Which type of interview technique is the nurse demonstrating when asking the questions do you have pain?

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Terms in this set (42)

The nurse is conducting an interview with a patient. Which closed-ended question should the nurse use? Select all that apply. One, some, or all responses may be correct.

"Do you think the medication is helping you?"
"Are you experiencing cramping?"
"Do you have pain now?"

A 65-year-old male patient is admitted to the hospital with severe abdominal pain. The nurse has to obtain his health history. From which potential source might the nurse obtain patient information? Select all that apply.One, some, or all responses may be correct.

the patient himself
the patients family
the patients previous medical records and data

A patient with arthritis informs the nurse that the knee pain is worse during rest and while climbing stairs. The pain improves when the patient is walking. The patient takes ibuprofen and acetaminophen for pain relief. What is the precipitating factor in this case? Select all that apply. One, some, or all responses may be correct.

rest
climbing up the stairs

The nurse is preparing the report of an initial interview conducted with a patient. Which component of patient-related datum is considered biographical data? Select all that apply. One, some, or all responses may be correct.

the patients age
the patients gender

The nurse is collecting the history of a patient who complains of shortness of breath. The nurse later asks the patient, "What else is bothering you?" This is an example of which interview technique?

probing

A night shift nurse has taken over for the nurse from the previous shift. There are four new patients, and the nurse needs to interview them to complete the nursing histories. When would the nurse plan to interview these patients?

After reviewing the information given in the change-of-shift report

When performing the initial interview for a patient admitted to the hospital, which characteristic of the patient should the nurse document as objective data? Select all that apply. One, some, or all responses may be correct.

body temp
raised, red swelling on the back
drainage from wounds

A 58-year-old patient with nerve deafness has come to his doctor's office for a routine examination. The patient wears two hearing aids. While conducting the assessment, which approach does the advanced practice nurse use? Select all that apply. One, some, or all responses may be correct.

lean forward
acknowledge

A mother finds her 26-year-old daughter unconscious at home. She is taken to the hospital by ambulance while the mother and her 1-year-old granddaughter follow. Who would be the primary source of information in this case?

mother

The nurse is beginning the interview of a patient who complains of a backache. Which question is appropriate for the nurse to ask first?

"What brings you to the hospital today?"

A 65-year-old male patient with severe abdominal pain is admitted to the hospital. The nurse must obtain his health history and asks the patient several open-ended questions. Which statement is an appropriate open-ended question for the nurse to ask? Select all that apply. One, some, or all responses may be correct.

"Describe the nature of your pain."
"What do you do to relieve this pain?"
"Tell me what makes the pain worse."

A patient is scheduled for a prostatectomy. The patient is worried that he may not be able to have sex after surgery. Which response by the nurse is appropriate?

"Your surgeon will talk to you about the surgery. Don't be afraid to ask this question."

According to Gordon's model, which health pattern describes the patient's spiritual attitude?

value-belief pattern

Which is an example of data validation? Select all that apply. One, some, or all responses may be correct.

The nurse assesses the patient's heart rate and compares the value with the last value entered in the medical record.
The nurse obtains a blood pressure value that is abnormal and asks the charge nurse to repeat the measurement

The nurse is caring for a 50-year-old patient who has had a gall bladder removal and is postoperative day 2. The patient appears to be in pain. Which patient assessment finding collected by the nurse is categorized as objective data? Select all that apply. One, some, or all responses may be correct.

minimal oozing
fever of 104

Which assessment activity reflects effective communication skills during a patient-centered interview? Select all that apply. One, some, or all responses may be correct.

all em

The nurse assesses a patient who comes to the pulmonary clinic: "I see that it has been more than 6 months since you've been in, but your appointment was for every 2 months. Tell me about that. Also, I see from your last visit that the doctor recommended routine exercise. Can you tell me how successful you have been following this plan?" The nurse's assessment covers which of Gordon's functional health patterns?

health perception an management

The nurse is interviewing a patient who is admitted to the hospital with complaints of abdominal pain. Which question would the nurse ask to gather data about the patient's present illness and health concerns? Select all that apply. One, some, or all responses may be correct.

tell me about illness
pain start/stop
show me
pain accompanied by

For which purpose would a nurse perform a comprehensive nursing assessment? Select all that apply. One, some, or all responses may be correct.

interpret
establish
collect

A 65-year-old male patient is admitted to the hospital with severe abdominal pain. The nurse has to obtain his health history. What is a different way in which the nurse can encourage the patient to provide more information? Select all that apply. One, some, or all responses may be correct.

nod
lean
maintain

The nurse checks a patient's intravenous (IV) line in his right arm and sees inflammation where the catheter enters the skin. The nurse uses a finger to apply light pressure (i.e., palpation) just above the IV site. The patient tells the nurse the area is tender. The nurse checks to see if the IV line is running at the correct rate. This is an example of which type of assessment?

problem focused

The nurse is preparing the report of an initial interview conducted with a patient. Which component of patient-related datum is considered biographical data? Select all that apply. One, some, or all responses may be correct.

age
gender

A patient's caregiver asks the nurse, "Can I view the patient's medical records?" Which action would the nurse take?

Politely tell the caregiver that disclosing the medical records to others is not in accordance with the law.

The nurse is going through biographical information collected by the admitting office staff. Which patient information is usually included in the biographical information? Select all that apply. One, some, or all responses may be correct.

age
occupation
marital status
health care insurance status

The nurse is assessing a patient with diabetes. Which datum collected by the nurse is subjective datum? Select all that apply. One, some, or all responses may be correct.

nausea
tingling

The nurse is caring for a patient with a pressure ulcer on his left hip. The nurse asks the patient several questions to determine how he may have gotten the pressure ulcer. Which of the 11 functional health patterns from Gordon's model should the nurse address in her assessment? Select all that apply. One, some, or all responses may be correct.

sleep
elimination
nutritional

A student nurse is gathering information from an elderly patient. Which of the student nurse's actions indicates the need for further teaching?

Sitting straight in the chair while talking with the patient

A patient reports severe abdominal pain in the right iliac region. The nurse is completing the nursing history. Which information would the nurse elicit to help arrive at the probable cause of abdominal pain?

Some questions about the digestive system

The nurse is conducting a physical assessment on a patient admitted to the hospital with hypertension. Which attribute of the nurse will help him or her make a proper assessment about this patient? Select all that apply.One, some, or all responses may be correct.

relevant knowledge
critical thinking
clinical experience

Which type of interview technique is the nurse demonstrating when asking the questions, "Do you have pain or cramping?" or "Does the pain get worse when you walk?" Select all that apply. One, some, or all responses may be correct.

closed ended
problem oriented

Which technique best encourages a patient to tell his or her full story? Select all that apply. One, some, or all responses may be correct.

active listening
back channeling
use of open ended questions

A patient has arrived at the emergency department (ED) complaining of fatigue and memory loss. While performing the health assessment, which back-channeling technique may the nurse use during the patient interview? Select all that apply. One, some, or all responses may be correct.

I see
go on
all right
maintain good eye contact

A patient who visits the allergy clinic tells the nurse practitioner that he is not getting relief from shortness of breath when he uses his inhaler. The nurse decides to ask the patient to explain how he uses the inhaler, when he should take a dose of medication, and what he does when he gets no relief. On the basis of Gordon's functional health patterns, which pattern does the nurse assess?

Health perception and health management pattern

The nurse uses various assessments to collect data about a patient. Which statement is true about the types of assessments? Select all that apply. One, some, or all responses may be correct.

Emergency assessment is performed when the patient's situation is life threatening.
Ongoing assessment is performed and continued throughout the patient's health care experience
Focused assessment is done after a patient's general problems have been identified, when a patient has a complaint, or describes a new problem.

During an interview, a patient tells the nurse that he used to consume alcohol, smoke cigarettes, and take drugs. The nurse says, "I understand. Go on." This encourages the patient to share more about his or her habits and health problems. What technique of communication is the nurse using?

back channeling

Arrange the stages of a patient-centered interview in the appropriate order.

stage
agenda
history
interview

A 65-year-old patient is scheduled for a cholecystectomy. The attending nurse observes that the patient is restless and has poor eye contact when speaking. The patient also asks the nurse a number of questions. Which interpretation would the nurse make from this behavior?

patient is anxious

The nurse is interviewing a patient who comes into the emergency department with a headache of 5 days' duration. Which question from the nurse is an example of a closed-ended question? Select all that apply. One, some, or all responses may be correct.

do you have pain now
is your headache severe
are you frightened it might be cancer

Which question by the nurse while taking an interview can strengthen his or her connection with a postoperative patient?

"Tell me, how are you managing your pain at home?"

.....

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The nurse is conducting a patient-centered interview. Place the statements from the interview in the correct order.

name
tell me
you say
so to summarize
I have no further questions

Which type of question is used when starting the assessment of a patient?

open ended

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