Nurs 251 exam 4 questions with verified
solutions A+ rated
When setting the stage and then managing the interview, which of the following is it imperative
to do?
- Take extensive notes during the interview so details are not missed
- Introduce yourself and your role, usually before the client undresses
- Warn the client that you cannot guarantee confidentiality - correct answer ✔✔- Introduce
yourself and your role, usually before the client undresses
Which one of the following actions would best promote accurate translations and
confidentiality for the patient when the caregiver does not speak the patient's language?
- Ask a family member to translate
- Use a trained medical interpreter
- Ask a friend of the client to translate
- Ask the client's neighbor to translate - correct answer ✔✔Use a trained medical interpreter
Which type of question would be the most effective in obtaining a patient's perceptions of his
or her problem?
- Open-ended questions
- Leading questions
- Close-ended questions
- Accusing questions - correct answer ✔✔Open-ended questions
During which part of the interview would the nurse ask a patient questions about a current
illness?
,- Termination phase
- Working phase
- Introductory phase
- Building phase - correct answer ✔✔- Working phase
Establishing rapport with the patient by identifying feelings of the patient - correct answer
✔✔Empathetic responses
Clarifying inconsistent information - correct answer ✔✔Confortation
Echoing the patient's own words to encourage expression of facts and feelings. - correct answer
✔✔Reflection
An inference about feelings or concerns that is used to clarify data already collected. - correct
answer ✔✔Interpretation
Cueing a patient to continue by saying "mm-mm, using silence, etc. - correct answer
✔✔Facilitation
Which of the following is a behavior of active listening?
- Writing down everything that the patient says so that details are not forgotten
- Nodding in agreement with whatever the patient says throughout the conversation
- Assuming a calm, relaxed position
- Giving unwanted advice - correct answer ✔✔- Assuming a calm, relaxed position
The nurse is preparing to assess the respirations of an alert adult client. The nurse should
- unobtrusively observe for the equal bilateral chest expansion while continuing to palpate the
radial pulse site
, - ask the client to lie in a supine position, which makes counting the respirations easier
- count for 15 seconds and multiply the number by 4 to obtain the rate
- explain to the client that he or she will be counting the client's respirations - correct answer
✔✔- unobtrusively observe for the equal bilateral chest expansion while continuing to palpate
the radial pulse site
How is Acute pain different from Chronic pain?
- Chronic pain is usually visceral in nature and acute pain is mostly cutaneous pain
- Acute pain is often associated with tissue damage and lasts less than 6 months in duration
- Chronic pain is associated with aging and is seen usually in persons over 50 years of age
- Acute pain usually does not need to be treated but chronic pain is referred for treatment -
correct answer ✔✔- Acute pain is often associated with tissue damage and lasts less than 6
months in duration
What does blood pressure measure?
- The flow of blood through the heart
- The force of blood against the artery walls
- The force of blood against the venous walls
- The flow of blood through the circulation - correct answer ✔✔- The force of blood against the
artery walls
When assessing a patient for pain, which of the following is the best action the nurse should
take?
- Doubt the patient when he/she describes the pain unless the patient is grimacing.
- Assess for underlying causes of pain, then believe the patient.
- Assess for physiologic indicators of pain, then believe the patient
- Believe the patient whenever he/she claims to be in pain. - correct answer ✔✔- Believe the
patient whenever he/she claims to be in pain.
solutions A+ rated
When setting the stage and then managing the interview, which of the following is it imperative
to do?
- Take extensive notes during the interview so details are not missed
- Introduce yourself and your role, usually before the client undresses
- Warn the client that you cannot guarantee confidentiality - correct answer ✔✔- Introduce
yourself and your role, usually before the client undresses
Which one of the following actions would best promote accurate translations and
confidentiality for the patient when the caregiver does not speak the patient's language?
- Ask a family member to translate
- Use a trained medical interpreter
- Ask a friend of the client to translate
- Ask the client's neighbor to translate - correct answer ✔✔Use a trained medical interpreter
Which type of question would be the most effective in obtaining a patient's perceptions of his
or her problem?
- Open-ended questions
- Leading questions
- Close-ended questions
- Accusing questions - correct answer ✔✔Open-ended questions
During which part of the interview would the nurse ask a patient questions about a current
illness?
,- Termination phase
- Working phase
- Introductory phase
- Building phase - correct answer ✔✔- Working phase
Establishing rapport with the patient by identifying feelings of the patient - correct answer
✔✔Empathetic responses
Clarifying inconsistent information - correct answer ✔✔Confortation
Echoing the patient's own words to encourage expression of facts and feelings. - correct answer
✔✔Reflection
An inference about feelings or concerns that is used to clarify data already collected. - correct
answer ✔✔Interpretation
Cueing a patient to continue by saying "mm-mm, using silence, etc. - correct answer
✔✔Facilitation
Which of the following is a behavior of active listening?
- Writing down everything that the patient says so that details are not forgotten
- Nodding in agreement with whatever the patient says throughout the conversation
- Assuming a calm, relaxed position
- Giving unwanted advice - correct answer ✔✔- Assuming a calm, relaxed position
The nurse is preparing to assess the respirations of an alert adult client. The nurse should
- unobtrusively observe for the equal bilateral chest expansion while continuing to palpate the
radial pulse site
, - ask the client to lie in a supine position, which makes counting the respirations easier
- count for 15 seconds and multiply the number by 4 to obtain the rate
- explain to the client that he or she will be counting the client's respirations - correct answer
✔✔- unobtrusively observe for the equal bilateral chest expansion while continuing to palpate
the radial pulse site
How is Acute pain different from Chronic pain?
- Chronic pain is usually visceral in nature and acute pain is mostly cutaneous pain
- Acute pain is often associated with tissue damage and lasts less than 6 months in duration
- Chronic pain is associated with aging and is seen usually in persons over 50 years of age
- Acute pain usually does not need to be treated but chronic pain is referred for treatment -
correct answer ✔✔- Acute pain is often associated with tissue damage and lasts less than 6
months in duration
What does blood pressure measure?
- The flow of blood through the heart
- The force of blood against the artery walls
- The force of blood against the venous walls
- The flow of blood through the circulation - correct answer ✔✔- The force of blood against the
artery walls
When assessing a patient for pain, which of the following is the best action the nurse should
take?
- Doubt the patient when he/she describes the pain unless the patient is grimacing.
- Assess for underlying causes of pain, then believe the patient.
- Assess for physiologic indicators of pain, then believe the patient
- Believe the patient whenever he/she claims to be in pain. - correct answer ✔✔- Believe the
patient whenever he/she claims to be in pain.
