PrepU Trickies- Ch 2
As many maternal and paternal relatives as the client can recall
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?
Termination
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?
Active Listening
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?
Client denies any feelings of anxiety or distress over the diagnosis
A nurse receives report on a client admitted for new onset of lung cancer and reviews the initial comprehensive assessment. The nurse recognizes that which information is subjective and needs validation by further data collection?
-"Where do you feel the pain?" -"Where does the pain travel?" -"What other symptoms do you have with the pain?" -"What makes the pain less or worse?"
After a patient describes abdominal pain to the nurse, which questions can the nurse use to help the patient provide more information about the pain? (Select all that apply.)
Avoids excessive eye contact with the client
During a client interview, the nurse uses nonverbal expressions appropriately when the nurse
Neurologic
During the review of systems a client states that at times both hands feel numb. In which category should the nurse document this information?
Decide how much information to disclose
One technique of therapeutic communication is silence. What does silence allow the patient to do?
Family Violence
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?
Explain the role and purpose of the nurse
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:
Provide the client with a laundry list of words to choose from
What is the best action by a nurse when a client has difficulty describing the chief complaint?
Planning for follow-up care
What occurs during the termination phase of an interview?
-"Is there a particular action that causes the knee pain?" -"Can you point to where you feel the greatest amount of knee pain?" -"Do you feel the pain in places other than just your left knee?" -"What do you do to make the knee pain less severe?"
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.
-Eye Contact -Gestures -Posture -Tone of Voice
When interacting with a client, what conveys the extent of interest, attention, acceptance, and understanding of the nurse? (Select all that apply.)
"Let me stress the importance of being medication adherent."
Which statement made by the nurse demonstrates an understanding of the termination phase of the interviewing process?
"How do you manage your stress?"
While interviewing an adult client about the client's stress levels and coping responses, an appropriate question by the nurse is: