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Terms in this set (61)
3
The nurse is caring for an elderly patient who is anxious and lonely. During the interaction, the patient tells the nurse, "My family doesn't care for me, and nobody wants to visit me." Which response would indicate that the nurse is reassuring the patient?
1
"What would you like to eat for
lunch?"
2
"Which family member loves you most?"
3
"I will be here to care for you throughout the day."
4
"Tell me something about your family members."
2, 3, 5
The nurse is interviewing a patient with psychosis. Which behaviors would indicate to the nurse that the patient may exhibit violent behavior? Select all that apply.
1
The patient starts crying.
2
The patient clenches the
fists.
3
The patient moves back and forth.
4
The patient is extremely anxious.
5
The patient stares blankly at the nurse.
2
A patient is scheduled for a blood test. The patient asks the nurse for a cup of juice. The nurse tells the patient, "You need to avoid eating or drinking solids or liquids for 12 hours before blood tests because the food may alter the blood test results." Which type of
verbal response does the nurse's statement indicate?
1
Empathy
2
Explanation
3
Clarification
4
Confrontation
3, 4, 5
Which nonverbal behaviors of the nurse will have a positive impact on a patient during an interview? Select all that apply.
1
The nurse has a slow rate of speech during the interview.
2
The nurse focuses on writing notes during the interview.
3
The nurse
leans slightly toward the patient during the interview.
4
The nurse provides empathy to the patient using appropriate touch.
5
The nurse maintains eye contact with the patient during the interview.
1, 3, 4
Which criteria should the nurse consider when choosing an interpreter to assist in interviewing an immigrant patient? Select al that apply.
1
The interpreter should be mature.
2
The
interpreter should be economically well-off.
3
The interpreter should not belong to the patient's rival group.
4
The interpreter should be well aware of the patient's language.
5
The interpreter should belong to the opposite gender of the patient.
3
While interviewing a patient, the nurse observes that the patient is taking frequent and long pauses while speaking. The patient's speech is slow,
monotonous, and weak. What does the nurse infer from this observation?
1
The patient may be shy.
2
The patient may be anxious.
3
The patient may be depressed.
4
The patient may be hearing impaired.
3 THIS ONE IS WRONG
Which age of a child will be included in the preoperational stage of cognitive development according to Piaget?
1
1 year old
2
3 years old
3
10 years
old
4
12 years old
2
Which question will be most helpful to the nurse in obtaining information from the patient regarding an illness?
1
"What do the symptoms feel like?"
2
"What other changes did you notice?"
3
"Is there anything that makes it worse?"
4
"When did you first notice this issue?"
2
What
distance should the nurse maintain from a patient while conducting an interview?
1
Intimate
2
Social distance
3
Public distance
4
Personal distance
2
The nurse is assessing the patient's posture. What distance should the nurse maintain from the patient during this assessment?
1
1 foot
2
2 feet
3
5 feet
4
7 feet
2
The charge nurse is observing a new nurse who is interviewing a psychotic patient with a history of violent behavior. The charge nurse would be most concerned if the nurse takes which action?
1
The nurse talks to the patient in a soft voice.
2
The nurse closes the door of the interview room.
3
The nurse stands between the door and the patient.
4
The nurse faces the patient at all times.
1, 4, 5
The nurse is conducting an interview of an immigrant patient. The language interpreter is not available. Which measures should the nurse take to conduct the interview effectively? Select all that apply.
1
Greet the patient using his or her complete name.
2
Speak loudly while communicating with the patient.
3
Use contractions while communicating with the patient.
4
Use any words that the nurse might know in the patient's
language.
5
Ask whether a person in the patient's family could serve as an interpreter.
1, 2, 3
While interviewing an adolescent, the nurse finds that the adolescent gives responses in monosyllables. Which interventions should the nurse use to make the communication more successful? Select all that apply.
1
The nurse asks short and simple questions.
2
The nurse avoids using reflection type of
verbal responses.
3
The nurse asks questions about the hobbies of the patient.
4
The nurse asks the parent to stay in the interview room.
5
The nurse permits frequent silent periods during the interview.
2, 3, 4
Which measures should the nurse take to communicate effectively with a patient? Select all that apply.
1
Provide bright lighting in the communication room.
2
Avoid standing
while communicating with the patient.
3
Avoid facing a patient across a desk during communication.
4
Keep 4 to 5 feet of distance with the patient during communication.
5
Avoid placing the chairs at a 90-degree angle during communication.
1
Which child is in the stage of presymbolic language development?
1
2-year-old child
2
3-year-old child
3
4-year-old
child
4
5-year-old child
1, 3, 4, 5
What are the advantages of using trained interpreters in patient interviews? Select all that apply.
1
Improved primary care
2
Increased admission rates
3
Increased patient satisfaction
4
Maintain patient confidentiality
5
Improved overall health outcomes
1
The
nurse is interviewing a pregnant patient. The patient tells the nurse, "I cannot think of being on bed rest now because I have kids at home and I'm worried about them." Which statement by the nurse indicates that the nurse has given a reflection type of verbal response?
1
"You feel worried and anxious about your children."
2
"You must be finding it hard to stay away from the children."
3
"You feel worried about your children because you love them a lot."
4
"You have to
control your emotions because it may affect your health."
4
A patient who had been in an accident is admitted to the hospital. The nurse, while assessing, asks whether the patient has pain in the shoulder area. The patient says that there is no pain, but grimaces when the nurse palpates the shoulder. Which verbal response should the nurse use in this
situation?
1
Empathy
2
Reflection
3
Explanation
4
Confrontation
1, 2, 5
The nurse is assessing an immigrant patient with the help of an interpreter. What actions should the nurse take to conduct an effective interview? Select all that apply.
1
Ensure that the interpreter is not related to the patient.
2
Instruct the interpreter to explain medical jargon to the
patient.
3
Ask the interpreter to complete the interview in a limited time period.
4
Have the interpreter avoid discussing the purpose of the investigation.
5
Request the interpreter to provide a verbatim account of the conversation.
3
The nurse prepares to interview a 6-year-old child. The nurse greets the child and the parent by name and communicates with the child first and then with the
parent. The nurse does not maintain eye contact with the child and gives toys to the child while interacting with the parent. Which action by the nurse is inappropriate?
1
Giving toys to the child
2
Avoiding eye contact with the child
3
Communicating with the child first
4
Greeting the child and parent by name
1
While conducting an interview, the nurse finds that the patient is aggressive
and giving flirtatious compliments to the nurse. The nurse feels uncomfortable and tells the patient, "I feel uncomfortable when you talk to me that way." The nurse finds that the patient's behavior continues in the same manner. What action should the nurse take next?
1
Discontinue the patient's interview.
2
Seclude the patient in a separate room.
3
Obtain additional support from other staff member.
4
Ask the patient's family member to sit beside the patient
2
What is an advantage of using a patient explanatory model during a clinical interview?
1
It helps the nurse comprehend the patient's chief complaint.
2
It helps convey the meaning of medical terms used.
3
It helps the nurse find a common connection with the patient.
4
It helps promote trust between a nurse and patient.
1, 3, 4
While interviewing a patient who is a drug addict, the nurse finds that the patient has poor motor coordination, impaired judgment, and poor memory. Given these symptoms, which drugs may the patient be abusing? Select all that apply.
1
Heroin
2
Cocaine
3
Morphine
4
Methadone
5
Amphetamine
2, 4, 5
A nurse is preparing for a patient interview. What tasks does the
nurse complete before the interview begins? Select all that apply.
1
Ensure direct, bright light in the room.
2
Turn off the television and radio in the room.
3
Ask the patient to change into a hospital gown.
4
Ask the accompanying family member to step out.
5
Request other staff not to interrupt the discussion.
1, 3, 4
Which characteristic behaviors of the nurse suggest an interest
in what a patient is saying during an interview? Select all that apply.
1
Nodding
2
Sitting quietly
3
Leaning forward
4
Maintaining eye contact
5
Asking questions on other topics
2
The nurse teaches a student nurse about developing contracts with patients. Which statement, if made by the student nurse, indicates effective learning?
1
"A verbal contract is the most useful tool
for behavior modification."
2
"A contract is an agreement that sets the expectations of each party."
3
"A contract is developed after the nurse has determined the problem."
4
"A contract is a verbal agreement about the scheduled plan of care."
3
Which characteristic of linguistic development is likely to be observed in a 2-year-old child according to Piaget's stages of cognitive
development?
1
Use of pronouns
2
Use of passive tense
3
Use of short sentences
4
Use of complex grammar
4
Which factor can adversely affect the outcome of the patient interview?
1
The patient's reason for the visit
2
The chronological age of the patient
3
Knowing the history of the patient
4
The nurse-patient compatibility
4
The student nurse interviews an adolescent patient. After the interview, the patient reports to the nurse that the student nurse seemed to be aloof and not concerned. Which behavior of the student nurse may have led the patient to have this opinion?
1
The student nurse stands during the interview.
2
The student nurse calls the patient by the first name.
3
The student nurse asks open-ended questions to the patient.
4
The student nurse maintains a
distance of 8 feet from the patient.
1, 2, 4 REMOVE THIS ONE
What are the characteristics of the Test of Functional Health Literacy Assessment (TOFHLA) tool? Select all that apply.
1
Uses actual client instructions
2
Takes approximately 22 minutes
3
Includes various terms of medicine
4
Helps measure comprehension and numeracy
5
Uses a nutrition label that the patient should read and
interpret
4
While entering the room of an adolescent who is a drug addict, the nurse observes that the adolescent becomes agitated and says, "I'm not going to answer any of your questions." This behavior could indicate abuse of which drug?
1
Heroin
2
Morphine
3
Ketamine
4
Amphetamine
3
The nurse is
obtaining subjective data from a patient. Which is a closed-ended question that the nurse includes in this interview?
1
"Tell me a little about yourself."
2
"How are you feeling today?"
3
"Do you smoke cigarettes often?"
4
"What brings you here today?"
1
The nurse is assessing a patient who has an unsteady gait and lacks coordination. The nurse finds that the patient abuses alcohol. What
should be the first question asked by the nurse to the patient during the interview?
1
"When did you take your last drink?"
2
"Did anyone ask you to quit drinking?"
3
"With whom did you have your last drink?"
4
"Have you injured anyone because of your drinking?"
3
Which gesture enables the nurse to communicate effectively with a patient?
1
Slouching in the chair
2
Touching the
patient frequently
3
Sitting in close proximity to the patient
4
Asking the patient questions clearly with a loud voice
1
What distance between two individuals indicates the intimate zone?
1. 1 ft
2. 3 ft
3. 5 ft
4. 13 ft
1, 2, 3
The nurse is conducting an interview of a patient who is under the influence
of alcohol. Which interventions should the nurse implement to conduct the interview successfully? Select all that apply.
1
Avoid scolding the patient.
2
Maintain eye contact with the patient.
3
Provide sufficient lighting in the room.
4
Ask open-ended questions to the patient.
5
Ask the patient's family member to sit beside the patient.
3
What is a positive nonverbal behavior of an
interviewer?
1
Bland expression
2
High-pitched tone
3
Equal-status seating
4
Slouching in the chair
1, 3, 4
What are the internal factors of communication? Select all that apply.
1
Liking others
2
Ensuring privacy
3
Listening ability
4
Providing empathy
5
Refusing interruptions
4
A
patient who had been in an accident is admitted to the hospital. The nurse, while assessing, asks whether the patient has pain in the shoulder area. The patient says that there is no pain, but grimaces when the nurse palpates the shoulder. Which verbal response should the nurse use in this situation?
1
Empathy
2
Reflection
3
Explanation
4
Confrontation
What is a primary source for collecting data
The patient
What is a secondary source for collecting data?
Family members, chart, other HCP
What should you say to introduce yourself for the interview?
Time and place of interview and succeeding physical examination, introduction of yourself and brief explanation of your role, purpose of interview, how long it will take, expectation of participation for each person, presence of any other people, confidentiality and to what extent it may be limited, any costs to client
Empathy
The ability to recognize and accept the feelings of another person. Feeling WITH the person not LIKE the person
How far away from the client should you be when conducting an interview?
4-5 feet
What is the intimate zone?
0 to 1 and a half feet
What is the persona distance zone?
1 and a half to 4 feet
what is the social distance?
4 to 12 feet
What is public distance?
12 or more feet
What are the 9 types of verbal responses?
Facilitation, silence, reflection, empathy, clarification, confrontation, interpretation, explanation, and summary
What are Piaget's stages of cognitive development?
sensorimotor, preoperational, concrete operational, formal operational
What stage of cognitive development are children aged birth to 2 years?
Sensorimotor
What stage of cognitive development are children aged 2-6 years?
Preoperational
What stage of cognitive development are children aged 7-11?
Concrete operations
What stage of cognitive development are children aged 12+?
Formal operations
At what stage do children begin to use symbolic thinking, imaginative play, and use of structured grammar?
Preoperational
At what stage do children begin to use logical thinking, master the use of numbers and other concrete ideas, and past tense?
Concrete operations
at what stage do children begin to engage in abstract thought and have near adult like skills?
Formal operations
What is the test if functional health literacy? (TOFHLA)
It is designed for use in research and measures the reading comprehension and numeracy, takes about 22 minutes
What is the Rapid estimate of Adult literacy in medicine (REALM) test?
Designed for clinical setting, person reads 66 medical terms aloud, score on # of words read and pronounced correctly, takes 2-3 minutes
What is the newest vital sign test (NVS)?
Assesses numeracy and comprehension, uses nutrition labels, has 6 questions, takes 3 minutes
What should you do at the end of an interview?
Teach back
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