HA Exam 2 Interviewing

A nurse is preparing for an interview with a patient and is determining that the goal of the interview should be to determine the patient's medication compliance. What phase of the interview is this? A. Pre-interview B. introduction C. working D. termination

A

After instructing the client on crutch walking technique, the nurse should evaluate the client's understanding by using which of the following methods? A. Return demonstration B. Explanation C. Achievement of 90 on written test D. Have client explain produce to the family

A

During an interview, the nurse states, "You mentioned shortness of breath. Tell me more about that." Which verbal skill is used with this statement? A. Reflection B. Facilitation C. Direct Question D. Open-ended question

A

During which part of the client interview would it be best for the nurse to ask, "What's the weather forecast for today?" A. introduction B. Body C. Closing D. Orientation

A

The nurse is an outpatient clinic recognizes which of the following as therapeutic communication techniques? SATA A. restating B. listening C. asking the pt "why?" D. Maintaining neutral responses E. Providing acknowledgement adn feedback F. Giving advice and approval or disapproval

A, B, D, E

AA PIE

Assessment Analysis Plan Intervention Evaluation

The nurse knocks, then enters the patient's room. She begins by introducing herself to the patient and asking how the traffic was getting to the office. What phase of the interview is this? A. pre-interview B. Introduction C. Working D. Termination

B

The nurse informs the physical therapy department that the client is too weak to use a walker and needs to be transported by wheelchair. Which step of the nursing process is the nurse engaged in at this time? A. assessment B. planning C. implementation D. evaluation

C

The nurse should recognize that some minority groups are hesitant to seek healthcare because of which most likely factor? A. low income household B. Lack of insurance coverage C. Ineffective communication with the primary health care provider (PHCP) D. Compliance with health care follow-up is not an issue for minority group

C.

When the community health nurse visits a pt at home the pt states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this pt? A. "I see" B. "Really?" C. "You're having difficulty sleeping?" D. " Sometimes I have difficulty sleeping too."

C.

phases of the interview

Pre-interview Working Introduction Termination

SBAR

Situation Background Assessment Recommendation

reframing

active listening restating what pt said in different words

perception-checking

clarifying specific words

working

obtain pt story & health information

pre-interview

set intention

termination

summarize important points

In the prenatal clinic, the nurse is interviewing a new client and obtaining health history information. Which action should the nurse plan to elicit the most accurate responses to the questions that refer to sexually transmitted infections? A. Establish a therapeutic relationship. B. Use specific closed-ended questions. C. Omit these types of questions because they are highly personal. D. Apologize for the embarrassment that these questions will cause the client.

A

The most appropriate introduction to use to start an interview with an older adult patient is: A. "Mr. Jones, I want to ask you some questions about your health so that we can plan your care." B. "David, I am here to ask you questions about your illness; we want to determine what is wrong." C. "Because so many people have already asked you questions, I will just get the information from the chart." D. "Mr. Jones, is it okay if I ask you several questions this morning about your health?"

A

The nurse has completed teaching a new nursing graduate on how to avoid being judgmental. Which statement by the new nursing graduate should indicate to the nurse that there is a need for further teaching? A. "I don't think you need to do that." B. "Tell me about making that decision." C. "I would like to be sure I understood." D. "When did you first notice you felt that way?"

A

The nurse is calling the healthcare provider about a patient's changing condition. Which of the following would be included in the SBAR communication? A. Situation, background, assessment, and recommendation B. Subjective information, background, assessment, adn revisions neeed C. Situation, background, all vitals, and review of orders D. Summary, better plan, accurate diagnosis, and rights

A

The nurse is most likely to collect timely, specific information by asking which of the following questions? A. "Would you describe what you are feeling?" B. "How are you today?" C. "What would you like to talk about?" D. "Where does it hurt?"

A

What does active listening NOT include? A. Taking detailed notes during the interview. B. Watching for clues in body language. C. Repeating statements back to the person to make sure you have understood. D. Asking open-ended questions to explore the persons perspective.

A

What is an advantage for using SBAR during staff communication? A. Improves verbal communication and reduces medical errors B. Provides a complete patient health history C. Focuses on a comprehensive physical examination D. Avoids making recommendations

A

Which of the following statements made by the interviewer would be an appropriate response? A. "Tell me what you mean by 'bad blood.'" B. "If I were you, I would have the surgery." C. "I know just how you feel." D. "Why did you wait so long to make an appointment?"

A

Which of the following actions should the nurse take to effectively communicate with an LGBTQ+ patient? Select all that apply. A. Ask about safe sex practices B. Ask about their preferred pronouns C. Ask about sexual orientation D. Examine your own feelings and beliefs first E. Probe for information out of curiosity

A, B, C, D

The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbors ask the nurse, "How is Mary doing? She is my best friend and is seen at your clinic every week." Which is the most appropriate nursing response? A. "I cannot discuss any pt situation with you." B. "If you want to know about Mary, you need to ask her yourself." C. "Only because you are worry about your friend, I'll tell you that she is improving." D. "Being her friend, you know she is having a difficult time and deserves her privacy."

A.

which teaching method is most effective when providing instruction to members of special populations? A. Teach-back B. Video instruction C. Written materials D. Verbal explanation

A.

The ER nurse interviews a 32-year-old patient who has come to the ER alone complaining of severe headache. During the interview, the nurse asks if the patient is married or single. The patient hesitates and then responds, "I'm married." What statement by the nurse reflects an effort to be culturally sensitive in this situation? A. "What is your husband's name and cell phone number?" B. "Is there a significant person or family member you would like me to contact?" C. "Who is your next of kin? Are there children I might get in touch with?" D. "Are you sure? You seem hesitant."

B

The nurse should avoid asking the client which of the following leading questions during a client interview? A. "What medication do you take at home?" B. "You are really excited about the plastic surgery, aren't you?" C. "Were you aware I've has this same type of surgery?" D. "What would you like to talk about?"

B

Which demonstrates a good understanding of the interview process? A. The nurse stops the patient each time something is said that is not understood. B. The nurse spends more time listening to the patient than talking. C. The nurse is consistently thinking of his or her next response so the patient will know he or she is understood. D. The nurse uses "why" questions to seek clarification of unusual symptoms or behavior.

B

With older adults, how should the examiner proceed with the interview? A. Proceed in a more organized and concise way. B. Consider the fatigue of the older person and break the interview into shorter segments. C. Ask a family member to complete some of the records while moving ahead with the interview D. Raise your voice if the patients does not appear to hear you.

B

A client is experiencing anxiety about being hospitalized. What therapeutic communication techniques should the nurse use while interacting with the client? Select all that apply. A. Turn the client's favorite TV show on. B. Ask the client to identify how he or she feels. C. Help the client identify the cause of the anxiety. D. Lean against the wall casually with arms crossed.

B, C

The nurse would do which of the following activities during the diagnosing phase of the nursing process? Select all that apply. A. Collect and organize client information B. Analyze data C. Identify problems, risk, and client strengths D. Develop nursing diagnoses E. Develop client goals

B, C, D

What actions should the nurse take to effectively communicate with a patient? Select all that apply. A. Provide bright lighting in the room B. Avoid standing while communicating C. Avoid facing the patient across a desk while communicating D. Keep a 4 to 5 feet distance between them and the patient E. Avoid placing chairs at a 90 degree angle

B, C, D

Which of the following actions should the nurse take to effectively communicate with an elderly patient? Select all that apply. A. Use endearing terms like "sweetie" B. Leave extra time for them to process C. Raise your voice so they can hear you D. Use therapeutic tough to provide empathy E. Give breaks

B, D, E

Which action would the nurse take to obtain subjective data about a client's respiratory status? SATA A. inspect their chest B. question the client about shortness of breath C. Check the lab values for pulmonary forced breathing D. Inspect the skin and nails for a change in color E. Ask the client about color and quantity of sputum

B, E

A transgender client is following up with the primary health care provider. The nurse caring for this client recognizes the best way to deliver care is to employ which approach? A. Use a same sex PHCP to assess the client B. Use the client's preferred pronoun to address him or her C. Ask if the client is more likely to choose male or female D. Recognize that the client is confused and therapeutically address his or her concerns

B.

The emergency department nurse is performing an assessment on a child suspected of being sexually abused. Which assessment data obtained by the nurse most likely support this suspicion? A. Poor hygiene B. Difficulty walking C. Fear of the parents D. Bald spots on the scalp

B.

A client who complains of nausea and seems anxious is admitted to the nursing unit. The nurse should take which of the following actions regarding completion of the admission interview? A. Help the client to get settled and do the interview the next morning when the client is rested B. Do the interview immediately, directing the majority of the questions to the client's spouse C. Do the interview as soon as some uninterrupted time is available in order to address the client's concerns D. Ask the charge nurse to interview the client while the admitting nurse calls the doctor for anti-nausea and anti-anxiety medication

C

Now, the nurse asks the patient about her medical condition and how often she has been taking her medication. What phase of the interview is this? A. pre-interview B. Introduction C. Working D. Termination

C

The nurse overhears an unlicensed assistive person (UAP) who has just been accepted to nursing school say to a client, "You must be so pleased with your progress." The nurse later explains to the UAP that this is an example of what type of question? A. Close-ended question B. Open-ended question C. Leading question D. Neutral question

C

A nurse explains to a student that the nursing process is a dynamic process. Which of the following actions by the nurse best demonstrates this concept during the work shift? A. Nurse and client agree upon health care goals for the client B. Nurse reviews the client's history on the medical record C. Nurse explains to the client the purpose of each administered medication D. Nurse rapidly reset priorities for client care based on a change in the client's condition

D

After listening to the patient's concerns, the nurse lets the patient know she has no more questions to ask, but asks if the patient has any concerns before the appointment is over. What phase of the interview is this? A. pre-interview B. Introduction C. Working D. Termination

D

back-channeling

active-listening prompts (uh-huh, go on)

reflecting

directing ideas, feelings, & questions back

introduction

establish trust