Advanced Health Assessment and Diagnostic
Reasoning,
4th Edition by Rhoads
All Chapters 1-18
TEST BANK
,TABLE OF CONTENT
b b
Chapter 1 Interview and History-Taking
b b b b
b Strategies Chapter 2 Physical Examination
b b b b
b Strategies Chapter 3 Documentation Strategies
b b b b
Chapter 4 Cultural and Spiritual Assessment
b b b b b
b Chapter 5 Nutritional Assessment
b b b
Chapter 6 Mental Health Disorders
b b b b
b Chapter 7 Integumentary Disorders
b b b
b Chapter 8 Eye Disorders
b b b
Chapter 9 Ear Disorders
b b b
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
b b b b b b b
b Chapter 11 Respiratory Disorders
b b b
Chapter 12 Cardiovascular Disorders
b b b
b Chapter 13 Endocrine Disorders
b b b
b Chapter 14 Gastrointestinal Disorders
b b b
b Chapter 15 Neurological Disorders
b b b
Chapter 16 Male Genitourinary Disorders
b b b b
Chapter 17 Female Genitourinary and Breast Disorders
b b b b b b
b Chapter 18 Musculoskeletal Disorder
b b b
,Chapter 1 Interview and History Taking Strategies
b b b b b b
MULTIPLE CHOICE b
1. The nurse is conducting an interview with a woman who has recently learned
b b b b b b b b b b b b
bthat she is pregnant and who has come to the clinic today to begin prenatal care.
b b b b b b b b b b b b b b b
bThe woman states that she and her husband are excited about the pregnancy but
b b b b b b b b b b b b b
bhave a few questions. She looks nervously at her hands during the interview and
b b b b b b b b b b b b b
bsighs loudly. Considering the concept of communication, which statement does
b b b b b b b b b
bthe nurse know to be most accurate? The woman is:
b b b b b b b b b
a. Excited about her pregnancy but nervous about the labor.
b b b b b b b b
b. Exhibiting verbal and nonverbal behaviors that do not match. b b b b b b b b
c. Excited about her pregnancy, but her husband is not and this is
b b b b b b b b b b b
b upsetting to her. d. b b b
Not excited about her pregnancy but believes the nurse will
b b b b b b b b b
b negatively respond to her if she states this. b b b b b b b
ANS: B b
Communication is all behaviors, conscious and unconscious, verbal and nonverbal. b b b b b b b b b
b All behaviors have meaning. Her behavior does not imply that she is nervous
b b b b b b b b b b b b
babout labor, upset by her husband, or worried about the nurses response.
b b b b b b b b b b b
2. Receiving is a part of the communication process. Which receiver is
b b b b b b b b b b
bmost likely to misinterpret a message sent by a health care
b b b b b b b b b b
bprofessional?
a. Well-adjusted adolescent who came in for a sports physical b b b b b b b b
b. Recovering alcoholic who came in for a basic physical examination b b b b b b b b b
c. Man whose wife has just been diagnosed with lung
b b b b b b b b
bcancer d. b
Man with a hearing impairment who uses sign language to communicate and who
b b b b b b b b b b b b
bhas an interpreter with him
b b b b
ANS: C b
The receiver attaches meaning determined by his or her experiences, culture, self-
b b b b b b b b b b b
bconcept, and current physical and emotional states. The man whose wife has just
b b b b b b b b b b b b
b been diagnosed with lung cancer may be experiencing emotions that affect his
b b b b b b b b b b b
breceiving.
3. The nurse makes which adjustment in the physical environment to promote the
b b b b b b b b b b b
bsuccess of an interview? b b b
a. Reduces noise by turning off televisions and radios
b b b b b b b
b. Reduces the distance between the interviewer and the patient to 2 feet or less
b b b b b b b b b b b b b
c. Provides a dim light that makes the room cozy and helps the patient relax
b b b b b b b b b b b b b
d. Arranges seating across a desk or table to allow the patient some
b b b b b b b b b b b
bpersonal space b
ANS: A b
The nurse should reduce noise by turning off the television, radio, and other
b b b b b b b b b b b b
b unnecessary equipment, because multiple stimuli are confusing. The interviewer
b b b b b b b b
band patient should be approximately 4 to 5 feet apart; the room should be well-lit,
b b b b b b b b b b b b b b
benabling the interviewer and patient to see each other clearly. Having a table or
b b b b b b b b b b b b b
bdesk in between the two people creates the idea of a barrier; equal-status
b b b b b b b b b b b b
bseating, at eye level, is better. b b b b b
, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
b b b b b b b b b b b b b b b b
bmemory later. Which statement is trueregarding note-taking?
b b b b b b
a. Note-taking may impede the nurses observation of the patients b b b b b b b b
bnonverbal behaviors. b. b b
Note-taking allows the patient to continue at his or her own pace as
b b b b b b b b b b b b
bthe nurse records what is said.
b b b b b
c.
Note-taking allows the nurse to shift attention away from the patient,
b b b b b b b b b b
bresulting in an increased comfort level. b b b b b
d.
Note-taking allows the nurse to break eye contact with the patient,
b b b b b b b b b b
bwhich may increase his or her level of comfort.
b b b b b b b b
ANS: A b
The use of history forms and note-taking may be unavoidable. However, the
b b b b b b b b b b b
bnurse must be aware that note-taking during the interview has
b b b b b b b b b
bdisadvantages. It breaks eye contact too often and shifts the attention away from b b b b b b b b b b b b
bthe patient, which diminishes his or her sense of importance. Notetaking may also
b b b b b b b b b b b b
binterrupt the patients narrative flow, and it impedes the observation of the
b b b b b b b b b b b
patients nonverbal behavior. b b
5. The nurse asks, I would like to ask you some questions about your health and your
b b b b b b b b b b b b b b b
b usual daily activities so that we can better plan your stay here. This question is
b b b b b b b b b b b b b b
b found at the b b bb
bphase of the interview process.
b b b b
a. Summary
b. Closing
c. Body
d. Opening or b
bintroduction b
bANS: D b
When gathering a complete history, the nurse should give the reason for the
b b b b b b b b b b b b
b interview during the opening or introduction phase of the interview, not during or
b b b b b b b b b b b b
bat the end of the interview.
b b b b b
6. A woman has just entered the emergency department after being battered by
b b b b b b b b b b b
bher husband. The nurse needs to get some information from her to begin
b b b b b b b b b b b b
btreatment. What is the best choice for an opening phase of the interview with this
b b b b b b b b b b b b b b
bpatient?
a. Hello, Nancy, my name is Mrs. C.
b b b b b b
b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
b b b b b b b b b b b b
c. Mrs. H., my name is Mrs. C. How are you?
b b b b b b b b b
d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what
b b b b b b b b b b b b b b b b
bhappened.
ANS: D b
Address the person by using his or her surname. The nurse should introduce him or
b b b b b b b b b b b b b b
b herself and give the reason for the interview. Friendly small talk is not needed to
b b b b b b b b b b b b b b
b build rapport. b
7. During an interview, the nurse states, You mentioned having shortness of
b b b b b b b b b b
b breath. Tell me more about that. Which verbal skill is used with this
b b b b b b b b b b b b
bstatement?
Reasoning,
4th Edition by Rhoads
All Chapters 1-18
TEST BANK
,TABLE OF CONTENT
b b
Chapter 1 Interview and History-Taking
b b b b
b Strategies Chapter 2 Physical Examination
b b b b
b Strategies Chapter 3 Documentation Strategies
b b b b
Chapter 4 Cultural and Spiritual Assessment
b b b b b
b Chapter 5 Nutritional Assessment
b b b
Chapter 6 Mental Health Disorders
b b b b
b Chapter 7 Integumentary Disorders
b b b
b Chapter 8 Eye Disorders
b b b
Chapter 9 Ear Disorders
b b b
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
b b b b b b b
b Chapter 11 Respiratory Disorders
b b b
Chapter 12 Cardiovascular Disorders
b b b
b Chapter 13 Endocrine Disorders
b b b
b Chapter 14 Gastrointestinal Disorders
b b b
b Chapter 15 Neurological Disorders
b b b
Chapter 16 Male Genitourinary Disorders
b b b b
Chapter 17 Female Genitourinary and Breast Disorders
b b b b b b
b Chapter 18 Musculoskeletal Disorder
b b b
,Chapter 1 Interview and History Taking Strategies
b b b b b b
MULTIPLE CHOICE b
1. The nurse is conducting an interview with a woman who has recently learned
b b b b b b b b b b b b
bthat she is pregnant and who has come to the clinic today to begin prenatal care.
b b b b b b b b b b b b b b b
bThe woman states that she and her husband are excited about the pregnancy but
b b b b b b b b b b b b b
bhave a few questions. She looks nervously at her hands during the interview and
b b b b b b b b b b b b b
bsighs loudly. Considering the concept of communication, which statement does
b b b b b b b b b
bthe nurse know to be most accurate? The woman is:
b b b b b b b b b
a. Excited about her pregnancy but nervous about the labor.
b b b b b b b b
b. Exhibiting verbal and nonverbal behaviors that do not match. b b b b b b b b
c. Excited about her pregnancy, but her husband is not and this is
b b b b b b b b b b b
b upsetting to her. d. b b b
Not excited about her pregnancy but believes the nurse will
b b b b b b b b b
b negatively respond to her if she states this. b b b b b b b
ANS: B b
Communication is all behaviors, conscious and unconscious, verbal and nonverbal. b b b b b b b b b
b All behaviors have meaning. Her behavior does not imply that she is nervous
b b b b b b b b b b b b
babout labor, upset by her husband, or worried about the nurses response.
b b b b b b b b b b b
2. Receiving is a part of the communication process. Which receiver is
b b b b b b b b b b
bmost likely to misinterpret a message sent by a health care
b b b b b b b b b b
bprofessional?
a. Well-adjusted adolescent who came in for a sports physical b b b b b b b b
b. Recovering alcoholic who came in for a basic physical examination b b b b b b b b b
c. Man whose wife has just been diagnosed with lung
b b b b b b b b
bcancer d. b
Man with a hearing impairment who uses sign language to communicate and who
b b b b b b b b b b b b
bhas an interpreter with him
b b b b
ANS: C b
The receiver attaches meaning determined by his or her experiences, culture, self-
b b b b b b b b b b b
bconcept, and current physical and emotional states. The man whose wife has just
b b b b b b b b b b b b
b been diagnosed with lung cancer may be experiencing emotions that affect his
b b b b b b b b b b b
breceiving.
3. The nurse makes which adjustment in the physical environment to promote the
b b b b b b b b b b b
bsuccess of an interview? b b b
a. Reduces noise by turning off televisions and radios
b b b b b b b
b. Reduces the distance between the interviewer and the patient to 2 feet or less
b b b b b b b b b b b b b
c. Provides a dim light that makes the room cozy and helps the patient relax
b b b b b b b b b b b b b
d. Arranges seating across a desk or table to allow the patient some
b b b b b b b b b b b
bpersonal space b
ANS: A b
The nurse should reduce noise by turning off the television, radio, and other
b b b b b b b b b b b b
b unnecessary equipment, because multiple stimuli are confusing. The interviewer
b b b b b b b b
band patient should be approximately 4 to 5 feet apart; the room should be well-lit,
b b b b b b b b b b b b b b
benabling the interviewer and patient to see each other clearly. Having a table or
b b b b b b b b b b b b b
bdesk in between the two people creates the idea of a barrier; equal-status
b b b b b b b b b b b b
bseating, at eye level, is better. b b b b b
, 4. In an interview, the nurse may find it necessary to take notes to aid his or her
b b b b b b b b b b b b b b b b
bmemory later. Which statement is trueregarding note-taking?
b b b b b b
a. Note-taking may impede the nurses observation of the patients b b b b b b b b
bnonverbal behaviors. b. b b
Note-taking allows the patient to continue at his or her own pace as
b b b b b b b b b b b b
bthe nurse records what is said.
b b b b b
c.
Note-taking allows the nurse to shift attention away from the patient,
b b b b b b b b b b
bresulting in an increased comfort level. b b b b b
d.
Note-taking allows the nurse to break eye contact with the patient,
b b b b b b b b b b
bwhich may increase his or her level of comfort.
b b b b b b b b
ANS: A b
The use of history forms and note-taking may be unavoidable. However, the
b b b b b b b b b b b
bnurse must be aware that note-taking during the interview has
b b b b b b b b b
bdisadvantages. It breaks eye contact too often and shifts the attention away from b b b b b b b b b b b b
bthe patient, which diminishes his or her sense of importance. Notetaking may also
b b b b b b b b b b b b
binterrupt the patients narrative flow, and it impedes the observation of the
b b b b b b b b b b b
patients nonverbal behavior. b b
5. The nurse asks, I would like to ask you some questions about your health and your
b b b b b b b b b b b b b b b
b usual daily activities so that we can better plan your stay here. This question is
b b b b b b b b b b b b b b
b found at the b b bb
bphase of the interview process.
b b b b
a. Summary
b. Closing
c. Body
d. Opening or b
bintroduction b
bANS: D b
When gathering a complete history, the nurse should give the reason for the
b b b b b b b b b b b b
b interview during the opening or introduction phase of the interview, not during or
b b b b b b b b b b b b
bat the end of the interview.
b b b b b
6. A woman has just entered the emergency department after being battered by
b b b b b b b b b b b
bher husband. The nurse needs to get some information from her to begin
b b b b b b b b b b b b
btreatment. What is the best choice for an opening phase of the interview with this
b b b b b b b b b b b b b b
bpatient?
a. Hello, Nancy, my name is Mrs. C.
b b b b b b
b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!
b b b b b b b b b b b b
c. Mrs. H., my name is Mrs. C. How are you?
b b b b b b b b b
d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what
b b b b b b b b b b b b b b b b
bhappened.
ANS: D b
Address the person by using his or her surname. The nurse should introduce him or
b b b b b b b b b b b b b b
b herself and give the reason for the interview. Friendly small talk is not needed to
b b b b b b b b b b b b b b
b build rapport. b
7. During an interview, the nurse states, You mentioned having shortness of
b b b b b b b b b b
b breath. Tell me more about that. Which verbal skill is used with this
b b b b b b b b b b b b
bstatement?
