Advanced Health Assessment and Diagnostic
m m m m
Reasoning,
4th Edition by Rhoad
m m m
s
All Chapters 1-
m m
18
TEST BANK m
,TABLE OF CONTENT
m m
Chapterm 1m InterviewmandmHistory-
TakingmStrategiesm Chapterm 2m PhysicalmExaminati
onmStrategiesm Chapterm 3m DocumentationmStrategi
es
Chapterm 4m CulturalmandmSpiritualmAssessmentm Ch
apterm 5m NutritionalmAssessment
Chapterm 6m MentalmHealthmDisordersm C
hapterm 7m IntegumentarymDisordersm Ch
apterm 8m EyemDisorders
Chapterm 9m EarmDisorders
Chapterm 10m Nose,mSinus,mMouth,mandmThroatmDisordersm C
hapterm 11m RespiratorymDisorders
Chapterm 12m CardiovascularmDisorders
m Chapterm 13m EndocrinemDisordersm Ch
apterm 14m GastrointestinalmDisordersm C
hapterm 15m NeurologicalmDisorders
Chapterm 16m MalemGenitourinarymDisorders
Chapterm 17m FemalemGenitourinarymandmBreastmDisordersm
Chapterm 18m MusculoskeletalmDisorder
,Chapterm1mInterviewmandmHistorymTakingmStrategies
MULTIPLEm CHOICE
1. Themnursemismconductingmanminterviewmwithmamwomanmwhomhasmrecentlymlearn
edmthatm shemismpregnantmandmwhomhasmcomemtomthemclinicmtodaymtombeginmpren
atalmcare.mThem womanmstatesmthatmshemandmhermhusbandmaremexcitedmaboutmthem
pregnancymbutmhavemam fewmquestions.mShemlooksmnervouslymatmhermhandsmdurin
gmtheminterviewmandmsighsm loudly.mConsideringmthemconceptmofmcommunication,
mwhichmstatementmdoesmthemnursem knowmtombemmostmaccurate?mThemwomanmis:
a. Excitedmaboutmhermpregnancymbutmnervousmaboutmthemlabor.
b. Exhibitingmverbalmandmnonverbalmbehaviorsmthatmdomnotmmatch.
c. Excitedmaboutmhermpregnancy,mbutmhermhusbandmismnotmandmt
hismism upsettingmtomher.md.
Notmexcitedmaboutmhermpregnancymbutmbelievesmthemnursemwill
m negativelymrespondmtomhermifmshemstatesmthis.
ANS:mB
Communicationmismallmbehaviors,mconsciousmandmunconscious,mverbalmandmnonverb
al.m Allmbehaviorsmhavemmeaning.mHermbehaviormdoesmnotmimplymthatmshemismnerv
ousmaboutm labor,mupsetmbymhermhusband,mormworriedmaboutmthemnursesmresponse
.
2. Receivingmismampartmofmthemcommunicationmprocess.mWhichmreceiver
mis m mostmlikelymtommisinterpretmammessagemsentmbymamhealthmcarempro
fessional?
a. Well-adjustedmadolescentmwhomcameminmformamsportsmphysical
b. Recoveringmalcoholicmwhomcameminmformambasicmphysicalmexamination
c. Manmwhosemwifemhasmjustmbeenmdiagnosedmwithm
lungm cancermd.
Manmwithmamhearingmimpairmentmwhomusesmsignmlanguagemtomcommunicatemandm
whom hasmanminterpretermwithmhim
ANS:mC
Themreceivermattachesmmeaningmdeterminedmbymhismormhermexperiences,mculture,
mself-
m concept,mandmcurrentmphysicalmandmemotionalmstates.mThemmanmwhosemwifemha
smjustm beenmdiagnosedmwithmlungmcancermmaymbemexperiencingmemotionsmthatm
affectmhism receiving.
3. Themnursemmakesmwhichmadjustmentminmthemphysicalmenvironmentmtompromo
temthem successmofmanminterview?
a. Reducesmnoisembymturningmoffmtelevisionsmandmradios
b. Reducesmthemdistancembetweenmtheminterviewermandmthempatientmtom2mfeetmormles
s
c. Providesmamdimmlightmthatmmakesmthemroommcozymandmhelpsmthempatientmrelax
d. Arrangesmseatingmacrossmamdeskmormtablemtomallowmthempatient
msomem personalmspace
ANS:mA
Themnursemshouldmreducemnoisembymturningmoffmthemtelevision,mradio,mandmother
m unnecessarymequipment,mbecausemmultiplemstimulimaremconfusing.mThemintervie
werm andmpatientmshouldmbemapproximatelym4mtom5mfeetmapart;mthemroommshouldm
, bemwell-
lit,m enablingmtheminterviewermandmpatientmtomseemeachmothermclearly.mHavingmamt
ablemorm deskminmbetweenmthemtwompeoplemcreatesmthemideamofmambarrier;mequal-
statusmseating,m atmeyemlevel,mismbetter.
4. Inmanminterview,mthemnursemmaymfindmitmnecessarymtomtakemnotesmtomaidmhi
smormherm memorymlater.mWhichmstatementmismtrueregardingmnote-taking?
a. Note-
takingmmaymimpedemthemnursesmobservationmofmthempatientsm n
onverbalmbehaviors.mb.
Note-
takingmallowsmthempatientmtomcontinuematmhismormhermownmpacemas
m themnursemrecordsmwhatmismsaid.
c.
Note-
takingmallowsmthemnursemtomshiftmattentionmawaymfrommthempatient,
m resultingminmanmincreasedmcomfortmlevel.
d.
Note-
takingmallowsmthemnursemtombreakmeyemcontactmwithmthempatient,m
whichmmaymincreasemhismormhermlevelmofmcomfort.
ANS:mA
Them usem ofm historym formsm andm note-
takingm maym bem unavoidable.m However,m them nursem mustm bem awarem thatm note-
takingm duringm them interviewm hasm disadvantages.m Itm breaksm eyemcontactmtoomofte
nmandmshiftsmthemattentionmawaymfrommthempatient,mwhichmdiminishesm hismormherms
ensemofmimportance.m Notetakingmmaym alsominterruptm them patientsm narrativem flow,
mandmitmimpedesmthemobservationmofmthe
patientsmnonverbalmbehavior.
5. Themnursemasks,mImwouldmlikemtomaskmyoumsomemquestionsmaboutmyourmhealthma
ndmyourm usualmdailymactivitiesmsomthatmwemcanmbettermplanmyourmstaymhere.mThism
questionmism foundmatmthemm
m phasem ofmtheminterviewmprocess.
a. Summary
b. Closing
c. Body
d. Openingmo
rm introductio
nmmANS:mD
Whenmgatheringmamcompletemhistory,mthemnursemshouldmgivemthemreasonmformthem
interviewmduringmthemopeningmormintroductionmphasemofmtheminterview,mnotmdurin
gmormatm themendmofmtheminterview.
6. Amwomanmhasmjustmenteredmthememergencymdepartmentmaftermbeingmbatteredm
bymherm husband.mThemnursemneedsmtomgetmsomeminformationmfrommhermtombegin
mtreatment.m Whatmismthembestmchoicemformanmopeningmphasemofm theminterviewmwi
thmthismpatient?
a. Hello,mNancy,mmymnamemismMrs.mC.
b. Hello,mMrs.mH.,mmymnamemismMrs.mC.mItmsuremismcoldmtoday!
m m m m
Reasoning,
4th Edition by Rhoad
m m m
s
All Chapters 1-
m m
18
TEST BANK m
,TABLE OF CONTENT
m m
Chapterm 1m InterviewmandmHistory-
TakingmStrategiesm Chapterm 2m PhysicalmExaminati
onmStrategiesm Chapterm 3m DocumentationmStrategi
es
Chapterm 4m CulturalmandmSpiritualmAssessmentm Ch
apterm 5m NutritionalmAssessment
Chapterm 6m MentalmHealthmDisordersm C
hapterm 7m IntegumentarymDisordersm Ch
apterm 8m EyemDisorders
Chapterm 9m EarmDisorders
Chapterm 10m Nose,mSinus,mMouth,mandmThroatmDisordersm C
hapterm 11m RespiratorymDisorders
Chapterm 12m CardiovascularmDisorders
m Chapterm 13m EndocrinemDisordersm Ch
apterm 14m GastrointestinalmDisordersm C
hapterm 15m NeurologicalmDisorders
Chapterm 16m MalemGenitourinarymDisorders
Chapterm 17m FemalemGenitourinarymandmBreastmDisordersm
Chapterm 18m MusculoskeletalmDisorder
,Chapterm1mInterviewmandmHistorymTakingmStrategies
MULTIPLEm CHOICE
1. Themnursemismconductingmanminterviewmwithmamwomanmwhomhasmrecentlymlearn
edmthatm shemismpregnantmandmwhomhasmcomemtomthemclinicmtodaymtombeginmpren
atalmcare.mThem womanmstatesmthatmshemandmhermhusbandmaremexcitedmaboutmthem
pregnancymbutmhavemam fewmquestions.mShemlooksmnervouslymatmhermhandsmdurin
gmtheminterviewmandmsighsm loudly.mConsideringmthemconceptmofmcommunication,
mwhichmstatementmdoesmthemnursem knowmtombemmostmaccurate?mThemwomanmis:
a. Excitedmaboutmhermpregnancymbutmnervousmaboutmthemlabor.
b. Exhibitingmverbalmandmnonverbalmbehaviorsmthatmdomnotmmatch.
c. Excitedmaboutmhermpregnancy,mbutmhermhusbandmismnotmandmt
hismism upsettingmtomher.md.
Notmexcitedmaboutmhermpregnancymbutmbelievesmthemnursemwill
m negativelymrespondmtomhermifmshemstatesmthis.
ANS:mB
Communicationmismallmbehaviors,mconsciousmandmunconscious,mverbalmandmnonverb
al.m Allmbehaviorsmhavemmeaning.mHermbehaviormdoesmnotmimplymthatmshemismnerv
ousmaboutm labor,mupsetmbymhermhusband,mormworriedmaboutmthemnursesmresponse
.
2. Receivingmismampartmofmthemcommunicationmprocess.mWhichmreceiver
mis m mostmlikelymtommisinterpretmammessagemsentmbymamhealthmcarempro
fessional?
a. Well-adjustedmadolescentmwhomcameminmformamsportsmphysical
b. Recoveringmalcoholicmwhomcameminmformambasicmphysicalmexamination
c. Manmwhosemwifemhasmjustmbeenmdiagnosedmwithm
lungm cancermd.
Manmwithmamhearingmimpairmentmwhomusesmsignmlanguagemtomcommunicatemandm
whom hasmanminterpretermwithmhim
ANS:mC
Themreceivermattachesmmeaningmdeterminedmbymhismormhermexperiences,mculture,
mself-
m concept,mandmcurrentmphysicalmandmemotionalmstates.mThemmanmwhosemwifemha
smjustm beenmdiagnosedmwithmlungmcancermmaymbemexperiencingmemotionsmthatm
affectmhism receiving.
3. Themnursemmakesmwhichmadjustmentminmthemphysicalmenvironmentmtompromo
temthem successmofmanminterview?
a. Reducesmnoisembymturningmoffmtelevisionsmandmradios
b. Reducesmthemdistancembetweenmtheminterviewermandmthempatientmtom2mfeetmormles
s
c. Providesmamdimmlightmthatmmakesmthemroommcozymandmhelpsmthempatientmrelax
d. Arrangesmseatingmacrossmamdeskmormtablemtomallowmthempatient
msomem personalmspace
ANS:mA
Themnursemshouldmreducemnoisembymturningmoffmthemtelevision,mradio,mandmother
m unnecessarymequipment,mbecausemmultiplemstimulimaremconfusing.mThemintervie
werm andmpatientmshouldmbemapproximatelym4mtom5mfeetmapart;mthemroommshouldm
, bemwell-
lit,m enablingmtheminterviewermandmpatientmtomseemeachmothermclearly.mHavingmamt
ablemorm deskminmbetweenmthemtwompeoplemcreatesmthemideamofmambarrier;mequal-
statusmseating,m atmeyemlevel,mismbetter.
4. Inmanminterview,mthemnursemmaymfindmitmnecessarymtomtakemnotesmtomaidmhi
smormherm memorymlater.mWhichmstatementmismtrueregardingmnote-taking?
a. Note-
takingmmaymimpedemthemnursesmobservationmofmthempatientsm n
onverbalmbehaviors.mb.
Note-
takingmallowsmthempatientmtomcontinuematmhismormhermownmpacemas
m themnursemrecordsmwhatmismsaid.
c.
Note-
takingmallowsmthemnursemtomshiftmattentionmawaymfrommthempatient,
m resultingminmanmincreasedmcomfortmlevel.
d.
Note-
takingmallowsmthemnursemtombreakmeyemcontactmwithmthempatient,m
whichmmaymincreasemhismormhermlevelmofmcomfort.
ANS:mA
Them usem ofm historym formsm andm note-
takingm maym bem unavoidable.m However,m them nursem mustm bem awarem thatm note-
takingm duringm them interviewm hasm disadvantages.m Itm breaksm eyemcontactmtoomofte
nmandmshiftsmthemattentionmawaymfrommthempatient,mwhichmdiminishesm hismormherms
ensemofmimportance.m Notetakingmmaym alsominterruptm them patientsm narrativem flow,
mandmitmimpedesmthemobservationmofmthe
patientsmnonverbalmbehavior.
5. Themnursemasks,mImwouldmlikemtomaskmyoumsomemquestionsmaboutmyourmhealthma
ndmyourm usualmdailymactivitiesmsomthatmwemcanmbettermplanmyourmstaymhere.mThism
questionmism foundmatmthemm
m phasem ofmtheminterviewmprocess.
a. Summary
b. Closing
c. Body
d. Openingmo
rm introductio
nmmANS:mD
Whenmgatheringmamcompletemhistory,mthemnursemshouldmgivemthemreasonmformthem
interviewmduringmthemopeningmormintroductionmphasemofmtheminterview,mnotmdurin
gmormatm themendmofmtheminterview.
6. Amwomanmhasmjustmenteredmthememergencymdepartmentmaftermbeingmbatteredm
bymherm husband.mThemnursemneedsmtomgetmsomeminformationmfrommhermtombegin
mtreatment.m Whatmismthembestmchoicemformanmopeningmphasemofm theminterviewmwi
thmthismpatient?
a. Hello,mNancy,mmymnamemismMrs.mC.
b. Hello,mMrs.mH.,mmymnamemismMrs.mC.mItmsuremismcoldmtoday!
