health assessment test bank 1 exam
questions with latest update
a - Answer-When taking a history from a newly admitted patient, the nurse notices
that he often pauses and expectantly looks at the nurse. What would be the nurses
best response to this behavior?
a. Be silent, and allow him to continue when he is ready.
b. Smile at him and say, Dont worry about all of this. Im sure we can find out why
youre having these pains.
c. Lean back in the chair and ask, You are looking at me kind of funny; there isnt
anything wrong, is there?
d. Stand up and say, I can see that this interview is uncomfortable for you. We can
continue it another time.
b - Answer-A woman is discussing the problems she is having with her 2-year-old
son. She says, He wont go to sleep at night, and during the day he has several fits. I
get so upset when that happens. The nurses best verbal response would be:
a. Go on, Im listening.
b. Fits? Tell me what you mean by this.
c. Yes, it can be upsetting when a child has a fit.
d. Dont be upset when he has a fit; every 2 year old has fits.
c - Answer-A 17-year-old single mother is describing how difficult it is to raise a 3-
year-old child by herself. During the course of the interview she states, I cant believe
my boyfriend left me to do this by myself! What a terrible thing to do to me! Which of
these responses by the nurse uses empathy?
a. You feel alone.
b. You cant believe he left you alone?
c. It must be so hard to face this all alone.
d. I would be angry, too; raising a child alone is no picnic.
d - Answer-A man has been admitted to the observation unit for observation after
being treated for a large cut on his forehead. As the nurse works through the
interview, one of the standard questions has to do with alcohol, tobacco, and drug
use. When the nurse asks him about tobacco use, he states, I quit smoking after my
, wife died 7 years ago. However, the nurse notices an open pack of cigarettes in his
shirt pocket. Using confrontation, the nurse could say:
a. Mr. K., I know that you are lying.
b. Mr. K., come on, tell me how much you smoke.
c. Mr. K., I didnt realize your wife had died. It must be difficult for you at this time.
Please tell me more about that.
d. Mr. K., you have said that you dont smoke, but I see that you have an open pack
of cigarettes in your pocket.
b - Answer-The nurse has used interpretation regarding a patients statement or
actions. After using this technique, it would be best for the nurse to:
a. Apologize, because using interpretation can be demeaning for the patient.
b. Allow time for the patient to confirm or correct the inference.
c.
Continue with the interview as though nothing has happened.
d. Immediately restate the nurses conclusion on the basis of the patients nonverbal
response
c - Answer-During an interview, a woman says, I have decided that I can no longer
allow my children to live with their fathers violence, but I just cant seem to leave him.
Using interpretation, the nurses best response would be:
a. You are going to leave him?
b. If you are afraid for your children, then why cant you leave?
c. It sounds as if you might be afraid of how your husband will respond.
d. It sounds as though you have made your decision. I think it is a good one.
b - Answer-A pregnant woman states, I just know labor will be so painful that I wont
be able to stand it. I know it sounds awful, but I really dread going into labor. The
nurse responds by stating, Oh, dont worry about labor so much. I have been through
it, and although it is painful, many good medications are available to decrease the
pain. Which statement is true regarding this response? The nurses reply was a:
a. Therapeutic response. By sharing something personal, the nurse gives hope to
this woman.
b. Nontherapeutic response. By providing false reassurance, the nurse actually cut
off further discussion of the womans fears.
questions with latest update
a - Answer-When taking a history from a newly admitted patient, the nurse notices
that he often pauses and expectantly looks at the nurse. What would be the nurses
best response to this behavior?
a. Be silent, and allow him to continue when he is ready.
b. Smile at him and say, Dont worry about all of this. Im sure we can find out why
youre having these pains.
c. Lean back in the chair and ask, You are looking at me kind of funny; there isnt
anything wrong, is there?
d. Stand up and say, I can see that this interview is uncomfortable for you. We can
continue it another time.
b - Answer-A woman is discussing the problems she is having with her 2-year-old
son. She says, He wont go to sleep at night, and during the day he has several fits. I
get so upset when that happens. The nurses best verbal response would be:
a. Go on, Im listening.
b. Fits? Tell me what you mean by this.
c. Yes, it can be upsetting when a child has a fit.
d. Dont be upset when he has a fit; every 2 year old has fits.
c - Answer-A 17-year-old single mother is describing how difficult it is to raise a 3-
year-old child by herself. During the course of the interview she states, I cant believe
my boyfriend left me to do this by myself! What a terrible thing to do to me! Which of
these responses by the nurse uses empathy?
a. You feel alone.
b. You cant believe he left you alone?
c. It must be so hard to face this all alone.
d. I would be angry, too; raising a child alone is no picnic.
d - Answer-A man has been admitted to the observation unit for observation after
being treated for a large cut on his forehead. As the nurse works through the
interview, one of the standard questions has to do with alcohol, tobacco, and drug
use. When the nurse asks him about tobacco use, he states, I quit smoking after my
, wife died 7 years ago. However, the nurse notices an open pack of cigarettes in his
shirt pocket. Using confrontation, the nurse could say:
a. Mr. K., I know that you are lying.
b. Mr. K., come on, tell me how much you smoke.
c. Mr. K., I didnt realize your wife had died. It must be difficult for you at this time.
Please tell me more about that.
d. Mr. K., you have said that you dont smoke, but I see that you have an open pack
of cigarettes in your pocket.
b - Answer-The nurse has used interpretation regarding a patients statement or
actions. After using this technique, it would be best for the nurse to:
a. Apologize, because using interpretation can be demeaning for the patient.
b. Allow time for the patient to confirm or correct the inference.
c.
Continue with the interview as though nothing has happened.
d. Immediately restate the nurses conclusion on the basis of the patients nonverbal
response
c - Answer-During an interview, a woman says, I have decided that I can no longer
allow my children to live with their fathers violence, but I just cant seem to leave him.
Using interpretation, the nurses best response would be:
a. You are going to leave him?
b. If you are afraid for your children, then why cant you leave?
c. It sounds as if you might be afraid of how your husband will respond.
d. It sounds as though you have made your decision. I think it is a good one.
b - Answer-A pregnant woman states, I just know labor will be so painful that I wont
be able to stand it. I know it sounds awful, but I really dread going into labor. The
nurse responds by stating, Oh, dont worry about labor so much. I have been through
it, and although it is painful, many good medications are available to decrease the
pain. Which statement is true regarding this response? The nurses reply was a:
a. Therapeutic response. By sharing something personal, the nurse gives hope to
this woman.
b. Nontherapeutic response. By providing false reassurance, the nurse actually cut
off further discussion of the womans fears.
