NR 545 EXAM 1 FULL QUESTIONS AND
CORRECT ANSWERS GRADED A PLUS
BUNDLE
●● The nurse is obtaining a family health history when the client reports
that a grandparent has type 1 diabetes. Where can the nurse document
this information?
A) Present health/ illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model
Answer: B) Family Genogram
●● The Nurse is interviewing a patient with acute pain. Which of the
following actions by the nurse should be preformed first?
A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview
Answer: A) Attempt to reduce the pain and complete the interview later
●● The nurse is interviewing her patient. The nurse says to the client "It
sounds like you do not like your new job because it is more stressful
,than you anticipated." Which of the following types of communication is
the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening
Answer: B) Paraphrasing
●● In an interview, the nurse may find it necessary to take notes to aid
his or her memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's
nonverbal behaviors.
B) Note-taking allows the patient to continue at his or her own pace as
the nurse records what is said.
C) Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient,
which may increase his or her level of comfort.
Answer: A) Note-taking may impede the nurse's observation of the
patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be
unavoidable. But be aware that note-taking during the interview has
,disadvantages. It breaks eye contact too often, and it shifts attention
away from the patient, which diminishes his or her sense of importance.
It also may interrupt the patient's narrative flow, and it impedes the
observation of the patient's nonverbal behavior.
●● During an interview, the nurse states, "You mentioned 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
Answer: D) Open-ended question
Page: 32 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.
●● A nurse is taking complete health histories on all of the patients
attending a wellness workshop. On the history form, one of the written
questions asks, "You don't smoke, drink, or take drugs, do you?" This
question is an example of:
, A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.
Answer: C) using biased or leading questions.
Page: 36 This is an example of using leading or biased questions.
Asking, "You don't smoke, do you?" implies that one answer is "better"
than another. If the 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 other answer.
●● During an interview, a parent of a hospitalized child is sitting in an
open position. As the interviewer begins to discuss his son's treatment,
however, he suddenly crosses his arms against his chest and crosses his
legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment.
Answer: D) uncomfortable talking about his son's treatment.
CORRECT ANSWERS GRADED A PLUS
BUNDLE
●● The nurse is obtaining a family health history when the client reports
that a grandparent has type 1 diabetes. Where can the nurse document
this information?
A) Present health/ illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model
Answer: B) Family Genogram
●● The Nurse is interviewing a patient with acute pain. Which of the
following actions by the nurse should be preformed first?
A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview
Answer: A) Attempt to reduce the pain and complete the interview later
●● The nurse is interviewing her patient. The nurse says to the client "It
sounds like you do not like your new job because it is more stressful
,than you anticipated." Which of the following types of communication is
the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening
Answer: B) Paraphrasing
●● In an interview, the nurse may find it necessary to take notes to aid
his or her memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's
nonverbal behaviors.
B) Note-taking allows the patient to continue at his or her own pace as
the nurse records what is said.
C) Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient,
which may increase his or her level of comfort.
Answer: A) Note-taking may impede the nurse's observation of the
patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be
unavoidable. But be aware that note-taking during the interview has
,disadvantages. It breaks eye contact too often, and it shifts attention
away from the patient, which diminishes his or her sense of importance.
It also may interrupt the patient's narrative flow, and it impedes the
observation of the patient's nonverbal behavior.
●● During an interview, the nurse states, "You mentioned 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
Answer: D) Open-ended question
Page: 32 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.
●● A nurse is taking complete health histories on all of the patients
attending a wellness workshop. On the history form, one of the written
questions asks, "You don't smoke, drink, or take drugs, do you?" This
question is an example of:
, A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.
Answer: C) using biased or leading questions.
Page: 36 This is an example of using leading or biased questions.
Asking, "You don't smoke, do you?" implies that one answer is "better"
than another. If the 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 other answer.
●● During an interview, a parent of a hospitalized child is sitting in an
open position. As the interviewer begins to discuss his son's treatment,
however, he suddenly crosses his arms against his chest and crosses his
legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment.
Answer: D) uncomfortable talking about his son's treatment.