Summary NURS 612 Shadow Health All Modules Cases
Instructor Keys,Complete Latest (2024&2025) Complete
A+ Solutions Guide.
Which of the following will best facilitate the interview when obtaining a history from a deaf patient
who can read lips?
A. Speaking loudly
B. Speaking slowly
C. Using gestures
D. Sitting to the side of the patient - correct answer -B
Approximately what percentage of patients interviewed have a sexual orientation other than
heterosexual?
A. 2%
B. 5%
C. 10%
D. 20% - correct answer -C
During a history, the patient indicates that he has an uncle and a brother with sickle cell disease. Which
of the following is an important method by which to document this information?
A. Document this as chief complaint
B. Include it in the family history
C. Include this in past medical history
D. Incorporate this information into social history - correct answer -B
Which approach is recommended at the onset of an interview?
A. Ask questions in a standard manner
B. Introduce yourself, giving details of your background and qualifications
C. Be open ended, letting the patient explain the problem or reason for the visit
,D. Start with the family history and past medical history to determine the underlying problem - correct
answer -C
Which of the following questions would be the most likely to elicit an inaccurate patient response?
A. "Where do you feel the pain?"
B. "How does this situation make you feel?"
C. "What happened after you noticed the injury?"
D. " that was a horrible experience, wasn't it?" - correct answer -D
Repeating a patient's answer is an attempt to
A. Confirm an accurate understanding
B. Discourage patient anger or hostility
C. Teach the patient new medical terms
D. Allow the patient to change his or her response - correct answer -A.
Which of the following is unique to a pediatric history?
A. Family history
B. Developmental history
C. Social history
D. Past medical history - correct answer -B
When interviewing an adolescent who is reluctant to talk during an interview, it is best to
A. Tell the patient you must have honest answers to your questions
B. Reassure the patient that information discussed is confidential
C. Inform the patient that adolescents often have trouble expressing their feelings
D. Obtain a history from a parent or other family member - correct answer -C
During an interview, your patient admits to feeling worthless and having a sleep disturbance for the past
three weeks. These are clues that warrant the exploration of
,A. Risk for suicide
B. Split personality
C. Cognitive function
D. Functional assessment - correct answer -A
Mrs. Carol Turner is a 38-year-old mother who brings her one-year-old son in for healthcare. Which of
the following request of the child's mother would be most appropriate for the interviewer to make at
the beginning of the interview?
A. "Mom, please place your son in your lap"
B. " Carol, please place your son in your lap"
C. "Mrs. Turner, please place your son in your lap"
D. "Sweetie, please place your son in your lap" - correct answer -C
Which type of questionnaire concerning drug and alcohol use is advocated, although not clinically
validated, for adolescent patients?
A. TACE
B. CAGE
C. CRAFFT
D. DDST - correct answer -C
Jerry, 26-year-old homosexual man, is having a health history taken. Which question regarding sexual
activity would most likely hamper trust between Jerry and the interviewer?
A. "Are you married, or do you have a girlfriend?"
B. "Tell me about your living situation"
C. "Are you sexually active?"
D. "Are your partners men, women, or both?" - correct answer -A
A conversation with a parent concerning a 5-year-old child
A. Violates the child's need for privacy
B. Is inappropriate because the child is able to talk with you
, C. Provide significant information about family dynamics
D. Causes distrust and the child toward the examiner - correct answer -C
Long periods of silence during an interview may indicate
A. They need for the healthcare provider to increase the pace of the interview
B. And inability of the patient to communicate
C. Time needed to gain courage to discuss a painful topic
D. A need to terminate the interview because of the patient's inability to pay attention - correct answer -
C
When questioning a patient regarding a sensitive issue, such as drug use, it is best to
A. Begin by describing to the patient the effects of drug abuse on health
B. Be direct, firm, and to the point
C. Explain that the information will be shared only with healthcare workers
D. Apologize to the patient for asking personal - correct answer -B
Direct questions are designed to
A. Attack sensitive material head on
B. Demonstrate to the patient who is in charge of the interview process
C. Ensure confidentiality
D. Obtain or clarify specific details about an answer - correct answer -D
Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to
A. Avoid inappropriate behavior
B. Explain the biases to patients
C. Express their idiosyncrasies
D. Reduce communication barriers - correct answer -D
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