TEST BANK FOR HEALTH ASSESSMENT FOR NURSING PRACTICE 6TH EDITION BY WILSON

Chapter 02: Obtaining a Health History Wilson: Health Assessment for Nursing Practice, 6th Edition MULTIPLE CHOICE 1. Which statement or question does the nurse use during the introduction phase of the interview? a. “I‟m here to learn more about the pain you‟re experiencing.” b. “Can you describe the pain that you‟re experiencing?” c. “I heard you say that the pain is „all over‟ your body.” d. “What relieves the pain you are having?” ANS: A “I‟m here to learn more about the pain you‟re experiencing” is an example of the introduction phase a nurse may use to explain the purpose of the interview to a patient. “Can you describe the pain that you‟re experiencing?” is an example of part of a symptom analysis that occurs in the discussion phase. “I heard you say that the pain is „all over‟ your body” is an example of a summary statement by the nurse that occurs in the summary phase. “What relieves the pain you are having?” is an example of part of a symptom analysis that occurs in the discussion phase. DIF: Cognitive Level: Apply REF: Box 2-1 | p. 8-9 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 2. Which statement is appropriate to use when beginning an interview with a new patient? a. “Have you ever been a paNtiUenRtSinIthNisGcTlinBic.beOfore?” b. “What is your purpose for coming to the clinic today?” c. “Tell me a little about yourself and your family.” d. “Did you have any difficulty finding the clinic?” ANS: B “What is your purpose for coming to the clinic today?” is an open-ended question that focuses on the patient‟s reason for seeking care. “Have you ever been a patient in this clinic before?” is a close-ended question that yields a “yes” or “no” response. This question may be asked on the first visit, but not as an opening question for a health interview. “Tell me a little about yourself and your family” is an open-ended question, but it is too general, and it is at least two questions: one about the patient and another about the family. “Did you have any difficulty finding the clinic?” is a social question and does not focus on the patient‟s purpose for the visit. DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Assessment MSC: NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communications 3. Which statement by the nurse demonstrates a patient-centered interview? a. “I need to complete this questionnaire about your medical and family history.” b. “The hospital requires me to complete this assessment as soon as possible.” c. “Tell me about the symptoms you‟ve been having.” d. “I‟ve had the same symptoms that you‟ve described.”