,Advanced Health Assessment and Diagnostic Reasoning 3
m m m m m m
rd edition Rhoads
m m
TEST BANK
m
Chapterm1mInterview mand mHistorymTakingmStrategies
MULTIPLEmCHOI CE
1. Themnursemismconductingmanminterview mwithmamwomanmwhomhasmrecentlymlearned mthat mshemismp
regnant mand mwhomhasmcomemtomthemclinicmtodaymtombeginmprenatalmcare.mThemwomanmstatesmthat ms
hemand mhermhusband maremexcited mabout mthempregnancymbut mhavemamfew mquestions.mShemlooksmnerv
ouslymat mhermhandsmduringmtheminterview mand msighsmloudly.mConsideringmthemconcept mof mcommu
nication,mwhichmstatement mdoesmthemnursemknow mtombemmost maccurate?mThemwomanmis:
a. Excited mabout mhermpregnancymbut mnervousmabout mthemlabor.
b. Exhibitingmverbalmand mnonverbalmbehaviorsmthat mdomnot mmatch.
c. Excited mabout mhermpregnancy,mbut mhermhusband mismnot mand mthismismupsettingmtomh
er.md.
Not mexcited mabout mhermpregnancymbut mbelievesmthemnursemwillmnegativelymresp
ond mtomhermif mshemstatesmthis.
ANS:mB
Communicationmismallmbehaviors,mconscious mand munconscious, mverbalmand mnonverbal.mAllmbehavio
rsmhavemmeaning.mHermbehaviormdoesmnot mimplymthat mshemismnervousmabout mlabor,mupset mbymhermh
usband,mormworried mabout mthemnursesmresponse.
2. Receivingmismampart mof mthemcommunicationmprocess. mWhichm receivermis mmost mlikelym
tommisinterpret mammessagemsent mbymamhealthmcaremprofessional?
a. Well-adjusted madolescent mwhomcameminmformamsportsmphysical
b. Recoveringmalcoholicmwhomcamemin mformambasicmphysicalmexamination
c. Manmwhosemwifemhasmjust mbeenmdiagnosed mwithmlungmcanc
ermd.
Manmwithmamhearingmimpairment mwhomusesmsignmlanguagemtomcommunicatemand mwhomhasmanminter
pretermwithmhim
ANS:mC
Themreceivermattachesmmeaningmdetermined mbymhismormhermexperiences, mculture, mself-
concept,mand mcurrent mphysicalmand memotionalmstates.mThemmanmwhosemwifemhasmjust mbeenmdiagnos
ed mwithmlungmcancermmaymbemexperiencingmemotionsmthat maffect mhismreceiving.
3. Themnursemmakesmwhichmadjustment minmthemphysicalmenvironment mtompromotemthemsuccessmof m
anminterview?
a. Reducesmnoisembymturningmoff mtelevisionsmand mradios
b. Reducesmthemdistancembetweenmtheminterviewermand mthempatient mtom2mfeet mormless
c. Providesmamdimmlight mthat mmakesmthemroommcozymand mhelpsmthempatient mrelax
d. Arrangesmseatingmacrossmamdeskmormtablemtomallow mthempatient msomempersonalmspa
cemANS:mA
Themnursemshould mreducemnoisembymturningmoff mthemtelevision,mradio,mand mothermunnecessarymequi
pment,mbecausemmultiplemstimulimaremconfusing.m Them interviewerm and mpatient mshould mbemapproxi
matelym4mtom5mfeet mapart;mthemroommshould mbemwell-
lit,menablingmtheminterviewermand mpatient mtomseemeachmothermclearly.mHavingmamtablemor mdeskminmbe
tweenmthemtwompeoplemcreatesmthemideamof mambarrier;mequal-statusmseating,mat meyemlevel,mismbetter.
,4. Inmanminterview,mthemnursemmaymfind mit mnecessarymtomtakemnotesmtomaid mhismormhermmemorymla
ter.mWhichmstatement mismtrueregardingmnote-taking?
a. Note-
takingmmaymimpedemthemnursesmobservationmof mthempatientsmnonverbalmbehaviors. mb.
Note-
takingmallowsmthempatient mtomcontinuemat mhismormhermownmpacemasmthemnursemre
cordsmwhat mismsaid.
c.
Note-
takingmallowsmthemnursemtomshift mattentionmawaymfrommthempatient,mresultingminma
nmincreased mcomfort mlevel.
d.
Note-
takingmallowsmthemnursemtombreakmeye mcontact mwithmthempatient,mwhichmmaym incr
easemhismormhermlevelmof mcomfort.
ANS:mA
Themusemof mhistorymforms mand mnote-
takingmmaymbemunavoidable.mHowever,mthemnurse mmust mbemawaremthat mnote-
takingmduringmtheminterview mhasmdisadvantages.mIt mbreaksmeyemcontact mtoomoftenmand mshiftsmthematt
entionmawaymfrommthempatient,mwhichmdiminishesmhismormhermsensemof mimportance.mNotetakingmma
ymalsominterrupt mthempatientsmnarrativemflow,mand mit mimpedesmthemobservationmof mthe
patientsmnonverbalmbehavior.
5. Themnursemasks,mI mwould mlikemtomaskmyoumsomemquestionsmabout myourmhealthmand myourmusualmd
ailymactivitiesmsomthat mwemcanmbettermplanmyourmstaymhere.mThismquestionmis mfound mat mthem
mphasemof mtheminterview mprocess.
a. Summary
b. Closing
c. Body
d. Openingmormintroductio
nmANS:mD
Whenmgatheringmamcompletemhistory,mthemnursemshould mgivemthemreasonmformtheminterview mduringmt
hemopeningmormintroductionmphasemof mtheminterview,mnot mduringmormat mthemend mof mtheminterview.
6. A mwomanmhasmjust mentered mthememergencymdepartment maftermbeingmbattered mbymhermhusband.mT
hemnursemneedsmtomget msomeminformationmfrommhermtombeginmtreatment.mWhat mismthembest mchoicem
formanmopeningmphasemof mtheminterview mwithmthismpatient?
a. Hello,mNancy,mmymnamemismMrs.mC.
b. Hello,mMrs.mH.,mmymnamemismMrs.mC.mIt msuremismcold mtoday!
c. Mrs.mH.,mmymnamemismMrs.mC.mHow maremyou?
d. Mrs.mH.,mmymnamemismMrs.mC.mIllmneed mtomaskmyoumamfew mquestionsmabout mwhat mhappen
ed.mANS:mD
Addressmthempersonmbymusingmhismormhermsurname.mThemnursemshould mintroducemhimmormherself man
d mgivemthemreasonmformtheminterview.mFriendlymsmallmtalkmismnot mneeded mtombuild mrapport.
7. Duringmanminterview,mthemnursemstates,mYoummentioned mhavingmshortness mof mbreath.mTellm
memmoremabout mthat.mWhichmverbalmskillmismused mwithmthismstatement?
a. Reflection
b. Facilitation
c. Direct mquestion
d. Open-
ended mquestionmANS:m
, D
m m m m m m
rd edition Rhoads
m m
TEST BANK
m
Chapterm1mInterview mand mHistorymTakingmStrategies
MULTIPLEmCHOI CE
1. Themnursemismconductingmanminterview mwithmamwomanmwhomhasmrecentlymlearned mthat mshemismp
regnant mand mwhomhasmcomemtomthemclinicmtodaymtombeginmprenatalmcare.mThemwomanmstatesmthat ms
hemand mhermhusband maremexcited mabout mthempregnancymbut mhavemamfew mquestions.mShemlooksmnerv
ouslymat mhermhandsmduringmtheminterview mand msighsmloudly.mConsideringmthemconcept mof mcommu
nication,mwhichmstatement mdoesmthemnursemknow mtombemmost maccurate?mThemwomanmis:
a. Excited mabout mhermpregnancymbut mnervousmabout mthemlabor.
b. Exhibitingmverbalmand mnonverbalmbehaviorsmthat mdomnot mmatch.
c. Excited mabout mhermpregnancy,mbut mhermhusband mismnot mand mthismismupsettingmtomh
er.md.
Not mexcited mabout mhermpregnancymbut mbelievesmthemnursemwillmnegativelymresp
ond mtomhermif mshemstatesmthis.
ANS:mB
Communicationmismallmbehaviors,mconscious mand munconscious, mverbalmand mnonverbal.mAllmbehavio
rsmhavemmeaning.mHermbehaviormdoesmnot mimplymthat mshemismnervousmabout mlabor,mupset mbymhermh
usband,mormworried mabout mthemnursesmresponse.
2. Receivingmismampart mof mthemcommunicationmprocess. mWhichm receivermis mmost mlikelym
tommisinterpret mammessagemsent mbymamhealthmcaremprofessional?
a. Well-adjusted madolescent mwhomcameminmformamsportsmphysical
b. Recoveringmalcoholicmwhomcamemin mformambasicmphysicalmexamination
c. Manmwhosemwifemhasmjust mbeenmdiagnosed mwithmlungmcanc
ermd.
Manmwithmamhearingmimpairment mwhomusesmsignmlanguagemtomcommunicatemand mwhomhasmanminter
pretermwithmhim
ANS:mC
Themreceivermattachesmmeaningmdetermined mbymhismormhermexperiences, mculture, mself-
concept,mand mcurrent mphysicalmand memotionalmstates.mThemmanmwhosemwifemhasmjust mbeenmdiagnos
ed mwithmlungmcancermmaymbemexperiencingmemotionsmthat maffect mhismreceiving.
3. Themnursemmakesmwhichmadjustment minmthemphysicalmenvironment mtompromotemthemsuccessmof m
anminterview?
a. Reducesmnoisembymturningmoff mtelevisionsmand mradios
b. Reducesmthemdistancembetweenmtheminterviewermand mthempatient mtom2mfeet mormless
c. Providesmamdimmlight mthat mmakesmthemroommcozymand mhelpsmthempatient mrelax
d. Arrangesmseatingmacrossmamdeskmormtablemtomallow mthempatient msomempersonalmspa
cemANS:mA
Themnursemshould mreducemnoisembymturningmoff mthemtelevision,mradio,mand mothermunnecessarymequi
pment,mbecausemmultiplemstimulimaremconfusing.m Them interviewerm and mpatient mshould mbemapproxi
matelym4mtom5mfeet mapart;mthemroommshould mbemwell-
lit,menablingmtheminterviewermand mpatient mtomseemeachmothermclearly.mHavingmamtablemor mdeskminmbe
tweenmthemtwompeoplemcreatesmthemideamof mambarrier;mequal-statusmseating,mat meyemlevel,mismbetter.
,4. Inmanminterview,mthemnursemmaymfind mit mnecessarymtomtakemnotesmtomaid mhismormhermmemorymla
ter.mWhichmstatement mismtrueregardingmnote-taking?
a. Note-
takingmmaymimpedemthemnursesmobservationmof mthempatientsmnonverbalmbehaviors. mb.
Note-
takingmallowsmthempatient mtomcontinuemat mhismormhermownmpacemasmthemnursemre
cordsmwhat mismsaid.
c.
Note-
takingmallowsmthemnursemtomshift mattentionmawaymfrommthempatient,mresultingminma
nmincreased mcomfort mlevel.
d.
Note-
takingmallowsmthemnursemtombreakmeye mcontact mwithmthempatient,mwhichmmaym incr
easemhismormhermlevelmof mcomfort.
ANS:mA
Themusemof mhistorymforms mand mnote-
takingmmaymbemunavoidable.mHowever,mthemnurse mmust mbemawaremthat mnote-
takingmduringmtheminterview mhasmdisadvantages.mIt mbreaksmeyemcontact mtoomoftenmand mshiftsmthematt
entionmawaymfrommthempatient,mwhichmdiminishesmhismormhermsensemof mimportance.mNotetakingmma
ymalsominterrupt mthempatientsmnarrativemflow,mand mit mimpedesmthemobservationmof mthe
patientsmnonverbalmbehavior.
5. Themnursemasks,mI mwould mlikemtomaskmyoumsomemquestionsmabout myourmhealthmand myourmusualmd
ailymactivitiesmsomthat mwemcanmbettermplanmyourmstaymhere.mThismquestionmis mfound mat mthem
mphasemof mtheminterview mprocess.
a. Summary
b. Closing
c. Body
d. Openingmormintroductio
nmANS:mD
Whenmgatheringmamcompletemhistory,mthemnursemshould mgivemthemreasonmformtheminterview mduringmt
hemopeningmormintroductionmphasemof mtheminterview,mnot mduringmormat mthemend mof mtheminterview.
6. A mwomanmhasmjust mentered mthememergencymdepartment maftermbeingmbattered mbymhermhusband.mT
hemnursemneedsmtomget msomeminformationmfrommhermtombeginmtreatment.mWhat mismthembest mchoicem
formanmopeningmphasemof mtheminterview mwithmthismpatient?
a. Hello,mNancy,mmymnamemismMrs.mC.
b. Hello,mMrs.mH.,mmymnamemismMrs.mC.mIt msuremismcold mtoday!
c. Mrs.mH.,mmymnamemismMrs.mC.mHow maremyou?
d. Mrs.mH.,mmymnamemismMrs.mC.mIllmneed mtomaskmyoumamfew mquestionsmabout mwhat mhappen
ed.mANS:mD
Addressmthempersonmbymusingmhismormhermsurname.mThemnursemshould mintroducemhimmormherself man
d mgivemthemreasonmformtheminterview.mFriendlymsmallmtalkmismnot mneeded mtombuild mrapport.
7. Duringmanminterview,mthemnursemstates,mYoummentioned mhavingmshortness mof mbreath.mTellm
memmoremabout mthat.mWhichmverbalmskillmismused mwithmthismstatement?
a. Reflection
b. Facilitation
c. Direct mquestion
d. Open-
ended mquestionmANS:m
, D
