LIBERTY UNIVERSITY NURS 210 TEST
QUESTIONS AND ANSWERS
purpose of interview - Answer-Developing a therapeutic relationship
providing a picture of client as a whole person (the history)
Assists in assessing and dx needs (should help to focus the physical exam, 80% of
dx are based on interview and health history)
The basics are - Answer-Courtesy, connection, comfort, confirmation, empathy, and
confidentiality
Types of Questions - Answer-Open-ended
Direct
More focused with more questions
leading questions
open-ended Qs - Answer-Used to open interview; most useful (what gets you the
most info and allows pt to fill in the blanks)
Direct Qs - Answer-usually are closed-ended (you need specific answer (short
answer--who, what, where, when)
More focused with more questions - Answer-permission-giving Qs. the more Qs, the
more pieces of the puzzle you get
Leading questions - Answer-be careful; pt answers in a way they think you want to
hear
Nonverbal communication - Answer-Body posture, gestures, facial expressions, eye
contact, mirroring, interpersonal distance, active listening
Common errors in communicating - Answer-Giving advice, changing the subject,
social vs therapeutic response, false reassurance, jumping to conclusions, biased
questions, ignoring spiritual needs, being judgmental
pt with altered capacity - Answer-Determine whether pt has decision-making
capacity
for pts with capacity: obtain consent before talking about their health with others, a
spouse may report significant family strains, depression, drinking habits etc. that
patient denied. (divide the interview, one with each person)
pt with impaired capacity: find surrogate informant/decision maker. assess quality of
relationship with patient and est. how they know patient
Talkative pt - Answer-give pt free reign for 5-10 min
focus on what seems most important to pt
show interest--ask Qs
Don't show impatience if time runs out explain need for second meeting
, Crying pt - Answer-Crying signals strong emotions ranging from sadness to anger
offer a tissue, make a supportive remark
Angry or disruptive pt - Answer-Accept angry feelings from patient
you can validate their feelings without agreeing
Yes/No Qs - Answer-Do you
Have you/have you ever
Are you
Subjective data - Answer-obtained prior to physical exam; symptoms; all about what
the pt says
Objective data - Answer-obtained in physical exam; signs
Common/concerning symptoms of the neck - Answer-Swollen lymph nodes or neck
lumps (tender)
Enlarged thyroid gland (goiter)
Hoarseness
Leading causes of TBI - Answer-falls, motor vehicle accidents, blows to the head,
assaults
Common/concerning symptoms of the head - Answer-headache
head injury
head or neck surgery
traumatic brain injury
When a node is detected, note: - Answer-size, shape, consistency, delimitation
(discrete or matted together), mobility, tenderness
Tender nodes suggest - Answer-inflammation
Hard/fixed nodes suggest - Answer-malignancy
Keloid - Answer-secondary lesion; huge scar that extends beyond border of the
initiating injury
Lichenification - Answer-secondary lesion; Visible and palpable thickening of the
epidermis (Prolonged, intense scratching eventually thickens the skin and produces
tightly packed sets of papules; looks like surface of moss)
Vitiligo - Answer-depigmentation of skin (extreme lack of melanin; cow)
pale areas are the vitiligo
Guided questioning - Answer-Helps to continue the patient's story
-moving from open-ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
QUESTIONS AND ANSWERS
purpose of interview - Answer-Developing a therapeutic relationship
providing a picture of client as a whole person (the history)
Assists in assessing and dx needs (should help to focus the physical exam, 80% of
dx are based on interview and health history)
The basics are - Answer-Courtesy, connection, comfort, confirmation, empathy, and
confidentiality
Types of Questions - Answer-Open-ended
Direct
More focused with more questions
leading questions
open-ended Qs - Answer-Used to open interview; most useful (what gets you the
most info and allows pt to fill in the blanks)
Direct Qs - Answer-usually are closed-ended (you need specific answer (short
answer--who, what, where, when)
More focused with more questions - Answer-permission-giving Qs. the more Qs, the
more pieces of the puzzle you get
Leading questions - Answer-be careful; pt answers in a way they think you want to
hear
Nonverbal communication - Answer-Body posture, gestures, facial expressions, eye
contact, mirroring, interpersonal distance, active listening
Common errors in communicating - Answer-Giving advice, changing the subject,
social vs therapeutic response, false reassurance, jumping to conclusions, biased
questions, ignoring spiritual needs, being judgmental
pt with altered capacity - Answer-Determine whether pt has decision-making
capacity
for pts with capacity: obtain consent before talking about their health with others, a
spouse may report significant family strains, depression, drinking habits etc. that
patient denied. (divide the interview, one with each person)
pt with impaired capacity: find surrogate informant/decision maker. assess quality of
relationship with patient and est. how they know patient
Talkative pt - Answer-give pt free reign for 5-10 min
focus on what seems most important to pt
show interest--ask Qs
Don't show impatience if time runs out explain need for second meeting
, Crying pt - Answer-Crying signals strong emotions ranging from sadness to anger
offer a tissue, make a supportive remark
Angry or disruptive pt - Answer-Accept angry feelings from patient
you can validate their feelings without agreeing
Yes/No Qs - Answer-Do you
Have you/have you ever
Are you
Subjective data - Answer-obtained prior to physical exam; symptoms; all about what
the pt says
Objective data - Answer-obtained in physical exam; signs
Common/concerning symptoms of the neck - Answer-Swollen lymph nodes or neck
lumps (tender)
Enlarged thyroid gland (goiter)
Hoarseness
Leading causes of TBI - Answer-falls, motor vehicle accidents, blows to the head,
assaults
Common/concerning symptoms of the head - Answer-headache
head injury
head or neck surgery
traumatic brain injury
When a node is detected, note: - Answer-size, shape, consistency, delimitation
(discrete or matted together), mobility, tenderness
Tender nodes suggest - Answer-inflammation
Hard/fixed nodes suggest - Answer-malignancy
Keloid - Answer-secondary lesion; huge scar that extends beyond border of the
initiating injury
Lichenification - Answer-secondary lesion; Visible and palpable thickening of the
epidermis (Prolonged, intense scratching eventually thickens the skin and produces
tightly packed sets of papules; looks like surface of moss)
Vitiligo - Answer-depigmentation of skin (extreme lack of melanin; cow)
pale areas are the vitiligo
Guided questioning - Answer-Helps to continue the patient's story
-moving from open-ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
