TEST BANK FOR HEALTH ASSESSMENT
FOR NURSING PRACTICE, 7TH
EDITION BY SUSAN F WILSON, JEAN
FORET GIDDENS ALL CHAPTERS 1-24
QUESTIONS WITH VERIFIED ANSWERS
Chapter 1
A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She
seems nervous as she speaks to you. An appropriate response is to:
a. continue to collect information regarding the chief complaint in an unhurried manner.
b. finish the interview as rapidly as possible.
c. ask the patient to take a deep breath and calm down.
d. ask the patient if she wants to wait until another day to talk to you. - ANSWER-a
Ms. A states, "My life is just too painful. It isn't worth it." She appears depressed. Which one of
the following statements is the most appropriate caregiver response?
a. "Try to think about the good things in life."
b. "What in life is causing you such pain?"
c. "You can't mean what you're saying."
d. "If you think about it, nothing is worth getting this upset about." - ANSWER-b
During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you
should:
a. ask him if he would like some time alone.
b. offer a tissue and let him know it is all right to cry.
c. explain to the patient that you will be able to help him more if he can control his emotions.
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d. ask the patient what he is upset about. - ANSWER-b
During an interview, you have the impression that a patient may be considering suicide. Which
action is essential?
a. Ask whether the patient has considered self-harm.
b. Avoid directly confronting the patient regarding your impression.
c. Ask whether the patient would like to visit a psychiatrist.
d. Record the impression in the patient's chart and refer the patient for hospitalization. -
ANSWER-a
During a history-taking session, Mr. B appears to be avoiding certain questions. He keeps looking
out the window. What should the caregiver do?
a. Ask direct questions and insist on a "yes" or "no" answer to each question.
b. Continue to ask questions until Mr. B responds appropriately.
c. Make a note to pursue sensitive issues later in the interview.
d. Stop the interview until the patient is ready to cooperate. - ANSWER-c
You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the
examination room. When collecting history from older children or adolescents, they should be:
a. given the opportunity to be interviewed without the parent at some point during the
interview.
b. mailed a questionnaire in advance to avoid the need for them to talk.
c. ignored while you address all questions to the parent.
d. allowed to direct the flow of the interview. - ANSWER-a
Information that is needed during the initial interview of a pregnant woman includes all the
following except:
a. the gender that the woman hopes the baby will be.
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b. past medical history.
c. health care practices.
d. the woman's remembering (knowledge) about pregnancy. - ANSWER-a
When communicating with older children and teenagers, you should be sensitive to their:
a. desire for adult companionship.
b. natural urge to communicate.
c. need for verbal instructions.
d. typical reluctance to talk. - ANSWER-d
When interviewing older adults, the examiner should:
a. speak extremely loudly, because most older adults have significant hearing impairment.
b. provide a written questionnaire in place of an interview.
c. position himself or herself facing the patient.
d. dim the lights to decrease anxiety. - ANSWER-c
When you suspect that your 81-year-old patient has short-term memory loss because he cannot
remember what he had for breakfast, you should:
a. order a neurology consult.
b. stop all of his medications.
c. validate the concern with his family or caregivers.
d. dismiss the finding as a normal age-related change. - ANSWER-c
To what extent should the patient with a physical disability or emotional disorder be involved in
providing health history information to the health professional?
a. The patient should be present during information collection but should not be addressed
directly.
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b. All information should be collected from past records and family members while the patient
is in another room.
c. The patient should be involved only when you sense that he or she may feel ignored.
d. The patient should be fully involved to the limit of his or her ability. - ANSWER-d
A brief statement of the reason the patient is seeking health care is called the:
a. medical history.
b. chief complaint.
c. assessment.
d. diagnosis. - ANSWER-b
A pedigree diagram is drafted for the purpose of obtaining:
a. sexual orientation and history.
b. growth and developmental status.
c. genetic and familial health problems.
d. ethnic and cultural backgrounds. - ANSWER-c
When taking a history, you should:
a. ask the patient to give you any information they can recall about their health.
b. start the interview with the patient's family history.
c. use a chronologic and sequential framework.
d. use a holistic and eclectic structure. - ANSWER-c
When questioning the patient regarding his or her sexual history, which question should be
asked initially?
a. "Do you have any particular sexual likes or dislikes?"
b. "Do you have any worries or concerns regarding your sex life?"