NUR307 Study Guide D'amico chapters 7

The nurse is caring for a client who is admitted to the emergency department (ED) with abdominal pain. The client speaks very little English and requires an emergency appendectomy. The nurse has enlisted the hospital interpreter to explain the procedure and help with informed consent. Which action by the nurse is the most appropriate when the interpreter arrives?

1. Asking the interpreter to translate as closely as possible the same words used by the professional staff.

The nurse is conducting a health history interview. By making direct eye contact with the client, which interactional skill is the nurse using with this client?

1. Attending.

A client tells the nurse about two abortions performed during college. The nurse responds, "What did you major in while you were in college?" This response is evidence of which type of barrier to communication?

1. Changing the subject.

The nurse is conducting a health history interview for a client being seen in a community clinic. When the nurse exhibits a willingness to help, which client behavior is expected in return?

1. Cooperation.

When conducting a focused interview for an older adult client, which interventions by the nurse are appropriate?

1. Establishing rapport. 4. Ensuring background noise is at a minimum.

The nurse is providing care to a client who lost a pregnancy in the 14th week due to spontaneous abortion. The client is tearful during the assessment process. The nurse states, "These things always happen for a reason. You can always get pregnant again." Which barrier to communication does the nurse's statement represent?

1. False reassurance.

The nurse is interviewing the client. The nurse states, "Can you tell me exactly how you feel when you are having difficulty catching your breath?" Which communication technique is the nurse specifically using during this client interaction?

1. Focusing.

The nurse is interviewing the client. Which technique should the nurse use to decode the client's messages?

1. Listen actively and attentively.

The nurse recently gave birth to a stillborn infant. During the pre-interaction stage, the nurse learns that the client has had five elective abortions performed while she was in high school and college. Which nursing actions are appropriate to help the nurse prepare emotionally for the initial interview with this client?

1. The nurse speaks with one of her nursing peers and sets up a time to role-play the interview. 2. The nurse writes in her journal regarding her fears about meeting with the client. 3. The nurse makes an appointment to meet with her counselor prior to the interview. 5. The nurse creates a list of her own goals to accomplish during the interview with this client.

The student nurse and the experienced nurse are meeting with an elderly Vietnamese client who is unable to speak English. Which actions indicate that the student nurse requires further education?

1. The student nurse looks intently at the translator during the interview. 2. The student nurse is sitting directly beside the client and both of them are facing the translator. 4. The student nurse has requested that the client bring his daughter to the interview to translate for him. 5. The student nurse states, "Please tell him to void in this specimen container and to use a clean-catch technique when acquiring the urine."

Which are the reasons for the nurse conducting a focused interview after the initial interview is complete?

1. To clarify data. 2. To gather missing information. 3. To validate nursing diagnoses.

The nurse is preparing to conduct an initial client interview. Rank the nursing statements in the order in which they would most likely occur.

2, 4, 3, 1 Response 2. "May I call you Anne?" Response 4. "So, can you tell me about what's been going on with your health?" Response 3. "When you said you had been having trouble with your belly, what did you mean?" Response 1. "We're almost done; do you have any questions for me?"

While conducting the client's health history, the nurse makes little eye contact with the client and focuses intently upon the computer while documenting the client's information. The nurse faces the computer with legs crossed. Which behavior is this nurse exhibiting?

2. A lack of genuineness.

The nurse is interviewing a client who is in acute pain. Which action by the nurse is the priority?

2. Attempt to reduce the pain and complete the interview later.

The nurse is admitting a young client of Cuban descent to the hospital. Which action by the nurse is culturally sensitive to this client?

2. Ensuring that the father of the young client is provided with adequate amounts of information regarding the young client's care.

The nurse is conducting a health history interview for a client who is experiencing symptoms of asthma. The nurse asks the client, "When did your symptoms begin?" Which interactional skill is the nurse using by asking this question?

2. Leading.

What is occurring when the nurse unknowingly hinders the flow of information during the health history process?

2. Non-therapeutic interaction.

While conducting a health history interview, the nurse restates the client's basic message to test whether it was appropriately understood. Which interactional skill is the nurse using with this technique?

2. Paraphrasing.

While interviewing the client during the focused interview, the client begins to cry softly. Which interventions by the nurse are appropriate?

2. The nurse places the tissues within arm's reach of the client. 3. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview. 5. The nurse states, "I can see you are upset. It's all right to cry."

The nurse is assisting the client onto the examination table. The nurse states, "take your time" but is looking at her watch and appears annoyed. Which professional characteristic in the nurse-client relationship does this nurse lack?

3. Genuineness.

When conducting a client health history, the nurse asks that all calls go to voice mail during the interview process. Which professional characteristic is the nurse exhibiting to establish a nurse-client relationship with this action?

3. Genuineness.

Which is an appropriate secondary source of information when conducting a health history to obtain accurate information?

3. The client's medical record.

Who is the best source for providing information for the disoriented older adult client?

3. The client's spouse at the bedside.

The nurse is providing education to an adult client recently diagnosed with asthma. The client smokes one pack of cigarettes each day. The nurse states, "Now that you have to quit smoking your friends will no longer complain that you smell like cigarettes." Which communication barrier does the nurse's statement represent?

3. Unwanted advice.

The nurse is conducting a health history for a client newly admitted to the hospital. Which question by the nurse is open-ended?

4. "When was your last tetanus shot?"

The nurse is preparing to conduct a health history for a pediatric client. Which companion can provide legal consent for treatment for this client without written or verbal parental consent?

4. A step-parent to the child.

Which professional characteristic implies that the nurse respects the client's ability to understand and recognizes the client's right to know the details of the plan of care?

4. Concreteness.

While conducting the health history the nurse states, "I need this information to plan dietary changes that will benefit your type 1 diabetes mellitus." This statement is an example of which professional characteristic in establishing a nurse-client relationship?

4. Concreteness.

The nurse is interviewing the client. The nurse says to the client, "It sounds like you don't like your new job because it's more stressful than you anticipated." Which communication technique is the nurse using in this interaction with the client?

4. Paraphrasing.

An adolescent client is admitted to the emergency department with a possible urinary tract infection. The nurse asks, "When did you notice that urinating was painful?" Which barrier to communication does this exhibit?

4. Using a technical term.