Test Bank For Advanced Health Assessment and Diagnostic Reasoning 3rd Edition by Jacqueline Rhoads 9781284105377 Chapter 1-16 Complete Guide.

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Advanced Health Assessment and Diagnostic Reasoning gg gg gg gg gg



3 rd edition Rhoads
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TEST BANK gg


Chapter 1 Interview and History Taking Strategies
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MULTIPLE CHOICE
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1. The nurse is conducting an interview with a woman who has recently learned that she
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is p regnant and who has come to the clinic today to begin prenatal care. The
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woman states that s he and her husband are excited about the pregnancy but have a
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few 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
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be 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.
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c. Excited about her pregnancy, but her husband is not and this is upsetting
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to h er. d.
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Not excited about her pregnancy but believes the nurse will negatively
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resp ond to her if she states this.
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ANS: B gg


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


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


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
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success of an interview?
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a. Reduces noise by turning off televisions and radios
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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
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be 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
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in be tween the two people creates the idea of a barrier; equal-status seating, at eye
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level, is better.
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4. In an interview, the nurse may find it necessary to take notes to aid his or her
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memory 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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ggb. Note- gg


taking allows the patient to continue at his or her own pace as the nurse
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re cords what is said.
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c.
Note-
taking allows the nurse to shift attention away from the patient, resulting
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in 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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ggincr ease his or her level of comfort.
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ANS: A gg


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
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the att ention away from the patient,mwhich diminishes his or her sense of importance.
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Notetaking ma
gg 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. gg gg


5. The nurse asks, I would like to ask you some questions about your health and your
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usual d aily activities so that we can better plan your stay here. This question is
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found at the
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phase of the interview process. gg gg gg gg


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


n ANS: D
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When gathering a complete history, the nurse should give the reason for the interview
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during t he opening or introduction phase of the interview, not during or at the
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ggend of the interview.
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6. A woman has just entered the emergency department after being battered by her
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husband. T he nurse needs to get some information from her to begin treatment.
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ggWhat is the best choice for an opening phase of the interview with this patient?
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a. Hello, Nancy, my name is Mrs. C. gg gg gg gg gg gg


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
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to 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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a. Reflection
b. Facilitation
c. Direct question gg

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d. Open-
ended question ANS:
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