Advanced Health Assessment and Diagnostic
Reasoning,
4th Edition by Rhoads
All Chapters 1-18
TEST BANK
,TABLE OF CONTENT
Chapter 1 Interviewand History- Taking Strategies Chapter
2 Physical ExaminationStrategies Chapter 3
DocumentationStrategies
Chapter 4 Cultural and Spiritual Assessment Chapter 5
NutritionalAssessment
Chapter 6 MentalHealth Disorders Chapter 7
IntegumentaryDisorders Chapter 8 Eye
Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose,Sinus, Mouth,and ThroatDisorders Chapter 11
Respiratory Disorders
Chapter 12 Cardiovascular Disorders Chapter
13 EndocrineDisorders Chapter 14
GastrointestinalDisorders Chapter 15
NeurologicalDisorders
Chapter 16 MaleGenitourinaryDisorders
Chapter 17 Female Genitourinaryand Breast Disorders Chapter 18
MusculoskeletalDisorder
,Chapter1InterviewandHistoryTakingStrategies
MULTIPLECHOICE
1. The nurse is conductingan interviewwith a womanwho has recently learned that she is
pregnantand who has come to the clinic todayto begin prenatal care. The womanstates that she
and her husbandare excited aboutthe pregnancy but have a few questions.She looks nervously
at her hands during the interviewand sighs loudly.Consideringthe conceptof communication,
which statementdoes the nurse know to be most accurate?The womanis:
a. Excited abouther pregnancybutnervous aboutthe labor.
b. Exhibitingverbal and nonverbalbehaviorsthat do notmatch.
c. Excited abouther pregnancy,but her husbandis not and this is upsetting
to her. d.
Notexcitedabouther pregnancybutbelieves the nurse will negatively
respondto her if she states this.
ANS: B
Communicationis all behaviors,consciousand unconscious,verbal and nonverbal. All behaviors
have meaning.Her behaviordoes not imply thatshe is nervous about labor, upset by her husband,
or worried aboutthe nurses response.
2. Receiving is a part of the communicationprocess. Whichreceiver is most likely to
misinterpreta message sent by a health care professional?
a. Well- adjustedadolescentwho came in for a sports physical
b. Recoveringalcoholic whocame in for a basic physical examination
c. Manwhosewife has just beendiagnosedwith lung cancer
d.
Manwith a hearing impairmentwho uses sign language to communicateand who has an
interpreterwith him
ANS: C
The receiver attaches meaningdeterminedby his or her experiences,culture,self- concept,and
current physical and emotionalstates. The man whosewife has just been diagnosedwith lung
cancer may be experiencingemotions thataffect his receiving.
3. Thenurse makes which adjustmentin the physical environmentto promotethe success of an
interview?
a. Reduces noise by turningoff televisionsand radios
b. Reduces the distance betweenthe interviewerand the patientto 2 feet or less
c. Provides a dim light that makes the roomcozy and helps the patientrelax
d. Arranges seating across a desk or table to allow the patientsome personal
space
ANS: A
The nurse should reduce noise by turningoff the television,radio, and other unnecessary
equipment,because multiplestimuli are confusing. Theinterviewer and patientshould be
approximately4 to 5 feet apart;the roomshouldbe well- lit, enabling the interviewerand patient
to see each other clearly.Having a table or desk in betweenthe two peoplecreates 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 statementis trueregarding note- taking?
a. Note- taking may impedethe nurses observationof the patients nonverbal
behaviors.b.
Note- taking allows the patientto continueat his or her own pace as the nurse
records what is said.
c.
Note- taking allows the nurse to shift attentionaway from the patient, resulting
in an increased comfort level.
d.
Note- taking allows the nurse to break eye contactwith 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 attentionaway from the patient,which diminishes his or her sense of importance.
Notetakingmay also interrupt the patients narrative flow, and it impedesthe observationof the
patientsnonverbalbehavior.
5. The nurse asks, I wouldlike to ask you somequestionsaboutyour health and your usual daily
activities so that we can betterplan your stay here. This questionis foundat the
phase of the interviewprocess.
a. Summary
b. Closing
c. Body
d. Openingor
introduction
ANS: D
Whengathering a completehistory, the nurse should give the reason for the interviewduring the
openingor introductionphase of the interview,not during or at the end of the interview.
6. A womanhas just enteredthe emergencydepartmentafter being batteredby her husband.The
nurse needs to get some informationfrom her to begin treatment. Whatis the best choice for an
openingphase of the interviewwith this patient?
a. Hello,Nancy,my nameis Mrs.C.
b. Hello,Mrs. H.,my name is Mrs. C. It sure is cold today!
c. Mrs. H.,my name is Mrs. C. Howare you?
d. Mrs. H.,my nameis Mrs.C. Ill needto ask you a few questionsaboutwhat happened.
ANS: D
Address the person by using his or her surname.The nurse should introducehim or herself and
give the reason for the interview.Friendly small talk is not neededto build rapport.
7. Duringan interview,the nurse states, Youmentionedhaving shortness of breath.Tell me
more aboutthat.Whichverbal skill is used with this statement?
a. Reflection
Reasoning,
4th Edition by Rhoads
All Chapters 1-18
TEST BANK
,TABLE OF CONTENT
Chapter 1 Interviewand History- Taking Strategies Chapter
2 Physical ExaminationStrategies Chapter 3
DocumentationStrategies
Chapter 4 Cultural and Spiritual Assessment Chapter 5
NutritionalAssessment
Chapter 6 MentalHealth Disorders Chapter 7
IntegumentaryDisorders Chapter 8 Eye
Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose,Sinus, Mouth,and ThroatDisorders Chapter 11
Respiratory Disorders
Chapter 12 Cardiovascular Disorders Chapter
13 EndocrineDisorders Chapter 14
GastrointestinalDisorders Chapter 15
NeurologicalDisorders
Chapter 16 MaleGenitourinaryDisorders
Chapter 17 Female Genitourinaryand Breast Disorders Chapter 18
MusculoskeletalDisorder
,Chapter1InterviewandHistoryTakingStrategies
MULTIPLECHOICE
1. The nurse is conductingan interviewwith a womanwho has recently learned that she is
pregnantand who has come to the clinic todayto begin prenatal care. The womanstates that she
and her husbandare excited aboutthe pregnancy but have a few questions.She looks nervously
at her hands during the interviewand sighs loudly.Consideringthe conceptof communication,
which statementdoes the nurse know to be most accurate?The womanis:
a. Excited abouther pregnancybutnervous aboutthe labor.
b. Exhibitingverbal and nonverbalbehaviorsthat do notmatch.
c. Excited abouther pregnancy,but her husbandis not and this is upsetting
to her. d.
Notexcitedabouther pregnancybutbelieves the nurse will negatively
respondto her if she states this.
ANS: B
Communicationis all behaviors,consciousand unconscious,verbal and nonverbal. All behaviors
have meaning.Her behaviordoes not imply thatshe is nervous about labor, upset by her husband,
or worried aboutthe nurses response.
2. Receiving is a part of the communicationprocess. Whichreceiver is most likely to
misinterpreta message sent by a health care professional?
a. Well- adjustedadolescentwho came in for a sports physical
b. Recoveringalcoholic whocame in for a basic physical examination
c. Manwhosewife has just beendiagnosedwith lung cancer
d.
Manwith a hearing impairmentwho uses sign language to communicateand who has an
interpreterwith him
ANS: C
The receiver attaches meaningdeterminedby his or her experiences,culture,self- concept,and
current physical and emotionalstates. The man whosewife has just been diagnosedwith lung
cancer may be experiencingemotions thataffect his receiving.
3. Thenurse makes which adjustmentin the physical environmentto promotethe success of an
interview?
a. Reduces noise by turningoff televisionsand radios
b. Reduces the distance betweenthe interviewerand the patientto 2 feet or less
c. Provides a dim light that makes the roomcozy and helps the patientrelax
d. Arranges seating across a desk or table to allow the patientsome personal
space
ANS: A
The nurse should reduce noise by turningoff the television,radio, and other unnecessary
equipment,because multiplestimuli are confusing. Theinterviewer and patientshould be
approximately4 to 5 feet apart;the roomshouldbe well- lit, enabling the interviewerand patient
to see each other clearly.Having a table or desk in betweenthe two peoplecreates 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 statementis trueregarding note- taking?
a. Note- taking may impedethe nurses observationof the patients nonverbal
behaviors.b.
Note- taking allows the patientto continueat his or her own pace as the nurse
records what is said.
c.
Note- taking allows the nurse to shift attentionaway from the patient, resulting
in an increased comfort level.
d.
Note- taking allows the nurse to break eye contactwith 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 attentionaway from the patient,which diminishes his or her sense of importance.
Notetakingmay also interrupt the patients narrative flow, and it impedesthe observationof the
patientsnonverbalbehavior.
5. The nurse asks, I wouldlike to ask you somequestionsaboutyour health and your usual daily
activities so that we can betterplan your stay here. This questionis foundat the
phase of the interviewprocess.
a. Summary
b. Closing
c. Body
d. Openingor
introduction
ANS: D
Whengathering a completehistory, the nurse should give the reason for the interviewduring the
openingor introductionphase of the interview,not during or at the end of the interview.
6. A womanhas just enteredthe emergencydepartmentafter being batteredby her husband.The
nurse needs to get some informationfrom her to begin treatment. Whatis the best choice for an
openingphase of the interviewwith this patient?
a. Hello,Nancy,my nameis Mrs.C.
b. Hello,Mrs. H.,my name is Mrs. C. It sure is cold today!
c. Mrs. H.,my name is Mrs. C. Howare you?
d. Mrs. H.,my nameis Mrs.C. Ill needto ask you a few questionsaboutwhat happened.
ANS: D
Address the person by using his or her surname.The nurse should introducehim or herself and
give the reason for the interview.Friendly small talk is not neededto build rapport.
7. Duringan interview,the nurse states, Youmentionedhaving shortness of breath.Tell me
more aboutthat.Whichverbal skill is used with this statement?
a. Reflection
