Ch 2 Collecting subjective data
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.
being nonjudgmental showing respect to the client valuing the client unconditionally
Mrs. T. comes for her regular visit to the clinic. Her regular provider is on vacation, but the client did not want to wait. The nurse has her about this client many times from colleagues and is aware that she is very talkative. Which of the following is a helpful technique to improve the quality of the interview for both provider and client?
briefly summarize what the client says in the first 5 minutes and then try to have her focus on one aspect of what she discussed
A client is being admitted for elective surgery. What should the nurse instruct the client to do to ensure that the medication history is complete?
bring all medications and preparations used to the hosputal
During an assessment the client says "I've been having bad pain in my left leg for a week." In which section should the nurse document this information?
chief complaint
The nurse learns that a client is unable to sleep because of high anxiety. On which category of health patters should the nurse focus?
coping-stress-tolerance
Which type of question is asked first by the nurse in order to attain a full description of the client's symptoms?
open-ended questions to allow full freedom of response
A client scheduled for surgery tells the nurse that he is vert anxious about the surgery. What is an appropriate action by the nurse when interacting with this client?
provide simple and organized information
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
use very basic lay terminology
A client is asked to describe "something that brings the most hop." Which of the functional health pattern is the nurse assessing?
value-belief
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?
working
The nurse is caring for a client in the heath care provider's office. In reviewing the client's chard, the nurse recognizes the need for providing the client with additional education related to COVID-19 when noting which of the following about the client?
works in the service industry
A nurse is performing an admission assessment on a new client to the unit, What would be the best way to phrase a question about the client's marital status?
"Do you live alone or with someone?"
A nurse is discussing with a client the client's personal health history. Which of the following would be an appropriate question to as at this time?
"What diseases did you have as a child?"
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?
"What is your major health concern at this time?"
Which of the following questions is most useful in the assessment of a client's diabetes management?
"What is your routine for checking your blood sugar these days?"
The nurse is caring for a client exhibiting slurred speech after suffering from a cerebrovascular accident. The nurse is unable to completely understand the client. What is the nurse's best action?
ask the client to repeat the statement or question
During an interview, how can the nurse best assist the client and the client tell their story?
avoid interrupting the client
A client is unable to recall the last time an immunization was received. Which part of the client's health should the nurse realize is being the most impacted by this practice?
health maintenance
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?
last surgery date validated by adult daughter
Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data?
maintain a professional distance during assessment
The nurse is conducting a review of systems on a new client. The client denies any signs, symptoms, or diseases. What is the best action of the nurse?
ask the client a series of specific questions
A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of the client's data, which of the following actions should the nurse prioritize?
establishing a trusting relationship
The nurse asks a client "Is there any time when you feel unsafe?" On which part of the comprehensive health history is the nurse focusing with this question?
family violence
The nurse is reviewing a client's chart prior to the initial interview. The chart reveals the client has a visual impairment. What actions should the nurse take to ensure a successful interview?
knock and announce self before entering the client's room
During a health history interview, a nurse asks a client about childhood illnesses, past surgeries, and allergies. the nurse knows that this information will be charted in what section of the initial comprehensive assessment database?
personal health history
During an interview with an adult client for the first time, the nurse can clarify the client's statements by
rephrasing the client's statements
Prior to meeting the new client, the nurse should first ______________________ and then ____________________.
review the client's medical record; explain the purpose of the interview
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?
active listening
The nurse is preparing to interview a client with a documented history of mental illness. What question should the nurse use to being this interview?
"Have you ever had a problem with mental or emotional illness?"
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?
"Do you perform any sustained or continually repetitive motions with that arm?"
The nurse has been assigned to a group of clients on a medical surgical unit. What is the best action of the nurse prior to receiving a report on these client?
conduct a brief review of the client's charts
A nurse is collecting data on a client's chief complaint, which is a spell of numbness and tingling on her left side. Which of the following questions would be best for eliciting information related to associated factors?
"What other symptoms occurred during the spell?"
How would the nursing instructor explain the goal of guided questioning to his or her students?
facilitating the client's fullest communication
A nurse is admitting a new client. The client is lying in bed. Where should the nurse be positioned?
seated in a chair at eye level with the client
The nurse documents information about a client's activity-exercise health pattern. Which information did the nurse most likely document?
unable to go to gym since having back surgery
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
indicate acceptance of a client's cultural differences
A nursing instructor is talking about nonverbal communication with the nursing class. The instructor explains that facial expressions should be what?
relaxed
