AdvancedgHealthgAssessmentgandgDiagnosticgReasoningg3r
dgeditiongRhoads
TESTgBANK
Chapterg1gInterviewgandgHistorygTakinggStrategies
MULTIPLEgCHOICE
1. Thegnursegisgconductingganginterviewgwithgagwomangwhoghasgrecentlyglearnedgthatgshegisgpr
egnantgandgwhoghasgcomegtogthegclinicgtodaygtogbegingprenatalgcare.gThegwomangstatesgthatgsheg
andgherghusbandgaregexcitedgaboutgthegpregnancygbutghavegagfewgquestions.gSheglooksgnervousl
ygatgherghandsgduringgtheginterviewgandgsighsgloudly.gConsideringgthegconceptgofgcommunicati
on,gwhichgstatementgdoesgthegnursegknowgtogbegmostgaccurate?gThegwomangis:
a. Excitedgaboutghergpregnancygbutgnervousgaboutgtheglabor.
b. Exhibitinggverbalgandgnonverbalgbehaviorsgthatgdognotgmatch.
c. Excitedgaboutghergpregnancy,gbutgherghusbandgisgnotgandgthisgisgupsettinggtoghe
r.gd.
Notgexcitedgaboutghergpregnancygbutgbelievesgthegnursegwillgnegativelygrespo
ndgtoghergifgshegstatesgthis.
ANS:gB
Communicationgisgallgbehaviors,gconsciousgandgunconscious,gverbalgandgnonverbal.gAllgbehavior
sghavegmeaning.gHergbehaviorgdoesgnotgimplygthatgshegisgnervousgaboutglabor,gupsetgbygherghus
band,gorgworriedgaboutgthegnursesgresponse.
2. Receivinggisgagpartgofgthegcommunicationgprocess.gWhichgreceivergisgmostglikelygt
ogmisinterpretgagmessagegsentgbygaghealthgcaregprofessional?
a. Well-adjustedgadolescentgwhogcamegingforgagsportsgphysical
b. Recoveringgalcoholicgwhogcamegingforgagbasicgphysicalgexamination
c. Mangwhosegwifeghasgjustgbeengdiagnosedgwithglunggcance
rgd.
Mangwithgaghearinggimpairmentgwhogusesgsignglanguagegtogcommunicategandgwhoghasganginterp
retergwithghim
ANS:gC
Thegreceivergattachesgmeaninggdeterminedgbyghisgorghergexperiences,gculture,gself-
concept,gandgcurrentgphysicalgandgemotionalgstates.gThegmangwhosegwifeghasgjustgbeengdiagnose
dgwithglunggcancergmaygbegexperiencinggemotionsgthatgaffectghisgreceiving.
3. Thegnursegmakesgwhichgadjustmentgingthegphysicalgenvironmentgtogpromotegthegsuccessgofga
nginterview?
a. Reducesgnoisegbygturninggoffgtelevisionsgandgradios
b. Reducesgthegdistancegbetweengtheginterviewergandgthegpatientgtog2gfeetgorgless
c. Providesgagdimglightgthatgmakesgthegroomgcozygandghelpsgthegpatientgrelax
d. Arrangesgseatinggacrossgagdeskgorgtablegtogallowgthegpatientgsomegpersonalgspac
egANS:gA
Thegnursegshouldgreducegnoisegbygturninggoffgthegtelevision,gradio,gandgothergunnecessarygequip
ment,gbecausegmultiplegstimuligaregconfusing.gTheginterviewergandgpatientgshouldgbegapproxim
atelyg4gtog5gfeetgapart;gthegroomgshouldgbegwell-
lit,genablinggtheginterviewergandgpatientgtogseegeachgothergclearly.gHavinggagtablegorgdeskgingbet
weengthegtwogpeoplegcreatesgthegideagofgagbarrier;gequal-statusgseating,gatgeyeglevel,gisgbetter.
,4. Inganginterview,gthegnursegmaygfindgitgnecessarygtogtakegnotesgtogaidghisgorghergmemoryglate
r.gWhichgstatementgisgtrueregardinggnote-taking?
a. Note-
takinggmaygimpedegthegnursesgobservationgofgthegpatientsgnonverbalgbehaviors.gb.
Note-
takinggallowsgthegpatientgtogcontinuegatghisgorghergowngpacegasgthegnursegrec
ordsgwhatgisgsaid.
c.
Note-
takinggallowsgthegnursegtogshiftgattentiongawaygfromgthegpatient,gresultinggingan
gincreasedgcomfortglevel.
d.
Note-
takinggallowsgthegnursegtogbreakgeyegcontactgwithgthegpatient,gwhichgmaygincre
aseghisgorgherglevelgofgcomfort.
ANS:gA
Thegusegofghistorygformsgandgnote-
takinggmaygbegunavoidable.gHowever,gthegnursegmustgbegawaregthatgnote-
takinggduringgtheginterviewghasgdisadvantages.gItgbreaksgeyegcontactgtoogoftengandgshiftsgthegatte
ntiongawaygfromgthegpatient,gwhichgdiminishesghisgorghergsensegofgimportance.gNotetakinggmayg
alsoginterruptgthegpatientsgnarrativegflow,gandgitgimpedesgthegobservationgofgthe
patientsgnonverbalgbehavior.
5. Thegnursegasks,gIgwouldglikegtogaskgyougsomegquestionsgaboutgyourghealthgandgyourgusualgdai
lygactivitiesgsogthatgwegcangbettergplangyourgstayghere.gThisgquestiongisgfoundgatgtheg
gphasegofgtheginterviewgprocess.
a. Summary
b. Closing
c. Body
d. Openinggorgintroduction
gANS:gD
Whenggatheringgagcompleteghistory,gthegnursegshouldggivegthegreasongforgtheginterviewgduringgth
egopeninggorgintroductiongphasegofgtheginterview,gnotgduringgorgatgthegendgofgtheginterview.
6. Agwomanghasgjustgenteredgthegemergencygdepartmentgaftergbeinggbatteredgbygherghusband.gTh
egnursegneedsgtoggetgsomeginformationgfromghergtogbegingtreatment.gWhatgisgthegbestgchoicegfor
gangopeninggphasegofgtheginterviewgwithgthisgpatient?
a. Hello,gNancy,gmygnamegisgMrs.gC.
b. Hello,gMrs.gH.,gmygnamegisgMrs.gC.gItgsuregisgcoldgtoday!
c. Mrs.gH.,gmygnamegisgMrs.gC.gHowgaregyou?
d. Mrs.gH.,gmygnamegisgMrs.gC.gIllgneedgtogaskgyougagfewgquestionsgaboutgwhatghappene
d.gANS:gD
Addressgthegpersongbygusingghisgorghergsurname.gThegnursegshouldgintroduceghimgorgherselfgandg
givegthegreasongforgtheginterview.gFriendlygsmallgtalkgisgnotgneededgtogbuildgrapport.
7. Duringganginterview,gthegnursegstates,gYougmentionedghavinggshortnessgofgbreath.gTellgm
egmoregaboutgthat.gWhichgverbalgskillgisgusedgwithgthisgstatement?
a. Reflection
b. Facilitation
c. Directgquestion
d. Open-
endedgquestiongANS:g
,D
, Thegopen-
endedgquestiongasksgforgnarrativeginformation.gItgstatesgthegtopicgtogbegdiscussedgbutgonlygingg
eneralgterms.gThegnursegshouldgusegitgtogbegingtheginterview,gtogintroducegagnewgsectiongofgques
tions,gandgwhenevergthegpersongintroducesgagnewgtopic.
8. Agpatientghasgfinishedggivinggthegnurseginformationgaboutgthegreasonghegisgseekinggcare.gWhe
ngreviewinggthegdata,gthegnursegfindsgthatgsomeginformationgaboutgpastghospitalizationsgisgmissi
ng.gAtgthisgpoint,gwhichgstatementgbygthegnursegwouldgbegmostgappropriategtoggathergthesegdat
a?
a. Mr.gY.,gatgyourgage,gsurelygyoughavegbeenghospitalizedgbefore!
b. Mr.gY.,gIgjustgneedgpermissiongtoggetgyourgmedicalgrecordsgfromgCountygMedica
l.gc.
Mr.gY.,gyougmentionedgthatgyoughavegbeenghospitalizedgongseveralgoccasions.
gWouldgyougtellgmegmoregaboutgthat?
d.
Mr.gY.,gIgjustgneedgtoggetgsomegadditionalginformationgaboutgyourgpastghospitalizations.
gWhengwasgtheglastgtimegyougweregadmittedgforgchestgpain?
ANS:gD
Thegnursegshouldgusegdirectgquestionsgaftergthegpersonsgopeninggnarrativegtogfillginganygdetailsgh
egorgshegleftgout.gThegnursegalsogshouldgusegdirectgquestionsgwhengspecificgfactsgaregneeded,gsuch
gasgwhengaskinggaboutgpastghealthgproblemsgorgduringgthegreviewgofgsystems.
9. Ingusinggverbalgresponsesgtogassistgthegpatientsgnarrative,gsomegresponsesgfocusgongthegpatien
tsgframegofgreferencegandgsomegfocusgongtheghealthgcaregprovidersgperspective.gAngexamplegof
gagverbalgresponsegthatgfocusesgongtheghealthgcaregprovidersgperspectivegwouldgbe:
a. Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
gANS:gD
Whengtheghealthgcaregprovidergusesgthegresponsegofgconfrontation,gthegframegofgreferencegshiftsgf
romgthegpatientsgperspectivegtogthegperspectivegofgtheghealthgcaregprovider,gandgtheghealthgcaregp
rovidergstartsgtogexpressghisgorghergowngthoughtsgandgfeelings.gEmpathy,greflection,gandgfacilitat
iongresponsesgfocusgongthegpatientsgframegofgreference.
10. Whengtakinggaghistorygfromgagnewlygadmittedgpatient,gthegnursegnoticesgthatghegoftengpaus
esgandgexpectantlyglooksgatgthegnurse.gWhatgwouldgbegthegnursesgbestgresponsegtogthisgbehavi
or?
a. Begsilent,gandgallowghimgtogcontinuegwhenghegisgready
.gb.
Smilegatghimgandgsay,gDontgworrygaboutgallgofgthis.gImgsuregwegcangfindgoutgwhyg
youreghavinggthesegpains.
c.gLeangbackgingthegchairgandgask,gYougareglookinggatgmegkindgofgfunny;gtheregisntganythinggwron
g,gishere
d.
Standgupgandgsay,gIgcangseegthatgthisginterviewgisguncomfortablegforgyou.g
Wegcangcontinuegitganothergtime.
ANS:gA
Silentgattentivenessgcommunicatesgthatgthegpersonghasgtimegtogthinkgandgtogorganizegwhatghegor
gshegwishesgtogsaygwithoutganginterruptiongfromgthegnurse.gHealthgprofessionalsgmostgoftengint
erruptgthisgthinkinggsilence.gThegothergresponsesgaregnotgconducivegtogidealgcommunication.
dgeditiongRhoads
TESTgBANK
Chapterg1gInterviewgandgHistorygTakinggStrategies
MULTIPLEgCHOICE
1. Thegnursegisgconductingganginterviewgwithgagwomangwhoghasgrecentlyglearnedgthatgshegisgpr
egnantgandgwhoghasgcomegtogthegclinicgtodaygtogbegingprenatalgcare.gThegwomangstatesgthatgsheg
andgherghusbandgaregexcitedgaboutgthegpregnancygbutghavegagfewgquestions.gSheglooksgnervousl
ygatgherghandsgduringgtheginterviewgandgsighsgloudly.gConsideringgthegconceptgofgcommunicati
on,gwhichgstatementgdoesgthegnursegknowgtogbegmostgaccurate?gThegwomangis:
a. Excitedgaboutghergpregnancygbutgnervousgaboutgtheglabor.
b. Exhibitinggverbalgandgnonverbalgbehaviorsgthatgdognotgmatch.
c. Excitedgaboutghergpregnancy,gbutgherghusbandgisgnotgandgthisgisgupsettinggtoghe
r.gd.
Notgexcitedgaboutghergpregnancygbutgbelievesgthegnursegwillgnegativelygrespo
ndgtoghergifgshegstatesgthis.
ANS:gB
Communicationgisgallgbehaviors,gconsciousgandgunconscious,gverbalgandgnonverbal.gAllgbehavior
sghavegmeaning.gHergbehaviorgdoesgnotgimplygthatgshegisgnervousgaboutglabor,gupsetgbygherghus
band,gorgworriedgaboutgthegnursesgresponse.
2. Receivinggisgagpartgofgthegcommunicationgprocess.gWhichgreceivergisgmostglikelygt
ogmisinterpretgagmessagegsentgbygaghealthgcaregprofessional?
a. Well-adjustedgadolescentgwhogcamegingforgagsportsgphysical
b. Recoveringgalcoholicgwhogcamegingforgagbasicgphysicalgexamination
c. Mangwhosegwifeghasgjustgbeengdiagnosedgwithglunggcance
rgd.
Mangwithgaghearinggimpairmentgwhogusesgsignglanguagegtogcommunicategandgwhoghasganginterp
retergwithghim
ANS:gC
Thegreceivergattachesgmeaninggdeterminedgbyghisgorghergexperiences,gculture,gself-
concept,gandgcurrentgphysicalgandgemotionalgstates.gThegmangwhosegwifeghasgjustgbeengdiagnose
dgwithglunggcancergmaygbegexperiencinggemotionsgthatgaffectghisgreceiving.
3. Thegnursegmakesgwhichgadjustmentgingthegphysicalgenvironmentgtogpromotegthegsuccessgofga
nginterview?
a. Reducesgnoisegbygturninggoffgtelevisionsgandgradios
b. Reducesgthegdistancegbetweengtheginterviewergandgthegpatientgtog2gfeetgorgless
c. Providesgagdimglightgthatgmakesgthegroomgcozygandghelpsgthegpatientgrelax
d. Arrangesgseatinggacrossgagdeskgorgtablegtogallowgthegpatientgsomegpersonalgspac
egANS:gA
Thegnursegshouldgreducegnoisegbygturninggoffgthegtelevision,gradio,gandgothergunnecessarygequip
ment,gbecausegmultiplegstimuligaregconfusing.gTheginterviewergandgpatientgshouldgbegapproxim
atelyg4gtog5gfeetgapart;gthegroomgshouldgbegwell-
lit,genablinggtheginterviewergandgpatientgtogseegeachgothergclearly.gHavinggagtablegorgdeskgingbet
weengthegtwogpeoplegcreatesgthegideagofgagbarrier;gequal-statusgseating,gatgeyeglevel,gisgbetter.
,4. Inganginterview,gthegnursegmaygfindgitgnecessarygtogtakegnotesgtogaidghisgorghergmemoryglate
r.gWhichgstatementgisgtrueregardinggnote-taking?
a. Note-
takinggmaygimpedegthegnursesgobservationgofgthegpatientsgnonverbalgbehaviors.gb.
Note-
takinggallowsgthegpatientgtogcontinuegatghisgorghergowngpacegasgthegnursegrec
ordsgwhatgisgsaid.
c.
Note-
takinggallowsgthegnursegtogshiftgattentiongawaygfromgthegpatient,gresultinggingan
gincreasedgcomfortglevel.
d.
Note-
takinggallowsgthegnursegtogbreakgeyegcontactgwithgthegpatient,gwhichgmaygincre
aseghisgorgherglevelgofgcomfort.
ANS:gA
Thegusegofghistorygformsgandgnote-
takinggmaygbegunavoidable.gHowever,gthegnursegmustgbegawaregthatgnote-
takinggduringgtheginterviewghasgdisadvantages.gItgbreaksgeyegcontactgtoogoftengandgshiftsgthegatte
ntiongawaygfromgthegpatient,gwhichgdiminishesghisgorghergsensegofgimportance.gNotetakinggmayg
alsoginterruptgthegpatientsgnarrativegflow,gandgitgimpedesgthegobservationgofgthe
patientsgnonverbalgbehavior.
5. Thegnursegasks,gIgwouldglikegtogaskgyougsomegquestionsgaboutgyourghealthgandgyourgusualgdai
lygactivitiesgsogthatgwegcangbettergplangyourgstayghere.gThisgquestiongisgfoundgatgtheg
gphasegofgtheginterviewgprocess.
a. Summary
b. Closing
c. Body
d. Openinggorgintroduction
gANS:gD
Whenggatheringgagcompleteghistory,gthegnursegshouldggivegthegreasongforgtheginterviewgduringgth
egopeninggorgintroductiongphasegofgtheginterview,gnotgduringgorgatgthegendgofgtheginterview.
6. Agwomanghasgjustgenteredgthegemergencygdepartmentgaftergbeinggbatteredgbygherghusband.gTh
egnursegneedsgtoggetgsomeginformationgfromghergtogbegingtreatment.gWhatgisgthegbestgchoicegfor
gangopeninggphasegofgtheginterviewgwithgthisgpatient?
a. Hello,gNancy,gmygnamegisgMrs.gC.
b. Hello,gMrs.gH.,gmygnamegisgMrs.gC.gItgsuregisgcoldgtoday!
c. Mrs.gH.,gmygnamegisgMrs.gC.gHowgaregyou?
d. Mrs.gH.,gmygnamegisgMrs.gC.gIllgneedgtogaskgyougagfewgquestionsgaboutgwhatghappene
d.gANS:gD
Addressgthegpersongbygusingghisgorghergsurname.gThegnursegshouldgintroduceghimgorgherselfgandg
givegthegreasongforgtheginterview.gFriendlygsmallgtalkgisgnotgneededgtogbuildgrapport.
7. Duringganginterview,gthegnursegstates,gYougmentionedghavinggshortnessgofgbreath.gTellgm
egmoregaboutgthat.gWhichgverbalgskillgisgusedgwithgthisgstatement?
a. Reflection
b. Facilitation
c. Directgquestion
d. Open-
endedgquestiongANS:g
,D
, Thegopen-
endedgquestiongasksgforgnarrativeginformation.gItgstatesgthegtopicgtogbegdiscussedgbutgonlygingg
eneralgterms.gThegnursegshouldgusegitgtogbegingtheginterview,gtogintroducegagnewgsectiongofgques
tions,gandgwhenevergthegpersongintroducesgagnewgtopic.
8. Agpatientghasgfinishedggivinggthegnurseginformationgaboutgthegreasonghegisgseekinggcare.gWhe
ngreviewinggthegdata,gthegnursegfindsgthatgsomeginformationgaboutgpastghospitalizationsgisgmissi
ng.gAtgthisgpoint,gwhichgstatementgbygthegnursegwouldgbegmostgappropriategtoggathergthesegdat
a?
a. Mr.gY.,gatgyourgage,gsurelygyoughavegbeenghospitalizedgbefore!
b. Mr.gY.,gIgjustgneedgpermissiongtoggetgyourgmedicalgrecordsgfromgCountygMedica
l.gc.
Mr.gY.,gyougmentionedgthatgyoughavegbeenghospitalizedgongseveralgoccasions.
gWouldgyougtellgmegmoregaboutgthat?
d.
Mr.gY.,gIgjustgneedgtoggetgsomegadditionalginformationgaboutgyourgpastghospitalizations.
gWhengwasgtheglastgtimegyougweregadmittedgforgchestgpain?
ANS:gD
Thegnursegshouldgusegdirectgquestionsgaftergthegpersonsgopeninggnarrativegtogfillginganygdetailsgh
egorgshegleftgout.gThegnursegalsogshouldgusegdirectgquestionsgwhengspecificgfactsgaregneeded,gsuch
gasgwhengaskinggaboutgpastghealthgproblemsgorgduringgthegreviewgofgsystems.
9. Ingusinggverbalgresponsesgtogassistgthegpatientsgnarrative,gsomegresponsesgfocusgongthegpatien
tsgframegofgreferencegandgsomegfocusgongtheghealthgcaregprovidersgperspective.gAngexamplegof
gagverbalgresponsegthatgfocusesgongtheghealthgcaregprovidersgperspectivegwouldgbe:
a. Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
gANS:gD
Whengtheghealthgcaregprovidergusesgthegresponsegofgconfrontation,gthegframegofgreferencegshiftsgf
romgthegpatientsgperspectivegtogthegperspectivegofgtheghealthgcaregprovider,gandgtheghealthgcaregp
rovidergstartsgtogexpressghisgorghergowngthoughtsgandgfeelings.gEmpathy,greflection,gandgfacilitat
iongresponsesgfocusgongthegpatientsgframegofgreference.
10. Whengtakinggaghistorygfromgagnewlygadmittedgpatient,gthegnursegnoticesgthatghegoftengpaus
esgandgexpectantlyglooksgatgthegnurse.gWhatgwouldgbegthegnursesgbestgresponsegtogthisgbehavi
or?
a. Begsilent,gandgallowghimgtogcontinuegwhenghegisgready
.gb.
Smilegatghimgandgsay,gDontgworrygaboutgallgofgthis.gImgsuregwegcangfindgoutgwhyg
youreghavinggthesegpains.
c.gLeangbackgingthegchairgandgask,gYougareglookinggatgmegkindgofgfunny;gtheregisntganythinggwron
g,gishere
d.
Standgupgandgsay,gIgcangseegthatgthisginterviewgisguncomfortablegforgyou.g
Wegcangcontinuegitganothergtime.
ANS:gA
Silentgattentivenessgcommunicatesgthatgthegpersonghasgtimegtogthinkgandgtogorganizegwhatghegor
gshegwishesgtogsaygwithoutganginterruptiongfromgthegnurse.gHealthgprofessionalsgmostgoftengint
erruptgthisgthinkinggsilence.gThegothergresponsesgaregnotgconducivegtogidealgcommunication.
