Test Bank Chapter 03- The
Interview
Physical Assessment in Healthcare (Keiser
University)
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Chapter 03: The Interview
Jarvis: Physical Examination & Health Assessment, 7th
Edition
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.
Excited about her pregnancy, but her husband is not and this is
c. upsetting to her.
Not excited about her pregnancy but believes the nurse will
d. 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.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 28
MSC: Client Needs: Psychosocial Integrity
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
Man with a hearing impairment who uses sign language to
d. 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.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 28
MSC: Client Needs: Psychosocial Integrity
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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
Reduces the distance between the interviewer and the patient to 2
b. feet or less
Provides a dim light that makes the room cozy and helps the patient
c. relax
Arranges seating across a desk or table to allow the patient some
d. 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.
DIF: Cognitive Level: Applying (Application) REF: p. 29
MSC: Client Needs: Psychosocial Integrity
4. In an interview, the nurse may find it necessary to take notes to
aid his or her memory later. Which statement is true regarding
note- taking?
Note-taking may impede the nurses observation of the patients
a. nonverbal behaviors.
Note-taking allows the patient to continue at his or her own pace as
b. the nurse records what is said.
Note-taking allows the nurse to shift attention away from the
c. patient, resulting in an increased comfort level.
Note-taking allows the nurse to break eye contact with the patient,
d. 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. Note-taking may also interrupt the
patients narrative flow, and it impedes the observation of the
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patients nonverbal behavior.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 30