Chap 2: The Interview aand Health History

The nurse is beginning a health history interview with an adult client who expresses anger at the nurse. The best approach for dealing with an angry client is for the nurse to a- allow the client to ventilate his or her feelings b- offer reasons why the client should not feel angry c- provide structure during the interview d- refer the client to a different health care provider

allow the client to ventilate his or her feelings

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

assess the client's hearing acuity

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

encourage the client to quit smoking

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

explain the role and purpose of the nurse

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 pan to approach this client by a- providing the patient with simple explanations b- offering to hold the client's hand c- using a highly structures interview process d- expressing interest in a neutral manner

expressing interest in a neutral manner

During the 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

identify risk factors to the client and his or her significant others

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 a- indicate acceptance of the client's cultural differences b- request a family member to interpret for the client c- use stand terms to identify certain body parts d- remain in a standing position during the interview

indicate acceptance of the client's cultural differences

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 form 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

maintain eye contact while asking the questions form the form

During the interview of an adult client, the nurse should a- use leading questions for valid responses b- provide the client with information as questions arise c- read each questions carefully from the history form d- complete the interview as quickly as possible

provide the client with information as questions arise

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

review the ChooseMyPlate information with the client

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"

use very basic lay terminology

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

working

During an interview, the nurse collects both subjective and objective data from an adult client. Subjective data would include the client's a- perception of pain b- height c- weight d- temperature

perception of pain

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

using closed-ended questions

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?"

"how do you manage your stress?"

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

knowledge of his or her own thoughts and feelings about these issues

The nurse is planning to interview a client who has demonstrated manipulative behaviors during past clinic visits. During the interview process, the nurse should plan to a- give the client rules with which he must agree to comply b- provide structure and set limits with the client c- tell the client that the nurse is aware of his past behaviors d- approach the client in an authoritative manner

provide structure and set limits with the client

During an interview with an adult client for the first time, the nurse can clarify the client's statements by a- offering a "laundry list" of descriptions b- rephrasing the client's statements c- repeating verbatim what the client has said d- inferring what the client's statements mean

rephrasing the client's statements

During a client interview, the nurses uses nonverbal expression 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

uses touch in a friendly manner to establish rapport