Term 2 - PrepU Chapter 2

Prior to a patient interview, the nurse collects information from the patient's medical record, such as prior surgeries, home medications, allergies, and past treatments. What phase of the interview process is this?

Preinteraction

Prior to beginning an interview a patient tells the nurse that "it's about time someone paid attention to me." Which technique can the nurse use to diffuse this patient's anger?

Acknowledge the delay for the interview and try to make amends.

When caring for any patient, what is important in conducting a conversation?

Keep the conversation at the knowledge level of the patient

A 50-year-old Hispanic man presents to the ED with upper right quadrant abdominal pain. He is functionally illiterate in English. What principles should the English-speaking nurse follow when dealing with the patient?

� Limitations in English are not a reflection of intellectual functioning
� Written information in the native language supports verbal communication

A 65-year-old man is brought to the ED. He tells the nurse, "I feel like something really heavy is sitting on my chest." The nurse then says to the patient, "You feel as if something heavy is sitting on your chest?" Of what type of nurse-patient communica

Restatement

A 34-year-old man has come to the clinic to establish care. His chief complaint is that "my skin feels sour, so sour" and he fidgets continuously during the interview. How should the clinician best respond to this statement?

Redirect the conversation to include components of a mental status examination.

Which action should a nurse implement when assessing a non-native client to facilitate collection of subjective data?

Maintain a professional distance during assessment

The nurse is obtaining information about a client's past health history. Which client statement would best reflect this aspect?

I had surgery 5 years ago to repair an inguinal hernia.

A 16-year-old girl comes to the clinic with abdominal pain. She is accompanied by her mother. During the interview, the nurse gets the impression that the adolescent patient wants to talk but is afraid to with her mother in the room. What action by the nu

Politely ask the mother to wait in the waiting room

Which of the following questions would be most important for the nurse to ask first when obtaining the health history?

What is your major health concern at this time?

The nurse is interviewing an elderly woman in the ambulatory setting and trying to get more information about her urinary symptoms. Which of the following techniques is not a component of guided questioning?

Reassure the client that the urinary symptoms are most often treated successfully.

A graduate nurse working on a medical-surgical unit is admitting a patient who does not speak English. No interpreters are available. The patient's wife is with him. What should the nurse remember about the use of interpreters when communicating with pati

Friends and family who are unfamiliar with medical terminology may misinterpret information

During the working phase of an interview, the nurse wants to explore the patient's perspective on an illness. Questions that the nurse will ask the patient will focus on what areas? (Select all that apply.)

� Feelings
� Ideas
� Function
(A mnemonic that can be used to explore the patient's perspective on an illness is FIFE or feelings, ideas, function, and expectations.)

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?

Client denies any feelings of anxiety or distress over the diagnosis

Nonverbal communication is a very important aspect in nurse-patient relationships. What can the professional nurse do to help gain trust in patients?

� 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 patients who cannot communicate verbally

A client scheduled for surgery tells the nurse 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

When interviewing, the nurse should logically move from specific to open-ended questions.

False

Suzanne, 25 years old, comes to the clinic to establish care. The student nurse is preparing to enter the examination room to interview the client. Which of the following is the most logical sequence for the client-provider interview?

Greet the client, establish rapport, invite the client's story, establish the agenda, expand and clarify the client's story, and negotiate a plan.

The nurse is preparing to conduct an interview with a patient newly diagnosed with cancer. What can the nurse do to ensure a private and comfortable environment for the patient?

Escort the patient to a conference room.

Which interview question by the nurse demonstrates a bias or prejudiced attitude?

You're not homosexual, are you?

A client presents to the health care clinic with reports of sleeplessness and loss of appetite. The client tells the nurse that his wife is seriously ill in the hospital and he has not been able to visit her much because of transportation problems. Which

Do you think your wife is getting better?

Which of the following are part of the preinterview of the nurse-patient interview? Select all that apply.

� taking time for reflection
� setting goals for the interview
� taking notes

Which behavior is appropriate for a nurse to display when collecting subjective data as part of the assessment process?

Explain the reason for taking down notes

Which nonverbal communication by the nurse helps to facilitate a relaxed environment for a client during the interview process?

Portray a neutral and friendly expression

A nurse is caring for a patient who has just received a terminal diagnosis. What nontherapeutic communication technique would a nurse use to minimize distress for himself or herself?

Giving false reassurance

After teaching a group of students about verbal communication techniques, the instructor determines that the teaching was successful when the students identify which of the following as an example of a closed-ended question/statement?

Are you allergic to any medications?

A client is admitted to the health care facility with new onset of abdominal pain. The client becomes angry with the nurse when questions about personal information are asked. How should the nurse proceed with the interview?

Remain in control and allow the client to ventilate feelings

A nurse is interpreting and validating information from the client. The nurse is in which phase of the interview?

Working
(During the working phase, the nurse elicits the client's comments about major biographical data, reasons for seeking care, history of present health concern, past health history, family history, review of body systems for current health problems,

A client complains of knee pain on the nurse's arrival in the room. What should the nurse's first sentence be after greeting the client?

Could you please describe what happened?

A nurse is interviewing a patient. The patient describes why he is visiting the clinic. The nurse then briefly summarizes what the patient has just said. What type of communication is the nurse using?

Reflection

The nurse is focusing an interview on a patient's respiratory status. Which question would be the best to begin this interview?

Describe your breathing.

The nurse is preparing to assess a female client's activities related to health promotion and maintenance. Which question would provide the most objective and thorough data?

Could you describe how you perform self-breast exams?

The nurse is performing a follow-up assessment and interview of a 72-year-old woman with a history of congestive heart failure. The nurse asks the client, "Have you been experiencing any activity intolerance since I last saw you?" What would be a more app

Has this been having an effect on your ability to carry out your routines and get around your home?

The nurse is interviewing a patient with limited English. What can the nurse do to allow patients an opportunity to speak?

Insert pauses into the conversation

The nurse is in the introductory phase of the client interview. Which of the following activities would be appropriate?

Explaining the purpose of the interview