Test Bank Complete_ Advanced Health Assessment and Diagnostic Reasoning 4th Edition, (2024) By Jacqueline Rhoads and Sandra Wiggins Petersen All Chapters 1-18| Verified Answers With Rationale

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Advanced Health Assessment and Diagnostic Reasoning ss ss ss ss ss



4th edition Rhoads ss
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TEST BANK ss




Chapter 1 Interview and History Taking Strategies
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MULTIPLE CHOICE ss




1. The nurse is conducting an interview with a woman who has recently learned that she is
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p regnant and who has come to the clinic today to begin prenatal care. The woman
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states that s he and her husband are excited about the pregnancy but have a few
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questions. She looks nerv ously at her hands during the interview and sighs loudly.
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Considering the concept of commu nication, which statement does the nurse know to be
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most accurate? The woman is:
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a. Excited about her pregnancy but nervous about the labor.
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b. Exhibiting verbal and nonverbal behaviors that do not match. ss ss ss ss ss ss ss ss


c. Excited about her pregnancy, but her husband is not and this is upsetting to
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h er. d.
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Not excited about her pregnancy but believes the nurse will negatively resp
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ond to her if she states this.
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ANS: B ss


Communication is all behaviors, conscious and unconscious, verbal and nonverbal. All ss ss ss ss ss ss ss ss ss ss


behavio rs have meaning. Her behavior does not imply that she is nervous about labor,
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upset by her h usband, or worried about the nurses response.
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2. Receiving is a part of the communication process. Which receiver is most
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likely to misinterpret a message sent by a health care professional?
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a. Well-adjusted adolescent who came in for a sports physical ss ss ss ss ss ss ss ss


b. Recovering alcoholic who came in for a basic physical examination ss ss ss ss ss ss ss ss ss


c. Man whose wife has just been diagnosed with lung
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canc er d.
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Man with a hearing impairment who uses sign language to communicate and who has an
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inter preter with him
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ANS: C ss


The receiver attaches meaning determined by his or her experiences, culture, self-
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concept, and current physical and emotional states. The man whose wife has just been
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diagnos ed with lung cancer may be experiencing emotions that affect his receiving.
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3. The nurse makes which adjustment in the physical environment to promote the success
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of an interview?
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a. Reduces noise by turning off televisions and radios ss ss ss ss ss ss ss


b. Reduces the distance between the interviewer and the patient to 2 feet or less
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c. Provides a dimmlight that makes the room cozy and helps the patient relax
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d. Arranges seating across a desk or table to allow the patient some personal
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spa ce ANS: A
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The nurse should reduce noise by turning off the television, radio, and other unnecessary
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equi pment, because multiple stimuli are confusing. The interviewer and patient should be
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approxi mately 4 to 5 feet apart; the room should be well-
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lit, enabling the interviewer and patient to see each other clearly. Having a table or desk in
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be tween the two people creates the idea of a barrier; equal-status seating, at eye level,
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is better.
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Material




4. In an interview, the nurse may find it necessary to take notes to aid his or her memory
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la ter. Which statement is trueregarding note-taking?
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a. Note-
taking may impede the nurses observation of the patients nonverbal behaviors.
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ssb. Note- ss


taking allows the patient to continue at his or her own pace as the nurse re
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cords what is said.
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c.
Note-
taking allows the nurse to shift attention away from the patient, resulting in
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a n increased comfort level.
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d.
Note-
taking allows the nurse to break eye contact with the patient, which may
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ssincr ease his or her level of comfort.
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ANS: A ss


The use of history forms and note-
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taking may be unavoidable. However, the nurse must be aware that note-
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taking during the interview has disadvantages. It breaks eye contact too often and shifts the
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att ention away from the patient,mwhich diminishes his or her sense of importance.
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Notetaking ma
ss y also interrupt the patients narrative flow, and it impedes the
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observation of the
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patients nonverbal behavior. ss ss




5. The nurse asks, I would like to ask you some questions about your health and your usual
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d aily activities so that we can better plan your stay here. This question is found
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s sat the ss


phase of the interview process. ss ss ss ss


a. Summary
b. Closing
c. Body
d. Opening or introductio ss ss


n ANS: D
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When gathering a complete history, the nurse should give the reason for the interview during
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t he opening or introduction phase of the interview, not during or at the end of the
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ssinterview.

6. A woman has just entered the emergency department after being battered by her husband.
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T he nurse needs to get some information from her to begin treatment. What is the
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best choice for an opening phase of the interview with this patient?
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a. Hello, Nancy, my name is Mrs. C. ss ss ss ss ss ss


b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
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c. Mrs. H., my name is Mrs. C. How are you?
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d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what
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happen ed. ANS: D
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Address the person by using his or her surname. The nurse should introduce him or
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herself an d give the reason for the interview. Friendly small talk is not needed to
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build rapport.
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7. During an interview, the nurse states, You mentioned having shortness of breath. Tell
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me more about that. Which verbal skill is used with this statement?
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