TEST BANK FOR
Advanced Health Assessment and Diagnostic Reasoning
4th Edition by Jacqueline Rhoads
Chapter 1 - 18 Complete
,Test Bank For Advanced Health Assessment and Diagnostic Reasoning Fourth Edition By
Jacqueline Rhoads And Sandra Wiggins Petersen
Table of Contents
Part 1 Strategies for Effective Health Assessment
Chapter 1 Interview and History-Taking Strategies
Chapter 2 Physical Examination Strategies
Chapter 3 Documentation Strategies
Chapter 4 Cultural and Spiritual Assessment
Chapter 5 Nutritional Assessment
Part 2 Advanced Assessment of Systemic Disorders
Chapter 6 Mental Health Disorders
Chapter 7 Integumentary Disorders
Chapter 8 Eye Disorders
Chapter 9 Ear Disorders
Chapter 10 Nose, Sinus, Mouth, and Throat Disorders
Chapter 11 Respiratory Disorders
Chapter 12 Cardiovascular Disorders
Chapter 13 Endocrine Disorders
Chapter 14 Gastrointestinal Disorders
Chapter 15 Neurological Disorders
Chapter 16 Male Genitourinary Disorders
Chapter 17 Female Genitourinary and Breast Disorders
Chapter 18 Musculoskeletal Disorders
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
Chapter: Chapter 01 - Quiz
Multiple Choice
1. Which of the following is an example of subjective data that may be collected during a health
assessment?
A) Height and weight
B) A patient’s recall of his or her past health conditions
C) Results from an abdominal CT scan
D) Complete blood count
ANSWER: B
Complexity: Moderate .
Ahead: Functions of the Interview and Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
2. Which of the following is true regarding the data taken in a health history?
A) Most health history data are objective and measurable.
B) Objective data are error-free, quantifiable data.
C) Subjective data, being inherently less accurate, are of less value than objective data.
D) A successful individualized plan of care must incorporate subjective data.
ANSWER: D
Complexity: Difficult
Ahead: Functions of the Interview and Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
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
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
ANSWER: C
Complexity: Moderate
Ahead: Interviewing
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Recall
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
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.
ANSWER: A
Complexity: Difficult
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
.
5. Which of the following is true of both comprehensive and focused health histories?
A) They both include identifying data.
B) They both include a social history.
C) They both include a family history.
D) They are both conducted in emergency situations.
ANSWER: A
Complexity: Moderate
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
6. In the mnemonic devise PQRST, which of the following includes describing the location of the
symptoms?
A) Precipitating factors
B) Quality
C) Radiation
D) Severity
ANSWER:
B
Complexity: Difficult
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
Taxonomy: Analysis
7. What is the current mnemonic device for taking a health history?
A) PQRST
B) CLIENT OUTCOMES
C) PRACTICE
D) GOOD MEDICINE
ANSWER: B
Complexity: Easy
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Recall
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.
ANSWER: A
Complexity: Difficult
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Remember .
9. Which of the following is a first-degree relative 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
ANSWER: A
Complexity: Difficult
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
10. Recording the patient’s occupation falls under which category?
A) PHI
B) FH
C) SH
D) ROS
ANSWER: C
Complexity: Easy
Ahead: Taking a Health History
Subject: Chapter 1
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
Title: Interview and History-Taking Strategies
Taxonomy: Recall
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.
ANSWER: B
Complexity: Moderate
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
12. A patient comes to the clinic complaining of repeated headaches and lightheadedness. As the
provider takes a health history, he or she should:
A) perform a comprehensive ROS.
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 reliability of the information she is getting.
ANSWER: C
Complexity: Difficult
Ahead: Taking a Health History
Subject: Chapter 1 .
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
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.
ANSWER: True
Complexity: Moderate
Ahead: Functions of the Interview and Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Recall
2. True or False? Ethnocentrism, belief in the superiority of one’s own beliefs and values, is a major
barrier to establishing effective patient–provider relationships.
ANSWER: True
Complexity: Easy
Ahead: Interviewing
Subject: Chapter 1
Title: Interview and History-Taking Strategies
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
Taxonomy: Recall
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. Because he has not yet
experienced the negative health consequences of his actions, he cannot be classified as resistant.
ANSWER: False
Complexity: Moderate
Ahead: Interviewing
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
4. True or False? When taking a patient’s chief complaint, rephrase the stated reason using standard
medical terminology for clarity.
ANSWER: False
Complexity: Easy
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Recall
5. True or False? Family history should i n c l u d e b o t h p a r e n t s a n d g r a n d p a r e n t s , if information is known.
Ans: True GR A DE SLA B . CO M
Complexity: Moderate
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
6. True or False? Social history includes a detailed diet history, best performed as a record of food and
beverage intake by the patient for a typical week, that includes things like use of salt and oil in food
preparation and methods of cooking.
ANSWER: True
Complexity: Moderate
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Application
Essay
1. What does PQRST stand for?
ANSWER: Precipitating factors, quality, radiation, severity, and
timing Complexity: Difficult
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
2. What are 10 body systems that compose a comprehensive review of systems?
ANSWER: 10 of the following: general/constitutional, skin, eyes, ears, nose, mouth/throat, cardiovascular,
respiratory, gastrointestinal, genitourinary, breast, musculoskeletal, neurologic, mental/psychiatric,
lymphatic, hematologic, and endocrine
Complexity: Difficult
Ahead: Taking a Health History
Subject: Chapter 1
Title: Interview and History-Taking Strategies
Taxonomy: Analysis
.
,Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
Chapter: Chapter 02 - Quiz
Multiple Choice
1. What are the two main general considerations of physical examinations listed in the text?
A) Preparation and sequence
B) Medical and financial
C) Patient interaction and scope
D) Inspection and palpation
ANSWER: C
Complexity: Moderate
Ahead: General Considerations .
Subject: Chapter 2
Title: Physical Examination Strategies
Taxonomy: Application
2. The physician has begun her first physical examination on a new patient who has come to the clinic for
a well-patient visit. Which of the following is true?
A) The first thing the physician will do as part of the physical examination is perform the history.
B) This will likely be a head-to-toe examination.
C) As a first exam, this will likely be brief and focused.
D) The patient, on his first visit, will likely be disoriented and unaware of the physician’s tone and
expressions.
ANSWER: B
Complexity: Difficult
Ahead: General Considerations
Subject: Chapter 2
Title: Physical Examination Strategies
Taxonomy: Analysis
3. The physician records a sound as “tympanic.” The physician has just performed which assessment
technique?
A) Palpation
B) Auscultation
C) Percussion
, Test Bank for Advanced Health Assessment and Diagnostic Reasoning 4th Edition Rhoads (Test
Bank PDF Files)
D) Compression
ANSWER: C
Complexity: Moderate
Ahead: Assessment Techniques
Subject: Chapter 2
Title: Physical Examination Strategies
Taxonomy: Application
4. A physician is listening to a patient’s heart, but something has negatively impacted the sound. Which of
the following has most likely caused this?
A) Indirect rather than direct percussion
B) A double-lumen stethoscope
C) Lack of palpation
D) Loose-fitting ear tips
ANSWER: D
Complexity: Difficult
Ahead: Assessment Techniques
Subject: Chapter 2
Title: Physical Examination Strategies
Taxonomy: Analysis
5. Which of the following is included on the list of basic equipment needed for a physical examination?
A) Syringe
B) Measuring tape
C) Occult blood testing materials .
D) Culture media
ANSWER: B
Complexity: Easy
Ahead: Head-to-Toe Examination
Subject: Chapter 2
Title: Physical Examination Strategies
Taxonomy: Recall
6. What does a physician use the Weber and/or Rinne tests for?
A) Assessing the lungs
B) Performing an abdominal fluid wave text
C) Testing hearing
D) Observing posture and balance
ANSWER: C
Complexity: Difficult
Ahead: Head-to-Toe Examination
Subject: Chapter 2
Title: Physical Examination Strategies
Taxonomy: Analysis
7. The red reflex is a test of:
A) the abdomen.
B) the spine.
