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NR 509 MIDTERM EXAM QUESTIONS AND ANSWERS FROM BATES TEST BANK COMPLETE A+ GRADED.
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NR 509 MIDTERM EXAM QUESTIONS AND ANSWERS FROM BATES TEST BANK COMPLETE A+ GRADED.
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NR 509 MIDTERM EXAM QUESTIONS ANDANSWERS FROM BATES TEST BANK COMPLETE A+
GRADED.
Mr. W. is a 51-year-old auto mechanic who comes to the emergency room
wanting to be
checked out for the symptom of chest pain. As you listen to him describe
his symptom in more
detail, you say "Go on," and later, "Mm-hmmm." This is an example of
which of the following skilled interviewing techniques?
A) Echoing
B) Nonverbal communication
C) Facilitation
D) Empathic response
Verified Answer -C) Facilitation
This is an example of facilitation. Facilitation can be posture, actions, or
words that
encourage the patient to say more.
Mrs. R. is a 92-year-old retired teacher who comes to your clinic
accompanied by her
daughter. You ask Mrs. R. why she came to your clinic today. She looks at
her daughter and
doesn't say anything in response to your question. This is an example of
which type of
challenging patient?
,A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient
Verified Answer -C) Silent patient
This is one example of a silent patient. There are many possibilities for
this patient's silence: depression, dementia, the manner in which you
asked the question, and so on.
Mrs. T. comes for her regular visit to the clinic. She is on your schedule
because her regular
provider is on vacation and she wanted to be seen. You have heard about
her many times from
your colleague and are aware that she is a very talkative person. Which of
the following is a
helpful technique to improve the quality of the interview for both the
provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the
appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes
and then try to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no
matter what occurs
in the course of the interview.
D) Allow your impatience to show so that the patient picks up on your
nonverbal cue that the
,appointment needs to end.
Verified Answer -B) Briefly summarize what you heard from the patient in
the first 5 minutes and then try to have her focus on one aspect of what
she told you.
You can also say, "I want to make sure I take good care of this problem
because it is very important. We may need to talk about the others at the
next appointment. Is that okay with you?" This is a technique that can
help you to change the subject but, at the same time,
validate the patient's concerns; it also can provide more structure to the
interview.
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection.
When you enter the
room, she appears to be very angry. She has a raised tone of voice and
states that she has been
waiting for the past hour and has to get back to work. She states that she
is unimpressed by the
reception staff, the nurse, and the clinic in general and wants to know why
the office wouldn't
call in an antibiotic for her. Which of the following techniques is not useful
in helping to calm
this patient?
A) Avoiding admission that you had a part in provoking her anger
because you were late
B) Accepting angry feelings from the patient and trying not to get angry in
return
C) Staying calm
, D) Keeping your posture relaxed
Verified Answer -A) Avoiding admission that you had a part in provoking
her anger because you were late
In this scenario, the provider was 1 hour late in seeing the patient. The
provider
should acknowledge that he was late and apologize for this, no matter the
reason for being late. It often helps to acknowledge that a patient's anger
with you is understandable and that you might be angry in a similar
situation.
A 23-year-old graduate student comes to your clinic for evaluation of a
urethral discharge. As the provider, you need to get a sexual history.
Which one of the following questions is inappropriate for eliciting the
information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with
someone, and did that
contact include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months?
Verified Answer -A) Are you sexually active?
This is inappropriate because it is too vague. Given the complaint, you
should probably assume that he is sexually active. A specific sexual
history will help you to assess this patient's risk for other sexually
transmitted infections.
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