HEALTH ASSESSMENT
QUESTIONS BANK
(NGN-Style & Case Scenarios)
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,1. 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
Correct Answer: A) Note-taking may impede the nurse's observation of
the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable.
But be aware that note-taking during the interview has disadvantages. It
breaks eye contact too often, and it shifts attention away from the patient,
which diminishes his or her sense of importance. It also may interrupt the
patient's narrative flow, and it impedes the observation of the patient's
nonverbal behavior.
2. During an interview, the nurse states, "You mentioned shortness of
breath. Tell me more about that." Which verbal skill is used with this
statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
Correct Answer:- D) Open-ended question
,Page: 32 The open-ended question asks for narrative information. It states
the topic to be discussed but only in general terms. The nurse should use it
to begin the interview, to introduce a new section of questions, and
whenever the person introduces a new topic.
3. A nurse is taking complete health histories on all of the patients
attending a wellness workshop. On the history form, one of the
written questions asks, "You don't smoke, drink, or take drugs, do
you?" This question is an example of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics
Correct Answer: C) using biased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking,
"You don't smoke, do you?" implies that one answer is "better" than
another. If the person wants to please someone, he or she is either forced
to answer in a way corresponding to their implied values or is made to feel
guilty when admitting the other answer.
4. During an interview, a parent of a hospitalized child is sitting in an
open position. As the interviewer begins to discuss his son's
treatment, however, he suddenly crosses his arms against his chest
and crosses his legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment
Correct Answer: D) uncomfortable talking about his son's treatment.
,Page: 37 Note the person's position. An open position with the extension of
large muscle groups shows relaxation, physical comfort, and a willingness
to share information. A closed position with the arms and legs crossed
tends to look defensive and anxious. Note any change in posture. If a
person in a relaxed position suddenly tenses, it suggests possible
discomfort with the new topic.
5. The nurse is interviewing a patient who has a hearing impairment.
What techniques would be most beneficial in communicating with this
patient?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired
people find this degrading.
C) Request a sign language interpreter before meeting with him to help
facilitate the communication.
D) Speak loudly and with exaggerated facial movement when talking with
him because this helps with lip reading
Correct Answer: A) Determine the communication method he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers lip
reading, then the nurse should be sure to face him or her squarely and
have good lighting on the nurse's face. The nurse should not exaggerate lip
movements because this distorts words. Similarly, shouting distorts the
reception of a hearing aid the person may wear. The nurse should speak
slowly and should supplement his or her voice with appropriate hand
gestures or pantomime.
6. The nurse is performing a health interview on a patient who has a
language barrier, and no interpreter is available. Which is the best
example of an appropriate question for the nurse to ask in this
situation?
,A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?
Correct Answer: A) "Do you take medicine?"
Page: 46 In a situation where there is a language barrier and no interpreter
available, use simple words avoiding medical jargon. Avoid using
contractions and pronouns. Use nouns repeatedly and discuss one topic at
a time.
7. A female patient does not speak English well, and the nurse needs
to choose an interpreter. Which of the following would be the most
appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies
department
Correct Answer:- A) A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter,
preferably one who knows medical terminology. In general, an older, more
mature interpreter is preferred to a younger, less experienced one, and the
same gender is preferred when possible.
8. The nurse is conducting an interview. Which of these statements is
true regarding open-ended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
,E) They call for short one- to two-word answers.
F) They are used when narrative information is needed
Correct Answer: B) They allow for self-expression.
C) They build and enhance rapport.
F) They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport,
and obtain narrative information. These features enhance communication
during an interview. The other statements are appropriate for closed or
direct questions.
9. The nurse is conducting an interview in an outpatient clinic and is
using a computer to record data. Which is the best use of the
computer in this situation? Select all that apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing
Correct Answer: A) Collect the patient's data in a direct, face-to-face
manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should
begin the interview as usual by greeting the patient, establishing rapport,
and collecting the patient's narrative story in a direct face-to-face manner.
Only after the narrative is fully explored should the nurse type data into the
computer. When typing, the nurse should position the monitor so that the
patient can see it.
,10. During an assessment, the nurse notices that a patient is handling
a small charm that is tied to a leather strip around his neck. Which
action by the nurse is appropriate?
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital's
safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary
Correct Answer: A) Ask the patient about the item and its significance.
Page: 21 The nurse should inquire about the amulet's meaning. Amulets,
such as charms, are often seen as an important means of protection from
"evil spirits" by some cultures.
11. In the majority culture of America, coughing, sweating, and
diarrhea are symptoms of an illness. For some individuals of Mexican-
American origin, however, these symptoms are a normal part of living.
The nurse recognizes that this is true, probably because Mexican-
Americans:
A) have less efficient immune systems and are often ill.
B) consider these symptoms a part of normal living, not symptoms of ill
health.
C) come from Mexico and coughing is normal and healthy there.
D) are usually in a lower socioeconomic group and are more likely to be
sick
Correct Answer: B) consider these symptoms a part of normal living, not
symptoms of ill health.
Page: 27 The nurse needs to identify the meaning of health to the patient,
remembering that concepts are derived, in part, from the way in which
members of the cultural group define health.
,12. Among many Asians there is a belief in the yin/yang theory, rooted
in the ancient Chinese philosophy of Tao. The nurse recognizes which
statement that most accurately reflects "health" in an Asian with this
belief?
A) A person is able to work and produce.
B) A person is happy, stable, and feels good.
C) All aspects of the person are in perfect balance.
D) A person is able to care for others and function socially
Correct Answer: C) All aspects of the person are in perfect balance.
Page: 21 Many Asians believe in the yin/yang theory, in which health is
believed to exist when all aspects of the person are in perfect balance. The
other statements do not describe this theory.
13. An individual who takes the magicoreligious perspective of illness
and disease is likely to believe that his or her illness was caused by:
A) germs and viruses.
B) supernatural forces.
C) eating imbalanced foods.
D) an imbalance within his or her spiritual nature
Correct Answer: B) supernatural forces.
Page: 21 The basic premise of the magicoreligious perspective is that the
world is seen as an arena in which supernatural forces dominate. The fate
of the world and those in it depends on the actions of supernatural forces
for good or evil. The other answers do not reflect the magicoreligious
perspective.
14. If an American Indian has come to the clinic to seek help with
regulating her diabetes, the nurse can expect that she:
A) will comply with the treatment prescribed.
, B) has obviously given up her beliefs in naturalistic causes of disease.
C) may also be seeking the assistance of a shaman or medicine man.
D) will need extra help in dealing with her illness and may be experiencing
a crisis of faith
Correct Answer: C) may also be seeking the assistance of a shaman or
medicine man.
Page: 23 When self-treatment is unsuccessful, the individual may turn to
the lay or folk healing systems, to spiritual or religious healing, or to
scientific biomedicine. In addition to seeking help from a biomedical or
scientific health care provider, patients may also seek help from folk or
religious healers.
15. An elderly Mexican-American woman with traditional beliefs has
been admitted to an inpatient care unit. A culturally-sensitive nurse
would:
A) contact the hospital administrator about the best course of action.
B) automatically get a curandero for her because it is not culturally
appropriate for her to request one.
C) further assess the patient's cultural beliefs and offer the patient
assistance in contacting a curandero or priest if she desires.
D) ask the family what they would like to do because Mexican-Americans
traditionally give control of decisions to their families
Correct Answer: C) further assess the patient's cultural beliefs and offer
the patient assistance in contacting a curandero or priest if she desires.
Pages: 22-23 In addition to seeking help from the biomedical/scientific
health care provider, patients may also seek help from folk or religious
healers. Some people, such as those of Mexican-American or American
Indian origins, may believe that the cure is incomplete unless the body,
mind, and spirit are also healed (although the division of the person into
parts is a Western concept).