NURS 525 EXAM 4 (CH 1-6) QUESTION & ANSWERS
Which of the following will best facilitate the inter- view when obtaining a history from a
deaf patient who can read lips?
a. Speaking loudly
b. Using gestures
c. Speaking slowly
d. Sitting to the side of the patient - Answer -c
Approximately what percentage of patients interviewed have a sexual orientation other
than heterosexual?
a. 2% b. 5%c. 10% d. 20% - Answer -c
During a history, the patient indicates that he has an uncle and a brother with sickle cell
disease. Which of the following is an appropriate method by which to document this
information?
a. Document this as chief complaint.
b. Include it in the family history.
c. Include this in past medical history.
d. Incorporate this information in the social history. - Answer -b
Which approach is recommended at the onset of an interview?
a. Ask questions in a structured manner.
b. Introduce yourself, giving details of your background and qualifications.
c. Be open-ended, letting the patient explain the problem or reason for the visit.
d. Start with the family history and past medical history to determine the underlying
problem. - Answer -c
Which of the following questions would be the most likely to elicit an inaccurate patient
response?
a. "Where do you feel the pain?"
b. "How does this situation make you feel?"
c. "What happened after you noticed your injury?"
d. "That was a horrible experience, wasn't it?" - Answer -d
Repeating a patient's answer is an attempt to
a. confirm an accurate understanding.
b. discourage patient anger or hostility.
c. teach the patient new medical terms.
d. allow the patient to change his or her response. - Answer -a
Which of the following is unique to a pediatric history?
a. Family history
,b. Developmental history
c. Social history
d. Past medical history - Answer -b
When interviewing an adolescent who is reluctant to talk during an interview, it is best to
a. tell the patient you must have honest answers to your questions.
b. reassure the patient that information discussed is confidential.
c. inform the patient that adolescents often have trouble expressing their feelings.
d. obtain the history from a parent or other family member - Answer -b
During an interview, your patient admits to feeling worthless and having a sleep
disturbance for the past 3 weeks. These are clues that warrant the exploration of
a. risk for suicide.
b. split personality.
c. cognitive function.
d. functional assessment. - Answer -a
Mrs. Carol Turner is a 38-year-old mother who brings her 1-year-old son in for health
care. Which of the following requests to the child's mother would be most appropriate
for the interviewer to make at the beginning of the interview?
a. "Mom, please place your son in your lap."
b. "Carol, please place your son in your lap."
c. "Mrs. Turner, please place your son in your lap."
d. "Sweetie, please place your son in your lap." - Answer -c
Which type of questionnaire concerning drug and alcohol use is advocated, although
not clinically validated, for adolescent patients?
a. TACE
b. CAGE
c. CRAFFT
d. DDST - Answer -c
Jerry, a 26-year-old homosexual man, is having a health history taken. Which question
regarding sexual activity would most likely hamper trust between Jerry and the
interviewer?
a. "Are you married, or do you have a girlfriend?"
b. "Tell me about your living situation."
c. "Are you sexually active?"
d. "Are your partners men, women, or both?" - Answer -a
A conversation with a parent concerning a 5-year-old child
a. violates the child's need for privacy.
b. is inappropriate because the child is able to talk with you.
c. provides significant information about family
dynamics.
d. causes distrust in the child toward the examiner. - Answer -c
, Long periods of silence during an interview may indicate
a. a need for the healthcare provider to increase the pace of the interview.
b. an inability of the patient to communicate.
c. time needed to gain courage to discuss a painful topic.
d. a need to terminate the interview because of the patient's inability to pay attention. -
Answer -c
When questioning a patient regarding a sensitive issue, such as drug use, it is best to
a. begin by describing to the patient the effects of drug abuse on health.
b. be direct, firm, and to the point.
c. explain that the information will be shared only with healthcare workers.
d. apologize to the patient for asking personal questions - Answer -b
Direct questions are designed to
a. attack sensitive material head on.
b. demonstrate to the patient who is in charge of the interview process.
c. ensure confidentiality.
d. obtain or clarify specific details about an answer - Answer -d
Interviewers should identify and assess their own feelings, such as hostility and
prejudice, in order to
a. avoid inappropriate behavior.
b. explain their biases to patients.
c. express their idiosyncrasies.
d. reduce communication barriers. - Answer -d
During an interview, a patient describes abdominal pain that often awakens him at night.
Which of the following responses by the interviewer would facilitate the interviewing
process?
a. "Constipation can cause abdominal pain."
b. "Do you need a sleeping medication?"
c. "Pain is always worse at night, isn't it?"
d. "Tell me what you mean by often." - Answer -d
When taking a patient's history, you are asked questions about your personal life. What
is the best response to facilitate the interviewing process?
a. answer briefly and then refocus to the patient's history.
b. Give as much detail as possible about the asked information.
c. Ignore the question and continue with the patient's history.
d. Tell the patient that it is inappropriate to answer personal questions - Answer -a
During an interview, the patient describes problems associated with an illness and
begins to cry. The best action in this situation is to
a. stop the interview and reschedule for another time.
b. allow the patient to cry and then resume when the patient is ready.
Which of the following will best facilitate the inter- view when obtaining a history from a
deaf patient who can read lips?
a. Speaking loudly
b. Using gestures
c. Speaking slowly
d. Sitting to the side of the patient - Answer -c
Approximately what percentage of patients interviewed have a sexual orientation other
than heterosexual?
a. 2% b. 5%c. 10% d. 20% - Answer -c
During a history, the patient indicates that he has an uncle and a brother with sickle cell
disease. Which of the following is an appropriate method by which to document this
information?
a. Document this as chief complaint.
b. Include it in the family history.
c. Include this in past medical history.
d. Incorporate this information in the social history. - Answer -b
Which approach is recommended at the onset of an interview?
a. Ask questions in a structured manner.
b. Introduce yourself, giving details of your background and qualifications.
c. Be open-ended, letting the patient explain the problem or reason for the visit.
d. Start with the family history and past medical history to determine the underlying
problem. - Answer -c
Which of the following questions would be the most likely to elicit an inaccurate patient
response?
a. "Where do you feel the pain?"
b. "How does this situation make you feel?"
c. "What happened after you noticed your injury?"
d. "That was a horrible experience, wasn't it?" - Answer -d
Repeating a patient's answer is an attempt to
a. confirm an accurate understanding.
b. discourage patient anger or hostility.
c. teach the patient new medical terms.
d. allow the patient to change his or her response. - Answer -a
Which of the following is unique to a pediatric history?
a. Family history
,b. Developmental history
c. Social history
d. Past medical history - Answer -b
When interviewing an adolescent who is reluctant to talk during an interview, it is best to
a. tell the patient you must have honest answers to your questions.
b. reassure the patient that information discussed is confidential.
c. inform the patient that adolescents often have trouble expressing their feelings.
d. obtain the history from a parent or other family member - Answer -b
During an interview, your patient admits to feeling worthless and having a sleep
disturbance for the past 3 weeks. These are clues that warrant the exploration of
a. risk for suicide.
b. split personality.
c. cognitive function.
d. functional assessment. - Answer -a
Mrs. Carol Turner is a 38-year-old mother who brings her 1-year-old son in for health
care. Which of the following requests to the child's mother would be most appropriate
for the interviewer to make at the beginning of the interview?
a. "Mom, please place your son in your lap."
b. "Carol, please place your son in your lap."
c. "Mrs. Turner, please place your son in your lap."
d. "Sweetie, please place your son in your lap." - Answer -c
Which type of questionnaire concerning drug and alcohol use is advocated, although
not clinically validated, for adolescent patients?
a. TACE
b. CAGE
c. CRAFFT
d. DDST - Answer -c
Jerry, a 26-year-old homosexual man, is having a health history taken. Which question
regarding sexual activity would most likely hamper trust between Jerry and the
interviewer?
a. "Are you married, or do you have a girlfriend?"
b. "Tell me about your living situation."
c. "Are you sexually active?"
d. "Are your partners men, women, or both?" - Answer -a
A conversation with a parent concerning a 5-year-old child
a. violates the child's need for privacy.
b. is inappropriate because the child is able to talk with you.
c. provides significant information about family
dynamics.
d. causes distrust in the child toward the examiner. - Answer -c
, Long periods of silence during an interview may indicate
a. a need for the healthcare provider to increase the pace of the interview.
b. an inability of the patient to communicate.
c. time needed to gain courage to discuss a painful topic.
d. a need to terminate the interview because of the patient's inability to pay attention. -
Answer -c
When questioning a patient regarding a sensitive issue, such as drug use, it is best to
a. begin by describing to the patient the effects of drug abuse on health.
b. be direct, firm, and to the point.
c. explain that the information will be shared only with healthcare workers.
d. apologize to the patient for asking personal questions - Answer -b
Direct questions are designed to
a. attack sensitive material head on.
b. demonstrate to the patient who is in charge of the interview process.
c. ensure confidentiality.
d. obtain or clarify specific details about an answer - Answer -d
Interviewers should identify and assess their own feelings, such as hostility and
prejudice, in order to
a. avoid inappropriate behavior.
b. explain their biases to patients.
c. express their idiosyncrasies.
d. reduce communication barriers. - Answer -d
During an interview, a patient describes abdominal pain that often awakens him at night.
Which of the following responses by the interviewer would facilitate the interviewing
process?
a. "Constipation can cause abdominal pain."
b. "Do you need a sleeping medication?"
c. "Pain is always worse at night, isn't it?"
d. "Tell me what you mean by often." - Answer -d
When taking a patient's history, you are asked questions about your personal life. What
is the best response to facilitate the interviewing process?
a. answer briefly and then refocus to the patient's history.
b. Give as much detail as possible about the asked information.
c. Ignore the question and continue with the patient's history.
d. Tell the patient that it is inappropriate to answer personal questions - Answer -a
During an interview, the patient describes problems associated with an illness and
begins to cry. The best action in this situation is to
a. stop the interview and reschedule for another time.
b. allow the patient to cry and then resume when the patient is ready.
