Advanced Health Assessment and Diagnostic Reasoning 3rd edition Rhoads TEST BANK
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Course
Advanced Health Assessment and Diagnostic
Institution
Advanced Health Assessment And Diagnostic
Advanced Health Assessment and Diagnostic Reasoning 3rd edition Rhoads TEST BANK.Advanced Health Assessment and Diagnostic Reasoning
3rd edition Rhoads TEST BANK
Chapter 1 Interview and History Taking Strategies
MULTIPLE CHOICE
1. The nurse is conducting an interview with a woman who has recent...
advanced health assessment and diagnostic reasoning 3rd edition rhoads test bankchapter 1 interview and history taking strategies multiple choice 1 the nurse is conducting an interview with a woman
Advanced Health Assessment and
Diagnostic Reasoning 3rd edition Rhoads
TEST BANK
David.jamin19@gmail.com
,Advanced Health Assessment and Diagnostic Reasoning
3rd edition Rhoads TEST BANK
Chapter 1 Interview and History Taking Strategies
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
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