Chapter 2 - Review Questions

During the client interview, the nurse asks specific questions such as "What were you doing when the pain started?" or "Was the pain relieved when you rested?" In what phase of the interview is the nurse involved? a. Working b. Pre-interaction c. Beginning d. Closing

a. Working

The nurse is beginning a health history interview with an adult client who expresses anger at the nurse. The best approach for dealing with an angry client is for the nurse to a. allow the client to verbalize his or her feelings. b. offer reasons why the client should not feel angry. c. provide structure during the interview. d. refer the client to a different health care provider.

a. allow the client to verbalize his or her feelings.

A client reports having scarlet fever when in the 2nd grade. In which area of the comprehensive health history should the nurse document this information? a. past history b. review of symptoms c. family health history d. history of present illness

a. past history

A client's spouse answers the interview questions and will not leave the examination room. What should the nurse suspect be occurring with the client? a. physical abuse b. cognitive disorder c. mental health disorder d. low self-esteem

a. physical abuse

Which statement made by the nurse demonstrates an understanding of the termination phase of the interviewing process? a. "I'd like to discuss your opinions regarding your plan of care." b. "Let me stress the importance of being medication adherent." c. "Let's talk about any health issues you've experienced in the last 12 months." d. "I am expecting to spend time discussing your past medical record."

b. "Let me stress the importance of being medication adherent."

A nurse is interviewing an adult client who had a miscarriage 3 weeks ago. The woman is crying and is having difficulty talking. The nurse moves closer and places a hand on the woman's hand. What type of communication is this? a. Encouraging elaboration (facilitation) b. Active listening c. Reflection d. Restatement

b. Active listening

The nurse is interviewing a 78-year-old client for the first time. The nurse should first a. establish rapport with the client. b. assess the client's hearing acuity. c. obtain biographic data. d. use medical terminology appropriately.

b. assess the client's hearing acuity.

A client is unable to recall the last time an immunization was received. Which part of the client's health should the nurse realize is being the most impacted by this practice? a. compliance with treatment b. health maintenance c. risk factors d. screening test completion

b. health maintenance

Which type of question is asked first by the nurse in order to attain a full description of the client's symptoms and to generate and test diagnostic hypotheses? a. specific questions to secure a description of every symptom b. open-ended questions to encourage the client to tell his or her story c. yes-or-no questions to determine relevant areas of the physical examination d. pertinent positive and negative questions to determine relevant details

b. open-ended questions to encourage the client to tell his or her story

During an interview an elderly patient tells the nurse that she has periodic problems in keeping her balance. The nurse asks her what she is doing when the episodes occur. Which area of symptom analysis is the nurse pursuing with this question? a. Severity b. Frequency c. Aggravating factors d. Location

c. Aggravating factors

A nurse draws a genogram to help organize and illustrate a client's family history. Which shape is a standard format of representing a deceased female relative? a. Simple circle b. Simple square c. Circle with a cross d. Square with a cross

c. Circle with a cross

The nurse is focusing an interview on a patient's respiratory status. Which question should the nurse ask first to begin this interview? a. Do you experience any pain when you breathe? b. Do you have any difficulty producing sputum? c. Describe how you breathe for me? d. Do you currently have a cough?

c. Describe how you breathe for me?

A nurse assesses a client with regard to nutritional habits, use of substances, education, and work and stress levels. The nurse recognizes this as what type of information? a. Family health history b. Personal health history c. Lifestyle and health practices profile d. History of present health concern

c. Lifestyle and health practices profile

A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is an appropriate action by the nurse when interacting with this client? a. Refer the client to a spiritual guide. b. Mirror the client's feelings. c. Provide simple and organized information. d. Approach the client in an in-control manner.

c. Provide simple and organized information.

A nursing instructor is talking about nonverbal communication with the nursing class. The instructor explains that facial expressions should be what? a. Happy b. Inquisitive c. Relaxed d. Detached

c. Relaxed

A 62-year-old patient tells the nurse that he is in excellent health and does not take any medications. What is the most appropriate response by the nurse to follow up on the patient's statement? a. Do you avoid taking drugs because of bad experiences? b. Which medications have you taken in the past? c. That is hard to believe. Most men your age take medications. d. Do you use over-the-counter medications or herbal preparations?

d. Do you use over-the-counter medications or herbal preparations?

Learning about the effects of the illness does what for the nurse and the patient? a. Gives them the basis to establish a trusting relationship b. Gives them the ability to communicate better c. Gives them each a better understanding of the other d. Gives them the opportunity to create a complete and congruent picture of the problem

d. Gives them the opportunity to create a complete and congruent picture of the problem

The nurse is conducting an interview with Jeremy, a 17-year-old boy accompanied by his mother. Which statement made by the nurse is an age-appropriate adjustment when conducting a health history with an adolescent? a. Jeremy, do you have a girlfriend, and if so are you sexually active yet? b. Mrs. Williams, is your son sexually active yet? c. Jeremy, how do you incorporate safe sex practices into your daily life? d. Mrs. Williams, would you wait outside while I discuss a few things with Jeremy?

d. Mrs. Williams, would you wait outside while I discuss a few things with Jeremy?

A client admitted to the health care facility for new onset of abdominal pain expresses to the nurse that she was treated for gastroesophageal reflux disease in the past. In which section of the comprehensive health assessment should the nurse document this information? a. History of present illness b. Review of systems c. Chief complaint d. Personal health history

d. Personal health history

What is an appropriate action by a nurse when providing care for an 18-year-old with respiratory problems caused by excessive smoking? a. Remind the client that excessive smoking could cause cancer b. Ask the client why he started smoking at a young age c. Keep a neutral expression and avoid display of surprise d. Suggest methods and provide resources to assist with smoking cessation

d. Suggest methods and provide resources to assist with smoking cessation

The nurse is planning to interview a client who is being treated for depression. When the nurse enters the examination room, the client is sitting on the table with shoulders slumped. The nurse should plan to approach this client by a. providing the client with simple explanations. b. offering to hold the client's hand. c. using a highly structured interview process. d. expressing interest in a neutral manner.

d. expressing interest in a neutral manner.

Which communication technique conveys genuine interest in what the patient has to say? a. Active listening b. Sitting close to the patient c. Maintaining professional dress and conduct d. Holding the patient's hand during the interview

a. Active listening

During an interview, the patient begins to talk about the frequency of being abused by a spouse. What can the nurse do at this time to acknowledge the sensitivity of the information the patient is providing? a. Key the information into the electronic medical record as the patient is speaking. b. Stop documenting in order to maintain eye contact with the patient. c. Avoid maintaining eye contact while the patient is discussing spouse abuse. d. Write down the information as the patient is speaking.

b. Stop documenting in order to maintain eye contact with the patient.

The nurse is interviewing an adult Navajo woman. Which statement demonstrates cultural sensitivity and acceptance of the patient? a. How often do you visit the medicine man for your health care? b. Tell me about your health care beliefs and practices? c. Many Navajo people are afraid of hospitals. Are you afraid? d. Have you ever had a physical examination with a physician or nurse practitioner?

b. Tell me about your health care beliefs and practice

A nurse is discussing with a client the client's personal health history. Which of the following would be an appropriate question to ask at this time? a. "Are both of your parents still living?" b. "What do you usually eat in a typical day?" c. "How do you feel about having to seek health care?" d. "What diseases did you have as a child?"

d. "What diseases did you have as a child?"

The principle of confidentiality is of paramount importance in the nurse-patient relationship. When should you inform the patient of with whom his or her information will be shared? a. When the patient asks b. At the beginning of the interview c. At the end of the interview d. Whenever it seems appropriate

b. At the beginning of the interview

Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data? a. Speak to the client using local slang. b. Maintain a professional distance during assessment. c. Avoid any eye contact with the client. d. Ask one of the client's children to interpret.

b. Maintain a professional distance during assessment.

A nurse is interviewing a man complaining of a pain in his shoulder. The nurse asks him where exactly the pain is, and he points to a spot on the lateral, posterior upper arm. The nurse has seen similar cases in other clients and recognizes that is likely from prolonged work at a computer, particularly using a mouse. Which of the following is the most effective use of inferring that the nurse might implement in this situation? a. "You work at a computer a lot, don't you?" b. "I recommend that you change your posture while working at the computer." c. "When did the pain start?" d. "Do you perform any sustained or continually repetitive motions with that arm?"

d. "Do you perform any sustained or continually repetitive motions with that arm?"

Which of the following questions is most useful in the assessment of a client's diabetes management? a. "You check your sugars before each meal, don't you?" b. "Are you still using your glucometer 4 times a day?" c. "Are you staying vigilant with your blood sugar monitoring?" d. "What is your routine for checking your blood sugar these days?"

d. "What is your routine for checking your blood sugar these days?"

A nurse is collecting data on a client's chief complaint, which is a spell of numbness and tingling on her left side. Which of the following questions would be best for eliciting information related to associated factors? a. "How bad was the tingling and numbness?" b. "How long did the spell last?" c. "Where did the numbness and tingling occur?" d. "What other symptoms occurred during the spell?"

d. "What other symptoms occurred during the spell?"