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Advanced Health Assessment and Diagnostic Reasoning, Third Edition

Test Bank

Copyright  2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company

Chapter 1 Test Bank

Multiple Choice

1. Which of the following is NOT one of the five major functions of interviewing and taking a health

history?

A) Establishing an initial rapport and connection with the new patient

B) Determining which staff physician the patient should see, as well as their course of treatment

C) Providing a legal record of impressions, perceptions, and observable data

D) Making some of the necessary documentation for payer reimbursement

Ans: B

Complexity: Moderate

Ahead: Functions of the Interview and Health History

Taxonomy: Understand

Subject: Chapter 1

2. Which of the following is true regarding the data taken in a health history?

A) Most health history data is objective and measurable.

B) Objective data is error-free, quantifiable data.

C) Subjective data, being inherently less accurate, is of less value than objective data.

D) A successful individualized plan of care must incorporate subjective data.

Ans: D

Complexity: Difficult

Ahead: Functions of the Interview and Health History

Taxonomy: Understand

Subject: Chapter 1

3. What do Coulehan and Block define as “listening to the total communication . . . and letting the patient

know that you are really hearing”?

A) Cultural competence

B) Patience

C) Empathy

D) Top-tier communication

Ans: C

Complexity: Moderate

Ahead: Interviewing

Taxonomy: Remember

Subject: Chapter 1

4. The provider is preparing to take a health history for a new patient. He takes the patient to a private

room and asks the patient to don a hospital gown. After stepping outside to give the patient sufficient time

to change, he then comes back in and asks permission to conduct the history. He sits next to the patient

at eye level, discreetly observes the patient for any sensory deficits, and asks the patient if he may take

brief notes of the conversation. During the conversation, he gives the patient time to answer questions

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Advanced Health Assessment and Diagnostic Reasoning, Third Edition

Test Bank

Copyright  2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company

fully. He makes sure that his questions do not contain technical terms and quietly observes the patient’s

nonverbal behaviors throughout. Which mistake did the provider make?

A) He should have allowed the patient to remain fully clothed in their own clothing for their comfort.

B) He should not have omitted technical terminology. Patients like having a chance to learn.

C) He should have seated himself slightly above eye level to give the patient nonverbal reassurance of

his experience and professionalism.

D) He should have asked explicitly about the nonverbal changes he was noticing in order to gain a

deeper level of understanding of the patient’s current condition.

Ans: A

Complexity: Difficult

Ahead: Taking a Health History

Taxonomy: Analyze

Subject: Chapter 1

5. Both comprehensive and focused health histories contain all of the following EXCEPT what?

A) Identifying data

B) Reliability data

C) Chief complaint

D) Pertinent PMI, FH, and SH

Ans: B

Complexity: Moderate

Ahead: Taking a Health History

Taxonomy: Remember

Subject: Chapter 1

6. What feature of the current mnemonic device for capturing a history of present illness was NOT

contained in the traditional mnemonic?

A) Precipitating or modulating factors

B) Radiation of symptom(s) to other areas of the body

C) Exposure to any infectious agents or toxic materials

D) Severity or impact of the symptoms on the person’s daily life

Ans: C

Complexity: Difficult

Ahead: Taking a Health History

Taxonomy: Remember

Subject: Chapter 1

7. What is the current mnemonic device for taking a health history?

A) PQRST

B) CLIENT OUTCOMES

C) PRACTICE

D) GOOD MEDICINE

Ans: B

Complexity: Easy

Ahead: Taking a Health History

Taxonomy: Remember

Subject: Chapter 1

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Advanced Health Assessment and Diagnostic Reasoning, Third Edition

Test Bank

Copyright  2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company

8. When taking a PMI, which of the following is correct?

A) Do NOT take the statement “I’m allergic to. . . ” at face value.

B) Ask the patient for a very brief summary of their current health.

C) If a patient states that they have been vaccinated with BCG, make sure to administer a PPD test.

D) CAM documentation is no longer a requirement.

Ans: A

Complexity: Difficult

Ahead: Taking a Health History

Taxonomy: Remember

Subject: Chapter 1

9. Who is a person of first degree to the patient who has experienced premature onset of CVD?

A) Sister at 62

B) Cousin at 62

C) Aunt at 59

D) Grandfather at 44

Ans: A

Complexity: Difficult

Ahead: Taking a Health History

Taxonomy: Analyze

Subject: Chapter 1

10. Recording the patient’s occupation falls under which category?

A) PHI

B) FH

C) SH

D) ROS

Ans: C

Complexity: Easy

Ahead: Taking a Health History

Taxonomy: Remember

Subject: Chapter 1

11. A focused ROS:

A) involves a wider range and shallower level of questions than a comprehensive ROS.

B) includes questions directed toward the systems most likely to be involved in the patient’s symptoms.

C) includes questions seeking significant positives to narrow down the body systems affected.

D) covers all body systems.

Ans: B

Complexity: Moderate

Ahead: Taking a Health History

Taxonomy: Understand

Subject: Chapter 1

12. A patient comes to the clinic complaining of repeated headaches and lightheadedness. As the

provider takes a health history, she should:

A) perform a comprehensive ROS.

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Advanced Health Assessment and Diagnostic Reasoning, Third Edition

Test Bank

Copyright  2018 Jones & Bartlett Learning, LLC, as Ascend Learning Company

B) skip the social history in order to focus on the current issue.

C) focus her interest and questions on the patient’s neurologic system.

D) spend a good deal of time assessing the reliabiliity of the information she is getting.

Ans: C

Complexity: Difficult

Ahead: Taking a Health History

Taxonomy: Apply

Subject: Chapter 1

True/False

1. True or False? A patient’s recall of his or her current health needs and past health is subject to error

and is also a critical component in the caregiving process.

Ans: True

Complexity: Moderate

Ahead: Functions of the Interview and Health History

Taxonomy: Remember

Subject: Chapter 1

2. True or False? Ethnocentrism is active belief in one’s cultural superiority and is NOT a concern for wellintentioned caregivers.

Ans: False

Complexity: Easy

Ahead: Interviewing

Taxonomy: Understand

Subject: Chapter 1

3. True or False? A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is

unwilling to follow his provider’s recommendations to modify his routine. But because he has not yet

experienced the negative health consequences of his actions, he cannot be classified as resistant.

Ans: False

Complexity: Moderate

Ahead: Interviewing

Taxonomy: Analyze

Subject: Chapter 1

4. True or False? When taking a patient’s chief complaint, rephrase the stated reason using standard

medical terminology for clarity.

Ans: False

Complexity: Easy

Ahead: Taking a Health History

Taxonomy: Understand

Subject: Chapter 1

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