Chap 2 Nursing Final

A nurse is discussing with the client the client's personal health history. Which of the following would be an appropriate question to ask at this time?

"What diseases did you have as a child?"

In interviewing a client about substance abuse, a nurse asks her whether she takes any herbal supplements. Which of the following is the best rationale for asking this question?

Some herbal supplements may interact with prescribed medications.

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) As many generic relatives as the client can recall

a) As many generic relatives as the client can recall

A nurse is interviewing a 16-year-old girl regarding her health history. When inquiring about her chief complaint, the girl lowers her voice and says, "I've been with a guy recently, and I'm worried that I might have caught something from him". The nurse responds by saying, "So you're concerned that you may have a sexually transmitted infection?" Which verbal communication technique is the nurse using here? a) Open-ended questions b) Well-placed phrase c) Laundry list d) Rephrasing

d) Rephrasing

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)onset b)character c)duration d)pattern

onset

A nurse recieves report on a client admitted for new onset of lung cancer and reviews the inital comprehensive assessment. The nurse recognizes that which information is subjective and needs validation by further data collection? A. Client reports a productive cough of rust-colored sputum B. Pain is reported at 7/10 and occurs with deep breathing C. Client denies any feelings of anxiety or distress over the diagnosis D. Reports a 30- year history of cigarette smoking

*C. Client denies any feelings of anxiety or distress over the diagnosis

Which interview question by the nurse demonstrates a biased or prejudiced attitude? a) "You're not homosexual, are you?" b) Are you able to undertsand the instructions? c) Who do you consider part of your family? d) What do you do when you feel angry?

*a) "You're not homosexual, are you?"

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 this os likely from prolonged work at a computer, particularly using a mouse. Which of the following is the most effective use of interring that the nurse might implement in this situation? a) Do you perform any sustained or continually repetitive motions with that arm?

*a) Do you perform any sustained or continually repetitive motions with that arm?

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) Explaining the reason for taking down b) Maintaining eye contact with the client at all times c)Reading question from the history form d) Remaining standing during the interview

*a) Explaining the reason for taking down

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

*a) Maintain a professional distance during assessment

A nurse is interviewing a client who seems anxious. Which nonverbal communication by the nurse helps to facilitate a relaxed environment for the client during the interview process? a) Portraying a neutral and friendly expression b) Sitting back with crosses arms during the interview c) Wearing casual, neat, and comfortable clothes d) Ensuring that there are no periods of silence

*a) Portraying a neutral and friendly expression

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) Mirror the client's feelings d)Refer the client to a spiritual guide

*a) Provide simple and organized information

What is an appropriate action by a nurse when providing care for an 18-year-old with respiratory problems caused by excessive smoking? a) Suggest methods and provide resources to assist with smoking cessation b) Ask the client why he stated smoking at such a young age c) Keep a neutral expression and avoid display of surprise d) Remind the client that excessive smoking could cause cancer

*a) Suggest methods and provide resources to assist with smoking cessation

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

*a) The client

When gathering information about medication use, a nurse should ask a client about which types of drugs? a)Prescription and OTC medications

*a)Prescription and OTC medications

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) Square with a cross b) Circle with a cross c) Simple circle d) Simple square

*b) Circle with a cross

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) Family health history b) Lifestyle and health practices profile c) Personal health history d) History of present health concern

*b) Lifestyle and health practices profile

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) Chief complaint b) Personal health history c) Review of systems d) History of present illness

*b) Personal health history

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

*b) Remain in control and allow the client to vent feelings

A client reports chest pain that occurs with exercise but subsides with rest. The nurse recognizes this as what type of data? a) Reflective b) Subjective c) Objective d) Introspective

*b) Subjective

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)Provide the client with a laundry list of words to choose from c)wait in silence until the client can find the correct words d)ignore the complaint and return to it at a later time in the interview

*b)Provide the client with a laundry list of words to choose from

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) Disease processes that are known to have a genetic link b) Only the members with health problems that relate to the client's gender c) As many maternal and paternal relatives as the client can recall d) Illnesses that resulted in death or disablement

*c) As many maternal and paternal relatives as the client can recall

During the health history, 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? a) Biographic b) Family health history c) Personal health history d) Review of systems

*c) Personal health history

An elderly female client is accompanied by her daughter on a visit to the health care facility. The nurse observed that the client is doing quite well, except for the use of a hearing aid. How can the nurse best facilitate the interview process with this client? a) Direct the questions to the daughter to enhance communication b) Ask the client's daughter to be presented during the interview c) Speak slowly and clearly, use straightforward language d) Occupy a position close to the client and speak softly

*c) Speak slowly and clearly, use straightforward language

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) Closing b) Introductory c) Working d) Summary

*c) Working

A client presents to the health 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 as the client to obtain more information about his presenting symptoms? a)Have you lost any weight this week? b) When dis the sleeplessness first start? c) Are you taking any new medications? d) Do you think your wife is getting better?

*d) Do you think your wife is getting better?

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) Analysis b) Working c) Introductory d) Termination

d) Termination

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