Test Bank Complete_
Advanced Health Assessment & Diagnostic Reasoning 4th Edition, (2020)
By Jacqueline Rhoads, Sandra Wiggins Petersen
All Chapters 1-14|2 Units| Updated Version With Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,PART 1: STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT____________________________ 3
Chapter 1: Interview And History Taking Strategies _______________________________________ 3
Chapter 2: Physical Examination Strategies ____________________________________________ 23
Chapter 3: Documentation Strategies _________________________________________________ 42
Chapter 4: Cultural And Spiritual Assessment __________________________________________ 63
Chapter 5: Nutritional Assessment ___________________________________________________ 92
PART 2: ADVANCED ASSESSMENT OF SYSTEMIC DISORDERS_________________________ 108
Chapter 6 Mental Health Disorders __________________________________________________ 108
Chapter 7 Integumentary Disorders _________________________________________________ 126
Chapter 8 Eye Disorders ___________________________________________________________ 145
Chapter 9 Ear Disorders ___________________________________________________________ 160
Chapter 10 Nose, Sinus, Mouth, And Throat Disorders __________________________________ 175
Chapter 11 Respiratory Disorders ___________________________________________________ 191
Chapter 12 Cardiovascular Disorders ________________________________________________ 208
Chapter 13 Endocrine Disorders ____________________________________________________ 227
Chapter 14 Gastrointestinal Disorders _______________________________________________ 243
Chapter 15 Neurological Disorders __________________________________________________ 257
Chapter 16 Male Genitourinary Disorders ____________________________________________ 272
Chapter 17 Female Genitourinary And Breast Disorders _________________________________ 303
Chapter 18 Musculoskeletal Disorders _______________________________________________ 336
,PART 1: STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT
Chapter 1: Interview and History-Taking Strategies
Jacqueline Rhoads: Advanced Health Assessment And Diagnostic Reasoning 4th Edition, Test Bank
MULTIPLE CHOICE
1. The Nurse Is Conducting An Interview With A Woman Who Has Recently Learned
That She Is Pregnant And Who Has Come To The Clinic Today To Begin Prenatal Care.
The Woman States That She And Her Husband Are Excited About The Pregnancy But
Have A Few Questions. She Looks Nervously At Her Hands During The Interview And
Sighs Loudly. Considering The Concept Of Communication, Which Statement Does The
Nurse Know To Be Most Accurate? The Woman Is:
A. Excited About Her Pregnancy But Nervous About The Labor.
B. Exhibiting Verbal And Nonverbal Behaviors That Do Not Match.
C. Excited About Her Pregnancy, But Her Husband Is Not And This Is Upsetting To Her.
D. Not Excited About Her Pregnancy But Believes The Nurse Will Negatively Respond
To Her If She States This.
ANS: B
Communication Is All Behaviors, Conscious And Unconscious, Verbal And Nonverbal.
All Behaviors Have Meaning. Her Behavior Does Not Imply That She Is Nervous About
Labor, Upset By Her Husband, Or Worried About The Nurses Response.
2. Receiving Is A Part Of The Communication Process. Which Receiver Is Most Likely
To Misinterpret A Message Sent By A Health Care Professional?
A. Well-Adjusted Adolescent Who Came In For A Sports Physical
B. Recovering Alcoholic Who Came In For A Basic Physical Examination
C. Man Whose Wife Has Just Been Diagnosed With Lung Cancer
D. Man With A Hearing Impairment Who Uses Sign Language To Communicate And
Who Has An Interpreter With Him
,ANS: C
The Receiver Attaches Meaning Determined By His Or Her Experiences, Culture, Self-
Concept, And Current Physical And Emotional States. The Man Whose Wife Has Just
Been Diagnosed With Lung Cancer May Be Experiencing Emotions That Affect His
Receiving.
3. The Nurse Makes Which Adjustment In The Physical Environment To Promote The
Success Of An Interview?
A. Reduces Noise By Turning Off Televisions And Radios
B. Reduces The Distance Between The Interviewer And The Patient To 2 Feet Or Less
C. Provides A Dim Light That Makes The Room Cozy And Helps The Patient Relax
D. Arranges Seating Across A Desk Or Table To Allow The Patient Some Personal
Space
ANS: A
The Nurse Should Reduce Noise By Turning Off The Television, Radio, And Other
Unnecessary Equipment, Because Multiple Stimuli Are Confusing. The Interviewer And
Patient Should Be Approximately 4 To 5 Feet Apart; The Room Should Be Well-Lit,
Enabling The Interviewer And Patient To See Each Other Clearly. Having A Table Or
Desk In Between The Two People Creates The Idea Of A Barrier; Equal-Status Seating,
At Eye Level, Is Better.
4. In An Interview, The Nurse May Find It Necessary To Take Notes To Aid His Or Her
Memory Later. Which Statement Is Trueregarding Note-Taking?
A. Note-Taking May Impede The Nurses Observation Of The Patients Nonverbal
Behaviors.
B. Note-Taking Allows The Patient To Continue At His Or Her Own Pace As The Nurse
Records What Is Said.
C. Note-Taking Allows The Nurse To Shift Attention Away From The Patient, Resulting
In An Increased Comfort Level.
,D. Note-Taking Allows The Nurse To Break Eye Contact With The Patient, Which May
Increase His Or Her Level Of Comfort.
ANS: A
The Use Of History Forms And Note-Taking May Be Unavoidable. However, The Nurse
Must Be Aware That Note-Taking During The Interview Has Disadvantages. It Breaks
Eye Contact Too Often And Shifts The Attention Away From The Patient, Which
Diminishes His Or Her Sense Of Importance. Notetaking May Also Interrupt The
Patients Narrative Flow, And It Impedes The Observation Of The
Patients Nonverbal Behavior.
5. The Nurse Asks, I Would Like To Ask You Some Questions About Your Health And
Your Usual Daily Activities So That We Can Better Plan Your Stay Here. This Question
Is Found At The _____ Phase Of The Interview Process.
A. Summary
B. Closing
C. Body
D. Opening Or Introduction
ANS: D
When Gathering A Complete History, The Nurse Should Give The Reason For The
Interview During The Opening Or Introduction Phase Of The Interview, Not During Or
At The End Of The Interview.
6. A Woman Has Just Entered The Emergency Department After Being Battered By Her
Husband. The Nurse Needs To Get Some Information From Her To Begin Treatment.
What Is The Best Choice For An Opening Phase Of The Interview With This Patient?
A. Hello, Nancy, My Name Is Mrs. C.
B. Hello, Mrs. H., My Name Is Mrs. C. It Sure Is Cold Today!
C. Mrs. H., My Name Is Mrs. C. How Are You?
, D. Mrs. H., My Name Is Mrs. C. Ill Need To Ask You A Few Questions About What
Happened.
ANS: D
Address The Person By Using His Or Her Surname. The Nurse Should Introduce Him Or
Herself And Give The Reason For The Interview. Friendly Small Talk Is Not Needed To
Build Rapport.
7. During An Interview, The Nurse States, You Mentioned Having Shortness Of Breath.
Tell Me More About That. Which Verbal Skill Is Used With This Statement?
A. Reflection
B. Facilitation
C. Direct Question
D. Open-Ended Question
ANS: D
The Open-Ended Question Asks For Narrative Information. It States The Topic To Be
Discussed But Only In General Terms. The Nurse Should Use It To Begin The Interview,
To Introduce A New Section Of Questions, And Whenever The Person Introduces A
New Topic.
8. A Patient Has Finished Giving The Nurse Information About The Reason He Is
Seeking Care. When Reviewing The Data, The Nurse Finds That Some Information
About Past Hospitalizations Is Missing. At This Point, Which Statement By The Nurse
Would Be Most Appropriate To Gather These Data?
A. Mr. Y., At Your Age, Surely You Have Been Hospitalized Before!
B. Mr. Y., I Just Need Permission To Get Your Medical Records From County Medical.
C. Mr. Y., You Mentioned That You Have Been Hospitalized On Several Occasions.
Would You Tell Me More About That?
D. Mr. Y., I Just Need To Get Some Additional Information About Your Past
Hospitalizations. When Was The Last Time You Were Admitted For Chest Pain?
Advanced Health Assessment & Diagnostic Reasoning 4th Edition, (2020)
By Jacqueline Rhoads, Sandra Wiggins Petersen
All Chapters 1-14|2 Units| Updated Version With Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,PART 1: STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT____________________________ 3
Chapter 1: Interview And History Taking Strategies _______________________________________ 3
Chapter 2: Physical Examination Strategies ____________________________________________ 23
Chapter 3: Documentation Strategies _________________________________________________ 42
Chapter 4: Cultural And Spiritual Assessment __________________________________________ 63
Chapter 5: Nutritional Assessment ___________________________________________________ 92
PART 2: ADVANCED ASSESSMENT OF SYSTEMIC DISORDERS_________________________ 108
Chapter 6 Mental Health Disorders __________________________________________________ 108
Chapter 7 Integumentary Disorders _________________________________________________ 126
Chapter 8 Eye Disorders ___________________________________________________________ 145
Chapter 9 Ear Disorders ___________________________________________________________ 160
Chapter 10 Nose, Sinus, Mouth, And Throat Disorders __________________________________ 175
Chapter 11 Respiratory Disorders ___________________________________________________ 191
Chapter 12 Cardiovascular Disorders ________________________________________________ 208
Chapter 13 Endocrine Disorders ____________________________________________________ 227
Chapter 14 Gastrointestinal Disorders _______________________________________________ 243
Chapter 15 Neurological Disorders __________________________________________________ 257
Chapter 16 Male Genitourinary Disorders ____________________________________________ 272
Chapter 17 Female Genitourinary And Breast Disorders _________________________________ 303
Chapter 18 Musculoskeletal Disorders _______________________________________________ 336
,PART 1: STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT
Chapter 1: Interview and History-Taking Strategies
Jacqueline Rhoads: Advanced Health Assessment And Diagnostic Reasoning 4th Edition, Test Bank
MULTIPLE CHOICE
1. The Nurse Is Conducting An Interview With A Woman Who Has Recently Learned
That She Is Pregnant And Who Has Come To The Clinic Today To Begin Prenatal Care.
The Woman States That She And Her Husband Are Excited About The Pregnancy But
Have A Few Questions. She Looks Nervously At Her Hands During The Interview And
Sighs Loudly. Considering The Concept Of Communication, Which Statement Does The
Nurse Know To Be Most Accurate? The Woman Is:
A. Excited About Her Pregnancy But Nervous About The Labor.
B. Exhibiting Verbal And Nonverbal Behaviors That Do Not Match.
C. Excited About Her Pregnancy, But Her Husband Is Not And This Is Upsetting To Her.
D. Not Excited About Her Pregnancy But Believes The Nurse Will Negatively Respond
To Her If She States This.
ANS: B
Communication Is All Behaviors, Conscious And Unconscious, Verbal And Nonverbal.
All Behaviors Have Meaning. Her Behavior Does Not Imply That She Is Nervous About
Labor, Upset By Her Husband, Or Worried About The Nurses Response.
2. Receiving Is A Part Of The Communication Process. Which Receiver Is Most Likely
To Misinterpret A Message Sent By A Health Care Professional?
A. Well-Adjusted Adolescent Who Came In For A Sports Physical
B. Recovering Alcoholic Who Came In For A Basic Physical Examination
C. Man Whose Wife Has Just Been Diagnosed With Lung Cancer
D. Man With A Hearing Impairment Who Uses Sign Language To Communicate And
Who Has An Interpreter With Him
,ANS: C
The Receiver Attaches Meaning Determined By His Or Her Experiences, Culture, Self-
Concept, And Current Physical And Emotional States. The Man Whose Wife Has Just
Been Diagnosed With Lung Cancer May Be Experiencing Emotions That Affect His
Receiving.
3. The Nurse Makes Which Adjustment In The Physical Environment To Promote The
Success Of An Interview?
A. Reduces Noise By Turning Off Televisions And Radios
B. Reduces The Distance Between The Interviewer And The Patient To 2 Feet Or Less
C. Provides A Dim Light That Makes The Room Cozy And Helps The Patient Relax
D. Arranges Seating Across A Desk Or Table To Allow The Patient Some Personal
Space
ANS: A
The Nurse Should Reduce Noise By Turning Off The Television, Radio, And Other
Unnecessary Equipment, Because Multiple Stimuli Are Confusing. The Interviewer And
Patient Should Be Approximately 4 To 5 Feet Apart; The Room Should Be Well-Lit,
Enabling The Interviewer And Patient To See Each Other Clearly. Having A Table Or
Desk In Between The Two People Creates The Idea Of A Barrier; Equal-Status Seating,
At Eye Level, Is Better.
4. In An Interview, The Nurse May Find It Necessary To Take Notes To Aid His Or Her
Memory Later. Which Statement Is Trueregarding Note-Taking?
A. Note-Taking May Impede The Nurses Observation Of The Patients Nonverbal
Behaviors.
B. Note-Taking Allows The Patient To Continue At His Or Her Own Pace As The Nurse
Records What Is Said.
C. Note-Taking Allows The Nurse To Shift Attention Away From The Patient, Resulting
In An Increased Comfort Level.
,D. Note-Taking Allows The Nurse To Break Eye Contact With The Patient, Which May
Increase His Or Her Level Of Comfort.
ANS: A
The Use Of History Forms And Note-Taking May Be Unavoidable. However, The Nurse
Must Be Aware That Note-Taking During The Interview Has Disadvantages. It Breaks
Eye Contact Too Often And Shifts The Attention Away From The Patient, Which
Diminishes His Or Her Sense Of Importance. Notetaking May Also Interrupt The
Patients Narrative Flow, And It Impedes The Observation Of The
Patients Nonverbal Behavior.
5. The Nurse Asks, I Would Like To Ask You Some Questions About Your Health And
Your Usual Daily Activities So That We Can Better Plan Your Stay Here. This Question
Is Found At The _____ Phase Of The Interview Process.
A. Summary
B. Closing
C. Body
D. Opening Or Introduction
ANS: D
When Gathering A Complete History, The Nurse Should Give The Reason For The
Interview During The Opening Or Introduction Phase Of The Interview, Not During Or
At The End Of The Interview.
6. A Woman Has Just Entered The Emergency Department After Being Battered By Her
Husband. The Nurse Needs To Get Some Information From Her To Begin Treatment.
What Is The Best Choice For An Opening Phase Of The Interview With This Patient?
A. Hello, Nancy, My Name Is Mrs. C.
B. Hello, Mrs. H., My Name Is Mrs. C. It Sure Is Cold Today!
C. Mrs. H., My Name Is Mrs. C. How Are You?
, D. Mrs. H., My Name Is Mrs. C. Ill Need To Ask You A Few Questions About What
Happened.
ANS: D
Address The Person By Using His Or Her Surname. The Nurse Should Introduce Him Or
Herself And Give The Reason For The Interview. Friendly Small Talk Is Not Needed To
Build Rapport.
7. During An Interview, The Nurse States, You Mentioned Having Shortness Of Breath.
Tell Me More About That. Which Verbal Skill Is Used With This Statement?
A. Reflection
B. Facilitation
C. Direct Question
D. Open-Ended Question
ANS: D
The Open-Ended Question Asks For Narrative Information. It States The Topic To Be
Discussed But Only In General Terms. The Nurse Should Use It To Begin The Interview,
To Introduce A New Section Of Questions, And Whenever The Person Introduces A
New Topic.
8. A Patient Has Finished Giving The Nurse Information About The Reason He Is
Seeking Care. When Reviewing The Data, The Nurse Finds That Some Information
About Past Hospitalizations Is Missing. At This Point, Which Statement By The Nurse
Would Be Most Appropriate To Gather These Data?
A. Mr. Y., At Your Age, Surely You Have Been Hospitalized Before!
B. Mr. Y., I Just Need Permission To Get Your Medical Records From County Medical.
C. Mr. Y., You Mentioned That You Have Been Hospitalized On Several Occasions.
Would You Tell Me More About That?
D. Mr. Y., I Just Need To Get Some Additional Information About Your Past
Hospitalizations. When Was The Last Time You Were Admitted For Chest Pain?
