NURS 5220 - EXAM #1: MODULE 1 EXAM QUESTIONS AND V ERIFIED ANSWERS LATEST 2024 Question 1 During an initial interview with your patient, you ask the patient, "Can you describe that for me?" Which stateme nt best describes the question? A. It is the most risky type of question because the pa tient can say anything. B.The question is a sking for specific information. C. The patient has discretion about the extent of the answer. D. The answer can lead the interviewer away from the purpose of the interview. Correct answer C: The open -ended question gives the patient discretion about the extent of an answer. This is an example of a question carefully formulated to illicit an enhanced patient response. The answer can lead the interviewer away from the purpose of the interview. Question 2 Because an adolescent is often reluctant to talk duri ng an interview, it is best to: A. tell the patient that you must have stra ight answers to your questions. B. ensure confidentiality regar ding the information discussed. C. inf orm the patient that adolescents have trouble expressing their feelings. D. obtain the history from a parent or other family member. Correct answer C: Adolescents may be reluctant to talk and have a clear need for confidentiality. All adolescent patients s hould be given the opportunity to discuss their concerns with you privately. It is wise to let parents or other caregivers know you will be asking them to step out of the room to provide this important opportunity for the adolescent. Question 3 For which a ge group is a functional assessment most critical? A. Children B. Adolescents C. Adults D. Older adults Correct answer D: Quite simply, functional assessment is an attempt to understand a patient's ability to achieve the basic activities of daily living. T his assessment should be made for all older adults and for any person limited by disease or disability, acute or chronic. Question 4 Which of the following will best facilitate a n interview with a deaf person? A. Speaking loudly B. Using gestures C. Sitti ng or standing at eye level D. Sitting to the side of the patient Correct answer c: Persons with impaired hearing often read, write, sign, and/or read lips, but you must speak slowly and enunciate each word clearly and in full view. Sitting or standing at eye level allows for full view. Question 5 Which of the following questions may lead to an inaccurate response? A. "Where do you feel the pain?" B. "How does this situation make you feel?" C. "What happened after you noticed your injury?" D. "That was a h orrible experience, wasn't it?" Correct answer D: Answer d is an example of a leading question. The leading question is the most risky because it may limit the information provided to what the patient thinks you want to know. Questions a, b, and c are exam ples of direct and open -ended questions. Question 6 Ms. Carol Turner, a 38 -year -old woman, brings her 1 -year -old son in for health care. Which of the following requests made would be most appropriate at the beginning of an interview? A. "Mom, please place your son in your lap." B. "Carol, please place your son in your lap." C. "Ms. Turner, please place your son in your lap." D. "Sweetie, please place your son in your lap." Correct answer C: c best displays courtesy and respect for the parent. Initially, t he examiner should address the patient or caregiver properly (e.g., as Mr., Miss, Mrs., Ms., or the manner of address preferred by the patient) and repeat the patient's name at appropriate times. Do not use a surrogate term for a person's name; for example , when the patient is a child, do not address the parent as "Mother" or "Father." Question 7 During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facil itate the interviewing process? A. "Constipation can cause abdominal pain." B. "Do you need a sleeping medication?" C. "Pain is always worse at night, isn't it?" D. "Tell me what you mean by 'often.'" Correct answer D: d is an example of clarifying or seeking additi onal information by using the open -
ended question. Answers a, b, and c are examples of yes or no or leading questions. Question 8 When you repe at a patient's answer, you are: A. testing the patient's knowledge. B. teaching the patient new medical terms. C. discouraging an emotional outburst. D. encouraging more detail. Correct answer D: When you repeat a patient's answer, you are engaging in reflecting. Reflecting encourages patients to provide more detail. Question 9 While interviewing an angry patient, you start to become annoyed and are beginning to dislike the patient. The best way to resolve this is to: A. spend the least amount of time possible with the patient. B. displace your annoyance toward the patient on an inanimate object. C. ignore the feeli ngs and remain neutral in your interactions. D. express concern and explore the problem with the patient. Correct answer D: When dealing with the angry patient, it is appropriate to confront or acknowledge the anger and explore the potential issue. Answer d is the best example in the scenario given. Question 10 Which of the following behaviors is most important in establishing a connection with the patient? A. Documenting data from the history using direct patient quotes B. Phrasing questions so that they are clear and explicit C. Avoiding the trap of giving advice during an interview D. Listening intently while observing nonverbal cues Correct answer D: Establishing a connection with the patient is essential to good communication. Being a skilled listener and being alert to patients' nonverbal communication help establish meaningful connection. Question 11 During an interview, the patient describes problems associated with an illness and begins to cry. The best action in this situation is to: A. stop the i nterview and reschedule for another time. B. allow the patient to cry, then resume when the patient is ready. C. change the topic to something less upsetting. D. continue the interview while the patient cries in order to get through it quickly. Correct ans wer B: People will cry. Let the emotion proceed at the patient's pace. Resume your questioning only when the patient is ready. If you suspect a patient is holding back, give permission. Offer a tissue or simply say, "It seems like you're feeling bad. It's okay to cry." Name the emotion. Be direct about such a tender circumstance, but gently, not too aggressively or insistently. Question 12 Which statement best describes the chief complaint? A.General health and illness B. The reason the individual is seeki ng care C. Information to make the diagnosis D. Concerns about confidentiality and trust
ended question. Answers a, b, and c are examples of yes or no or leading questions. Question 8 When you repe at a patient's answer, you are: A. testing the patient's knowledge. B. teaching the patient new medical terms. C. discouraging an emotional outburst. D. encouraging more detail. Correct answer D: When you repeat a patient's answer, you are engaging in reflecting. Reflecting encourages patients to provide more detail. Question 9 While interviewing an angry patient, you start to become annoyed and are beginning to dislike the patient. The best way to resolve this is to: A. spend the least amount of time possible with the patient. B. displace your annoyance toward the patient on an inanimate object. C. ignore the feeli ngs and remain neutral in your interactions. D. express concern and explore the problem with the patient. Correct answer D: When dealing with the angry patient, it is appropriate to confront or acknowledge the anger and explore the potential issue. Answer d is the best example in the scenario given. Question 10 Which of the following behaviors is most important in establishing a connection with the patient? A. Documenting data from the history using direct patient quotes B. Phrasing questions so that they are clear and explicit C. Avoiding the trap of giving advice during an interview D. Listening intently while observing nonverbal cues Correct answer D: Establishing a connection with the patient is essential to good communication. Being a skilled listener and being alert to patients' nonverbal communication help establish meaningful connection. Question 11 During an interview, the patient describes problems associated with an illness and begins to cry. The best action in this situation is to: A. stop the i nterview and reschedule for another time. B. allow the patient to cry, then resume when the patient is ready. C. change the topic to something less upsetting. D. continue the interview while the patient cries in order to get through it quickly. Correct ans wer B: People will cry. Let the emotion proceed at the patient's pace. Resume your questioning only when the patient is ready. If you suspect a patient is holding back, give permission. Offer a tissue or simply say, "It seems like you're feeling bad. It's okay to cry." Name the emotion. Be direct about such a tender circumstance, but gently, not too aggressively or insistently. Question 12 Which statement best describes the chief complaint? A.General health and illness B. The reason the individual is seeki ng care C. Information to make the diagnosis D. Concerns about confidentiality and trust
