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,3. A nurse is taking complete health histories on all of the C) using biased or leading questions.
patients attending a wellness workshop. On the history
form, one of the written questions asks, "You don't smoke, Page: 36 This is an example of using leading or biased questions. Asking, "You
drink, or take drugs, do you?" This question is an example don't smoke, do you?" implies that one answer is "better" than another. If the
of: person wants to please someone, he or she is either forced to answer in a way
corresponding to their implied values or is made to feel guilty when admitting the
A) talking too much. other answer.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.
4. During an interview, a parent of a hospitalized child is D) uncomfortable talking about his son's treatment.
sitting in an open position. As the interviewer begins to
discuss his son's treatment, however, he suddenly crosses Page: 37 Note the person's position. An open position with the extension of large
his arms against his chest and crosses his legs. This would muscle groups shows relaxation, physical comfort, and a willingness to share
suggest that the parent is: information. A closed position with the arms and legs crossed tends to look
defensive and anxious. Note any change in posture. If a person in a relaxed
A) just changing positions. position suddenly tenses, it suggests possible discomfort with the new topic.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment.
5. The nurse is interviewing a patient who has a hearing A) Determine the communication method he prefers.
impairment. What techniques would be most beneficial in
communicating with this patient? Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers lip reading,
A) Determine the communication method he prefers. then the nurse should be sure to face him or her squarely and have good lighting
B) Avoid using facial and hand gestures because most on the nurse's face. The nurse should not exaggerate lip movements because this
hearing-impaired people find this degrading. distorts words. Similarly, shouting distorts the reception of a hearing aid the
C) Request a sign language interpreter before meeting person may wear. The nurse should speak slowly and should supplement his or
with him to help facilitate the communication. her voice with appropriate hand gestures or pantomime.
D) Speak loudly and with exaggerated facial movement
when talking with him because this helps with lip reading.
6. The nurse is performing a health interview on a patient A) "Do you take medicine?"
who has a language barrier, and no interpreter is
available. Which is the best example of an appropriate Page: 46 In a situation where there is a language barrier and no interpreter
question for the nurse to ask in this situation? available, use simple words avoiding medical jargon. Avoid using contractions and
pronouns. Use nouns repeatedly and discuss one topic at a time.
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?"
, 7. A female patient does not speak English well, and the A) A trained interpreter
nurse needs to choose an interpreter. Which of the
following would be the most appropriate choice? Page: 46 whenever possible, the nurse should use a trained interpreter, preferably
one who knows medical terminology. In general, an older, more mature
A) A trained interpreter interpreter is preferred to a younger, less experienced one, and the same gender
B) A male family member is preferred when possible.
C) A female family member
D) A volunteer college student from the foreign language
studies department
8. The nurse is conducting an interview. Which of these B) They allow for self-expression.
statements is true regarding open-ended questions? C) They build and enhance rapport.
Select all that apply. F) They are used when narrative information
A) They elicit cold facts. Page: 32 Open-ended questions allow for self-expression, build rapport, and
B) They allow for self-expression. obtain narrative information. These features enhance communication during an
C) They build and enhance rapport. interview. The other statements are appropriate for closed or direct questions.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed.
9. The nurse is conducting an interview in an outpatient A) Collect the patient's data in a direct, face-to-face manner.
clinic and is using a computer to record data. Which is the D) Type the data into the computer after the narrative is fully explored.
best use of the computer in this situation? Select all that E) Allow the patient to see the monitor during typing.
apply.
Page: 32 The use of a computer can become a barrier. The nurse should begin the
A) Collect the patient's data in a direct, face-to-face interview as usual by greeting the patient, establishing rapport, and collecting the
manner. patient's narrative story in a direct face-to-face manner. Only after the narrative is
B) Enter all the data as the patient states it. fully explored should the nurse type data into the computer. When typing, the
C) Ask the patient to wait as the nurse enters data. nurse should position the monitor so that the patient can see it.
D) Type the data into the computer after the narrative is
fully explored.
E) Allow the patient to see the monitor during typing.
10. During an assessment, the nurse notices that a patient A) Ask the patient about the item and its significance.
is handling a small charm that is tied to a leather strip
around his neck. Which action by the nurse is Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as
appropriate? charms, are often seen as an important means of protection from "evil spirits" by
some cultures.
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in
the hospital's safe.
C) Tell the patient that a family member should take
valuables home.
D) No action is necessary.