NR 206 Collecting Subjective Data: The Interview and Health History

What intervention would be most helpful when conducting an interview with a client who has stated, "I'm a little hard of hearing"? Using pre-written cards that state the interview questions Asking the client if they are wearing a hearing aide 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.

A nurse completes an initial assessment and discusses findings with the client. What is the next best action of the nurse? Perform a review of systems. Develop a plan of care with the client. Discuss lifestyle and health practices with the client. Validate the client's biographical data.

Develop a plan of care with the client.

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

To clarify

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? Beginning Closing Working Pre-interaction

Working

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

"Do you have any fears about the headaches you experience?" "Do you have any idea concerning why you are experiencing these headaches?" "Do the headaches negatively impact your day-to-day life?"

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. Refer all questions to the client's family member in room. Ask the client to repeat the statement or question. Turn the television on for distraction.

Ask the client to repeat the statement or question.

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 Pre-interaction Closing Beginning

Working

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 the client's cultural differences. remain in a standing position during the interview. request a family member to interpret for the client. use slang terms to identify certain body parts.

indicate acceptance of the client's cultural differences.

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

unable to go to the gym since having back surgery

The nurse is reviewing a new 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? Turn lights on when entering the room and announce self. Knock and announce self before entering the client's room. Approach the client on the unaffected side and announce self. Loudly announce self when approaching the client.

Knock and announce self before entering the client's room.

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

Relaxed

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

Maintain a professional distance during assessment.

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

coping-stress-tolerance

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? close-ended questioning active listening well-placed phrasing rephrasing

rephrasing

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

"Can you tell me about your sleep problem from when it started until now?"

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? "What diseases did you have as a child?" "Are both of your parents still living?" "What do you usually eat in a typical day?" "How do you feel about having to seek health care?"

"What diseases did you have as a child?"

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

"What other symptoms occurred during the spell?"

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

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

Establishing a trusting relationship

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. Determine the client's vital signs. Obtain family health history data. Explain the purpose of the interview.

Explain the purpose of the interview.

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.

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

Some herbal supplements may interact with prescribed medications.

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

Subjective

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

past medical history

A nurse in a clinic is preparing to meet with a new, 35-year-old male client. Complete the following sentence by choosing from the lists of options. Prior to meeting the new client, the nurse should first...

review the client's medical record and then explain the purpose of the interview