,Advanced Health Assessment and Diagnostic Reasoning 3rd edition Rhoads
gg gg gg gg gg gg gg gg
TEST BANK gg
Chapter 1 Interview and History Taking Strategies
gg gg gg gg gg gg
MULTIPLE CHOICE gg
1. The nurse is conducting an interview with a woman who has recently learned that she
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg is pregnant and who has come to the clinic today to begin prenatal care. The woman
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
states that she and her husband are excited about the pregnancy but have a few
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg questions. She looks nervously at her hands during the interview and sighs loudly.
gg gg gg gg gg gg gg gg gg gg gg gg
gg Considering the concept of communication, which statement does the nurse know to be
gg gg gg gg gg gg gg gg gg gg gg gg
gg most accurate? The woman is:
gg gg gg gg
a. Excited about her pregnancy but nervous about the labor.
gg gg gg gg gg gg gg gg
b. Exhibiting verbal and nonverbal behaviors that do not match.
gg gg gg gg gg gg gg gg
c. Excited about her pregnancy, but her husband is not and this is upsetting to
gg gg gg gg gg gg gg gg gg gg gg gg gg
her. d.
gg gg
Not excited about her pregnancy but believes the nurse will negatively
gg gg gg gg gg gg gg gg gg gg
gg respond to her if she states this.
gg gg gg gg gg gg
ANS: B gg
Communication is all behaviors, conscious and unconscious, verbal and nonverbal. All
gg gg gg gg gg gg gg gg gg gg
behaviors have meaning. Her behavior does not imply that she is nervous about labor,
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg upset by her husband, or worried about the nurses response.
gg gg gg gg gg gg gg gg gg
2. Receiving is a part of the communication process. Which receiver is most likely
gg gg gg gg gg gg gg gg gg gg gg gg
gg to misinterpret a message sent by a health care professional?
gg gg gg gg gg gg gg gg gg
a. Well-adjusted adolescent who came in for a sports physical gg gg gg gg gg gg gg gg
b. Recovering alcoholic who came in for a basic physical examination
gg gg gg gg gg gg gg gg gg
c. Man whose wife has just been diagnosed with lung
gg gg gg gg gg gg gg gg
cancer d.
gg gg
Man with a hearing impairment who uses sign language to communicate and who has an
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg interpreter with him gg gg
ANS: C gg
The receiver attaches meaning determined by his or her experiences, culture, self-concept,
gg gg gg gg gg gg gg gg gg gg gg
, and current physical and emotional states. The man whose wife has just been diagnosed
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg with lung cancer may be experiencing emotions that affect his receiving.
gg gg gg gg gg gg gg gg gg gg
3. The nurse makes which adjustment in the physical environment to promote the success
gg gg gg gg gg gg gg gg gg gg gg gg
of an interview?
gg gg gg
a. Reduces noise by turning off televisions and radios
gg gg gg gg gg gg gg
b. Reduces the distance between the interviewer and the patient to 2 feet or less
gg gg gg gg gg gg gg gg gg gg gg gg gg
c. Provides a dim light that makes the room cozy and helps the patient relax
gg gg gg gg gg gg gg gg gg gg gg gg gg
d. Arranges seating across a desk or table to allow the patient some personal
gg gg gg gg gg gg gg gg gg gg gg gg
space ANS: A
gg gg gg
The nurse should reduce noise by turning off the television, radio, and other unnecessary
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg equipment, because multiple stimuli are confusing. The interviewer and patient should
gg gg gg gg gg gg gg gg gg gg
gg be approximately 4 to 5 feet apart; the room should be well-lit, enabling the interviewer
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
and patient to see each other clearly. Having a table or desk in between the two people
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg creates the idea of a barrier; equal-status seating, at eye level, is better.
gg gg gg gg gg gg gg gg gg gg gg gg
, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg memory later. Which statement is trueregarding note-taking?
gg gg gg gg gg gg
a. Note-taking may impede the nurses observation of the patients nonverbal
gg gg gg gg gg gg gg gg gg
behaviors. b.
gg gg
Note-taking allows the patient to continue at his or her own pace as the
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg nurse records what is said.
gg gg gg gg
c.
Note-taking allows the nurse to shift attention away from the patient,
gg gg gg gg gg gg gg gg gg gg
gg resulting in an increased comfort level.
gg gg gg gg gg
d.
Note-taking allows the nurse to break eye contact with the patient, which
gg gg gg gg gg gg gg gg gg gg gg
gg may increase his or her level of comfort.
gg gg gg gg gg gg gg
ANS: A gg
The use of history forms and note-taking may be unavoidable. However, the nurse must be
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
aware that note-taking during the interview has disadvantages. It breaks eye contact too
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg often and shifts the attention away from the patient, which diminishes his or her sense of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
importance. Notetaking may also interrupt the patients narrative flow, and it impedes
gg gg gg gg gg gg gg gg gg gg gg gg
gg the observation of the
gg gg gg
patients nonverbal behavior. gg gg
5. The nurse asks, I would like to ask you some questions about your health and your usual
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg daily activities so that we can better plan your stay here. This question is found at the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg phase of the interview process.
gg gg gg gg
a. Summary
b. Closing
c. Body
d. Opening or gg
introduction ANS: D
gg gg gg
When gathering a complete history, the nurse should give the reason for the interview
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg during the opening or introduction phase of the interview, not during or at the end of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the interview.
gg gg
6. A woman has just entered the emergency department after being battered by her
gg gg gg gg gg gg gg gg gg gg gg gg
gg husband. The nurse needs to get some information from her to begin treatment. What
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg gg gg gg gg gg gg gg
TEST BANK gg
Chapter 1 Interview and History Taking Strategies
gg gg gg gg gg gg
MULTIPLE CHOICE gg
1. The nurse is conducting an interview with a woman who has recently learned that she
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg is pregnant and who has come to the clinic today to begin prenatal care. The woman
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
states that she and her husband are excited about the pregnancy but have a few
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg questions. She looks nervously at her hands during the interview and sighs loudly.
gg gg gg gg gg gg gg gg gg gg gg gg
gg Considering the concept of communication, which statement does the nurse know to be
gg gg gg gg gg gg gg gg gg gg gg gg
gg most accurate? The woman is:
gg gg gg gg
a. Excited about her pregnancy but nervous about the labor.
gg gg gg gg gg gg gg gg
b. Exhibiting verbal and nonverbal behaviors that do not match.
gg gg gg gg gg gg gg gg
c. Excited about her pregnancy, but her husband is not and this is upsetting to
gg gg gg gg gg gg gg gg gg gg gg gg gg
her. d.
gg gg
Not excited about her pregnancy but believes the nurse will negatively
gg gg gg gg gg gg gg gg gg gg
gg respond to her if she states this.
gg gg gg gg gg gg
ANS: B gg
Communication is all behaviors, conscious and unconscious, verbal and nonverbal. All
gg gg gg gg gg gg gg gg gg gg
behaviors have meaning. Her behavior does not imply that she is nervous about labor,
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg upset by her husband, or worried about the nurses response.
gg gg gg gg gg gg gg gg gg
2. Receiving is a part of the communication process. Which receiver is most likely
gg gg gg gg gg gg gg gg gg gg gg gg
gg to misinterpret a message sent by a health care professional?
gg gg gg gg gg gg gg gg gg
a. Well-adjusted adolescent who came in for a sports physical gg gg gg gg gg gg gg gg
b. Recovering alcoholic who came in for a basic physical examination
gg gg gg gg gg gg gg gg gg
c. Man whose wife has just been diagnosed with lung
gg gg gg gg gg gg gg gg
cancer d.
gg gg
Man with a hearing impairment who uses sign language to communicate and who has an
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg interpreter with him gg gg
ANS: C gg
The receiver attaches meaning determined by his or her experiences, culture, self-concept,
gg gg gg gg gg gg gg gg gg gg gg
, and current physical and emotional states. The man whose wife has just been diagnosed
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg with lung cancer may be experiencing emotions that affect his receiving.
gg gg gg gg gg gg gg gg gg gg
3. The nurse makes which adjustment in the physical environment to promote the success
gg gg gg gg gg gg gg gg gg gg gg gg
of an interview?
gg gg gg
a. Reduces noise by turning off televisions and radios
gg gg gg gg gg gg gg
b. Reduces the distance between the interviewer and the patient to 2 feet or less
gg gg gg gg gg gg gg gg gg gg gg gg gg
c. Provides a dim light that makes the room cozy and helps the patient relax
gg gg gg gg gg gg gg gg gg gg gg gg gg
d. Arranges seating across a desk or table to allow the patient some personal
gg gg gg gg gg gg gg gg gg gg gg gg
space ANS: A
gg gg gg
The nurse should reduce noise by turning off the television, radio, and other unnecessary
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg equipment, because multiple stimuli are confusing. The interviewer and patient should
gg gg gg gg gg gg gg gg gg gg
gg be approximately 4 to 5 feet apart; the room should be well-lit, enabling the interviewer
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
and patient to see each other clearly. Having a table or desk in between the two people
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg creates the idea of a barrier; equal-status seating, at eye level, is better.
gg gg gg gg gg gg gg gg gg gg gg gg
, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg memory later. Which statement is trueregarding note-taking?
gg gg gg gg gg gg
a. Note-taking may impede the nurses observation of the patients nonverbal
gg gg gg gg gg gg gg gg gg
behaviors. b.
gg gg
Note-taking allows the patient to continue at his or her own pace as the
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg nurse records what is said.
gg gg gg gg
c.
Note-taking allows the nurse to shift attention away from the patient,
gg gg gg gg gg gg gg gg gg gg
gg resulting in an increased comfort level.
gg gg gg gg gg
d.
Note-taking allows the nurse to break eye contact with the patient, which
gg gg gg gg gg gg gg gg gg gg gg
gg may increase his or her level of comfort.
gg gg gg gg gg gg gg
ANS: A gg
The use of history forms and note-taking may be unavoidable. However, the nurse must be
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
aware that note-taking during the interview has disadvantages. It breaks eye contact too
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg often and shifts the attention away from the patient, which diminishes his or her sense of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
importance. Notetaking may also interrupt the patients narrative flow, and it impedes
gg gg gg gg gg gg gg gg gg gg gg gg
gg the observation of the
gg gg gg
patients nonverbal behavior. gg gg
5. The nurse asks, I would like to ask you some questions about your health and your usual
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg daily activities so that we can better plan your stay here. This question is found at the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg phase of the interview process.
gg gg gg gg
a. Summary
b. Closing
c. Body
d. Opening or gg
introduction ANS: D
gg gg gg
When gathering a complete history, the nurse should give the reason for the interview
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg during the opening or introduction phase of the interview, not during or at the end of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the interview.
gg gg
6. A woman has just entered the emergency department after being battered by her
gg gg gg gg gg gg gg gg gg gg gg gg
gg husband. The nurse needs to get some information from her to begin treatment. What
gg gg gg gg gg gg gg gg gg gg gg gg gg
