Chapter 3 quiz questions

A client states, "My wife died two months ago today." Which of the following responses would be most appropriate? a."What did she die of?" b."How does that make you feel?" c."You probably must be sad." d."Are you feeling sad, depressed, angry, or upset?"

"How does that make you feel?"

The nurse uses the mnemonic OLD CART when assessing a client's symptoms. Which letter represents the area of the symptom and if it radiates? 1. C 2.D 3. L 4. O

3. L

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.

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 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. Provide simple and organized information. b. Approach the client in an in-control manner. c. Refer the client to a spiritual guide. d. Mirror the client's feelings.

a. Provide simple and organized information.

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. "I recommend that you change your posture while working at the computer." b. "You work at a computer a lot, don't you?" 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?"

During a client interview, the nurse uses nonverbal expressions appropriately when the nurse a. avoids excessive eye contact with the client. b. remains expressionless throughout the interview. c. uses touch in a friendly manner to establish rapport. d. displays mental distancing during the interview.

a. avoids excessive eye contact with the client.

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.Beginning c.Closing d.Preinteraction

a. working

The nurse learns that a client is unable to sleep because of high anxiety. On which category of health patterns should the nurse focus? a. sleep-rest b activity-exercise c. coping-stress-tolerance d. self-perception/self-concept

c. coping-stress-tolerance

The nurse is conducting a patient interview and responds to the patient in a way that encourages the patient to more completely describe his or her problems. What is this called? a. Promoting elaboration b. Restatement c. Focusing d. Clarification

a. Promoting elaboration

An older client arrives for an appointment in the community clinic. Which approach should the nurse use when communicating with this client? Select all that apply. a. Use slang b. Speak clearly c. Avoid jargon d. Show respect e. Use simple terms

b. Speak clearly c. Avoid jargon d. Show respect e. Use simple terms

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. "What diseases did you have as a child?" d. "How do you feel about having to seek health care?"

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

An older client cannot recall the date of a surgical procedure but the adult daughter interjects with the exact date because it occurred a week before her wedding. How should the nurse document this information? a. adult daughter controlling the interview b. unable to recall exact date of last surgery c. last surgery date validated by adult daughter d. confused regarding dates of surgical procedures

c. last surgery date validated by adult daughter

The nurse documents information about a client's activity-exercise health pattern. Which information did the nurse most likely document? a. gained 15 lbs. over the last 6 months b. experiences panic attacks several times a week c. unable to go to the gym since having back surgery d. misses seeing friends who used to go for walks together

c. unable to go to the gym since having back surgery

A nurse is interviewing a client who seems anxious. Which nonverbal communication by the nurse helps to facilitate a relaxed environment for the client during the interview process? 1.Wearing casual, neat, and comfortable clothes 2.Ensuring that there are no periods of silence 3.Portraying a neutral and friendly expression 4.Sitting back with crossed arms during the interview

3.Portraying a neutral and friendly expression

When beginning the collection of the client data base, which of the following would be most important for the nurse to do? a. Establish a trusting relationship b. Determine the client's strengths c. Identify health problems d. Make inferences

a. Establish a trusting relationship

A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? a. Establishing a trusting relationship b. Determining the client's strengths c. Identifying potential health problems d. Making clinical inferences

a. Establishing a trusting relationship

The nurse is preparing to assess the mental status of an older adult client. Which of the following would the nurse need to assess first? a. Sensory abilities b. General intelligence c. Severe phobias d. Irrational cognition

a. Sensory abilities

In interviewing a client about substance use, a nurse asks her whether she takes any herbal supplements. Which of the following is the best rationale for asking this question? a. Some herbal supplements may interact with prescribed medications. b.Taking herbal supplements is an indicator that the client is concerned with maintaining her health. c. Abuse of herbal supplements can result in cardiac dysfunction. d. Taking herbal supplements may be the client's mechanism for coping with stress.

a. Some herbal supplements may interact with prescribed medications

A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the nurse is in the introductory phase of the client interview. Which of the following activities should the nurse perform first? a. Collaborate with the client to identify problems. b. Explain the purpose of the interview. c. Determine the client's vital signs. d. Obtain family health history data.

b. Explain the purpose of the interview.

A clinic nurse has reviewed a new client's available health record and will now begin taking the client's health history. Which of the following questions should the nurse ask first when obtaining the health history? a. "Do you have adequate health insurance coverage?" b. "Are you generally fairly healthy?" c. "What is your major health concern at this time?" d. "Did you bring all your medications with you?"

c. "What is your major health concern at this time?"

Which of the following questions would be most important for the nurse to ask first when obtaining the health history? a. "Do you have adequate health insurance coverage?" b. "Are you generally fairly healthy?" c. "What is your major health concern at this time?" d. "Did you bring all your medications with you?"

c. "What is your major health concern at this time?"

A client is admitted to the health care facility with new onset of abdominal pain. The client becomes angry with the nurse when questions about personal information are asked. How should the nurse proceed with the interview? a. Remind the client that this information must be obtained to provide proper care b. Touch the client lightly on the shoulder to dissipate the anger c. Remain in control and allow the client to vent feelings d. Encourage the client to use a more appropriate method to cope with feelings

c. Remain in control and allow the client to vent feelings

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. low self-esteem c. cognitive disorder d. mental health disorder

c. cognitive disorder

A nurse has completed the review of systems component of the client's health history. Which assessment finding should the nurse document under the review of systems? a."High school diploma plus 2 years of college" b."Caregiver reliable source of information" c."Menarche at age 13" d."Lungs clear to auscultation bilaterally"

c."Menarche at age 13"

During the interview process, the nurse uses both open-ended and closed-ended questions. During what phase of the interview process does the nurse use these specific types of questions? a.Pre-interaction b.Beginning c.Working d.Closing

c.working

The nurse is preparing to assess an adult woman's activities related to health promotion and maintenance. Which question should the nurse ask to obtain the most objective and thorough assessment data? a. "Do you always wear your seatbelt when driving?" b. "How much beer, wine, or alcohol do you drink?" c. "Do you use condoms with each sexual encounter?" d. "Could you describe how you perform self-breast exams?"

d. "Could you describe how you perform self-breast exams?"

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. History of present health concern b. Personal health history c. Family health history d. Lifestyle and health practices profile

d. Lifestyle and health practices profile

A client admitted to the health care facility for new onset of abdominal pain expresses to nurse that they were 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 bReview of Systems c.Chief complaint d.Past health history

d. past medical history

A client has a 10-year history of being treated for hypertension. Where should the nurse document this information? a. health patterns b. review of systems c. health maintenance d. past medical history

d. past medical history

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

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. Active listening b. Restatement c. Reflection d. Encouraging elaboration (facilitation)

a. Active listening

A nurse is creating a genogram of a client's family health history. The nurse should use which of the following symbols to denote the client's female relatives? a. Circle b. Square c. Triangle d. Rectangle

a. circle

On a very busy day in the office, Mrs. Donelan, 81 years old, comes for her usual visit to check her blood pressure. She has been on a low-dose diuretic for many years and denies any side effects. Today, her blood pressure is 118/78 today, which is well-controlled. The client mentions that it is hard not having her husband Bill around anymore. What would the nurse do next? a. Hand her a script and make sure she has a 3 month follow-up appointment. b. Make sure she understands the script. c. Ask why Bill is not there. d. Explain that the nurse will have more time at the next visit to discuss this.

c. Ask why Bill is not there.

When conducting the health assessment, the nurse interacts with the client in a caring manner. How would the nurse demonstrate caring to the client? Select all that apply. a.Being sympathetic b.Being nonjudgmental c.Showing respect to the client d.Dressing in a relaxed and casual manner e.Valuing the client unconditionally

c.Showing respect to the client e.Valuing the client unconditionally b.Being nonjudgmental

While interviewing an adult client about the client's stress levels and coping responses, an appropriate question by the nurse is a. "Do you feel stress at work?" b. "How often do you feel stressed?" c. "Is stress a problem in your life?" d. "How do you manage your stress?"

d. "How do you manage your stress?"

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?"