Chapter 01: The History and Interviewing Process

Chapter 01: The History and Interviewing Process

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The primary objective of the initial encounter is to:

a.	define the advice and care for the patient.
b.	establish the tone of a successful partnership.
c.	optimize your ability to help.
d.	tell the patient the limits of care.

 

 

ANS:  B

The first meeting with the patient sets the tone for a successful partnership. It is to discover the details about patients’ concerns, explore expectations for the encounter, display genuine interest, and develop a partnership.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 1

OBJ:   Nursing process—assessment          MSC:  Safe and Effective Care: Management of Care

 

2. If language is a barrier, the interpreter should be:

a.	a family member.
b.	a language board.
c.	a professional interpreter
d.	a staff person.

 

 

ANS:  C

Someone other than a family member should act as an interpreter to bridge the language difference between a health care provider and the patient. A professional interpreter rather than a family member should be used.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 4

OBJ:   Nursing process—assessment          MSC:  Safe and Effective Care: Management of Care

 

3. Mary Jane has brought in her 16-year-old son, Kyle. She states that he has been sleeping more and does not hang around his friends, and recently his girlfriend broke up with him. Your most immediate question is to ask Kyle:

a.	“Do you want to see a counselor today?”
b.	“Is your father out of jail yet?”
c.	“Are you taking any illegal drugs?”
d.	“Have you made plans to harm yourself?”

 

 

ANS:  D

If you sense that a patient is contemplating suicide, you should ask about suicidal ideation directly. The most important area to address is the potential for suicide. The question “Is your father out of jail yet?” may be relevant to the history, but is not an immediate concern.

 

DIF:    Cognitive Level: Analyzing (Analysis)                              REF:   p. 5

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

4. Ms. Yale is a 52-year-old patient who presents to the office for evaluation. During the interview, you say “Tell me what you do when you have knee pain.” The health care provider is asking information about:

a.	health promotion.
b.	the description and character of the complaint.
c.	the location and duration of the complaint.
d.	aggravating and relieving factors of the complaint.

 

 

ANS:  D

The health care provider is asking a symptom-analysis question to obtain more information about the aggravating and alleviating factors of the knee pain. Asking the patient to describe a typical attack of pain would help obtain information about the description and character of the complaint. The question “When did you last feel well?” would help define the time of onset and duration of the complaint. A question about health promotion would be directed toward improving patient health.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 11

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

5. Which question would be considered a “leading question?”

a.	“What do you think is causing your headaches?”
b.	“You don’t get headaches often, do you?”
c.	“On a scale of 1 to 10, how would you rate the severity of your headaches?”
d.	“At what time of the day are your headaches the most severe?”

 

 

ANS:  B

Stating to the patient that he or she does not get headaches would limit the information in the patient’s answer. Asking the patient what he or she thinks is causing the headaches is an open-ended question. Asking the patient how he or she would rate the severity of the headaches and asking what time of the day the headaches are the most severe are direct questions.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 4

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation