NURS 5220 Exam 4 : NURS 5220 Exam Practice
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The nurse asks, I would like to ask you some questions about your health and your usual daily activities so that
we can better plan your stay here. This question is found at the ______ phase of the interview process.
a Summary
b Closing
c Body
d Opening or introduction - Correct Answer :D
P 1
, • NURS 5220 Exam 09/16/2026
When gathering a complete history, the nurse should give the reason for the interview during the opening or
introduction phase of the interview, not during or at the end of the interview.
A woman has just entered the emergency department after being battered by her husband. The nurse needs to
get some information from her to begin treatment. What is the best choice for an opening phase of the
interview with this patient?
a Hello, Nancy, my name is Mrs. C.
b Hello, Mrs. H., my name is Mrs. C. It sure is
cold today!
c Mrs. H., my name is Mrs. C. How are you?
d Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what happened. –
Correct Answer :D
Address the person by using his or her surname. The nurse should introduce him or herself and give the reason
for the interview. Friendly small talk is not needed to
build rapport.
During an interview, the nurse states, You mentioned having shortness of
breath. Tell me more about that. Which verbal skill is used with this
statement?
a Reflection
b Facilitation
c Direct question
d Open-ended question –
Correct Answer :D
The open-ended question asks for narrative information. It states the topic to be discussed but only in general
terms. The nurse should use it to begin the interview, to
introduce a new section of questions, and whenever the person introduces a new topic.
P 2
, • NURS 5220 Exam 09/16/2026
A patient has finished giving the nurse information about the reason he is seeking care.When reviewing the data,
the nurse finds that some information about past hospitalizations is missing. At this point, which statement by
the nurse would be most appropriate to gather these data?
a Mr. Y., at your age, surely you have been
hospitalized before!
b Mr. Y., I just need permission to get your
medical records from County Medical.
c Mr. Y., you mentioned that you have been
hospitalized on several occasions. Would you
tell me more about that?
d Mr. Y., I just need to get some additional
information about your past hospitalizations.
When was the last time you were admitted
for chest pain? - Correct Answer :D
The nurse should use direct questions after the persons opening narrative to fill in any
details he or she left out. The nurse also should use direct questions when specific
facts are needed, such as when asking about past health problems or during the review
of systems.
In using verbal responses to assist the patients narrative, some responses focus on the patients frame of
reference and some focus on the health care providers perspective. An example of a verbal response that
focuses on the health care providers perspective would be:
a Empathy.
b Reflection.
c Facilitation.
d Confrontation - Correct Answer :D
When the health care provider uses the response of confrontation, the frame of reference shifts from the
patients perspective to the perspective of the health care
provider, and the health care provider starts to express his or her own thoughts and feelings. Empathy,
reflection, and facilitation responses focus on the patients frame of
reference.
P 3
, • NURS 5220 Exam 09/16/2026
When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly
looks at the nurse. What would be the nurses best response to this behavior?
a Be silent, and allow him to continue when he
is ready.
b Smile at him and say, Don't worry about all
of this. Im sure we can find out why you're
having these pains.
c Lean back in the chair and ask, You are
looking at me kind of funny; there isn't
anything wrong, is there?
d Stand up and say, I can see that this
interview is uncomfortable for you. We can
continue it another time. - Correct Answer :A
Silent attentiveness communicates that the person has time to think and to organize what he or she wishes to
say without an interruption from the nurse. Health
professionals most often interrupt this thinking silence. The other responses are not conducive to ideal
communication.
Which of these statements represents subjective data the nurse obtained from the patient regarding the
patients skin?
a Skin appears dry.
b No lesions are obvious
c Patient denies any color change.
d Lesion is noted on the lateral aspect of the right arm. - Correct Answer :C
The history should be limited to patient statements or subjective data factors that the person says were or were
not present.
The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion
activities. Which of these questions would be appropriate to use to assess health promotion activities for this
patient?
P 4