QUESTIONS. UPDATED 2026 AND ANSWERS
1. In an interview, the nurse may find it necessary to take notes to aid his or her memory late
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r. Which statement is true regarding note-taking?
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A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
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B) Note-xz
taking allows the patient to continue at his or her own pace as the nurse records what is said
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.
C) Note- xz
taking allows the nurse to shift attention away from the patient, resulting in an increased co
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mfort level. xz
D) Note- xz
taking allows the nurse to break eye contact with the patient, which may increase his or her l
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evel of comfort. - ans-A) Note-
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taking may impede the nurse's observation of the patient's nonverbal behaviors.
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Page: 31 Some use of history forms and note-
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taking may be unavoidable. But be aware that note-
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taking during the interview has disadvantages. It breaks eye contact too often, and it shifts a
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ttention away from the patient, which diminishes his or her sense of importance. It also may
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interrupt the patient's narrative flow, and it impedes the observation of the patient's nonverb
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al behavior.
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2. During an interview, the nurse states, "You mentioned shortness of breath. Tell me more
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about that." Which verbal skill is used with this statement?
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A) Reflection
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B) Facilitation
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C) Direct question
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D) Open-ended question - ans-D) Open-ended question
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Page: 32 The open- xz xz xz
ended question asks for narrative information. It states the topic to be discussed but only in
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general terms. The nurse should use it to begin the interview, to introduce a new section of
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questions, and whenever the person introduces a new topic. xz xz xz xz xz xz xz xz
3. A nurse is taking complete health histories on all of the patients attending a wellness wor
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kshop. On the history form, one of the written questions asks, "You don't smoke, drink, or ta
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ke drugs, do you?" This question is an example of:
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,A) talking too much.
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B) using confrontation.
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C) using biased or leading questions.
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D) using blunt language to deal with distasteful topics. - ans-
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C) using biased or leading questions.
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Page: 36 This is an example of using leading or biased questions. Asking, "You don't smok
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e, do you?" implies that one answer is "better" than another. If the person wants to please s
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omeone, he or she is either forced to answer in a way corresponding to their implied values
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or is made to feel guilty when admitting the other answer.
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4. During an interview, a parent of a hospitalized child is sitting in an open position. As the in
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terviewer begins to discuss his son's treatment, however, he suddenly crosses his arms ag
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ainst his chest and crosses his legs. This would suggest that the parent is:
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A) just changing positions.
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B) more comfortable in this position.
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C) tired and needs a break from the interview.
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D) uncomfortable talking about his son's treatment. - ans-
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D) uncomfortable talking about his son's treatment.
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Page: 37 Note the person's position. An open position with the extension of large muscle gr
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oups shows relaxation, physical comfort, and a willingness to share information. A closed p
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osition with the arms and legs crossed tends to look defensive and anxious. Note any chan
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ge in posture. If a person in a relaxed position suddenly tenses, it suggests possible discom
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fort with the new topic.
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5. The nurse is interviewing a patient who has a hearing impairment. What techniques woul
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d be most beneficial in communicating with this patient?
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A) Determine the communication method he prefers.
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B) Avoid using facial and hand gestures because most hearing-
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impaired people find this degrading. xz xz xz xz
C) Request a sign language interpreter before meeting with him to help facilitate the comm
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unication.
D) Speak loudly and with exaggerated facial movement when talking with him because this
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helps with lip reading. - ans-A) Determine the communication method he prefers.
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Pages: 40-41 The nurse should ask the deaf person the preferred way to communicate—
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by signing, lip reading, or writing. If the person prefers lip reading, then the nurse should be
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sure to face him or her squarely and have good lighting on the nurse's face. The nurse shoul
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d not exaggerate lip movements because this distorts words. Similarly, shouting distorts th
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e reception of a hearing aid the person may wear. The nurse should speak slowly and shoul
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d supplement his or her voice with appropriate hand gestures or pantomime.
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,6. The nurse is performing a health interview on a patient who has a language barrier, and n
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o interpreter is available. Which is the best example of an appropriate question for the nurse
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to ask in this situation?
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A) "Do you take medicine?"
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B) "Do you sterilize the bottles?"
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C) "Do you have nausea and vomiting?"
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D) "You have been taking your medicine, haven't you?" - ans-A) "Do you take medicine?"
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Page: 46 In a situation where there is a language barrier and no interpreter available, use si
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mple words avoiding medical jargon. Avoid using contractions and pronouns. Use nouns re
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peatedly and discuss one topic at a time. xz xz xz xz xz xz xz
7. A female patient does not speak English well, and the nurse needs to choose an interpret
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er. Which of the following would be the most appropriate choice?
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A) A trained interpreter
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B) A male family member
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C) A female family member
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D) A volunteer college student from the foreign language studies department - ans-
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A) A trained interpreter
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Page: 46 whenever possible, the nurse should use a trained interpreter, preferably one wh
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o knows medical terminology. In general, an older, more mature interpreter is preferred to a
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younger, less experienced one, and the same gender is preferred when possible.
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8. The nurse is conducting an interview. Which of these statements is true regarding open-
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ended questions? Select all that apply. xz xz xz xz xz
A) They elicit cold facts.
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B) They allow for self-expression.
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C) They build and enhance rapport.
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D) They leave interactions neutral.
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E) They call for short one- to two-word answers.
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F) They are used when narrative information is needed. - ans-B) They allow for self-
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expression.
C) They build and enhance rapport.
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F) They are used when narrative information
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Page: 32 Open-ended questions allow for self-
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expression, build rapport, and obtain narrative information. These features enhance comm
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unication during an interview. The other statements are appropriate for closed or direct que
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stions.
9. The nurse is conducting an interview in an outpatient clinic and is using a computer to rec
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ord data. Which is the best use of the computer in this situation? Select all that apply.
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, A) Collect the patient's data in a direct, face-to-face manner.
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B) Enter all the data as the patient states it.
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C) Ask the patient to wait as the nurse enters data.
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D) Type the data into the computer after the narrative is fully explored.
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E) Allow the patient to see the monitor during typing. - ans-
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A) Collect the patient's data in a direct, face-to-face manner.
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D) Type the data into the computer after the narrative is fully explored.
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E) Allow the patient to see the monitor during typing.
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Page: 32 The use of a computer can become a barrier. The nurse should begin the intervie
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w as usual by greeting the patient, establishing rapport, and collecting the patient's narrativ
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e story in a direct face-to-
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face manner. Only after the narrative is fully explored should the nurse type data into the co
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mputer. When typing, the nurse should position the monitor so that the patient can see it.
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10. During an assessment, the nurse notices that a patient is handling a small charm that is
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tied to a leather strip around his neck. Which action by the nurse is appropriate?
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A) Ask the patient about the item and its significance.
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B) Ask the patient to lock the item with other valuables in the hospital's safe.
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C) Tell the patient that a family member should take valuables home.
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D) No action is necessary. - ans-A) Ask the patient about the item and its significance.
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Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as charms,
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are often seen as an important means of protection from "evil spirits" by some cultures.
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11. In the majority culture of America, coughing, sweating, and diarrhea are symptoms of a
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n illness. For some individuals of Mexican-
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American origin, however, these symptoms are a normal part of living. The nurse recognize
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s that this is true, probably because Mexican-Americans:
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A) have less efficient immune systems and are often ill.
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B) consider these symptoms a part of normal living, not symptoms of ill health.
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C) come from Mexico and coughing is normal and healthy there.
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D) are usually in a lower socioeconomic group and are more likely to be sick. - ans-
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B) consider these symptoms a part of normal living, not symptoms of ill health.
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Page: 27 The nurse needs to identify the meaning of health to the patient, remembering tha
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t concepts are derived, in part, from the way in which members of the cultural group define h
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ealth.
12. Among many Asians there is a belief in the yin/
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yang theory, rooted in the ancient Chinese philosophy of Tao. The nurse recognizes which
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statement that most accurately reflects "health" in an Asian with this belief?
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