Health Assessment in Nursing Chapter 2 Review

Which sign in a genogram indicates adoption? a. A horizontal dotted line b. A vertical dotted line c. An X in a circle d. An X in a square

A vertical dotted line. Rationale: In a genogram, a vertical dotted line may be used to indicate adoption. A horizontal dotted line is used to indicate the client's spouse. An X in a circle indicates a deceased female client. An X in a square indicates a deceased male client.

Types of nonverbal communication include: a. Appearance, Demeanor, Facial Expression, Listening, Posture, and Attitude b.Appearance, Demeanor, Facial Expression, Silence, Listening, Posture, and Attitude c. Demeanor, Facial Expression, Silence, Listening to Music, Posture, and Attitude d. Demeanor, Facial Expression, Silence, Listening, and Posture

Appearance, Demeanor, Facial Expression, Silence, Listening, Posture, and Attitude

During the Introductory Phase of the nursing interview the nurse collects information in a specific order, list out the steps and process of the introductory phase.

Nurse starts with introducing, explains purpose of interview, discusses types of questions, explains reason for taking notes, and assures patient of confidentiality

Is the following statement true or false? A client's feelings and perceptions may be recorded as subjective data.

True. A client's feelings and perceptions may be recorded as subjective data.

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

assess the clients hearing acuity.

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. display mental distancing during the interview

avoids excessive eye contact with the client

The nurse is interviewing a client in the clinic for the first time. When the client tells the nurse that he smokes "about two packs of cigarettes a day," the nurse should a. look at the client with a frown b. tell the client that he is spending a lot of money foolishly c. provide the client with a list of dangers associated with smoking d. encourage the client to quit smoking

encourage the client to quit smoking

For a nurse to be therapeutic with clients when dealing with sensitive issues such as terminal illness or sexuality, the nurse should have a. advanced preparation in this area b. experience in dealing with these types of clients c. knowledge of his or her own thoughts and feelings about these issues. d. personal experiences with death, dying, and sexuality

knowledge of his or her own thoughts and feelings about these issues.

While interview a client for the first time, the nurse is using a standardized nursing history form. The nurse should a. maintain eye contact while asking the questions from the form. b. read the questions verbatim from the form c. ask the client to complete the form d. ask leading questions throughout the interview

maintain eye contact while asking the questions from the form.

During the interview of an adult client, the nurse should a. use leading questions for valid responses b. provide the client with information as questions arise. c. read each question carefully from the history form. d. complete the interview as quickly as possible.

provide the client with information as questions arise.

Is the following statement true or false? The nurse should use closed-ended questions to elicit the client's feelings and perceptions.

False. The nurse should use open-ended questions to elicit the client's feelings and perceptions. Closed-ended questions should be used to obtain facts and to focus on specific information.

What are the phases of a nurse interview? a. Pre-introductory, Introductory, Working, Summary and Closing b. Introductory, Working, Summary and Closing c. Pre-introductory, Introductory, Working, and Evaluation d. Assessment, Diagnosis, Planning, Implementation, and Evaluation

Pre-introductory, Introductory, Working, Summary and Closing

The nurse introduces herself to Mrs. Gutierrez and explains that she will be asking question in order to better assist her with control of her diabetes. Which phases of the nursing interview will the nurse collect subjective data on Mr. Gutierrez? a. Working Phase is when subjective and objective data is collected by the nurse. b. Introductory Phase is when the nurse collects subjective patient information. c. Working Phase because only subjective data is collected during this phase of the nursing interview. d. Summary and Closing Phase because this is when the patient is asked specific questions about history of present health concerns.

Working Phase is when subjective and objective data is collected by the nurse.

The nurse has interviewed a Hispanic client with limited English skills for the first time. The nurse observes that the client is reluctant to reveal personal information and believes in a hot-cold syndrome of disease causation. The nurse should a. indicate acceptance of the client's cultural differences b. request a family member to interpret for the client. c. use slang terms to identify certain body parts. d. remain in a standing position during the interview.

indicate acceptance of the client's cultural differences

During an interview, the nurse collects both subjective and objective data from an adult client. Subjective data would include the client's a. perception of pain. b. height. c. weight. d. temperature.

perception of pain

The nurse is interviewing a client in the clinic for the first time. The client appears to have a very limited vocabulary. The nurse should plan to a. use very basic lay terminology. b. have a family member present during the interview c. use standard medical terminology d. show the client pictures of different symptoms, such as the "faces of pain chart."

use very basic lay terminology

During an interview with an adult client, the nurse can keep the interview from going off course by a. using open-ended questions. b. rephrasing the client's questions. c. inferring information. d. using closed-ended. questions.

using closed-ended questions.