sshands ssduring ssthe ssinterview ssand sssighs ssloudly.
ssConsidering ssthe ssconcept ssof sscommunication, sswhich ssstatement ssdoes ssthe ssnurse ssknow ssto
ssbe ssmost ssaccurate? ssThe sswoman ssis:
a. Excited ssabout ssher sspregnancy ssbut ssnervous ssabout ssthe sslabor.
b. Exhibiting ssverbal ssand ssnonverbal ssbehaviors ssthat ssdo ssnot ssmatch.
c. Excited ssabout ssher sspregnancy, ssbut ssher sshusband ssis ssnot ssand ssthis ssis ssupsetting
ssto ssher. ssd.
Not ssexcited ssabout ssher sspregnancy ssbut ssbelieves ssthessnurse sswill ssnegatively
ssrespond ssto ssher ssif ssshe ssstates ssthis.
ANS: ssB
Communication ssis ssall ssbehaviors, ssconscious ssand ssunconscious, ssverbal ssand ssnonverbal. ssAll
ssbehaviors sshave ssmeaning. ssHer ssbehavior ssdoes ssnot ssimply ssthat ssshe ssis ssnervous ssabout sslabor,
ssupset ssby ssher sshusband, ssor ssworried ssabout ssthe ssnurses ssresponse.
2. Receiving ssis ssa sspart ssof ssthe sscommunication ssprocess. ssWhich ssreceiver ssis ssmost
sslikely ssto ssmisinterpret ssa ssmessage sssent ssby ssa sshealth sscare ssprofessional?
a. Well-adjusted ssadolescent sswho sscame ssin ssfor ssa sssports ssphysical
b. Recovering ssalcoholic sswho sscame ssin ssfor ssa ssbasic ssphysical ssexamination
c. Man sswhose sswife sshas ssjust ssbeen ssdiagnosed sswith sslung
sscancer ssd.
Man sswith ssa sshearing ssimpairment sswho ssuses sssign sslanguage ssto sscommunicate ssand sswho sshas ssan
ssinterpreter sswith sshim
ANS: ssC
The ssreceiver ssattaches ssmeaning ssdetermined ssby sshis ssor ssher ssexperiences, ssculture, ssself-concept,
ssand sscurrent ssphysical ssand ssemotional ssstates. ssThe ssman sswhose sswife sshas ssjust ssbeen ssdiagnosed
sswith sslung sscancer ssmay ssbe ssexperiencing ssemotions ssthat ssaffect sshis ssreceiving.
3. The ssnurse ssmakes sswhich ssadjustment ssin ssthe ssphysical ssenvironment ssto sspromote ssthe
sssuccess ssof ssan ssinterview?
a. Reduces ssnoise ssby ssturning ssoffsstelevisions ssand ssradios
b. Reduces ssthe ssdistance ssbetween ssthe ssinterviewer ssand ssthe sspatient ssto ss2 ssfeet ssor ssless
c. Provides ssa ssdim sslight ssthat ssmakes ssthe ssroom sscozy ssand sshelps ssthe sspatient ssrelax
d. Arranges ssseating ssacross ssa ssdesk ssor sstable ssto ssallow ssthe sspatient sssome sspersonal
ssspace ssANS: ssA
The ssnurse ssshould ssreduce ssnoise ssby ssturning ssoff ssthe sstelevision, ssradio, ssand ssother
ssunnecessary ssequipment, ssbecause ssmultiple ssstimuli ssare ssconfusing. ssThe ssinterviewer ssand
sspatient ssshould ssbe ssapproximately ss4 ssto ss5 ssfeet ssapart; ssthe ssroom ssshould ssbe sswell-lit, ssenabling
ssthe ssinterviewer ssand sspatient ssto sssee sseach ssother ssclearly. ssHaving ssa sstable ssor ssdesk ssin ssbetween
ssthe sstwo sspeople sscreates ssthe ssidea ssof ssa ssbarrier; ssequal-status ssseating, ssat sseye sslevel, ssis ssbetter.
,4. In ssan ssinterview, ssthe ssnurse ssmay ssfind ssit ssnecessary ssto sstake ssnotes ssto ssaid sshis ssor ssher
ssmemory sslater. ssWhich ssstatement ssis sstrueregarding ssnote-taking?
a. Note-taking ssmay ssimpede ssthe ssnurses ssobservation ssof ssthe sspatients ssnonverbal
ssbehaviors. ssb.
Note-taking ssallows ssthe sspatient ssto sscontinue ssat sshis ssor ssher ssown sspace ssas
ssthe ssnurse ssrecords sswhat ssis sssaid.
c.
Note-taking ssallows ssthe ssnurse ssto ssshift ssattention ssaway ssfrom ssthe sspatient,
ssresulting ssin ssan ssincreased sscomfort sslevel.
d.
Note-taking ssallows ssthe ssnurse ssto ssbreak sseye sscontact sswith ssthe sspatient, sswhich
ssmay ssincrease sshis ssor ssher sslevel ssof sscomfort.
ANS: ssA
The ssuse ssof sshistory ssforms ssand ssnote-taking ssmay ssbe ssunavoidable. ssHowever, ssthe ssnurse ssmust ssbe
ssaware ssthat ssnote-taking ssduring ssthe ssinterview sshas ssdisadvantages. ssIt ssbreaks sseye sscontact sstoo
ssoften ssand ssshifts ssthe ssattention ssaway ssfrom ssthe sspatient, sswhich ssdiminishes sshis ssor ssher sssense ssof
ssimportance. ssNotetaking ssmay ssalso ssinterrupt ssthe sspatients ssnarrative ssflow, ssand ssit ssimpedes
ssthe ssobservation ssof ssthe
patients ssnonverbal ssbehavior.
5. The ssnurse ssasks, ssI sswould sslike ssto ssask ssyou sssome ssquestions ssabout ssyour sshealth ssand ssyour
ssusual ssdaily ssactivities ssso ssthat sswe sscan ssbetter ssplan ssyour ssstay sshere. ssThis ssquestion ssis ssfound
ssat ssthe ss
ssphase ssof ssthe ssinterview ssprocess.
a. Summary
b. Closing
c. Body
d. Opening ssor
ssintroduction ssANS: ssD
When ssgathering ssa sscomplete sshistory, ssthe ssnurse ssshould ssgive ssthe ssreason ssfor ssthe ssinterview
ssduring ssthe ssopening ssor ssintroduction ssphase ssof ssthe ssinterview, ssnot ssduring ssor ssat ssthe ssend ssof
ssthe ssinterview.
6. A sswoman sshas ssjust ssentered ssthe ssemergency ssdepartment ssafter ssbeing ssbattered ssby ssher
sshusband. ssThe ssnurse ssneeds ssto ssget sssome ssinformation ssfrom ssher ssto ssbegin sstreatment. ssWhat
ssis ssthe ssbest sschoice ssfor ssan ssopening ssphase ssof ssthe ssinterview sswith ssthis sspatient?
a. Hello, ssNancy, ssmy ssname ssis ssMrs. ssC.
b. Hello, ssMrs. ssH., ssmy ssname ssis ssMrs. ssC. ssIt sssure ssis sscold sstoday!
c. Mrs. ssH., ssmy ssname ssis ssMrs. ssC. ssHow ssare ssyou?
d. Mrs. ssH., ssmy ssname ssis ssMrs. ssC. ssIll ssneed ssto ssask ssyou ssa ssfew ssquestions ssabout sswhat
sshappened. ssANS: ssD
Address ssthe ssperson ssby ssusing sshis ssor ssher sssurname. ssThe ssnurse ssshould ssintroduce sshim ssor
ssherself ssand ssgive ssthe ssreason ssfor ssthe ssinterview. ssFriendly sssmall sstalk ssis ssnot ssneeded ssto ssbuild
ssrapport.
7. During ssan ssinterview, ssthe ssnurse ssstates, ssYou ssmentioned sshaving ssshortness ssof ssbreath.
ssTell ssme ssmore ssabout ssthat. ssWhich ssverbal ssskill ssis ssused sswith ssthis ssstatement?
a. Reflection
b. Facilitation
, c. Direct ssquestion
d. Open-ended
ssquestion ssANS: ssD
ss ss ss ss ss ss ss ss
TEST BANK
ss
,Chapter ss1 ssInterview ssand ssHistory ssTaking ssStrategies
MULTIPLE ssCHOICE
1. The ssnurse ssis ssconducting ssan ssinterview sswith ssa sswoman sswho sshas ssrecently sslearned ssthat
ssshe ssis sspregnant ssand sswho sshas sscome ssto ssthe ssclinic sstoday ssto ssbegin ssprenatal sscare. ssThe
sswoman ssstates ssthat ssshe ssand ssher sshusband ssare ssexcited ssabout ssthe sspregnancy ssbut sshave ssa
ssfew ssquestions. ssShe sslooks ssnervously ssat ssher sshands ssduring ssthe ssinterview ssand sssighs ssloudly.
ssConsidering ssthe ssconcept ssof sscommunication, sswhich ssstatement ssdoes ssthe ssnurse ssknow ssto
ssbe ssmost ssaccurate? ssThe sswoman ssis:
a. Excited ssabout ssher sspregnancy ssbut ssnervous ssabout ssthe sslabor.
b. Exhibiting ssverbal ssand ssnonverbal ssbehaviors ssthat ssdo ssnot ssmatch.
c. Excited ssabout ssher sspregnancy, ssbut ssher sshusband ssis ssnot ssand ssthis ssis ssupsetting
ssto ssher. ssd.
Not ssexcited ssabout ssher sspregnancy ssbut ssbelieves ssthessnurse sswill ssnegatively
ssrespond ssto ssher ssif ssshe ssstates ssthis.
ANS: ssB
Communication ssis ssall ssbehaviors, ssconscious ssand ssunconscious, ssverbal ssand ssnonverbal. ssAll
ssbehaviors sshave ssmeaning. ssHer ssbehavior ssdoes ssnot ssimply ssthat ssshe ssis ssnervous ssabout sslabor,
ssupset ssby ssher sshusband, ssor ssworried ssabout ssthe ssnurses ssresponse.
2. Receiving ssis ssa sspart ssof ssthe sscommunication ssprocess. ssWhich ssreceiver ssis ssmost
sslikely ssto ssmisinterpret ssa ssmessage sssent ssby ssa sshealth sscare ssprofessional?
a. Well-adjusted ssadolescent sswho sscame ssin ssfor ssa sssports ssphysical
b. Recovering ssalcoholic sswho sscame ssin ssfor ssa ssbasic ssphysical ssexamination
c. Man sswhose sswife sshas ssjust ssbeen ssdiagnosed sswith sslung
sscancer ssd.
Man sswith ssa sshearing ssimpairment sswho ssuses sssign sslanguage ssto sscommunicate ssand sswho sshas ssan
ssinterpreter sswith sshim
ANS: ssC
The ssreceiver ssattaches ssmeaning ssdetermined ssby sshis ssor ssher ssexperiences, ssculture, ssself-concept,
ssand sscurrent ssphysical ssand ssemotional ssstates. ssThe ssman sswhose sswife sshas ssjust ssbeen ssdiagnosed
sswith sslung sscancer ssmay ssbe ssexperiencing ssemotions ssthat ssaffect sshis ssreceiving.
3. The ssnurse ssmakes sswhich ssadjustment ssin ssthe ssphysical ssenvironment ssto sspromote ssthe
sssuccess ssof ssan ssinterview?
a. Reduces ssnoise ssby ssturning ssoffsstelevisions ssand ssradios
b. Reduces ssthe ssdistance ssbetween ssthe ssinterviewer ssand ssthe sspatient ssto ss2 ssfeet ssor ssless
c. Provides ssa ssdim sslight ssthat ssmakes ssthe ssroom sscozy ssand sshelps ssthe sspatient ssrelax
d. Arranges ssseating ssacross ssa ssdesk ssor sstable ssto ssallow ssthe sspatient sssome sspersonal
ssspace ssANS: ssA
The ssnurse ssshould ssreduce ssnoise ssby ssturning ssoff ssthe sstelevision, ssradio, ssand ssother
ssunnecessary ssequipment, ssbecause ssmultiple ssstimuli ssare ssconfusing. ssThe ssinterviewer ssand
sspatient ssshould ssbe ssapproximately ss4 ssto ss5 ssfeet ssapart; ssthe ssroom ssshould ssbe sswell-lit, ssenabling
ssthe ssinterviewer ssand sspatient ssto sssee sseach ssother ssclearly. ssHaving ssa sstable ssor ssdesk ssin ssbetween
ssthe sstwo sspeople sscreates ssthe ssidea ssof ssa ssbarrier; ssequal-status ssseating, ssat sseye sslevel, ssis ssbetter.
,4. In ssan ssinterview, ssthe ssnurse ssmay ssfind ssit ssnecessary ssto sstake ssnotes ssto ssaid sshis ssor ssher
ssmemory sslater. ssWhich ssstatement ssis sstrueregarding ssnote-taking?
a. Note-taking ssmay ssimpede ssthe ssnurses ssobservation ssof ssthe sspatients ssnonverbal
ssbehaviors. ssb.
Note-taking ssallows ssthe sspatient ssto sscontinue ssat sshis ssor ssher ssown sspace ssas
ssthe ssnurse ssrecords sswhat ssis sssaid.
c.
Note-taking ssallows ssthe ssnurse ssto ssshift ssattention ssaway ssfrom ssthe sspatient,
ssresulting ssin ssan ssincreased sscomfort sslevel.
d.
Note-taking ssallows ssthe ssnurse ssto ssbreak sseye sscontact sswith ssthe sspatient, sswhich
ssmay ssincrease sshis ssor ssher sslevel ssof sscomfort.
ANS: ssA
The ssuse ssof sshistory ssforms ssand ssnote-taking ssmay ssbe ssunavoidable. ssHowever, ssthe ssnurse ssmust ssbe
ssaware ssthat ssnote-taking ssduring ssthe ssinterview sshas ssdisadvantages. ssIt ssbreaks sseye sscontact sstoo
ssoften ssand ssshifts ssthe ssattention ssaway ssfrom ssthe sspatient, sswhich ssdiminishes sshis ssor ssher sssense ssof
ssimportance. ssNotetaking ssmay ssalso ssinterrupt ssthe sspatients ssnarrative ssflow, ssand ssit ssimpedes
ssthe ssobservation ssof ssthe
patients ssnonverbal ssbehavior.
5. The ssnurse ssasks, ssI sswould sslike ssto ssask ssyou sssome ssquestions ssabout ssyour sshealth ssand ssyour
ssusual ssdaily ssactivities ssso ssthat sswe sscan ssbetter ssplan ssyour ssstay sshere. ssThis ssquestion ssis ssfound
ssat ssthe ss
ssphase ssof ssthe ssinterview ssprocess.
a. Summary
b. Closing
c. Body
d. Opening ssor
ssintroduction ssANS: ssD
When ssgathering ssa sscomplete sshistory, ssthe ssnurse ssshould ssgive ssthe ssreason ssfor ssthe ssinterview
ssduring ssthe ssopening ssor ssintroduction ssphase ssof ssthe ssinterview, ssnot ssduring ssor ssat ssthe ssend ssof
ssthe ssinterview.
6. A sswoman sshas ssjust ssentered ssthe ssemergency ssdepartment ssafter ssbeing ssbattered ssby ssher
sshusband. ssThe ssnurse ssneeds ssto ssget sssome ssinformation ssfrom ssher ssto ssbegin sstreatment. ssWhat
ssis ssthe ssbest sschoice ssfor ssan ssopening ssphase ssof ssthe ssinterview sswith ssthis sspatient?
a. Hello, ssNancy, ssmy ssname ssis ssMrs. ssC.
b. Hello, ssMrs. ssH., ssmy ssname ssis ssMrs. ssC. ssIt sssure ssis sscold sstoday!
c. Mrs. ssH., ssmy ssname ssis ssMrs. ssC. ssHow ssare ssyou?
d. Mrs. ssH., ssmy ssname ssis ssMrs. ssC. ssIll ssneed ssto ssask ssyou ssa ssfew ssquestions ssabout sswhat
sshappened. ssANS: ssD
Address ssthe ssperson ssby ssusing sshis ssor ssher sssurname. ssThe ssnurse ssshould ssintroduce sshim ssor
ssherself ssand ssgive ssthe ssreason ssfor ssthe ssinterview. ssFriendly sssmall sstalk ssis ssnot ssneeded ssto ssbuild
ssrapport.
7. During ssan ssinterview, ssthe ssnurse ssstates, ssYou ssmentioned sshaving ssshortness ssof ssbreath.
ssTell ssme ssmore ssabout ssthat. ssWhich ssverbal ssskill ssis ssused sswith ssthis ssstatement?
a. Reflection
b. Facilitation
, c. Direct ssquestion
d. Open-ended
ssquestion ssANS: ssD
