health assess interview, health history

Question 1

T / F:

professional uniform may create a positive or a negative stereotype

Answer 1

True

Question 2

T / F :

open position with extension of large muscle groups does not show relaxation, physical comfort or a willingness to share information

Answer 2

False

Question 3

T/ F:

relaxed posture creates a feeling of warmth and trust and conveys an interest

Answer 3

True

Question 4

T/ F:

nodding or an open turning out of the hand shows acceptance , attention or agreement

Answer 4

True

Question 5

T/ F:

expression of boredom, distraction disgust or disbelief are not picked up by the other person

Answer 5

False

Question 6

T/ F:

the meaning of physical touch is not influenced by the person’s age, gender, cultural background, past experience and current setting

Answer 6

True

Question 7

T/ F:

you should address the person using their title and surname

Answer 7

True

Question 8

T/ F:

in Chinese, Vietnamese and other Asian groups the surname is written and spoken first

Answer 8

Ture

Question 9

T/F:

in most Asian cultures the child is given the surname if the mother

Answer 9

False

Question 10

T /F:

you can maintain eye contact with pts from all cultural backgrounds

Answer 10

False

Question 11

T/ F :

lack of eye contact suggests that the person is shy, withdrawn, confused, bored, intimidated, apathetic or depressed

Answer 11

False

Question 12

the RN entering the room to meet a pt for the first time says ‘ Hello, im RN Jones, and im here to gather some info from you, perform you nursing admission and take your health history. this will take 30-45mins . Nurse Archer is a student RN working with me. Would it be ok with you of she remains throughout the interview?’

which of the following must be added in order to cover all aspects of the interview contract:

a) a statement regarding confidentiality of both nurses and the requirements of the pt
b) the purpose of the interview and the role of the RN
c) time and place of the interview and a confidentiality statement
d) an explicit purpose of the interview and a description of the physical examination, including diagnostic studies

Answer 12

a) a statement regarding confidentiality of both nurses and the requirements of the pt

Question 13

recognising and accepting the other persons feelings without criticism within a communication context is an eg. of:

a) empathy
b) liking others
c) facilitation
d) a nonverbal listening technique

Answer 13

a) empathy

Question 14

you have come into a pt’s room to conduct an admission interview. Because you are expecting a phone call, you stand near the door during the interview. A more appropriate approach would be to:

a) arrange to have someone page you so you can sit on the bed side
b) have someone else answer the phone so you can sit facing the pt
c) use this approach given the circumstances, it is correct
d) arrange for a time free of interuptions until the initial physical examination is complete

Answer 14

b) have someone else answer the phone so you can sit facing the pt

Question 15

students frequently ask teachers ‘ May I ask you a question?’ This is an example of:

a) an open ended question
b) a reflective question
c) a closed question
d) a double barrelled question

Answer 15

c) a closed question

Question 16

during a pt interview, you recognise the need to use interpretation. This verbal response is:

a) the same as clarification
b) a summary of a statement made by a pt
c) used to focus on a particular aspect of what the pt has just said
d) based on inferences from the data that have been presented

Answer 16

d) based on inferences from the data that have been presented

Question 17

during an interview a good rule to follow is:

a) stop the pt each time something is said that is not understood
b) spend more time listening to the pt than talking
c) consistently think of you next response so the pt will know you understand them
d) use ‘why’ questions to seek clarification of unusual symptoms or behaviour

Answer 17

b) spend more time listening to the pt than talking

Question 18

during an interview, a pt denies having any anxiety. The pt frequently changes position in the chair, holds his arms folded tight against his chest and has little eye contact with you. You should:

a) use confrontation to bring the discrepancy between verbal and nonverbal bahviour to the pt attention
b) proceed with the interview. Pts usually are truthful with a healthcare practitioner
c) make a mental note to discuss the behaviour after the physical examination is completed
d) proceed with the interview and examination as outlined on the assessment form. The pt’s behaviour is appropriate for the circumstances

Answer 18

a) use confrontation to bring the discrepancy between verbal and nonverbal behaviours to the pt’s attention

Question 19

touch should be used during the interview:

a) only with individuals from western cultures
b) as a way of establishing contact with the person and communicating empathy
c) only with pts of the same sex
d) only if you know the pt well

Answer 19

d) only if you now the pt well

Question 20

children are usually brought for healthcare by a parent. At about what age should the interviewer begin to question the chidren themselves regarding presenting symptoms?

a) 5
b) 7
c) 9
d) 11

Answer 20

b) 7

Question 21

because of adolescents developmental level, not all interviewing techniques can be used with them. The 2 t avoid are:

a) facilitation and clarification
b) confrontation and explanation
c) empathy and interpretations
d) silence and reflection

Answer 21

d) silence and reflection

Question 22

knowledge of the use of personal space is helpful. personal space is generally considered to be:

a) 0 - 0.5 m
b) 0.5 - 1 m
c) 1 - 4 m
d) 4 m or more

Answer 22

b) 0.5 - 1 m

Question 23

your pt tells you ‘ everyone here ignores me’ you respond ‘ ignores you?’. This technique is described as:

a) clarification
b) selective listening
c) reflecting
d) validation

Answer 23

c) reflecting

Question 24

active listening skills include all EXCEPT:

a) taking detailed notes during the interview
b) watching for cues in body language
c) repeating statements back to the person to make sure you have understood
d) asking open ended questions to explore the persons perspective
e) exploring the person’s fears about their illness

Answer 24

a) taking detailed notes during the interview

Question 25

when closing the interview you should make a statement that includes all of the following EXCEPT:

a) what you and the pt agree their health status is
b) what you will be doing next
c) positive health aspects and any health problems identified
d) plans of action

Answer 25

b) what you will do next

Question 26

T / F:

the health history is not adapted to include info specific for the age and developmental stage of the child

Answer 26

False

Question 27

T / F:

the child’s name, nickname, address, and phone number, parents names and work numbers, child’s age and DOB, birth place, gebder and info on other children and family members at home should b included in the biographical data

Answer 27

True

Question 28

T / F:

as the constant caregiver, the parents intuitive sense of a problem is often accurate

Answer 28

True

Question 29

T / F:

questions concerning the mothers pregnancy and obstetric history with the presenting child and her other children are important to gain a complete picture in the health history

Answer 29

True

Question 30

T / F:

developmental Hx does not need to be included in the health Hx

Answer 30

False

Question 31

when reading a medical record and a pt states ‘ I had a cold for about a week , and now I am having difficulty breathing’. is an eg. of:

a) past Hx
b) a review of systems
c) a functional assessment
d) a reason for seeking care

Answer 31

d) a reason for seeking care

Question 32

you have reason to question the reliability of info being provided by a pt. One way to verify reliability within the context of the interview is:

a) rephrase the same Qs later in the interview
b) review the pts previous medical records
c) call the person identified as emergency contact to verify data
d) provide the pt with a printed Hx to then complete and then compare data provided

Answer 32

a) rephrase the same Qs later in the interview

Question 33

during the initial interview the nurse says ‘ tell me what you do when your headaches occur’. The nurse is seeking info about:

a) the pt’’s perception of the problem
b) aggravating or relieving factors
c) the frequency of the problem
d) the severity of the problem

Answer 33

b) aggravating or relieving factors

Question 34

which of the following is an appropriate recording of a pt’s reason for seeking healthcare?

a) angina pectoris, duration 2 hr
b) substernal pain radiating to left axilla, 1 hr duration
c) ‘grabbing’ chest pain for 2 hr
d) pleurisy, 2 day duration

Answer 34

c) ‘ grabbing’ chest pain for 2 hr

Question 35

A genogram is useful in showing info concisely. it is used specifically for:

a) past Hx
b) past health Hx, specifically hopsitalisations
c) family Hx
d) the 8 characteristics of presenting symptoms

Answer 35

c) family Hx

Question 36

select the best description of “review of systems’ as part of the health Hx:

a) the evaluation of the past and present health state of each body system
b) a documentation of the problem as described by the pt
c) the recording of the object findings of the practitioner
d) a statement that describes the overall health state of the patient

Answer 36

a) the evaluation of the past and present health state of each body system

Question 37

which of the following is considered subjective:

a) temp 38.5 C
b) pulse rate 96
c) measured weight loss of 9 kg since previous measurement
d) pain lasting 2 hrs

Answer 37

d) pain lasting 2 hrs

Question 38

when taking a health Hx for a child what info in addition is usually obtained:

a) coping and stress management
b) review of immunisations
c) enviro hazards
d) hospitalisation Hx

Answer 38

b) review of immunisations received