Exam (elaborations)
NURS 5220- Exam #1: Module 1: Chapter 1, 2, 3, 5, 6, 8
NURS 5220- Exam #1: Module 1: Chapter 1, 2, 3, 5, 6, 8
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NURS 5220- Exam #1: Module 1:Chapter 1, 2, 3, 5, 6, 8
During an initial interview with your patient, you ask the patient, "Can you
describe that for me?" Which statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B.The question is asking 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. - -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.
-Because an adolescent is often reluctant to talk during an interview, it is
best to:
A. tell the patient that you must have straight answers to your questions.
B. ensure confidentiality regarding the information discussed.
C. inform the patient that adolescents have trouble expressing their feelings.
D. obtain the history from a parent or other family member. - -C:
CorrectAdolescents may be reluctant to talk and have a clear need for
confidentiality. All adolescent patients should 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.
-For which age group is a functional assessment most critical?
A. Children
B. Adolescents
C. Adults
D. Older adults - -D: CorrectQuite simply, functional assessment is an
attempt to understand a patient's ability to achieve the basic activities of
daily living. This assessment should be made for all older adults and for any
person limited by disease or disability, acute or chronic.
-Which of the following will best facilitate an interview with a deaf person?
,A. Speaking loudly
B. Using gestures
C. Sitting or standing at eye level
D. Sitting to the side of the patient - -c: CorrectPersons 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.
-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 horrible experience, wasn't it?" - -D: CorrectAnswer 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 examples of direct and open-ended
questions.
-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." - -C: CorrectAnswer c best
displays courtesy and respect for the parent. Initially, the 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."
-During an interview, a patient describes abdominal pain that often awakens
him at night. Which of the following responses by the interviewer would
facilitate 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.'" - -D: CorrectAnswer d is an example
of clarifying or seeking additional information by using the open-ended
question. Answers a, b, and c are examples of yes or no or leading questions.
-When you repeat 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. - -D: CorrectWhen you repeat a patient's
answer, you are engaging in reflecting. Reflecting encourages patients to
provide more detail.
-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 feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient. - -D:
CorrectWhen 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.
-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 - -D:
CorrectEstablishing 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.
-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 interview 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. - -B:CorrectPeople 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.
-Which statement best describes the chief complaint?
, A.General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust - -B: CorrectThe chief complaint
is the main reason the person is seeking care or the chief concern. The other
answers are parts of the history and physical or review of symptoms.
-A woman presents to a women's health clinic stating that she has had a
positive home pregnancy test and desires prenatal care. You would conduct
a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - -A:CorrectThe examiner would conduct a complete
history because the complete history allows the examiner to become
thoroughly familiar with the patient. Most often, this history is recorded the
first time you see the patient. The other answers are used when something is
already known about the patient or an established relationship exists.
-You are responding to a patient who has behaved toward you in a seductive
manner. Which of the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the
relationship.
C. Be courteous.
D. Ignore the patient's behavior. - -B:CorrectThis type of patient is seeking
additional attention. Avert it courteously and firmly, delivering the immediate
message that the relationship is and will remain professional. It takes skill to
do this while maintaining the patient's dignity, but there is no room for
sexual misconduct in the relationship, and there can be no tolerance for
exploitation of the patient in this regard.
-Which interviewer behavior would least contribute to decreasing tension in
an anxious patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly. - -D:CorrectAnswer d is the inappropriate
response and may increase the patient's level of anxiety. The examiner
helps decrease anxiety by avoiding an overload of information, pacing the
conversation, and presenting a calm demeanor.
-Which of the following information is particular to a pediatric history?
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