Test Bank For Advanced Health Assessment and Diagnostic Reasoning, 4th Edition by Jacqueline Rhoads All Chapters 1-18 LATEST

AdvancedHealthAssessment andDiagnostic
g
h g
h gh gh




Reasoning,
4th Edition by Rhoads
gh gh gh




All Chapters 1-18
gh gh




TEST BANK gh

,TABLE OF CONTENT
gh gh




Chapter 1 Interview and History-Taking
g h g h gh gh




gh Strategies Chapter 2 Physical Examination g h g h g h gh




gh Strategies Chapter 3 Documentation Strategies g h g h g h gh




Chapter 4 Cultural and Spiritual Assessment
g h g h gh gh gh




g h Chapter 5 Nutritional Assessment
g h g h gh




Chapter 6 Mental Health Disorders
g h g h gh gh




g h Chapter 7 Integumentary Disorders
g h g h gh




g h Chapter 8 Eye Disorders g h g h gh




Chapter 9 Ear Disorders g h g h gh




Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
g h g h gh gh gh gh gh




g h Chapter 11 Respiratory Disorders
g h g h gh




Chapter 12 Cardiovascular Disorders
g h g h gh




g h Chapter 13 Endocrine Disorders
g h g h gh




g h Chapter 14 Gastrointestinal
g h g h




gh Disorders Chapter 15 Neurological g h g h g h




gh Disorders
Chapter 16 Male Genitourinary Disorders
g h g h gh gh




Chapter 17 Female Genitourinary and Breast Disorders
g h g h gh gh gh gh




g h Chapter 18 Musculoskeletal Disorder
g h g h gh

,Chapter 1Interview and History Taking Strategies gh g
h gh g
h gh gh




MULTIPLE CHOICE g h




1. The nurse is conducting an interview with a woman who has recently learned that
gh gh gh gh gh gh gh gh gh gh gh gh gh




g she is pregnant and who has come to the clinic today to begin prenatal care. The
h gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g woman states that she and her husband are excited about the pregnancy but have a
h gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g few questions. She looks nervously at her hands during the interview and sighs
h gh gh gh gh gh gh gh gh gh gh gh gh




g loudly. Considering the concept of communication, which statement does the
h gh gh gh gh gh gh gh gh gh




nurse know to be most accurate? The woman is:
gh g h gh gh gh gh gh gh gh




a. Excited about her pregnancy but nervous about the labor. gh gh gh gh gh gh gh gh




b. Exhibiting verbal and nonverbal behaviors that do not match. gh gh gh gh gh gh gh gh




c. Excited about her pregnancy, but her husband is not and this is gh gh gh gh gh gh gh gh gh gh gh




g upsetting to her. d.
h gh gh gh




Not excited abouther pregnancybut believes the nurse will
gh g
h g
h gh gh gh gh gh gh




g negatively respond to her if she states this.
h gh gh gh gh gh gh gh




ANS: B gh




Communication is all behaviors, conscious and unconscious, verbal and nonverbal. gh gh gh gh gh gh gh gh gh




g All behaviors have meaning. Her behavior does not imply that she is nervous about
h gh gh gh gh gh gh gh gh gh gh gh gh gh




g labor, upset by her husband, or worried about the nurses response.
h gh gh gh gh gh gh gh gh gh gh




2. Receiving is a part of the communication process. Which receiver is gh gh gh gh gh gh gh gh gh gh




g most likely to misinterpret a message sent by a health care professional?
h gh gh gh gh gh gh gh gh gh gh gh




a. Well-adjusted adolescent who came in for a sports physical g
h gh gh gh gh gh gh gh




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




c. Man whose wife has just been diagnosed with lung
gh gh gh gh gh gh gh gh




cancer d.
g h gh




Man with a hearing impairment who uses sign language to communicate and who
gh gh gh gh gh gh gh gh gh gh gh gh




g has an interpreter with him
h gh gh gh gh




ANS: C gh




The receiver attaches meaning determined by his or her experiences, culture, self-
gh gh gh gh gh gh gh gh gh gh gh




g concept, and current physical and emotional states. The man whose wife has just
h gh gh gh gh gh gh gh gh gh gh gh gh




g been diagnosed with lung cancer may be experiencing emotions that affect his
h gh gh gh gh gh gh gh gh gh gh gh




g receiving.
h




3. The nurse makes which adjustment in the physical environment to promote the
gh gh gh gh gh gh gh gh gh gh gh




g success ofan interview?
h gh g
h gh




a. Reduces noise by turning off televisions and radios gh gh gh gh gh gh gh




b. Reduces the distance between the interviewer and the patient to 2 feet or less gh gh gh gh gh gh gh gh gh gh gh gh gh




c. Provides a dim light that makes the room cozy and helps the patient relax gh gh gh gh gh gh gh gh gh gh gh gh gh




d. Arranges seating across a desk or table to allow the patient some gh gh gh gh gh gh gh gh gh gh gh




personal space
g h gh




ANS: A gh




The nurse should reduce noise by turning off the television, radio, and other
gh gh gh gh gh gh gh gh gh gh gh gh




g unnecessary equipment, because multiple stimuli are confusing. The interviewer
h gh gh gh gh gh gh gh gh




and patient should be approximately 4 to 5 feet apart; the room should be well-lit,
g h gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g enabling the interviewer and patient to see each other clearly. Having a table or
h gh gh gh gh gh gh gh gh gh gh gh gh gh




desk in between the two people creates the idea of a barrier; equal-status seating,
g h gh gh gh gh gh gh gh gh gh gh gh gh gh




g at eye level, is better.
h gh gh gh gh

, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g memory later. Which statement is trueregarding note-taking?
h gh gh gh gh gh gh




a. Note-taking may impede the nurses observation of the patients gh gh gh gh gh gh gh gh




g nonverbal behaviors. b.
h gh gh




Note-taking allows the patient to continue at his or her own pace as gh gh gh gh gh gh gh gh gh gh gh gh




the nurse records what is said.
g h gh gh gh gh gh




c.
Note-taking allows the nurse to shift attention away from the patient, gh gh gh gh gh gh gh gh gh gh




g resulting in an increased comfort level.
h gh gh gh gh gh




d.
Note-taking allows the nurse to break eye contact with the patient, gh gh gh gh gh gh gh gh gh gh




which may increase his or her level of comfort.
g h gh gh gh gh gh gh gh gh




ANS: A gh




The use of history forms and note-taking may be unavoidable. However, the
gh gh gh g h gh gh g h g h gh g h g h




nurse
g h must be aware that note-taking during the interview has
g h g h g h g h g h g h g h g h g h




disadvantages. It breaks eye contact too often and shifts the attention away from
g h g h g h g h gh gh gh gh gh gh gh gh gh




the patient, which diminishes his or her sense of importance. Notetaking may also
gh gh gh gh g h gh gh gh gh gh gh gh gh




interrupt the patients narrative flow, and it impedes the observation of the
gh gh gh gh g h gh gh gh gh gh gh gh




patients nonverbal behavior. gh gh




5. The nurse asks, I would like to ask you some questions about your health and your
gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g usual daily activities so that we can better plan your stay here. This question is
h gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g found at the
h gh gh gh gh




phase of the interview process.
g h g h gh gh gh




a. Summary
b. Closing
c. Body
d. Opening or g
h




introduction
g h gh




ANS: D
gh gh




When gathering a complete history, the nurse should give the reason for the
gh gh gh gh gh gh gh gh gh gh gh gh




g interview during the opening or introduction phase of the interview, not during or at
h gh gh gh gh gh gh gh gh gh gh gh gh gh




g the end of the interview.
h gh gh gh gh




6. A woman has just entered the emergency department after being battered by her
gh gh gh gh gh gh gh gh gh gh gh gh




g husband. The nurse needs to get some information from her to begin treatment.
h gh gh gh gh gh gh gh gh gh gh gh gh




g What is the best choice for an opening phase of the interview with this patient?
h gh gh gh gh gh gh gh gh gh gh gh gh gh gh




a. Hello, Nancy, my name is Mrs. C. gh gh gh gh gh gh




b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
gh gh gh gh gh gh gh gh gh gh gh gh




c. Mrs. H., my name is Mrs. C. How are you?
gh gh gh gh gh gh gh gh gh




d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what
gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g happened.
h




ANS: D gh




Address the person by using his or her surname. The nurse should introduce him or
gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g herself and give the reason for the interview. Friendly small talk is not needed to
h gh gh gh gh gh gh gh gh gh gh gh gh gh gh




g build rapport.
h gh




7. During an interview, the nurse states, You mentioned having shortness of
gh gh gh gh gh gh gh gh gh gh




g breath. Tell me more about that. Which verbal skill is used with this statement?
h gh gh gh gh gh gh gh gh gh gh gh gh gh




a. Reflection