NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
During an initial interview with your patient, you ask the patient, "Can you describe that
for me?" Which statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B.The question is asking for specific information.
C. The patient has discretion about the extent of the answer.
D. The answer can lead the interviewer away from the purpose of the interview. -
correct answerC: The open-ended question gives the patient discretion about the extent
of an answer. This is an example of a question carefully formulated to illicit an enhanced
patient response.
The answer can lead the interviewer away from the purpose of the interview.
Because an adolescent is often reluctant to talk during an interview, it is best to:
A. tell the patient that you must have straight answers to your questions.
B. ensure confidentiality regarding the information discussed.
C. inform the patient that adolescents have trouble expressing their feelings.
D. obtain the history from a parent or other family member. - correct answerC:
CorrectAdolescents may be reluctant to talk and have a clear need for confidentiality. All
adolescent patients should be given the opportunity to discuss their concerns with you
privately. It is wise to let parents or other caregivers know you will be asking them to
step out of the room to provide this important opportunity for the adolescent.
For which age group is a functional assessment most critical?
A. Children
B. Adolescents
C. Adults
D. Older adults - correct answerD: CorrectQuite simply, functional assessment is an
attempt to understand a patient's ability to achieve the basic activities of daily living.
This assessment should be made for all older adults and for any person limited by
disease or disability, acute or chronic.
Which of the following will best facilitate an interview with a deaf person?
A. Speaking loudly
B. Using gestures
,NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
C. Sitting or standing at eye level
D. Sitting to the side of the patient - correct answerc: CorrectPersons with impaired
hearing often read, write, sign, and/or read lips, but you must speak slowly and
enunciate each word clearly and in full view. Sitting or standing at eye level allows for
full view.
Which of the following questions may lead to an inaccurate response?
A. "Where do you feel the pain?"
B. "How does this situation make you feel?"
C. "What happened after you noticed your injury?"
D. "That was a horrible experience, wasn't it?" - correct answerD: CorrectAnswer d is an
example of a leading question. The leading question is the most risky because it may
limit the information provided to what the patient thinks you want to know. Questions a,
b, and c are examples of direct and open-ended questions.
Ms. Carol Turner, a 38-year-old woman, brings her 1-year-old son in for health care.
Which of the following requests made would be most appropriate at the beginning of an
interview?
A. "Mom, please place your son in your lap."
B. "Carol, please place your son in your lap."
C. "Ms. Turner, please place your son in your lap."
D. "Sweetie, please place your son in your lap." - correct answerC: CorrectAnswer c
best displays courtesy and respect for the parent. Initially, the examiner should address
the patient or caregiver properly (e.g., as Mr., Miss, Mrs., Ms., or the manner of address
preferred by the patient) and repeat the patient's name at appropriate times. Do not use
a surrogate term for a person's name; for example, when the patient is a child, do not
address the parent as "Mother" or "Father."
During an interview, a patient describes abdominal pain that often awakens him at night.
Which of the following responses by the interviewer would facilitate the interviewing
process?
A. "Constipation can cause abdominal pain."
B. "Do you need a sleeping medication?"
C. "Pain is always worse at night, isn't it?"
D. "Tell me what you mean by 'often.'" - correct answerD: CorrectAnswer d is an
example of clarifying or seeking additional information by using the open-ended
question. Answers a, b, and c are examples of yes or no or leading questions.
When you repeat a patient's answer, you are:
,NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
A. testing the patient's knowledge.
B. teaching the patient new medical terms.
C. discouraging an emotional outburst.
D. encouraging more detail. - correct answerD: CorrectWhen you repeat a patient's
answer, you are engaging in reflecting. Reflecting encourages patients to provide more
detail.
While interviewing an angry patient, you start to become annoyed and are beginning to
dislike the patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient. - correct answerD:
CorrectWhen dealing with the angry patient, it is appropriate to confront or acknowledge
the anger and explore the potential issue. Answer d is the best example in the scenario
given.
Which of the following behaviors is most important in establishing a connection with the
patient?
A. Documenting data from the history using direct patient quotes
B. Phrasing questions so that they are clear and explicit
C. Avoiding the trap of giving advice during an interview
D. Listening intently while observing nonverbal cues - correct answerD:
CorrectEstablishing a connection with the patient is essential to good communication.
Being a skilled listener and being alert to patients' nonverbal communication help
establish meaningful connection.
During an interview, the patient describes problems associated with an illness and
begins to cry. The best action in this situation is to:
A. stop the interview and reschedule for another time.
B. allow the patient to cry, then resume when the patient is ready.
C. change the topic to something less upsetting.
D. continue the interview while the patient cries in order to get through it quickly. -
correct answerB:CorrectPeople will cry. Let the emotion proceed at the patient's pace.
Resume your questioning only when the patient is ready. If you suspect a patient is
holding back, give permission. Offer a tissue or simply say, "It seems like you're feeling
bad. It's okay to cry." Name the emotion. Be direct about such a tender circumstance,
but gently, not too aggressively or insistently.
, NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
Which statement best describes the chief complaint?
A.General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust - correct answerB: CorrectThe chief
complaint is the main reason the person is seeking care or the chief concern. The other
answers are parts of the history and physical or review of symptoms.
A woman presents to a women's health clinic stating that she has had a positive home
pregnancy test and desires prenatal care. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - correct answerA:CorrectThe examiner would conduct a complete
history because the complete history allows the examiner to become thoroughly familiar
with the patient. Most often, this history is recorded the first time you see the patient.
The other answers are used when something is already known about the patient or an
established relationship exists.
You are responding to a patient who has behaved toward you in a seductive manner.
Which of the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the relationship.
C. Be courteous.
D. Ignore the patient's behavior. - correct answerB:CorrectThis type of patient is seeking
additional attention. Avert it courteously and firmly, delivering the immediate message
that the relationship is and will remain professional. It takes skill to do this while
maintaining the patient's dignity, but there is no room for sexual misconduct in the
relationship, and there can be no tolerance for exploitation of the patient in this regard.
Which interviewer behavior would least contribute to decreasing tension in an anxious
patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly. - correct answerD:CorrectAnswer d is the inappropriate
response and may increase the patient's level of anxiety. The examiner helps decrease
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
During an initial interview with your patient, you ask the patient, "Can you describe that
for me?" Which statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B.The question is asking for specific information.
C. The patient has discretion about the extent of the answer.
D. The answer can lead the interviewer away from the purpose of the interview. -
correct answerC: The open-ended question gives the patient discretion about the extent
of an answer. This is an example of a question carefully formulated to illicit an enhanced
patient response.
The answer can lead the interviewer away from the purpose of the interview.
Because an adolescent is often reluctant to talk during an interview, it is best to:
A. tell the patient that you must have straight answers to your questions.
B. ensure confidentiality regarding the information discussed.
C. inform the patient that adolescents have trouble expressing their feelings.
D. obtain the history from a parent or other family member. - correct answerC:
CorrectAdolescents may be reluctant to talk and have a clear need for confidentiality. All
adolescent patients should be given the opportunity to discuss their concerns with you
privately. It is wise to let parents or other caregivers know you will be asking them to
step out of the room to provide this important opportunity for the adolescent.
For which age group is a functional assessment most critical?
A. Children
B. Adolescents
C. Adults
D. Older adults - correct answerD: CorrectQuite simply, functional assessment is an
attempt to understand a patient's ability to achieve the basic activities of daily living.
This assessment should be made for all older adults and for any person limited by
disease or disability, acute or chronic.
Which of the following will best facilitate an interview with a deaf person?
A. Speaking loudly
B. Using gestures
,NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
C. Sitting or standing at eye level
D. Sitting to the side of the patient - correct answerc: CorrectPersons with impaired
hearing often read, write, sign, and/or read lips, but you must speak slowly and
enunciate each word clearly and in full view. Sitting or standing at eye level allows for
full view.
Which of the following questions may lead to an inaccurate response?
A. "Where do you feel the pain?"
B. "How does this situation make you feel?"
C. "What happened after you noticed your injury?"
D. "That was a horrible experience, wasn't it?" - correct answerD: CorrectAnswer d is an
example of a leading question. The leading question is the most risky because it may
limit the information provided to what the patient thinks you want to know. Questions a,
b, and c are examples of direct and open-ended questions.
Ms. Carol Turner, a 38-year-old woman, brings her 1-year-old son in for health care.
Which of the following requests made would be most appropriate at the beginning of an
interview?
A. "Mom, please place your son in your lap."
B. "Carol, please place your son in your lap."
C. "Ms. Turner, please place your son in your lap."
D. "Sweetie, please place your son in your lap." - correct answerC: CorrectAnswer c
best displays courtesy and respect for the parent. Initially, the examiner should address
the patient or caregiver properly (e.g., as Mr., Miss, Mrs., Ms., or the manner of address
preferred by the patient) and repeat the patient's name at appropriate times. Do not use
a surrogate term for a person's name; for example, when the patient is a child, do not
address the parent as "Mother" or "Father."
During an interview, a patient describes abdominal pain that often awakens him at night.
Which of the following responses by the interviewer would facilitate the interviewing
process?
A. "Constipation can cause abdominal pain."
B. "Do you need a sleeping medication?"
C. "Pain is always worse at night, isn't it?"
D. "Tell me what you mean by 'often.'" - correct answerD: CorrectAnswer d is an
example of clarifying or seeking additional information by using the open-ended
question. Answers a, b, and c are examples of yes or no or leading questions.
When you repeat a patient's answer, you are:
,NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
A. testing the patient's knowledge.
B. teaching the patient new medical terms.
C. discouraging an emotional outburst.
D. encouraging more detail. - correct answerD: CorrectWhen you repeat a patient's
answer, you are engaging in reflecting. Reflecting encourages patients to provide more
detail.
While interviewing an angry patient, you start to become annoyed and are beginning to
dislike the patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient. - correct answerD:
CorrectWhen dealing with the angry patient, it is appropriate to confront or acknowledge
the anger and explore the potential issue. Answer d is the best example in the scenario
given.
Which of the following behaviors is most important in establishing a connection with the
patient?
A. Documenting data from the history using direct patient quotes
B. Phrasing questions so that they are clear and explicit
C. Avoiding the trap of giving advice during an interview
D. Listening intently while observing nonverbal cues - correct answerD:
CorrectEstablishing a connection with the patient is essential to good communication.
Being a skilled listener and being alert to patients' nonverbal communication help
establish meaningful connection.
During an interview, the patient describes problems associated with an illness and
begins to cry. The best action in this situation is to:
A. stop the interview and reschedule for another time.
B. allow the patient to cry, then resume when the patient is ready.
C. change the topic to something less upsetting.
D. continue the interview while the patient cries in order to get through it quickly. -
correct answerB:CorrectPeople will cry. Let the emotion proceed at the patient's pace.
Resume your questioning only when the patient is ready. If you suspect a patient is
holding back, give permission. Offer a tissue or simply say, "It seems like you're feeling
bad. It's okay to cry." Name the emotion. Be direct about such a tender circumstance,
but gently, not too aggressively or insistently.
, NURS 5220 – Exam #1: Adult-Gerontology
Acute Care NP Curriculum | Module 1
(Chapters 1, 2, 3, 5, 6, 8) Comprehensive
Q&A Review
Which statement best describes the chief complaint?
A.General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust - correct answerB: CorrectThe chief
complaint is the main reason the person is seeking care or the chief concern. The other
answers are parts of the history and physical or review of symptoms.
A woman presents to a women's health clinic stating that she has had a positive home
pregnancy test and desires prenatal care. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - correct answerA:CorrectThe examiner would conduct a complete
history because the complete history allows the examiner to become thoroughly familiar
with the patient. Most often, this history is recorded the first time you see the patient.
The other answers are used when something is already known about the patient or an
established relationship exists.
You are responding to a patient who has behaved toward you in a seductive manner.
Which of the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the relationship.
C. Be courteous.
D. Ignore the patient's behavior. - correct answerB:CorrectThis type of patient is seeking
additional attention. Avert it courteously and firmly, delivering the immediate message
that the relationship is and will remain professional. It takes skill to do this while
maintaining the patient's dignity, but there is no room for sexual misconduct in the
relationship, and there can be no tolerance for exploitation of the patient in this regard.
Which interviewer behavior would least contribute to decreasing tension in an anxious
patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly. - correct answerD:CorrectAnswer d is the inappropriate
response and may increase the patient's level of anxiety. The examiner helps decrease
