ADVANCED HEALTH ASSESSMENT 4TH
EDITION TEST BANK COMPLETE CHAPTER
SOLUTIONS BY JACQUELINE RHOADS
◉ Which statement is appropriate to use when beginning an
interview with a new patient?
a. "Have you ever been a patient in this clinic before?"
b. "What is your purpose for coming to the clinic today?"
c. "Tell me a little about yourself and your family."
d. "Did you have any difficulty finding the clinic?" Answer: ANS: B
Feedback:
A "Have you ever been a patient in this clinic before?" is a close-
ended question that yields a "yes" or "no" response. This question
may be asked on the first visit, but not as an opening question for a
health interview.
B "What is your purpose for coming to the clinic today?" is an open-
ended question that focuses on the patient's reason for seeking care.
C "Tell me a little about yourself and your family" is an open-ended
question, but it is too general, and it is at least two questions: one
about the patient and another about the family.
,D "Did you have any difficulty finding the clinic?" is a social question
and does not focus on the patient's purpose for the visit.
◉ Which statement by the nurse demonstrates a patient-centered
interview?
a. "I need to complete this questionnaire about your medical and
family history."
b. "The hospital requires me to complete this assessment as soon as
possible."
c. "Tell me about the symptoms you've been having."
d. "I've had the same symptoms that you've described." Answer:
ANS: C
Feedback:
A "I need to complete this questionnaire about your medical and
family history" focuses on the nurse's need to complete the
assessment rather than the needs of the patient.
B "The hospital requires me to complete this assessment as soon as
possible" focuses on the nurse's need to meet hospital requirements
rather than the needs of the patient.
C "Tell me about the symptoms you've been having" focuses on the
needs of the patient so that the patient is free to share concerns,
beliefs, and values in his or her own words.
,D "I've had the same symptoms that you've described" focuses on
the nurse rather than on the patient.
◉ Which question is an example of an open-ended question?
a. "Have you experienced this pain before?"
b. "Do you have someone to help you at home?"
c. "How many times a day do you use your inhaler?"
d. "What were you doing when you felt the pain?" Answer: ANS: D
Feedback:
A "Have you experienced this pain before?" is closed-ended, which
can obtain a "yes" or "no" answer to the question without any
additional data.
B "Do you have someone to help you at home?" is closed-ended,
which can obtain a "yes" or "no" answer to the question without any
additional data.
C "How many times a day do you use your inhaler?" is closed-ended,
which can obtain an answer of a specific number without any
additional data.
D What were you doing when you felt the pain?" is a broadly-stated
question that encourages a free-flowing, open response.
, ◉ A nurse suspects a female patient is a victim of physical abuse.
Which response is most likely to encourage the patient to confide in
the nurse?
a. "You've got a huge bruise on your face. Did your husband hit you?"
b. "That bruise looks tender. I don't know how people can do that to
one another."
c. "If your boyfriend hit you, you can get a restraining order against
him."
d. "I've seen women who have been hurt by boyfriends or husbands.
Does anyone hit you?" Answer: ANS: D
Feedback:
A "You've got a huge bruise on your face. Did your husband hit you?"
assumes that domestic violence did occur, and the comment does
not encourage the patient to divulge additional information.
B "That bruise looks tender. I don't know how people can do that to
one another" assumes that domestic violence did occur, and the
comment does not encourage the patient to divulge additional
information.
C "If your boyfriend has hit you, you can get a restraining order
against him" assumes that domestic violence did occur, and the
EDITION TEST BANK COMPLETE CHAPTER
SOLUTIONS BY JACQUELINE RHOADS
◉ Which statement is appropriate to use when beginning an
interview with a new patient?
a. "Have you ever been a patient in this clinic before?"
b. "What is your purpose for coming to the clinic today?"
c. "Tell me a little about yourself and your family."
d. "Did you have any difficulty finding the clinic?" Answer: ANS: B
Feedback:
A "Have you ever been a patient in this clinic before?" is a close-
ended question that yields a "yes" or "no" response. This question
may be asked on the first visit, but not as an opening question for a
health interview.
B "What is your purpose for coming to the clinic today?" is an open-
ended question that focuses on the patient's reason for seeking care.
C "Tell me a little about yourself and your family" is an open-ended
question, but it is too general, and it is at least two questions: one
about the patient and another about the family.
,D "Did you have any difficulty finding the clinic?" is a social question
and does not focus on the patient's purpose for the visit.
◉ Which statement by the nurse demonstrates a patient-centered
interview?
a. "I need to complete this questionnaire about your medical and
family history."
b. "The hospital requires me to complete this assessment as soon as
possible."
c. "Tell me about the symptoms you've been having."
d. "I've had the same symptoms that you've described." Answer:
ANS: C
Feedback:
A "I need to complete this questionnaire about your medical and
family history" focuses on the nurse's need to complete the
assessment rather than the needs of the patient.
B "The hospital requires me to complete this assessment as soon as
possible" focuses on the nurse's need to meet hospital requirements
rather than the needs of the patient.
C "Tell me about the symptoms you've been having" focuses on the
needs of the patient so that the patient is free to share concerns,
beliefs, and values in his or her own words.
,D "I've had the same symptoms that you've described" focuses on
the nurse rather than on the patient.
◉ Which question is an example of an open-ended question?
a. "Have you experienced this pain before?"
b. "Do you have someone to help you at home?"
c. "How many times a day do you use your inhaler?"
d. "What were you doing when you felt the pain?" Answer: ANS: D
Feedback:
A "Have you experienced this pain before?" is closed-ended, which
can obtain a "yes" or "no" answer to the question without any
additional data.
B "Do you have someone to help you at home?" is closed-ended,
which can obtain a "yes" or "no" answer to the question without any
additional data.
C "How many times a day do you use your inhaler?" is closed-ended,
which can obtain an answer of a specific number without any
additional data.
D What were you doing when you felt the pain?" is a broadly-stated
question that encourages a free-flowing, open response.
, ◉ A nurse suspects a female patient is a victim of physical abuse.
Which response is most likely to encourage the patient to confide in
the nurse?
a. "You've got a huge bruise on your face. Did your husband hit you?"
b. "That bruise looks tender. I don't know how people can do that to
one another."
c. "If your boyfriend hit you, you can get a restraining order against
him."
d. "I've seen women who have been hurt by boyfriends or husbands.
Does anyone hit you?" Answer: ANS: D
Feedback:
A "You've got a huge bruise on your face. Did your husband hit you?"
assumes that domestic violence did occur, and the comment does
not encourage the patient to divulge additional information.
B "That bruise looks tender. I don't know how people can do that to
one another" assumes that domestic violence did occur, and the
comment does not encourage the patient to divulge additional
information.
C "If your boyfriend has hit you, you can get a restraining order
against him" assumes that domestic violence did occur, and the
