Essential Health Assessment 1st Edition Thompson Test Bank

Essential Health Assessment 1st Edition Thompson Test Bank test bank Essential Health Assessment 1st Edition Thompson Chapter 2: Interviewing the Patient for the Health History 1. The nursing instructor is teaching a group of students the components of the health history interview. Which principles of behavior should the student remember when conducting a health assessment history? Select all that apply. 1. Remain sensitive. 2. Be nonjudgmental. 3. Give the appearance only of being genuine. 4. Demonstrate professional behaviors. 5. Show indifference. 2. In order to conduct effective assessments and health histories, the nurse must use a patientcentered approach using therapeutic communication. Which dimensions of patient-centered care should the nurse include? Select all that apply. 1. Empathy and compassion 2. Conditional regard 3. Genuineness 4. Respect 5. Caring 3. A patient comes to the clinic for an annual examination. To prepare for the health history interview the nurse knows to include all of the following components EXCEPT (Select all that apply): 1. Reading the patient record as the health history is being conducted 2. Leaving the patient dressed until it is time to perform the physical assessment 3. Conducting the interview in a private place away from noise 4. Allowing a short, limited amount of time to conduct the interview 5. Standing at all times when talking to the patient. 4. The nurse is preparing to conduct a complete health history on a new patient who has just arrived at the walk-in clinic. The nurse is going to use the CLEAR mnemonic to collect information. What does CLEAR stand for? Select all that apply. 1. Center 2. Communicate 3. Listen 4. Empathy 5. Empower 6. Attention Answers 1. The nursing instructor is teaching a group of students the components of the health history interview. Which principles of behavior should the student remember when conducting a health assessment history? Select all that apply. 1. Remain sensitive. 2. Be nonjudgmental. 3. Give the appearance only of being genuine. 4. Demonstrate professional behaviors. 5. Show indifference. ANS: 1, 2, 4 Page: 8 Feedback 1. This is correct. The exchange of information, feelings, and concerns takes place during the assessment process. The nurse should be sensitive to the patient’s report. 2. This is correct. The exchange of information, feelings, and concerns takes place during the assessment process. The nurse should be nonjudgmental to the patient’s report. 3. This is incorrect. The exchange of information, feelings, and concerns takes place during the assessment process. The nurse should not only give the appearance of being genuine but be authentically genuine during the health history. 4. This is correct. The exchange of information, feelings, and concerns takes place during the assessment process. The nurse should demonstrate professionalism during the health history interview. 5. This is incorrect. The exchange of information, feelings, and concerns takes place during the assessment process. The nurse should show interest and concern to the patient’s report. 2. In order to conduct effective assessments and health histories, the nurse must use a patientcentered approach using therapeutic communication. Which dimensions of patient-centered care should the nurse include? Select all that apply. 1. Empathy and compassion 2. Conditional regard 3. Genuineness 4. Respect 5. Caring ANS: 1, 3, 4, 5 Page: 8-9 Feedback 1. This is correct. Therapeutic communication encompasses empathy and compassion during a health history interview. Empathy and compassion are a deep awareness of and insight into the feelings, emotions, and behavior of another person and their meaning and significance. 2. This is incorrect. Therapeutic communication encompasses unconditional regard, not conditional regard, during a health history interview. Unconditional regard means respecting and accepting a patient as a unique individual. 3. This is correct. Therapeutic communication encompasses being genuine during a health history interview. Genuineness is being honest with the patient. 4. This is correct. Therapeutic communication encompasses respect during a health history. Respect is a moral value. It demonstrates that you have a positive feeling for every patient and accept each patient as a person who has unique qualities. 5. This is correct. Therapeutic communication encompasses caring during a health history. Caring is the essence of nursing and connotes responsiveness between the nurse and the patient. 3. A patient comes to the clinic for an annual examination. To prepare for the health history interview the nurse knows to include all of the following components EXCEPT (Select all that apply): 1. Reading the patient record as the health history is being conducted 2. Leaving the patient dressed until it is time to perform the physical assessment 3. Conducting the interview in a private place away from noise 4. Allowing a short, limited amount of time to conduct the interview 5. Standing at all times when talking to the patient. ANS: 1, 4, 5 Page: 10 Feedback 1. The nurse should not read the patient record during the health history interview. This should be done prior to seeing the patient. 2. To provide for patient comfort, the nurse should leave the patient dressed until it is time to perform the physical assessment. 3. To prevent distractions, the nurse should conduct the interview in a private place away from noise. 4. The nurse should not have a short, limited amount of time to collect a thorough health history. The nurse should allow for plenty of time to conduct the interview so that the patient can answer all questions thoroughly. 5. The nurse should not always stand when talking to the patient. The nurse should stand or sit at the level of the patient during the interview.