Test Bank For Advanced Health Assessment
And Diagnostic Reasoning 5th Edition By
Jacqueline Rhoads, All Chapters Covered.
,Test Bank
Chapter1 Interviewandhistorytakingstrategies Multiplechoice
1. Thenurseisconductinganinterviewwithawomanwhohasrecentlylearnedthatsheis
Pregnantandwhohascometotheclinictodaytobeginprenatalcare.Thewomanstatesthatshe
Andherhusbandareexcitedabouthepregnancybuthaveafewquestions.Shelooksnervously
Atherhandsduringtheinterviewandsighsloudly.Consideringtheconceptofcommunication,
Whichstatementdoesthenurseknowtobemostacurate?Thewomanis:
A.Excitedaboutherpregnancybutnervousabouthelabor.
B.Exhibitingverbalandnonverbalbehaviorsthatdonotmatch.
C.Excitedaboutherpregnancy,Buth erhusbandisnotandthisisupsetingtoher.
D. Notexcitedaboutherpregnancybutbelievesthenursewilnegatively
Respondtoherifshestatesthis.
Ans:B
Communicationisalbehaviors,Consciousandunconscious,Verbalandnonverbal.Albehavior
s Havemeaning.Herbehaviordoesnotimplythatsheisnervousaboutlabor,Upsetbyher
Husband,Orworiedabouthenursesresponse.
2. Receivingisapartofthecommunicationproces.Whichreceiverismostlikelyt O
Misinterpretamesagesentbyahealthcareprofesional?
A.Wel-Adjustedadolescentwhocameinforasportsphysical
B.Recoveringalcoholicwhocameinforabasicphysicalexamination
C.Manwhosewifehasjustbendiagnosedwithlungcancer
D. Manwithahearingimpairmentwhousesignlanguagetocommunicateandwhohasan
Interpreterwithhim
Ans:C
Thereceiveratachesmeaningdeterminedbyhisorherexperiences,Culture,Self -Concept,And
Curentphysicalandemotionalstates.Themanwhosewifehasjustbendiagnosedwithlung
Cancermaybeexperiencingemotionsthataffecthisreceiving.
3. Thenursemakeswhichadjustmentinthephysicalenvironmentopromotethesucesofa
N Interview?
A.Reducesnoisebyturningofftelevisionsandradios
B.Reducesthedistancebetwentheinterviewerandthepatiento2fetorles
C.Providesadimlighthatmakestheroomcozyandhelpsthepatientrelax
D.Arangeseatingacrosadeskortabletoalowthepatientsomepersonalspace Ans:A
,Thenurseshouldreducenoisebyturningoffthetelevision,Radio,Andotherunnecesary
Equipment,Becausemultiplestimuliareconfusing.Theinterviewerandpatientshouldbe
Approximately4to5fetapart;Theroomshouldbewel-Lit,Enablingtheinterviewerandpatient
Tose Eachotherclearly.Havingatableordeskinbetwenthetwopeoplecreatestheideaofa
Barier;Equal-Statuseating,Ateyelevel,Isbeter.
4. Inaninterview,Thenursemayfniditnecesarytotakenotestoaidhisorhermemorylater.
Whichstatementistrueregardingnote-Taking?
A. Note-Takingmayimpedethenursesobservationofthepatientsnonverbalbehaviors. B.
Note-Takingalowsthepatientocontinueathisorherownpaceasthenurse Recordswhatisaid.
C.
Note-Takingalowsthenursetoshiftatentionawayfromthepatient,Resulting
Inanincreasedcomfortlevel.
D.
Note-Takingalowsthenursetobreakeyecontactwiththepatient,Whichmay
Increasehisorherlevelofcomfort.
Ans:A
Theuseofhistoryformsandnote-
Takingmaybeunavoidable.However,Thenursemustbeaware Thatnote -
Takingduringtheinterviewhasdisadvantages.Itbreakseyecontactoooftenandshifts
Theatentionawayfromthepatient,Whichdiminisheshisorhersenseofimportance.Notetaking
Mayalsointerupthepatientsnarativefolw,Anditimpedestheobservationofthe
Patientsnonverbalbehavior.
5.
Thenurseasks,Iwouldliketoaskyousomequestionsaboutyourhealthandyourusualdai
l Y Activitiesothatwecanbeterplanyourstayhere.Thisquestionisfoundat He
Phaseoftheinterviewproces.
A.Summary B.Closing C.Body
D.Openingorintroduction Ans:D
Whengatheringacompletehistory,Thenurseshouldgivethereasonfortheinterviewduringthe
Openingorintroductionphaseoftheinterview,Notduringoratheendoftheinterview.
, 6.
Awomanhasjustenteredtheemergencydepartmentafterbeingbateredbyherhusband.T
hE
Nursenedstogetsomeinformationfromhertobegintreatment.Whatisthebestchoiceforan
Openingphaseoftheinterviewwiththispatient?
A.Helo,Nancy,Mynameismrs.C. B.Helo,Mrs.H.,Mynameismrs.C.Itsureiscoldtoday!
C.Mrs.H.,Mynameismrs.C.Howareyou?
D.Mrs.H.,Mynameismrs.C.Ilnedtoaskyouafewquestionsaboutwhathappened. Ans:D
Addresthepersonbyusinghisorhersurname.Thenurseshouldintroducehimorherselfand
Givethereasonfortheinterview.Friendlysmaltalkisnotnededtobuildrapport.
7. Duringaninterview,Thenursestates,Youmentionedhavingshortnesofbreath.Telm E
Moreabouthat.Whichverbalskilisusedwiththistatement?
A. Refelction B.Facilitation
C.Directquestion D.Open-Endedquestion Ans:D
Theopen-Endedquestionasksfornarativeinformation.Itstatesthetopictobediscusedbut
Onlyingeneralterms.Thenurseshoulduseitobegintheinterview,Tointroduceanewsection
Ofquestions,Andwheneverthepersonintroducesanewtopic.
8. Apatienthasfinishedgivingthenurseinformationabouthereasonheisekingcare.When
Reviewingthedata,Thenursefindsthatsomeinformationaboutpasthospitalizationsismising.
Athispoint,Whichstatementbythenursewouldbemostappropriatetogatherthesedata?
A.Mr.Y.,Atyourage,Surelyyouhavebenhospitalizedbefore!
B.Mr.Y.,Ijustnedpermisiontogetyourmedicalrecordsfromcountymedical.
C. Mr.Y.,Youmentionedthatyouhavebenhospitalizedonseveralocasions.
Wouldyoutelmemoreabouthat?
D. Mr.Y.,Ijustnedtogetsomeadditionalinformationaboutyourpasthospitalizations.
Whenwasthelastimeyouwereadmitedforchestpain?
Ans:D
Thenurseshouldusedirectquestionsafterthepersonsopeningnarativetofilinanydetailshe
Orsheleftout.Thenursealsoshouldusedirectquestionswhenspecificfactsareneded,Suchas
Whenaskingaboutpasthealthproblemsorduringthereviewofsystems.
And Diagnostic Reasoning 5th Edition By
Jacqueline Rhoads, All Chapters Covered.
,Test Bank
Chapter1 Interviewandhistorytakingstrategies Multiplechoice
1. Thenurseisconductinganinterviewwithawomanwhohasrecentlylearnedthatsheis
Pregnantandwhohascometotheclinictodaytobeginprenatalcare.Thewomanstatesthatshe
Andherhusbandareexcitedabouthepregnancybuthaveafewquestions.Shelooksnervously
Atherhandsduringtheinterviewandsighsloudly.Consideringtheconceptofcommunication,
Whichstatementdoesthenurseknowtobemostacurate?Thewomanis:
A.Excitedaboutherpregnancybutnervousabouthelabor.
B.Exhibitingverbalandnonverbalbehaviorsthatdonotmatch.
C.Excitedaboutherpregnancy,Buth erhusbandisnotandthisisupsetingtoher.
D. Notexcitedaboutherpregnancybutbelievesthenursewilnegatively
Respondtoherifshestatesthis.
Ans:B
Communicationisalbehaviors,Consciousandunconscious,Verbalandnonverbal.Albehavior
s Havemeaning.Herbehaviordoesnotimplythatsheisnervousaboutlabor,Upsetbyher
Husband,Orworiedabouthenursesresponse.
2. Receivingisapartofthecommunicationproces.Whichreceiverismostlikelyt O
Misinterpretamesagesentbyahealthcareprofesional?
A.Wel-Adjustedadolescentwhocameinforasportsphysical
B.Recoveringalcoholicwhocameinforabasicphysicalexamination
C.Manwhosewifehasjustbendiagnosedwithlungcancer
D. Manwithahearingimpairmentwhousesignlanguagetocommunicateandwhohasan
Interpreterwithhim
Ans:C
Thereceiveratachesmeaningdeterminedbyhisorherexperiences,Culture,Self -Concept,And
Curentphysicalandemotionalstates.Themanwhosewifehasjustbendiagnosedwithlung
Cancermaybeexperiencingemotionsthataffecthisreceiving.
3. Thenursemakeswhichadjustmentinthephysicalenvironmentopromotethesucesofa
N Interview?
A.Reducesnoisebyturningofftelevisionsandradios
B.Reducesthedistancebetwentheinterviewerandthepatiento2fetorles
C.Providesadimlighthatmakestheroomcozyandhelpsthepatientrelax
D.Arangeseatingacrosadeskortabletoalowthepatientsomepersonalspace Ans:A
,Thenurseshouldreducenoisebyturningoffthetelevision,Radio,Andotherunnecesary
Equipment,Becausemultiplestimuliareconfusing.Theinterviewerandpatientshouldbe
Approximately4to5fetapart;Theroomshouldbewel-Lit,Enablingtheinterviewerandpatient
Tose Eachotherclearly.Havingatableordeskinbetwenthetwopeoplecreatestheideaofa
Barier;Equal-Statuseating,Ateyelevel,Isbeter.
4. Inaninterview,Thenursemayfniditnecesarytotakenotestoaidhisorhermemorylater.
Whichstatementistrueregardingnote-Taking?
A. Note-Takingmayimpedethenursesobservationofthepatientsnonverbalbehaviors. B.
Note-Takingalowsthepatientocontinueathisorherownpaceasthenurse Recordswhatisaid.
C.
Note-Takingalowsthenursetoshiftatentionawayfromthepatient,Resulting
Inanincreasedcomfortlevel.
D.
Note-Takingalowsthenursetobreakeyecontactwiththepatient,Whichmay
Increasehisorherlevelofcomfort.
Ans:A
Theuseofhistoryformsandnote-
Takingmaybeunavoidable.However,Thenursemustbeaware Thatnote -
Takingduringtheinterviewhasdisadvantages.Itbreakseyecontactoooftenandshifts
Theatentionawayfromthepatient,Whichdiminisheshisorhersenseofimportance.Notetaking
Mayalsointerupthepatientsnarativefolw,Anditimpedestheobservationofthe
Patientsnonverbalbehavior.
5.
Thenurseasks,Iwouldliketoaskyousomequestionsaboutyourhealthandyourusualdai
l Y Activitiesothatwecanbeterplanyourstayhere.Thisquestionisfoundat He
Phaseoftheinterviewproces.
A.Summary B.Closing C.Body
D.Openingorintroduction Ans:D
Whengatheringacompletehistory,Thenurseshouldgivethereasonfortheinterviewduringthe
Openingorintroductionphaseoftheinterview,Notduringoratheendoftheinterview.
, 6.
Awomanhasjustenteredtheemergencydepartmentafterbeingbateredbyherhusband.T
hE
Nursenedstogetsomeinformationfromhertobegintreatment.Whatisthebestchoiceforan
Openingphaseoftheinterviewwiththispatient?
A.Helo,Nancy,Mynameismrs.C. B.Helo,Mrs.H.,Mynameismrs.C.Itsureiscoldtoday!
C.Mrs.H.,Mynameismrs.C.Howareyou?
D.Mrs.H.,Mynameismrs.C.Ilnedtoaskyouafewquestionsaboutwhathappened. Ans:D
Addresthepersonbyusinghisorhersurname.Thenurseshouldintroducehimorherselfand
Givethereasonfortheinterview.Friendlysmaltalkisnotnededtobuildrapport.
7. Duringaninterview,Thenursestates,Youmentionedhavingshortnesofbreath.Telm E
Moreabouthat.Whichverbalskilisusedwiththistatement?
A. Refelction B.Facilitation
C.Directquestion D.Open-Endedquestion Ans:D
Theopen-Endedquestionasksfornarativeinformation.Itstatesthetopictobediscusedbut
Onlyingeneralterms.Thenurseshoulduseitobegintheinterview,Tointroduceanewsection
Ofquestions,Andwheneverthepersonintroducesanewtopic.
8. Apatienthasfinishedgivingthenurseinformationabouthereasonheisekingcare.When
Reviewingthedata,Thenursefindsthatsomeinformationaboutpasthospitalizationsismising.
Athispoint,Whichstatementbythenursewouldbemostappropriatetogatherthesedata?
A.Mr.Y.,Atyourage,Surelyyouhavebenhospitalizedbefore!
B.Mr.Y.,Ijustnedpermisiontogetyourmedicalrecordsfromcountymedical.
C. Mr.Y.,Youmentionedthatyouhavebenhospitalizedonseveralocasions.
Wouldyoutelmemoreabouthat?
D. Mr.Y.,Ijustnedtogetsomeadditionalinformationaboutyourpasthospitalizations.
Whenwasthelastimeyouwereadmitedforchestpain?
Ans:D
Thenurseshouldusedirectquestionsafterthepersonsopeningnarativetofilinanydetailshe
Orsheleftout.Thenursealsoshouldusedirectquestionswhenspecificfactsareneded,Suchas
Whenaskingaboutpasthealthproblemsorduringthereviewofsystems.
