,1. Present health/illness
2. Family genogram
3. Past medical history
4. Health practices
The nurse is interviewing a client who is in acute pain. Which of the following actions by the
nurse must be performed first?
1. Attempt to reduce the pain and complete the interview later.
2. Interview the family for the information.
3. Document why the interview could not be completed.
4. Proceed very quickly with the interview.
The nurse is obtaining information about a client's past medical history. Which of the following
sources would provide the nurse with this data?
1. Medication list
2. Average amount of hours of sleep each night
3. Marital status
4. Immunization records
The nurse is interviewing the client. Which of the following techniques should the nurse use to
decode the client's messages?
1. Use body language to convey the message.
2. Listen actively and attentively.
3. Develop and transmit an idea.
4. Use words to convey the message.
,While interviewing the client during the focused interview, the client begins to cry softly. Which
of the following interventions by the nurse are appropriate?
(Select all that apply.)
1. The nurse states, "I don't like these questions any more than you do, but we need to get on
with the interview so you can go home and cry later."
2. The nurse states, "It's all right, I think we're done with the interview."
3. The nurse places the tissues within arm's reach of the client.
4. The nurse states, "I can see you are upset. It's all right to cry."
5. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the
interview.
The student nurse is preparing to perform a health history interview. Which of the following
statements indicate that the student nurse requires further education regarding the purpose of the
health history?
(Select all that apply.)
1. "The nurse typically has a more holistic point of view regarding the client's health."
2. "The client's health history can be gathered during the initial interview."
3. "The healthcare provider's and nurse's assessments should be almost identical with the same
focus."
4. "I realize that the client is sick, but I also need to perform a wellness assessment."
5. "As the nurse, I will mainly focus on the course of the client's illness."
The nurse is interviewing the client. The nurse says to the client, "It sounds like you don't like
your new job because it's more stressful than you anticipated." Which of the following types of
, communication techniques is the nurse utilizing specifically?
1. Questioning
2. Paraphrasing
3. Attending
4. Listening
The nurse is using a Doppler ultrasonic stethoscope to assess a client's pulse in the lower
extremity and is unable to locate the pulse. What is the nurse's next action?
1. Send the equipment for repair.
2. Check the pressure applied to the probe.
3. Add more gel to the end of the probe.
4. Immediately inform the healthcare provider.
A client is brought to the emergency department by ambulance after being found on the floor by
a family member. The nurse begins the assessment of the client. Which of the following findings
would indicate, to the nurse, the need for a more detailed neurological assessment of this client?
1. Talking in a loud voice
2. Asymmetry of the client's smile
3. Inability to follow directions
4. Grimacing with movement
The nurse is assessing an adult client when suddenly the client refuses to continue the
examination. What is the nurse's next step?
1. Give the client a short break and then resume the assessment.
2. Document what was done and what was refused.