Ch. 2 - Collecting Subjective Data

A client is asked to describe "something that brings the most hope." Which functional health pattern is the nurse assessing? A. value-belief B. self-perception C. role-relationship D. coping-stress-tolerance

A

A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is an appropriate action by the nurse when interacting with this client? A. Provide simple and organized information. B. Approach the client in an in-control manner. C. Refer the client to a spiritual guide. D. Mirror the client's feelings.

A

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? A. risk factors B. health maintenance C. screening test completion D. compliance with treatment

B

A nurse has completed assessment of a client and is now validating the information gathered and reviewing goals with the client. Which phase of the interview process is this? A. Introductory B. Summary C. Analysis D. Working

B

A nurse draws a genogram to help organize and illustrate a client's family history. Which shape is a standard format of representing a deceased female relative? A. Simple circle B. Simple square C. Circle with a cross D. Square with a cross

C

A nurse is discussing with a client the client's personal health history. Which of the following would be an appropriate question to ask at this time? A. "Are both of your parents still living?" B. "What do you usually eat in a typical day?" C. "What diseases did you have as a child?" D. "How do you feel about having to seek health care?"

C

The nurse is focusing an interview on a client's respiratory status. Which question should the nurse ask first to begin this interview? A. Do you currently have a cough? B. Do you have any difficulty producing sputum? C. Describe how you breathe for me? D. Do you experience any pain when you breathe?

C

A client has a 10-year history of being treated for hypertension. Where should the nurse document this information? A. health patterns B. review of systems C. health maintenance D. past medical history

D

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.

D

During an interview, the nurse remains silent and nods the head periodically while the client is talking. The therapeutic communication technique the nurse is using would be: A. Reflection B. Validation C. Summarization D. Continuers

D

A client's spouse answers the interview questions and will not leave the examination room. What should the nurse suspect be occurring with the client? A. physical abuse B. low self-esteem C. cognitive disorder D. mental health disorder

A

During a health history a client recalls the date when being first diagnosed with hypertension. Which term should the nurse use to categorize the quality of the client's data? A. reliable B. puzzling C. concerning D. questionable

A

While conducting a comprehensive health history the client says a few sentences about the current problem but then explains how her deceased mother used to have the same problem because of having diabetes. What action should the nurse take? A. begin drawing the genogram B. refocus the client on the current problem C. express sympathy on the loss of her mother D. ask about the health of other family members

A

The nurse is beginning the review of systems with a client. Which approach would ensure that all major body systems are included in this assessment? A. in a circle B. head to toe C. right to left D. alphabetical

B

The nurse is preparing to interview a client with a history of sexual abuse. What technique should the nurse use when conducting this interview? A. avoid eye contact B. be nonjudgmental C. ask direct questions D. skip the sexual history

B

A client is admitted to the health care facility with new onset of abdominal pain. The client becomes angry with the nurse when questions about personal information are asked. How should the nurse proceed with the interview? A. Remind the client that this information must be obtained to provide proper care B. Touch the client lightly on the shoulder to dissipate the anger C. Remain in control and allow the client to vent feelings D. Encourage the client to use a more appropriate method to cope with feelings

C

The nurse learns that a client is unable to sleep because of high anxiety. On which category of health patterns should the nurse focus? A. sleep-rest B. activity-exercise C. coping-stress-tolerance D. self-perception/self-concept

C

What intervention would be most helpful when conducting an interview with a client who has stated, "I'm a little hard of hearing"? A. Asking the client if they are wearing a hearing aide B. Using pre-written cards that state the interview questions C. Closing the door may help to limit background noise. D. Introducing hand gestures whenever it is appropriate

C

During an interview, the client begins to talk about the frequency of being abused by a spouse. What can the nurse do at this time to acknowledge the sensitivity of the information the client is providing? A. Write down the information as the client is speaking. B. Key the information into the electronic medical record as the client is speaking. C. Avoid maintaining eye contact while the client is discussing spouse abuse. D. Stop documenting in order to maintain eye contact with the client.

D

Learning about the effects of the illness does what for the nurse and the client? A. Gives them the basis to establish a trusting relationship B. Gives them each a better understanding of the other C. Gives them the ability to communicate better D. Gives them the opportunity to create a complete and congruent picture of the problem

D

One technique of therapeutic communication is silence. What does silence allow the client to do? A. Learn to trust the nurse B. Change topics if he or she wants C. Communicate concerns nonverbally D. Decide how much information to disclose

D

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? A. bring all medications and preparations used to the hospital B. bring all discharge instructions from previous hospitalizations to the hospital C. have the health care provider fax a copy of all current medications to the care area D. provide the name and telephone number of the pharmacy that fills the prescriptions

A

A client is experiencing a relapse of a urinary tract infection. Which additional information should the nurse collect when discussing this client's present health problem? A. sexual history B. family history C. past medical history D. health maintenance

A

A nurse is admitting a new client. The client is lying in bed. Where should the nurse be positioned? A. Seated in a chair at eye level with the client B. Sitting on the side of the bed, looking down at the client C. Leaning on the nightstand at eye level with the client D. Standing beside the bed, looking down at the client

A

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? A. Active listening B. Restatement C. Reflection D. Encouraging elaboration (facilitation)

A

An elderly client with Parkinson's disease and his wife, who appears to be much younger than he, are being interviewed by the nurse to update the client's health history. The nurse also has the client's electronic health record on her tablet computer. Earlier in the day, the nurse had spoken with the client's primary care physician, who had relayed some concerns to the nurse regarding the progression of the client's disease. Which source of biographic information should the nurse view as primary? A. The client B. The client's wife C. The physician D. The client's medical record

A

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. displays mental distancing during the interview.

A

During an interview, how can the nurse best assist the client as the client tells his or her story? A. interrupting only if absolutely necessary B. using a focused questioning format C. correcting the client when he or she makes erroneous statements D. suggesting information the client has appeared to have forgotten

A

During the review of systems a client states that at times both hands feel numb. In which category should the nurse document this information? A. neurologic B. cardiovascular C. musculoskeletal D. peripheral vascular

A

In interviewing a client about substance use, a nurse asks her whether she takes any herbal supplements. Which of the following is the best rationale for asking this question? A. Some herbal supplements may interact with prescribed medications. B. Taking herbal supplements is an indicator that the client is concerned with maintaining her health. C. Abuse of herbal supplements can result in cardiac dysfunction. D. Taking herbal supplements may be the client's mechanism for coping with stress.

A

Nurses weave the individualization of the client interview through all aspects of the encounter. The nurse should avoid assuming that clients follow cultural beliefs. In place of making this assumption, what should a nurse do? A. Assess the degree to which the client perceives the cultural beliefs B. Assess how acculturated the client is C. Know the mores of the culture D. Know his or her own cultural beliefs

A

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.

A

A nurse is gathering biographic data from a new client who is visiting the office for the first time. Which of the following pieces of data would likely be included in the biographic section of the client's health history? Select all that apply. A. Lamar P. Thompson B. 1212 South Maple St., Sylvan, VA 23236 C. Caucasian D. Occupation: Brick mason E. Mother: Sugar L. Thompson, died 7/14/2006 from heart attack F. Head and neck: sore throat and enlarged lymph nodes

A, B, C, D

After a client describes abdominal pain to the nurse, which questions can the nurse use to help the client provide more information about the pain? (Select all that apply.) A. "Where do you feel the pain?" B. "Where does the pain travel?" C. "What other symptoms do you have with the pain?" D. "Is this the worst pain you've ever felt?" E. "What makes the pain less or worse?"

A, B, C, E

Clients in health care settings often are anxious. What behaviors would lead a nurse to believe that a client is anxious? (Select all that apply.) A. Rapid speech B. Nail-biting C. Defensive tone D. Vacant stare E. Sweating

A, B, C, E

Which statements made by the nurse demonstrate utilization of effective therapeutic communication techniques during an assessment interview? Select all that apply. A. "Please describe exactly how your knee feels when you walk up the stairs." B. "Now let me summarize what you've told me about what seems to trigger your headaches." C. "I had an ulcer once, so I know how you feel." D. "Having such limited use of your right arm seems to make you angry." E. "Walking will be easier once you have the surgery to correct your torn ligament."

A, B, D

A nurse assesses a client who reports the onset of a severe headache. During which phase of the nursing interview should the nurse ask the client about the history of the present health concern and the reasons for seeking care? A. Introductory B. Working C. Summary D. Closing

B

How would the nursing instructor explain the goal of guided questioning to his or her students? A. Providing the most plausible answer to the client B. Facilitating the client's fullest communication C. Developing a basis for accurate health promotion activities D. Creating an opportunity for the early generation of a plan

B

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 heard 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? A. Allow the client to speak uninterrupted for the duration of the appointment. B. 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. C. Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of the interview. D. Allow impatience to show so that the client picks up on nonverbal cues that the appointment needs to end.

B

The nurse is performing a follow-up assessment and interview of a 72-year-old woman with a history of congestive heart failure. The nurse asks the client, "Have you been experiencing any activity intolerance since I last saw you?" What would be a more appropriate way for the nurse to elicit this information? A. "Has your congestive heart failure been affecting your activities of daily living recently?" B. "Has this been having an effect on your ability to carry out your routines and get around your home?" C. "Do you ever find yourself SOB when you're carrying out your daily routines?" D. "Has your heart failure been causing you any dyspnea lately?"

B

Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data? A. Speak to the client using local slang. B. Maintain a professional distance during assessment. C. Avoid any eye contact with the client. D. Ask one of the client's children to interpret.

B

A nurse is conducting a review of systems with a client and is asking about his ears. The nurse asks, "Do you have any problems with your ears or your hearing?" The client stares blankly at the nurse a moment and then says, "I'm sorry—could you repeat that?" The nurse repeats the question, to which the client replies, "No." The nurse then asks, "Do you ever experience any trouble hearing or any ringing, buzzing, or earaches?" The client responds, "No." What should the nurse record under "Ears" in the review of systems section of the client's health history? A. "No problems." B. Nothing—it should be left blank C. "Denies any trouble hearing or any ringing, buzzing, or earaches." D. "Client denies any problems but had trouble hearing me when I asked him a question."

C

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? A. "Is your spouse living with you?" B. "Are you living with your spouse?" C. "Do you live alone or with someone?" D. "Are you married, divorced, or widowed?"

C

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? A. adult daughter controlling the interview B. unable to recall exact date of last surgery C. last surgery date validated by adult daughter D. confused regarding dates of surgical procedures

C

During the interview process, the nurse uses both open-ended and closed-ended questions. During what phase of the interview process does the nurse use these specific types of questions? A. Pre-interaction B. Beginning C. Working D. Closing

C

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.

C

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? A. Change the subject to put the client at ease. B. Turn the television on for distraction. C. Ask the client to repeat the statement or question. D. Refer all questions to the client's family member in room.

C

A client presents to the health care clinic with reports of sleeplessness and loss of appetite. The client tells the nurse that his wife is seriously ill in the hospital and he has not been able to visit her much because of transportation problems. Which open-ended question should the nurse ask the client to obtain more information about his presenting symptoms? A. "When did the sleeplessness first start?" B. "Are you taking any new medications?" C. "Have you lost any weight this week?" D. "Do you think your wife is getting better?"

D

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? A. "I recommend that you change your posture while working at the computer." B. "You work at a computer a lot, don't you?" C. "When did the pain start?" D. "Do you perform any sustained or continually repetitive motions with that arm?"

D

During a client 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.

D

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.

D

A client has presented for care with complaints of persistent lower back pain. When assessing the client's pain, which statement, made by the nurse, would be most appropriate? A. "What makes your pain better or worse?" B. "Does this pain really bother you every day?" C. "Did either of your parents have back pain?" D. "Heating pads usually help relieve my pain."

A

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 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.

A

During one of your clinical placements you encounter a client who becomes silent during the nursing interview. What would be appropriate for you to do? (Mark all that apply.) A. Appear attentive B. Give brief encouragement to the client C. Change the subject you are asking about D. Ask your question again E. Watch the client closely for nonverbal cues

A, B, E

When a client responds to a question with a "yes" or "no" answer, what appropriate responses by the nurse encourage the client to elaborate? (Select all that apply.) A. Yes B. I see C. Um hum D. Go on E. Okay

A, C, D

When focusing on the client's perspective of a symptom or problem, the nurse will ask which questions? Select all that apply. A. "Do you have any fears about the headaches you experience?" B. "Can you tell me when the headaches first began?" C. "Do you have any idea concerning why you are experiencing these headaches?" D. "Do the headaches negatively impact your day-to-day life?" E. "What do you do to make the headaches go away?"

A, C, D

A nurse is collecting data on a client's chief complaint, which is pain in the heel of his foot. The nurse asks the client, "When did this pain start?" Which component of symptom analysis does this question represent? A. Character B. Onset C. Duration D. Pattern

B

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? A. health patterns B. chief complaint C. review of systems D. history of present illness

B

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. A. Being sympathetic B. Being nonjudgmental C. Showing respect to the client D. Dressing in a relaxed and casual manner E. Valuing the client unconditionally

B, C, E

"How many steps can you climb before you get short of breath?" is an example of what kind of question? A. A question that offers multiple choices for answers B. A question that is qualitative in focus C. A question that elicits a graded response D. A question that demands an imprecise response

C

A client reports experiencing chest pain after eating. Which category within the review of systems should the nurse document this information? A. neurologic B. cardiovascular C. gastrointestinal D. musculoskeletal

C

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.

C

A client with abdominal pain says that the last time it the pain occurred, over-the-counter laxatives helped. In which part of the assessment should the nurse document this information? A. chief complaint B. past health history C. review of symptoms D. history of present illness

D

When interviewing, the nurse should logically move from specific to open-ended questions. True False

False

A female client tells the nurse it has been 5 years since her last pap smear examination. Where should the nurse document this information? A. physical examination B. health maintenance C. personal and social history D. review of systems

B

A way to use nonverbal communication is through silence. The purposeful use of silence during the interview allows clients to what? A. Rest and improve health B. Provide accurate answers C. Talk about their feelings D. Communicate verbal concern

B

The review of systems is to be completed next while conducting a comprehensive assessment. Which type of question should the nurse use for this review? A. narrative B. yes or no C. open-ended D. summative

B

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.

D

The nurse identifies characteristics of the client including age, gender, and occupation. What aspect of assessment is being performed to gather this information? A. Palpating B. Interviewing C. Inspecting D. Auscultating

B

A client reports the health status of living parents, siblings, and deceased grandparents. What should the nurse do with this information? A. create a genogram B. document it in a narrative note C. include in the past medical history D. consider using it when planning care

A

A nurse who may be shy in social situations may exhibit excellent therapeutic communication by what? Select all that apply. A. Using silence B. Giving advice C. Using touch D. Discussing alternative treatment options E. Communicating nonverbally through facial expression

A, C, E

When interacting with a client, what conveys the extent of interest, attention, acceptance, and understanding of the nurse? (Select all that apply.) A. Cultural reassurance B. Eye contact C. Gestures D. Posture E. Tone of voice

B, C, D, E

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? A. self-concept B. mental health C. family violence D. role-relationship

C

A client plays doubles tennis every Saturday and golfs on Wednesday afternoons. In which part of the comprehensive health history is this information utilized? A. health patterns B. review of systems C. health maintenance D. history of present illness

A

A client reports difficulty sleeping. Which question would be the most effective way for the nurse to open the interview? A. "Can you tell me about your sleep problem from when it started until now?" B. "When did the sleep problem begin?" C. "How would you rate your sleep on a scale from 1 to 10?" D. "What have you tried to help with your sleep?"

A

A client reports having scarlet fever when in the 2nd grade. In which area of the comprehensive health history should the nurse document this information? A. past history B. review of symptoms C. family health history D. history of present illness

A

A client states, "I feel worse since the nurse gave me that medication." What is the nurse's best action? A. Record the information as subjective data. B. Report the client's complaints to quality control. C. Note the statement as objective data in the nurse's notes. D. Do not document any direct client statements.

A

The nurse is preparing to meet Mr. James Smith, a 70-year-old client. How should the nurse greet this client? A. "Hello Mr. Smith." B. "Hi dear! Have a seat!" C. "So nice to meet you Jim!" D. "How are you doing today Mr. Jim?"

A

What occurs during the termination phase of an interview? A. Planning for follow-up care B. Addressing topics that have not yet been addressed C. Assessing the client's mental status D. Letting the client know you understood all he or she has told you

A

When trying to explore a client's perspective on his or her illness, the question that would best determine the client's thoughts on the cause of the problem would be A. "Why do you think you have (name the specific symptom)?" B. "What can't you do now that you could before?" C. "How has this been for you?" D. "Has this affected your ability to work?"

A

What are the nursing goals for the introductory phase of the nurse-client interview? (Select all that apply.) A. Establishing a trusting, respectful rapport with the client. B. Agreeing upon the agenda for the interview. C. Inviting the client to tell their story. D. Responding therapeutically to the client's emotional cues. E. Reviewing the client's records.

A, B

Nonverbal communication is a very important aspect in nurse-client relationships. What can the nurse do to help gain trust in clients? Select all that apply. A. Make sure that dress and appearance are professional B. Do not use facial expressions such as rolling the eyes or looking bored or disgusted C. Use gestures intentionally to illustrate points, especially for clients who cannot communicate verbally D. Laugh a lot, which puts the client at ease E. Do not look the client in the eye

A, B, C

Which statements demonstrate the nurse's attempt to empower the client during an assessment interview? Select all that apply. A. "Please tell about what brought you here today." B. "I'm not sure when the test will be scheduled, but I will find that out before you leave." C. "When did the nausea and vomiting begin?" D. "Can you tell me what makes the dizziness worse?" E. "Falling as you did must be a very frightening experience."

A, B, E

A client with a terminal diagnosis has asked the nurse about the purpose of a durable power of attorney for health care. What explanation will best answer the client's question? A. It makes health care decision making less burdensome for the client's family. B. A proxy is identified to make healthcare decisions when the client is no longer able to do so. C. It assures that the client's final health care wishes are known and implemented. D. Hospice and palliative care will be implemented as a part of the final health care plan.

B

A nurse collects data about a client's family health history. Which family member's health problems should the nurse include when documenting this information in the database? A. Only the members with health problems that relate to the client's gender B. As many maternal and paternal relatives as the client can recall C. Disease processes that are known to have a genetic link D. Illnesses that resulted in death or disablement

B

A nurse receives a report on a client admitted for the onset of lung cancer and reviews the data collected during the initial comprehensive assessment. Which information does the nurse recognize as subjective and in need of further data collection to validate? A. Client reports pain at 7/10 that occurs with deep breathing B. Client denies any feelings of anxiety or distress over the diagnosis C. Client reports a 30-year history of cigarette smoking D. Client reports a productive cough of rust-colored sputum

B

The nurse documents information about a client's activity-exercise health pattern. Which information did the nurse most likely document? A. gained 15 lbs. over the last 6 months B. experiences panic attacks several times a week C. unable to go to the gym since having back surgery D. misses seeing friends who used to go for walks together

C

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 plan to approach this client by A. providing the client with simple explanations. B. offering to hold the client's hand. C. using a highly structured interview process. D. expressing interest in a neutral manner.

D

Which of the following questions is most useful in the assessment of a client's diabetes management? A. "You check your sugars before each meal, don't you?" B. "Are you still using your glucometer 4 times a day?" C. "Are you staying vigilant with your blood sugar monitoring?" D. "What is your routine for checking your blood sugar these days?"

D

Which type of question is asked first by the nurse in order to attain a full description of the client's symptoms and to generate and test diagnostic hypotheses? A. yes-or-no questions to determine relevant areas of the physical examination B. specific questions to secure a description of every symptom C. pertinent positive and negative questions to determine relevant details D. open-ended questions to encourage the client to tell his or her story

D

While interviewing a client, the nurse asks, "What happens when you have low blood glucose?" This type of response to the client is used for what purpose? A. To summarize the conversation B. To restate what the client has said C. To promote objectivity D. To clarify

D

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?"

D

A nurse assesses a client with regard to nutritional habits, use of substances, education, and work and stress levels. The nurse recognizes this as what type of information? A. History of present health concern B. Personal health history C. Family health history D. Lifestyle and health practices profile

D

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."

A

When considering the attributes of a symptom and the OLD CART mnemonic, which questions will the nurse ask a client who is reporting pain in the left knee? Select all that apply. A. "Is there a particular action that causes the knee pain?" B. "Can you point to where you feel the greatest amount of knee pain?" C. "What do you think is causing your knee pain?" D. "Do you feel the pain in places other than just your left knee?" E. "What do you do to make the knee pain less severe?"

A, B, D, E

A client will require an extended period of intense physical therapy after having a compound fracture of the femur surgically repaired. What question should the nurse ask when assessing the client's perception of the injury and recovery plan? (Select all that apply.) A. "How does experiencing such a trauma make you feel?" B. "What did the pain feel like when you broke your femur?" C. "How do you plan to support yourself financially while you recover?" D. "What frustrations are you experiencing since your accident?" E. "What do you expect from the physical therapy you will have?"

A, C, D, E

A nurse collects data about a client's family health history. Which family members' health problems should the nurse include when documenting this information in the database? A. Only the members with health problems that relate to the client's gender B. As many genetic relatives as the client can recall C. Those with diseases that are known to have a genetic link D. Those with illnesses that resulted in death or disablement

B

A nurse is collecting subjective data from a client as part of the assessment process. Which behavior is most appropriate for the nurse to display in this situation? A. Maintaining eye contact with the client at all times B. Explaining the reason for taking down notes C. Remaining standing during the interview D. Reading questions from the history form

B

A student nurse is conducting her first client interview. The student suddenly draws a blank on what to ask the client next. What is a useful interview technique for the student to use at this point? A. Transition B. Summarization C. Reassurance D. Termination

B

The nurse is preparing to conduct an interview with a hospitalized client. What nursing intervention can best ensure a confidential and comfortable environment for the client? A. Conducting the interview after the client's visitors have left. B. Asking permission to draw the client's privacy curtain. C. Explaining why it is important to take notes during the interview. D. Implementing therapeutic communication techniques during the interview.

B

The nurse is preparing to interview a newly admitted client. What should be done prior to hearing the client's story? A. review the attributes of a symptom B. establish the agenda for the interview C. review the client's issues in a chronologic order D. ask specific questions about the reason for admission

B

The nurse should respond to a client's request to "keep what I'm about to tell you a secret" with which statement? A. "Confidentiality is a right you have as a client." B. "I have to share the information if it reveals something that could hurt you." C. "Don't share anything with me that you don't want your health provider to know." D. "I'm ethically bound to keep your health information confidential."

B

When using an interpreter to facilitate an interview, where should the interpreter be positioned? A. Behind the examiner, so the interpreter can pick up the movements of the lips of the client and the client's nonverbal cues B. Next to the client, so the examiner can maintain eye contact and observe the nonverbal cues of the client C. Between the examiner and the client, so all parties can make the necessary observations D. In a corner of the room, so as to provide minimal distraction to the interview

B

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.

B

A client admitted to the health care facility for new onset of abdominal pain expresses to the nurse that she was treated for gastroesophageal reflux disease in the past. In which section of the comprehensive health assessment should the nurse document this information? A. History of present illness B. Review of systems C. Chief complaint D. Personal health history

D

A client who only speaks Spanish is admitted to the unit. The client's sister, who speaks English, is in the room when the English-speaking nurse starts the admission assessment. Why would it be inappropriate to use the sister as an interpreter for this client? A. The sister may not tell the client exactly what the nurse says B. The client's sister may not understand medical terminology C. The sister may not be there every time the nurse needs to talk to the client D. The client may not want the sister to know their private information

D

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? A. "How bad was the tingling and numbness?" B. "How long did the spell last?" C. "Where did the numbness and tingling occur?" D. "What other symptoms occurred during the spell?"

D

The nurse is preparing to interview a client with a documented history of mental illness. Which question should the nurse use to begin this interview? A. "What medication do you take for your depression?" B. "When was the last time you talked with a psychiatrist?" C. "Have you considered counseling for your mental problems? D. "Have you ever had a problem with mental or emotional illness?"

D

What is an appropriate action by a nurse when providing care for an 18-year-old with respiratory problems caused by excessive smoking? A. Keep a stern expression to communicate the severity of the issue B. Ask the client why he started smoking at a young age C. Remind the client that excessive smoking could cause cancer D. Suggest methods and provide resources to assist with smoking cessation

D

What is the best action by a nurse when a client has difficulty describing the chief complaint? A. Restate the question using simple terms B. Wait in silence until the client can find the correct words C. Ignore the complaint & return to it at a later time in the interview D. Provide the client with a laundry list of words to choose from

D

Which statement made by the nurse demonstrates an understanding of the termination phase of the interviewing process? A. "I'd like to discuss your opinions regarding your plan of care." B. "I am expecting to spend time discussing your past medical record." C. "Let's talk about any health issues you've experienced in the last 12 months." D. "Let me stress the importance of being medication adherent."

D