Chap 2: The Interview aand Health History
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 ventilate 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
allow the client to ventilate his or her feelings
The nurse is interviewing 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 client's hearing acuity
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
The nurse is preparing to interview an adult client for the first time. The nurse observes that the client appears very anxious. The nurse should a- allow the client time to calm down b- avoid discussing sensitive issues c- set time limits with the client d- explain the role and purpose of the nurse
explain the role and purpose of the nurse
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 pan to approach this client by a- providing the patient with simple explanations b- offering to hold the client's hand c- using a highly structures interview process d- expressing interest in a neutral manner
expressing interest in a neutral manner
During the interview, the nurse asks questions about the client's past health history. The primary purpose of asking about past health problems is to a- determine whether genetic conditions are present b- summarize the family's health problems c- evaluate how the client's current symptoms affect his or her lifestyle d- identify risk factors to the client and his or her significant others
identify risk factors to the client and his or her significant others
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 stand terms to identify certain body parts d- remain in a standing position during the interview
indicate acceptance of the client's cultural differences
While interviewing 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 form 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 form 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 questions carefully from the history form d- complete the interview as quickly as possible
provide the client with information as questions arise
While interviewing an adult client about her nutrition habits, the nurse should a- ask the client for a 3-day recall of food intake b- review the ChooseMyPlate information with the client c- ask the client about limitations to activity d- encourage the client to drink three to four glasses of water daily
review the ChooseMyPlate information with the client
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 pain chart"
use very basic lay terminology
During an interview between a nurse and a client, the nurse and the client collaborate to identify problems and goals. This occurs during the phase of the interview termed a- introductory b- ongoing c- working d- closure
working
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
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 statements c- inferring information d- using closed-ended questions
using closed-ended questions
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?"
"how do you manage your stress?"
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
The nurse is planning to interview a client who has demonstrated manipulative behaviors during past clinic visits. During the interview process, the nurse should plan to a- give the client rules with which he must agree to comply b- provide structure and set limits with the client c- tell the client that the nurse is aware of his past behaviors d- approach the client in an authoritative manner
provide structure and set limits with the client
During an interview with an adult client for the first time, the nurse can clarify the client's statements by a- offering a "laundry list" of descriptions b- rephrasing the client's statements c- repeating verbatim what the client has said d- inferring what the client's statements mean
rephrasing the client's statements
During a client interview, the nurses uses nonverbal expression 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
uses touch in a friendly manner to establish rapport