NURS 3320 Chapter 2 Practice Questions with Complete Solutions
A nurse is preparing to asses a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? Correct Answer-Establish a trusting relationship
A nurse is interpreting and validating information from an older adult client who has been experiencing a functional decline. The nurse is in which phase of the interview? Correct Answer-Working
A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy, and the nurse is collecting subjective data prior to surgery. Which statement by the nurse could be construed as judgmental? Correct Answer-"You must quit smoking because it affects others, not only you."
A nurse interviewing a 22-year-old client of the campus medical clinic. Which nonverbal behavior should the nurse adopt to best facilitate communication during this phase of assessment? Correct Answer-Using a moderate amount of eye contact
A nurse is providing feedback to a colleague after observing the colleagues interview of a newly admitted client. Which of the following would the nurse identify as an example of a closed-ended question or statement? Correct Answer-"Are you allergic to any medications?" A client has presented to the ED and is having difficult describing her vague sensation of physical discomfort and unease. How can the nurse best elicit meaningful assessment data about the nature of the clients complaint? Correct Answer-Provide a laundry list of descriptive words
A nurse is eliciting a clients health history and the client asks, "Can I take the herb ginkgo Bilbao with other medications?" What action would
be best if the nurse is unsure of the answer? Correct Answer-Promise to find out the information for the client
The nurse is preparing to assess the mental status of a 90-year-old client who is being admitted to the hospital from a long-term care facility. Which of the following should the nurse assess first? Correct Answer-
The clients sensory abilities
A nurse provides care in a rural hospital that serves a community that has few minority residents. When interviewing a client from a minority culture, the nurse has enlisted the assistance of a "culture broker." How can this individual best facilitate the clients care? Correct Answer-By interpreting the clients language and culture
Upon entering an exam room, the client states, "Well! I was getting ready to leave. My schedule is very busy and I don't have time to waste waiting until you have time to see me!" Which response by the nurse would be most appropriate? Correct Answer-"You're certainly justified in being upset, but I am ready to begin your exam now."
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