- Ask the patient how he feels when his wife becomes irritated.
How does a nurse convey courtesy to a patient during an appointment? -
- Knocking on the door before entering
- Addressing the patient by his first name
- Standing while talking to a patient who is seated
- Summarizing the visit while the patient is on the examination table
- Knocking on the door before entering the room shows respect for the patient. The
patient should be addressed by the appropriate title and last name unless he or she
requests otherwise. Standing while a patient is seated puts the patient in a subservient
position. The patient should be allowed to dress and be seated to participate in
summarizing the visit.
From a questionnaire the patient completed, the nurse learns that the patient uses illicit
drugs. What technique is appropriate to explore this health concern during the
interview? -
- Reassure the patient that all information will be kept confidential.
- Begin with detailed specific questions to explore the scope of the use.
- Ask the patient to explain in a single sentence why he or she uses illicit drugs.
- The nurse should begin with reassuring the patient that all information will be held in
confidence. Open-ended questions are used initially to assist the patient to discuss the
issue. The patient should be encouraged to verbalize his or her feelings and not
summarize in a single sentence. Explaining that drugs are an escape is judgmental and
not therapeutic.
- Explain that using illicit drugs is often a way to escape from other concerns.
A patient must wait 45 minutes after the scheduled appointment time because the office
is running late. Select the best way the nurse should address the issue. -
- Apologize for making the patient wait.
,- Explain that there are many patients to be seen.
- Thanking the patient for waiting is the best approach because it addresses the patient
as an individual and conveys respect. Ignoring, apologizing, and making excuses for the
wait do not address the patient personally.
A patient tells the nurse that his wife, who is the patient's caregiver, becomes irritable
when more assistance is needed. How should the nurse respond to the patient initially?
-
- Explain that his wife is probably fatigued.
- Explain that care giving involves a lot of work.
- Ask the patient if he thinks physical therapy is needed.
- Initially, the nurse should address the client's feelings about the situation and
encourage further exploration. Making excuses for his wife's behavior does not address
the patient's concern. Therapy may be a solution but does not address the patient's
feelings.
Health care professionals discuss that a patient obtains secondary gain from an illness.
What is meant by secondary gain from an illness? -
- Insight into personal strengths
- Improved methods of coping with stress
- Motivation to change poor health habits
- Attention and caring from others because of the illness
- When health care professionals use the term secondary gain, it means the attention
and concern the ill person receives from family, employers, and friends because of the
illness. Personal insight, coping methods, and motivation may result from an illness, but
these are not the usual meaning of secondary gain.
A patient is curt, avoids eye contact, and states that he does not know why he bothered
to seek medical attention. How should the nurse address this behavior? -
- Ignore the behavior and continue with the examination.
- Tell the patient he seems angry and ask him to state his concerns.
- Explain that his behavior is disrespectful and not in his best interest.
, - Explain that this behavior is inappropriate and other patients are waiting.
- The nurse should acknowledge the patient's angry behavior and ask to hear specific
concerns. The behavior should not be ignored, taken as a threat, or be a reason for
rejection.
Which communication technique is most appropriate to use while conducting an
interview with a patient? -
- Use leading questions to obtain information efficiently.
- Ask the patient to save questions until the end of the interview.
- Use active listening techniques, including clarification and reflection.
- Use medical jargon but explain each term to increase the patient's knowledge.
- Using an active listening technique encourages patient participation and enhances
communication. Asking leading questions limits the patient's answers. The patient
should ask questions as concerns arise during the interview. The nurse should use
terms the patient understands and limit the use of medical jargon.
What is the goal of using a screening tool during a patient health history interview? -
- To expand the comprehensiveness of health care
- To improve the outcome for future treatment of the problem
- To educate the patient about available community resources
- To determine if the patient has a problem related to the issue
- The nurse uses a screening tool to determine if this patient has the problem
addressed by the tool. The primary goal of a screening tool is not to extend health care,
improve treatment outcomes, or educate the patient about resources.
Research findings show that a family history for which conditions increases the risk to
develop diabetes type 2 and cardiovascular disease? (Select all that apply.) -
- Obesity
- Smoking
- Dyslipidemia
- Obstructive sleep apnea
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