,Advanced Health Assessment and Diagnostic Reasoning 3rd
d d d d d d
edition Rhoads
d d
TEST BANK
d
Chapterd1dInterviewdanddHistorydTakingdStrategies
MULTIPLEdCHOICE
1. Thednursedisdconductingdandinterviewdwithdadwomandwhodhasdrecentlydlearneddthatdshedisdpregn
antdanddwhodhasdcomedtodthedclinicdtodaydtodbegindprenataldcare.dThedwomandstatesdthatdshedanddher
dhusbanddaredexciteddaboutdthedpregnancydbutdhavedadfewdquestions.dShedlooksdnervouslydatdherdha
ndsdduringdthedinterviewdanddsighsdloudly.dConsideringdthedconceptdofdcommunication,dwhichdstat
ementddoesdthednursedknowdtodbedmostdaccurate?dThedwomandis:
a. Exciteddaboutdherdpregnancydbutdnervousdaboutdthedlabor.
b. Exhibitingdverbaldanddnonverbaldbehaviorsdthatddodnotdmatch.
c. Exciteddaboutdherdpregnancy,dbutdherdhusbanddisdnotdanddthisdisdupsettingdtodher.dd
.
Notdexciteddaboutdherdpregnancydbutdbelievesdthednursedwilldnegativelydrespond
dtodherdifdshedstatesdthis.
ANS:dB
Communicationdisdalldbehaviors,dconsciousdanddunconscious,dverbaldanddnonverbal.dAlldbehaviorsdh
avedmeaning.dHerdbehaviorddoesdnotdimplydthatdshedisdnervousdaboutdlabor,dupsetdbydherdhusband,d
ordworrieddaboutdthednursesdresponse.
2. Receivingdisdadpartdofdthedcommunicationdprocess.dWhichdreceiverdisdmostdlikelydtod
misinterpretdadmessagedsentdbydadhealthdcaredprofessional?
a. Well-adjusteddadolescentdwhodcamedindfordadsportsdphysical
b. Recoveringdalcoholicdwhodcamedindfordadbasicdphysicaldexamination
c. Mandwhosedwifedhasdjustdbeenddiagnoseddwithdlungdcancerd
d.
Mandwithdadhearingdimpairmentdwhodusesdsigndlanguagedtodcommunicatedanddwhodhasdandinterprete
rdwithdhim
ANS:dC
Thedreceiverdattachesdmeaningddetermineddbydhisdordherdexperiences,dculture,dself-
concept,danddcurrentdphysicaldanddemotionaldstates.dThedmandwhosedwifedhasdjustdbeenddiagnosedd
withdlungdcancerdmaydbedexperiencingdemotionsdthatdaffectdhisdreceiving.
3. Thednursedmakesdwhichdadjustmentdindthedphysicaldenvironmentdtodpromotedthedsuccessdofdandi
nterview?
a. Reducesdnoisedbydturningdoffdtelevisionsdanddradios
b. Reducesdtheddistancedbetweendthedinterviewerdanddthedpatientdtod2dfeetdordless
c. Providesdaddimdlightdthatdmakesdthedroomdcozydanddhelpsdthedpatientdrelax
d. Arrangesdseatingdacrossdaddeskdordtabledtodallowdthedpatientdsomedpersonaldspaced
ANS:dA
Thednursedshoulddreducednoisedbydturningdoffdthedtelevision,dradio,danddotherdunnecessarydequipme
nt,dbecausedmultipledstimulidaredconfusing.dThedinterviewerdanddpatientdshoulddbedapproximatelyd4
dtod5dfeetdapart;dthedroomdshoulddbedwell-
lit,denablingdthedinterviewerdanddpatientdtodseedeachdotherdclearly.dHavingdadtabledorddeskdindbetwee
ndthedtwodpeopledcreatesdthedideadofdadbarrier;dequal-statusdseating,datdeyedlevel,disdbetter.
,4. Indandinterview,dthednursedmaydfindditdnecessarydtodtakednotesdtodaiddhisdordherdmemorydlater.d
Whichdstatementdisdtrueregardingdnote-taking?
a. Note-
takingdmaydimpededthednursesdobservationdofdthedpatientsdnonverbaldbehaviors.db.
Note-
takingdallowsdthedpatientdtodcontinuedatdhisdordherdowndpacedasdthednursedrecord
sdwhatdisdsaid.
c.
Note-
takingdallowsdthednursedtodshiftdattentiondawaydfromdthedpatient,dresultingdindandin
creaseddcomfortdlevel.
d.
Note-
takingdallowsdthednursedtodbreakdeyedcontactdwithdthedpatient,dwhichdmaydincrease
dhisdordherdleveldofdcomfort.
ANS:dA
Thedusedofdhistorydformsdanddnote-
takingdmaydbedunavoidable.dHowever,dthednursedmustdbedawaredthatdnote-
takingdduringdthedinterviewdhasddisadvantages.dItdbreaksdeyedcontactdtoodoftendanddshiftsdthedattenti
ondawaydfromdthedpatient,dwhichddiminishesdhisdordherdsensedofdimportance.dNotetakingdmaydalsodi
nterruptdthedpatientsdnarrativedflow,dandditdimpedesdthedobservationdofdthe
patientsdnonverbaldbehavior.
5. Thednursedasks,dIdwoulddlikedtodaskdyoudsomedquestionsdaboutdyourdhealthdanddyourdusualddailyda
ctivitiesdsodthatdwedcandbetterdplandyourdstaydhere.dThisdquestiondisdfounddatdthed
dphasedofdthedinterviewdprocess.
a. Summary
b. Closing
c. Body
d. Openingdordintroduction
dANS:dD
Whendgatheringdadcompletedhistory,dthednursedshoulddgivedthedreasondfordthedinterviewdduringdthedo
peningdordintroductiondphasedofdthedinterview,dnotdduringdordatdthedenddofdthedinterview.
6. Adwomandhasdjustdentereddthedemergencyddepartmentdafterdbeingdbattereddbydherdhusband.dThedn
ursedneedsdtodgetdsomedinformationdfromdherdtodbegindtreatment.dWhatdisdthedbestdchoicedfordandop
eningdphasedofdthedinterviewdwithdthisdpatient?
a. Hello,dNancy,dmydnamedisdMrs.dC.
b. Hello,dMrs.dH.,dmydnamedisdMrs.dC.dItdsuredisdcolddtoday!
c. Mrs.dH.,dmydnamedisdMrs.dC.dHowdaredyou?
d. Mrs.dH.,dmydnamedisdMrs.dC.dIlldneeddtodaskdyoudadfewdquestionsdaboutdwhatdhappened.d
ANS:dD
Addressdthedpersondbydusingdhisdordherdsurname.dThednursedshoulddintroducedhimdordherselfdanddgiv
edthedreasondfordthedinterview.dFriendlydsmalldtalkdisdnotdneededdtodbuilddrapport.
7. Duringdandinterview,dthednursedstates,dYoudmentioneddhavingdshortnessdofdbreath.dTelldmed
moredaboutdthat.dWhichdverbaldskilldisduseddwithdthisdstatement?
a. Reflection
b. Facilitation
c. Directdquestion
d. Open-
endeddquestiondANS:dD
, Thedopen-
endeddquestiondasksdfordnarrativedinformation.dItdstatesdthedtopicdtodbeddiscusseddbutdonlydindgener
aldterms.dThednursedshouldduseditdtodbegindthedinterview,dtodintroducedadnewdsectiondofdquestions,da
nddwheneverdthedpersondintroducesdadnewdtopic.
8. Adpatientdhasdfinisheddgivingdthednursedinformationdaboutdthedreasondhedisdseekingdcare.dWhendr
eviewingdtheddata,dthednursedfindsdthatdsomedinformationdaboutdpastdhospitalizationsdisdmissing.dA
tdthisdpoint,dwhichdstatementdbydthednursedwoulddbedmostdappropriatedtodgatherdtheseddata?
a. Mr.dY.,datdyourdage,dsurelydyoudhavedbeendhospitalizeddbefore!
b. Mr.dY.,dIdjustdneeddpermissiondtodgetdyourdmedicaldrecordsdfromdCountydMedical.dc
.
Mr.dY.,dyoudmentioneddthatdyoudhavedbeendhospitalizeddondseveraldoccasions.d
Woulddyoudtelldmedmoredaboutdthat?
d.
Mr.dY.,dIdjustdneeddtodgetdsomedadditionaldinformationdaboutdyourdpastdhospitalizations.dW
hendwasdthedlastdtimedyoudweredadmitteddfordchestdpain?
ANS:dD
Thednursedshouldduseddirectdquestionsdafterdthedpersonsdopeningdnarrativedtodfilldindanyddetailsdhedor
dshedleftdout.dThednursedalsodshouldduseddirectdquestionsdwhendspecificdfactsdaredneeded,dsuchdasdwhe
ndaskingdaboutdpastdhealthdproblemsdordduringdthedreviewdofdsystems.
9. Indusingdverbaldresponsesdtodassistdthedpatientsdnarrative,dsomedresponsesdfocusdondthedpatientsdf
ramedofdreferencedanddsomedfocusdondthedhealthdcaredprovidersdperspective.dAndexampledofdadverb
aldresponsedthatdfocusesdondthedhealthdcaredprovidersdperspectivedwoulddbe:
a. Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
dANS:dD
Whendthedhealthdcaredproviderdusesdthedresponsedofdconfrontation,dthedframedofdreferencedshiftsdfro
mdthedpatientsdperspectivedtodthedperspectivedofdthedhealthdcaredprovider,danddthedhealthdcaredprovid
erdstartsdtodexpressdhisdordherdowndthoughtsdanddfeelings.dEmpathy,dreflection,danddfacilitationdresp
onsesdfocusdondthedpatientsdframedofdreference.
10. Whendtakingdadhistorydfromdadnewlydadmitteddpatient,dthednursednoticesdthatdhedoftendpausesda
nddexpectantlydlooksdatdthednurse.dWhatdwoulddbedthednursesdbestdresponsedtodthisdbehavior?
a. Bedsilent,danddallowdhimdtodcontinuedwhendhedisdready.d
b.
Smiledatdhimdanddsay,dDontdworrydaboutdalldofdthis.dImdsuredwedcandfinddoutdwhydyour
edhavingdthesedpains.
c.dLeandbackdindthedchairdanddask,dYoudaredlookingdatdmedkinddofdfunny;dtheredisntdanythingdwrong,dis
here
d.
Standdupdanddsay,dIdcandseedthatdthisdinterviewdisduncomfortabledfordyou.dWed
candcontinueditdanotherdtime.
ANS:dA
Silentdattentivenessdcommunicatesdthatdthedpersondhasdtimedtodthinkdanddtodorganizedwhatdhedordsh
edwishesdtodsaydwithoutdandinterruptiondfromdthednurse.dHealthdprofessionalsdmostdoftendinterruptd
thisdthinkingdsilence.dThedotherdresponsesdarednotdconducivedtodidealdcommunication.
d d d d d d
edition Rhoads
d d
TEST BANK
d
Chapterd1dInterviewdanddHistorydTakingdStrategies
MULTIPLEdCHOICE
1. Thednursedisdconductingdandinterviewdwithdadwomandwhodhasdrecentlydlearneddthatdshedisdpregn
antdanddwhodhasdcomedtodthedclinicdtodaydtodbegindprenataldcare.dThedwomandstatesdthatdshedanddher
dhusbanddaredexciteddaboutdthedpregnancydbutdhavedadfewdquestions.dShedlooksdnervouslydatdherdha
ndsdduringdthedinterviewdanddsighsdloudly.dConsideringdthedconceptdofdcommunication,dwhichdstat
ementddoesdthednursedknowdtodbedmostdaccurate?dThedwomandis:
a. Exciteddaboutdherdpregnancydbutdnervousdaboutdthedlabor.
b. Exhibitingdverbaldanddnonverbaldbehaviorsdthatddodnotdmatch.
c. Exciteddaboutdherdpregnancy,dbutdherdhusbanddisdnotdanddthisdisdupsettingdtodher.dd
.
Notdexciteddaboutdherdpregnancydbutdbelievesdthednursedwilldnegativelydrespond
dtodherdifdshedstatesdthis.
ANS:dB
Communicationdisdalldbehaviors,dconsciousdanddunconscious,dverbaldanddnonverbal.dAlldbehaviorsdh
avedmeaning.dHerdbehaviorddoesdnotdimplydthatdshedisdnervousdaboutdlabor,dupsetdbydherdhusband,d
ordworrieddaboutdthednursesdresponse.
2. Receivingdisdadpartdofdthedcommunicationdprocess.dWhichdreceiverdisdmostdlikelydtod
misinterpretdadmessagedsentdbydadhealthdcaredprofessional?
a. Well-adjusteddadolescentdwhodcamedindfordadsportsdphysical
b. Recoveringdalcoholicdwhodcamedindfordadbasicdphysicaldexamination
c. Mandwhosedwifedhasdjustdbeenddiagnoseddwithdlungdcancerd
d.
Mandwithdadhearingdimpairmentdwhodusesdsigndlanguagedtodcommunicatedanddwhodhasdandinterprete
rdwithdhim
ANS:dC
Thedreceiverdattachesdmeaningddetermineddbydhisdordherdexperiences,dculture,dself-
concept,danddcurrentdphysicaldanddemotionaldstates.dThedmandwhosedwifedhasdjustdbeenddiagnosedd
withdlungdcancerdmaydbedexperiencingdemotionsdthatdaffectdhisdreceiving.
3. Thednursedmakesdwhichdadjustmentdindthedphysicaldenvironmentdtodpromotedthedsuccessdofdandi
nterview?
a. Reducesdnoisedbydturningdoffdtelevisionsdanddradios
b. Reducesdtheddistancedbetweendthedinterviewerdanddthedpatientdtod2dfeetdordless
c. Providesdaddimdlightdthatdmakesdthedroomdcozydanddhelpsdthedpatientdrelax
d. Arrangesdseatingdacrossdaddeskdordtabledtodallowdthedpatientdsomedpersonaldspaced
ANS:dA
Thednursedshoulddreducednoisedbydturningdoffdthedtelevision,dradio,danddotherdunnecessarydequipme
nt,dbecausedmultipledstimulidaredconfusing.dThedinterviewerdanddpatientdshoulddbedapproximatelyd4
dtod5dfeetdapart;dthedroomdshoulddbedwell-
lit,denablingdthedinterviewerdanddpatientdtodseedeachdotherdclearly.dHavingdadtabledorddeskdindbetwee
ndthedtwodpeopledcreatesdthedideadofdadbarrier;dequal-statusdseating,datdeyedlevel,disdbetter.
,4. Indandinterview,dthednursedmaydfindditdnecessarydtodtakednotesdtodaiddhisdordherdmemorydlater.d
Whichdstatementdisdtrueregardingdnote-taking?
a. Note-
takingdmaydimpededthednursesdobservationdofdthedpatientsdnonverbaldbehaviors.db.
Note-
takingdallowsdthedpatientdtodcontinuedatdhisdordherdowndpacedasdthednursedrecord
sdwhatdisdsaid.
c.
Note-
takingdallowsdthednursedtodshiftdattentiondawaydfromdthedpatient,dresultingdindandin
creaseddcomfortdlevel.
d.
Note-
takingdallowsdthednursedtodbreakdeyedcontactdwithdthedpatient,dwhichdmaydincrease
dhisdordherdleveldofdcomfort.
ANS:dA
Thedusedofdhistorydformsdanddnote-
takingdmaydbedunavoidable.dHowever,dthednursedmustdbedawaredthatdnote-
takingdduringdthedinterviewdhasddisadvantages.dItdbreaksdeyedcontactdtoodoftendanddshiftsdthedattenti
ondawaydfromdthedpatient,dwhichddiminishesdhisdordherdsensedofdimportance.dNotetakingdmaydalsodi
nterruptdthedpatientsdnarrativedflow,dandditdimpedesdthedobservationdofdthe
patientsdnonverbaldbehavior.
5. Thednursedasks,dIdwoulddlikedtodaskdyoudsomedquestionsdaboutdyourdhealthdanddyourdusualddailyda
ctivitiesdsodthatdwedcandbetterdplandyourdstaydhere.dThisdquestiondisdfounddatdthed
dphasedofdthedinterviewdprocess.
a. Summary
b. Closing
c. Body
d. Openingdordintroduction
dANS:dD
Whendgatheringdadcompletedhistory,dthednursedshoulddgivedthedreasondfordthedinterviewdduringdthedo
peningdordintroductiondphasedofdthedinterview,dnotdduringdordatdthedenddofdthedinterview.
6. Adwomandhasdjustdentereddthedemergencyddepartmentdafterdbeingdbattereddbydherdhusband.dThedn
ursedneedsdtodgetdsomedinformationdfromdherdtodbegindtreatment.dWhatdisdthedbestdchoicedfordandop
eningdphasedofdthedinterviewdwithdthisdpatient?
a. Hello,dNancy,dmydnamedisdMrs.dC.
b. Hello,dMrs.dH.,dmydnamedisdMrs.dC.dItdsuredisdcolddtoday!
c. Mrs.dH.,dmydnamedisdMrs.dC.dHowdaredyou?
d. Mrs.dH.,dmydnamedisdMrs.dC.dIlldneeddtodaskdyoudadfewdquestionsdaboutdwhatdhappened.d
ANS:dD
Addressdthedpersondbydusingdhisdordherdsurname.dThednursedshoulddintroducedhimdordherselfdanddgiv
edthedreasondfordthedinterview.dFriendlydsmalldtalkdisdnotdneededdtodbuilddrapport.
7. Duringdandinterview,dthednursedstates,dYoudmentioneddhavingdshortnessdofdbreath.dTelldmed
moredaboutdthat.dWhichdverbaldskilldisduseddwithdthisdstatement?
a. Reflection
b. Facilitation
c. Directdquestion
d. Open-
endeddquestiondANS:dD
, Thedopen-
endeddquestiondasksdfordnarrativedinformation.dItdstatesdthedtopicdtodbeddiscusseddbutdonlydindgener
aldterms.dThednursedshouldduseditdtodbegindthedinterview,dtodintroducedadnewdsectiondofdquestions,da
nddwheneverdthedpersondintroducesdadnewdtopic.
8. Adpatientdhasdfinisheddgivingdthednursedinformationdaboutdthedreasondhedisdseekingdcare.dWhendr
eviewingdtheddata,dthednursedfindsdthatdsomedinformationdaboutdpastdhospitalizationsdisdmissing.dA
tdthisdpoint,dwhichdstatementdbydthednursedwoulddbedmostdappropriatedtodgatherdtheseddata?
a. Mr.dY.,datdyourdage,dsurelydyoudhavedbeendhospitalizeddbefore!
b. Mr.dY.,dIdjustdneeddpermissiondtodgetdyourdmedicaldrecordsdfromdCountydMedical.dc
.
Mr.dY.,dyoudmentioneddthatdyoudhavedbeendhospitalizeddondseveraldoccasions.d
Woulddyoudtelldmedmoredaboutdthat?
d.
Mr.dY.,dIdjustdneeddtodgetdsomedadditionaldinformationdaboutdyourdpastdhospitalizations.dW
hendwasdthedlastdtimedyoudweredadmitteddfordchestdpain?
ANS:dD
Thednursedshouldduseddirectdquestionsdafterdthedpersonsdopeningdnarrativedtodfilldindanyddetailsdhedor
dshedleftdout.dThednursedalsodshouldduseddirectdquestionsdwhendspecificdfactsdaredneeded,dsuchdasdwhe
ndaskingdaboutdpastdhealthdproblemsdordduringdthedreviewdofdsystems.
9. Indusingdverbaldresponsesdtodassistdthedpatientsdnarrative,dsomedresponsesdfocusdondthedpatientsdf
ramedofdreferencedanddsomedfocusdondthedhealthdcaredprovidersdperspective.dAndexampledofdadverb
aldresponsedthatdfocusesdondthedhealthdcaredprovidersdperspectivedwoulddbe:
a. Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
dANS:dD
Whendthedhealthdcaredproviderdusesdthedresponsedofdconfrontation,dthedframedofdreferencedshiftsdfro
mdthedpatientsdperspectivedtodthedperspectivedofdthedhealthdcaredprovider,danddthedhealthdcaredprovid
erdstartsdtodexpressdhisdordherdowndthoughtsdanddfeelings.dEmpathy,dreflection,danddfacilitationdresp
onsesdfocusdondthedpatientsdframedofdreference.
10. Whendtakingdadhistorydfromdadnewlydadmitteddpatient,dthednursednoticesdthatdhedoftendpausesda
nddexpectantlydlooksdatdthednurse.dWhatdwoulddbedthednursesdbestdresponsedtodthisdbehavior?
a. Bedsilent,danddallowdhimdtodcontinuedwhendhedisdready.d
b.
Smiledatdhimdanddsay,dDontdworrydaboutdalldofdthis.dImdsuredwedcandfinddoutdwhydyour
edhavingdthesedpains.
c.dLeandbackdindthedchairdanddask,dYoudaredlookingdatdmedkinddofdfunny;dtheredisntdanythingdwrong,dis
here
d.
Standdupdanddsay,dIdcandseedthatdthisdinterviewdisduncomfortabledfordyou.dWed
candcontinueditdanotherdtime.
ANS:dA
Silentdattentivenessdcommunicatesdthatdthedpersondhasdtimedtodthinkdanddtodorganizedwhatdhedordsh
edwishesdtodsaydwithoutdandinterruptiondfromdthednurse.dHealthdprofessionalsdmostdoftendinterruptd
thisdthinkingdsilence.dThedotherdresponsesdarednotdconducivedtodidealdcommunication.
