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NURS 5220- Exam -1 Module 1 Chapter 1, 2, 3, 5, 6, 8 Questions and Answers
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NURS 5220- Exam -1 Module 1 Chapter 1, 2, 3, 5, 6, 8 Questions and Answers
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NURS 5220- Exam #1: Module 1: Chapter1, 2, 3, 5, 6, 8 Questions and Answers
During ian iinitial iinterview iwith iyour ipatient, iyou iask ithe ipatient, i"Can iyou idescribe
ithat ifor ime?" iWhich istatement ibest idescribes ithe iquestion?
A. iIt iis ithe imost irisky itype iof iquestion ibecause ithe ipatient ican isay ianything.
B.The iquestion iis iasking ifor ispecific iinformation.
C. iThe ipatient ihas idiscretion iabout ithe iextent iof ithe ianswer.
D. iThe ianswer ican ilead ithe iinterviewer iaway ifrom ithe ipurpose iof ithe iinterview. i-
iCorrect iAnswers i-C: iThe iopen-ended iquestion igives ithe ipatient idiscretion iabout ithe
iextent iof ian ianswer. iThis iis ian iexample iof ia iquestion icarefully iformulated ito iillicit ian
ienhanced ipatient iresponse.
The ianswer ican ilead ithe iinterviewer iaway ifrom ithe ipurpose iof ithe iinterview.
Because ian iadolescent iis ioften ireluctant ito italk iduring ian iinterview, iit iis ibest ito:
A. itell ithe ipatient ithat iyou imust ihave istraight ianswers ito iyour iquestions.
B. iensure iconfidentiality iregarding ithe iinformation idiscussed. i
C. iinform ithe ipatient ithat iadolescents ihave itrouble iexpressing itheir ifeelings.
D. iobtain ithe ihistory ifrom ia iparent ior iother ifamily imember. i- iCorrect iAnswers i-C:
iCorrectAdolescents imay ibe ireluctant ito italk iand ihave ia iclear ineed ifor iconfidentiality.
iAll iadolescent ipatients ishould ibe igiven ithe iopportunity ito idiscuss itheir iconcerns iwith
iyou iprivately. iIt iis iwise ito ilet iparents ior iother icaregivers iknow iyou iwill ibe iasking ithem
ito istep iout iof ithe iroom ito iprovide ithis iimportant iopportunity ifor ithe iadolescent.
For iwhich iage igroup iis ia ifunctional iassessment imost icritical?
A. iChildren
B. iAdolescents
C. iAdults
,D. iOlder iadults i- iCorrect iAnswers i-D: iCorrectQuite isimply, ifunctional iassessment iis
ian iattempt ito iunderstand ia ipatient's iability ito iachieve ithe ibasic iactivities iof idaily
iliving. iThis iassessment ishould ibe imade ifor iall iolder iadults iand ifor iany iperson ilimited
iby idisease ior idisability, iacute ior ichronic.
Which iof ithe ifollowing iwill ibest ifacilitate ian iinterview iwith ia ideaf iperson?
A. iSpeaking iloudly
B. iUsing igestures
C. iSitting ior istanding iat ieye ilevel i
D. iSitting ito ithe iside iof ithe ipatient i- iCorrect iAnswers i-c: iCorrectPersons iwith iimpaired
ihearing ioften iread, iwrite, isign, iand/or iread ilips, ibut iyou imust ispeak islowly iand
ienunciate ieach iword iclearly iand iin ifull iview. iSitting ior istanding iat ieye ilevel iallows ifor
ifull iview.
Which iof ithe ifollowing iquestions imay ilead ito ian iinaccurate iresponse?
A. i"Where ido iyou ifeel ithe ipain?"
B. i"How idoes ithis isituation imake iyou ifeel?"
C. i"What ihappened iafter iyou inoticed iyour iinjury?"
D. i"That iwas ia ihorrible iexperience, iwasn't iit?" i- iCorrect iAnswers i-D: iCorrectAnswer id
iis ian iexample iof ia ileading iquestion. iThe ileading iquestion iis ithe imost irisky ibecause iit
imay ilimit ithe iinformation iprovided ito iwhat ithe ipatient ithinks iyou iwant ito iknow.
iQuestions ia, ib, iand ic iare iexamples iof idirect iand iopen-ended iquestions.
Ms. iCarol iTurner, ia i38-year-old iwoman, ibrings iher i1-year-old ison iin ifor ihealth icare.
iWhich iof ithe ifollowing irequests imade iwould ibe imost iappropriate iat ithe ibeginning iof
ian iinterview?
A. i"Mom, iplease iplace iyour ison iin iyour ilap."
B. i"Carol, iplease iplace iyour ison iin iyour ilap."
C. i"Ms. iTurner, iplease iplace iyour ison iin iyour ilap." i
D. i"Sweetie, iplease iplace iyour ison iin iyour ilap." i- iCorrect iAnswers i-C: iCorrectAnswer
ic ibest idisplays icourtesy iand irespect ifor ithe iparent. iInitially, ithe iexaminer ishould
iaddress ithe ipatient ior icaregiver iproperly i(e.g., ias iMr., iMiss, iMrs., iMs., ior ithe imanner
iof iaddress ipreferred iby ithe ipatient) iand irepeat ithe ipatient's iname iat iappropriate
itimes. iDo inot iuse ia isurrogate iterm ifor ia iperson's iname; ifor iexample, iwhen ithe
ipatient iis ia ichild, ido inot iaddress ithe iparent ias i"Mother" ior i"Father."
During ian iinterview, ia ipatient idescribes iabdominal ipain ithat ioften iawakens ihim iat
inight. iWhich iof ithe ifollowing iresponses iby ithe iinterviewer iwould ifacilitate ithe
iinterviewing iprocess?
A. i"Constipation ican icause iabdominal ipain."
B. i"Do iyou ineed ia isleeping imedication?"
C. i"Pain iis ialways iworse iat inight, iisn't iit?"
,D. i"Tell ime iwhat iyou imean iby i'often.'" i- iCorrect iAnswers i-D: iCorrectAnswer id iis ian
iexample iof iclarifying ior iseeking iadditional iinformation iby iusing ithe iopen-ended
iquestion. iAnswers ia, ib, iand ic iare iexamples iof iyes ior ino ior ileading iquestions.
When iyou irepeat ia ipatient's ianswer, iyou iare:
i
A. itesting ithe ipatient's iknowledge.
B. iteaching ithe ipatient inew imedical iterms.
C. idiscouraging ian iemotional ioutburst.
D. iencouraging imore idetail. i- iCorrect iAnswers i-D: iCorrectWhen iyou irepeat ia ipatient's
ianswer, iyou iare iengaging iin ireflecting. iReflecting iencourages ipatients ito iprovide
imore idetail.
While iinterviewing ian iangry ipatient, iyou istart ito ibecome iannoyed iand iare ibeginning
ito idislike ithe ipatient. iThe ibest iway ito iresolve ithis iis ito:
A. ispend ithe ileast iamount iof itime ipossible iwith ithe ipatient.
B. idisplace iyour iannoyance itoward ithe ipatient ion ian iinanimate iobject.
C. iignore ithe ifeelings iand iremain ineutral iin iyour iinteractions.
D. iexpress iconcern iand iexplore ithe iproblem iwith ithe ipatient. i- iCorrect iAnswers i-D:
iCorrectWhen idealing iwith ithe iangry ipatient, iit iis iappropriate ito iconfront ior
iacknowledge ithe ianger iand iexplore ithe ipotential iissue. iAnswer id iis ithe ibest iexample
iin ithe iscenario igiven.
Which iof ithe ifollowing ibehaviors iis imost iimportant iin iestablishing ia iconnection iwith
ithe ipatient?
A. iDocumenting idata ifrom ithe ihistory iusing idirect ipatient iquotes
B. iPhrasing iquestions iso ithat ithey iare iclear iand iexplicit
C. iAvoiding ithe itrap iof igiving iadvice iduring ian iinterview
D. iListening iintently iwhile iobserving inonverbal icues i- iCorrect iAnswers i-D:
iCorrectEstablishing ia iconnection iwith ithe ipatient iis iessential ito igood icommunication.
iBeing ia iskilled ilistener iand ibeing ialert ito ipatients' inonverbal icommunication ihelp
iestablish imeaningful iconnection.
During ian iinterview, ithe ipatient idescribes iproblems iassociated iwith ian iillness iand
ibegins ito icry. iThe ibest iaction iin ithis isituation iis ito:
A. istop ithe iinterview iand ireschedule ifor ianother itime.
B. iallow ithe ipatient ito icry, ithen iresume iwhen ithe ipatient iis iready. i
C. ichange ithe itopic ito isomething iless iupsetting.
D. icontinue ithe iinterview iwhile ithe ipatient icries iin iorder ito iget ithrough iit iquickly. i-
iCorrect iAnswers i-B:CorrectPeople iwill icry. iLet ithe iemotion iproceed iat ithe ipatient's
ipace. iResume iyour iquestioning ionly iwhen ithe ipatient iis iready. iIf iyou isuspect ia
ipatient iis iholding iback, igive ipermission. iOffer ia itissue ior isimply isay, i"It iseems ilike
iyou're ifeeling ibad. iIt's iokay ito icry." iName ithe iemotion. iBe idirect iabout isuch ia itender
icircumstance, ibut igently, inot itoo iaggressively ior iinsistently.
, Which istatement ibest idescribes ithe ichief icomplaint?
A.General ihealth iand iillness
B. iThe ireason ithe iindividual iis iseeking icare i
C. iInformation ito imake ithe idiagnosis
D. iConcerns iabout iconfidentiality iand itrust i- iCorrect iAnswers i-B: iCorrectThe ichief
icomplaint iis ithe imain ireason ithe iperson iis iseeking icare ior ithe ichief iconcern. iThe
iother ianswers iare iparts iof ithe ihistory iand iphysical ior ireview iof isymptoms.
A iwoman ipresents ito ia iwomen's ihealth iclinic istating ithat ishe ihas ihad ia ipositive ihome
ipregnancy itest iand idesires iprenatal icare. iYou iwould iconduct ia(n):
A. icomplete ihistory. i
B. ifocused ihistory.
C. iproblem-oriented ihistory.
D. iinterim ihistory. i- iCorrect iAnswers i-A:CorrectThe iexaminer iwould iconduct ia
icomplete ihistory ibecause ithe icomplete ihistory iallows ithe iexaminer ito ibecome
ithoroughly ifamiliar iwith ithe ipatient. iMost ioften, ithis ihistory iis irecorded ithe ifirst itime
iyou isee ithe ipatient. iThe iother ianswers iare iused iwhen isomething iis ialready iknown
iabout ithe ipatient ior ian iestablished irelationship iexists.
You iare iresponding ito ia ipatient iwho ihas ibehaved itoward iyou iin ia iseductive imanner.
iWhich iof ithe ifollowing iis imost iappropriate?
A. iRespond iin ia imanner ithat iacknowledges ithat ithe ipatient iis iembarrassed.
B. iRemain icalm, ifirm, iand idirect iregarding ithe iprofessional inature iof ithe irelationship. i
C. iBe icourteous.
D. iIgnore ithe ipatient's ibehavior. i- iCorrect iAnswers i-B:CorrectThis itype iof ipatient iis
iseeking iadditional iattention. iAvert iit icourteously iand ifirmly, idelivering ithe iimmediate
imessage ithat ithe irelationship iis iand iwill iremain iprofessional. iIt itakes iskill ito ido ithis
iwhile imaintaining ithe ipatient's idignity, ibut ithere iis ino iroom ifor isexual imisconduct iin
ithe irelationship, iand ithere ican ibe ino itolerance ifor iexploitation iof ithe ipatient iin ithis
iregard.
Which iinterviewer ibehavior iwould ileast icontribute ito idecreasing itension iin ian ianxious
ipatient?
A. iAvoid iinformation ioverload.
B. iSlow ithe iconversation.
C. iMaintain ia icalm idemeanor.
D. iFinish ithe iinterview ipromptly. i- iCorrect iAnswers i-D:CorrectAnswer id iis ithe
iinappropriate iresponse iand imay iincrease ithe ipatient's ilevel iof ianxiety. iThe iexaminer
ihelps idecrease ianxiety iby iavoiding ian ioverload iof iinformation, ipacing ithe
iconversation, iand ipresenting ia icalm idemeanor.
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