Test Bank for Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick

Test Bank for Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick

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Test Bank for Advanced Health Assessment and Differential Diagnosis Essentials for Clinical Practice 1st Edition Myrick

Chapter 1. Health History, The Patient Interview, And Motivational Interviewing
MULTIPLE CHOICE
1. The nurse is preparing to conduct a health history. Which of these statements best describes
the purpose of a health history?
a
.
To provide an opportunity for interaction between the patient and the nurse
b
.
To provide a form for obtaining the patient’s biographic information
c
.
To document the normal and abnormal findings of a physical assessment
d
.
To provide a database of subjective information about the patients past and
current health
ANS: D
The purpose of the health history is to collect subjective data on what the person says about him or
herself. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: dm. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. When the nurse is evaluating the reliability of a patient’s responses, which of these statements
would be correct? The patient:
a
.
Has a history of drug abuse and therefore is not reliable.
b
.
Provided consistent information and therefore is reliable.
c
.
Smiled throughout the interview and therefore is assumed reliable.
d
.
Would not answer questions concerning stress and therefore is not reliable.

ANS: B
A reliable person always gives the same answers, even when questions are rephrased or are
repeated later in the interview. The other statements are not correct.
DIF: Cognitive Level: Applying (Application) REF: dm. 49

MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having black
stools for the last 24 hours. How would the nurse best document his reason for seeking care?
a
.
J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
b
.
J.M. came into the clinic complaining of having black stools for the past 24
hours.
c
.
J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it
checked.
d
.
J.M. is a 59-year-old man who states that he has been having black stools for
the past 24 hours.
ANS: D
The reason for seeking care is a brief spontaneous statement in the person’s own words that
describe the reason for the visit. It states one (possibly two) signs or symptoms and their
duration. It is enclosed in quotation marks to indicate the person’s exact words.
DIF: Cognitive Level: Applying (Application) REF: dm. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the
nurses best response?
a
.
Can you point to where it hurts?
b
.
Well talk more about that later in the interview.
c
.
What have you had to eat in the last 24 hours?
d
.
Have you ever had any surgeries on your abdomen?
ANS: A
A final summary of any symptom the person has should include, along with seven other critical
characteristics, Location: specific. The person is asked to point to the location.
DIF: Cognitive Level: Applying (Application) REF: dm. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which would
be the nurses appropriate response to the womans statement?

a
.
How does your family react to your pain?
b
.
The pain must be terrible. You probably pinched a nerve.
c
.
Ive had back pain myself, and it can be excruciating.
d
.
How would you say the pain affects your ability to do your daily activities?
ANS: D
The symptom of pain is difficult to quantify because of individual interpretation. With pain,
adjectives should be avoided and the patient should be asked how the pain affects his or her daily
activities. The other responses are not appropriate.
DIF: Cognitive Level: Applying (Application) REF: dm. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

 

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