Chapter 2: Collecting Subjective Data: The Interview and Health History

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? To summarize the conversation To restate what the client has said To promote objectivity To clarify

To clarify Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 15

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

Facilitating the client's fullest communication Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10

When interviewing a Southeastern Asian client, the nurse enlists the assistance of a "culture broker," based on the understanding that this person's primary function is to: Interpret the language and culture. Evaluate the client's health practices. Teach the client about health care. Make the client feel comfortable and safe.

Interpret the language and culture. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 14

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. Make sure that dress and appearance are professional Do not use facial expressions such as rolling the eyes or looking bored or disgusted Use gestures intentionally to illustrate points, especially for clients who cannot communicate verbally Laugh a lot, which puts the client at ease Do not look the client in the eye

Make sure that dress and appearance are professional Do not use facial expressions such as rolling the eyes or looking bored or disgusted Use gestures intentionally to illustrate points, especially for clients who cannot communicate verbally Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 11-12

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? Provide simple and organized information. Approach the client in an in-control manner. Refer the client to a spiritual guide. Mirror the client's feelings.

Provide simple and organized information. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 11,15

The nurse is conducting an initial interview with a client. During the introductory phase, it is essential that the nurse perform which of the following actions? Select all that apply. Build rapport. Provide a comfortable environment. Explain the purpose of the interview. Ensure confidentiality. Summarize findings.

Build rapport. Provide a comfortable environment. Explain the purpose of the interview. Ensure confidentiality. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10

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 clients? Conduct a brief review of the client's charts. Perform a quick assessment on all the clients. Provide a brief introduction to the clients. Validate problems and goals with the clients.

Conduct a brief review of the client's charts. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10

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 Determining the client's strengths Identifying potential health problems Making clinical inferences

Establishing a trusting relationship Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 9-10

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? History of present illness Review of systems Chief complaint Personal health history

Personal health history Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 14-16

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

last surgery date validated by adult daughter Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 18-19

Which type of question is asked first by the nurse in order to attain a full description of the client's symptoms? yes-or-no questions to determine relevant areas of the physical examination specific questions to secure a description of every symptom pertinent positive and negative questions to determine relevant details open-ended questions to allow full freedom of response

open-ended questions to allow full freedom of response Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 13

During an initial health history, a client states, "I haven't slept in weeks." The nurse asks, "You are saying that you have not had any sleep in weeks?" What communication technique is the nurse using to obtain accurate subjective data from the client? well-placed phrasing close-ended questioning rephrasing active listening

rephrasing Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 13

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 sympathetic Being nonjudgmental Showing respect to the client Dressing in a relaxed and casual manner Valuing the client unconditionally

Being nonjudgmental Showing respect to the client Valuing the client unconditionally Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 11,12

A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the nurse is in the introductory phase of the client interview. Which of the following activities should the nurse perform first? Collaborate with the client to identify problems. Explain the purpose of the interview. Determine the client's vital signs. Obtain family health history data.

Explain the purpose of the interview. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10

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

"Can you tell me about your sleep problem from when it started until now?" Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 13

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? health patterns chief complaint review of systems history of present illness

chief complaint Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 16

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? risk factors health maintenance screening test completion compliance with treatment

health maintenance Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 25

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

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. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10-11

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

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. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10-11

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

unable to go to the gym since having back surgery Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 23

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

"Do you perform any sustained or continually repetitive motions with that arm?" Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 11-13

The nurse performs a focused assessment on a client who is reporting joint pain. To gain a better understanding of the client's pain, the nurse uses COLDSPA. Which question(s) should the nurse ask the client to determine the origin of the pain? Select all that apply. "When does the pain occur?" "What makes the pain better or worse?" "Have you had any recent laboratory tests?" "How would you describe the pain?" "Could you show me where the pain is exactly?"

"When does the pain occur?" "What makes the pain better or worse?" "How would you describe the pain?" "Could you show me where the pain is exactly?" Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 18

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

Closing the door may help to limit background noise. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 13-14

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? History of present health concern Personal health history Family health history Lifestyle and health practices profile

Lifestyle and health practices profile Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 22-23

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.) Rapid speech Nail-biting Defensive tone Vacant stare Sweating

Rapid speech Nail-biting Defensive tone Sweating Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 15

A nursing instructor is talking about nonverbal communication with the nursing class. The instructor explains that facial expressions should be what? Happy Inquisitive Relaxed Detached

Relaxed Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 11

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? Some herbal supplements may interact with prescribed medications. Taking herbal supplements is an indicator that the client is concerned with maintaining her health. Abuse of herbal supplements can result in cardiac dysfunction. Taking herbal supplements may be the client's mechanism for coping with stress.

Some herbal supplements may interact with prescribed medications. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 22-23

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? Only the members with health problems that relate to the client's gender As many genetic relatives as the client can recall Those with diseases that are known to have a genetic link Those with illnesses that resulted in death or disablement

As many genetic relatives as the client can recall Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 20

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

Ask the client to repeat the statement or question. Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 12

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

Suggest methods and provide resources to assist with smoking cessation Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 11-12

A graduate nurse working on a medical-surgical unit is admitting a client who does not speak English. No interpreters are available. The client's spouse is present and speaks English. What should the nurse remember about the use of interpreters when communicating with clients? Friends and family who are unfamiliar with medical terminology may misinterpret information Hospital interpreters may not always be the best choice because they are unfamiliar with the client Using children in the family, other relatives, or close friends as interpreters does not violate privacy laws Interpreters do not understand cultural health beliefs and practices, so they are unable to help bridge the gap

Friends and family who are unfamiliar with medical terminology may misinterpret Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 20-21

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 Beginning Closing Pre-interaction

Working Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10,11

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? Pre-interaction Beginning Working Closing

Working Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 10,11

The nurse is caring for a client in the health care provider's office. In reviewing the client's chart, 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 Lives in a high-income household Has a history of low blood pressure Eats a diet low in carbohydrates

Works in the service industry Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 22-23

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

neurologic Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 22

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

past medical history Chapter 2: Collecting Subjective Data: The Interview and Health History - Page 17