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During an initial health history, a client states, "I haven't slept in weeks." The nurse asks, "You are saying
that you have not had any sleep in weeks?" What communication technique is the nurse using to obtain
accurate subjective data from the client? - (ANSWER)rephrasing; The nurse is using a communication
technique referred to as rephrasing to better understand subjective data. Rephrasing helps to clarify
information. Well-placed phrases such as "uh-huh, go ahead, I see" are useful in keeping a conversation
going and letting the client know that the nurse is listening. Closed-ended questions limit the client's
response to one or two words, for example, either yes or no or something specific such as a date of
birth.
When beginning the collection of the client data base, which of the following would be most important
for the nurse to do? - (ANSWER)Establish a trusting relationship; It is essential for the nurse to develop
trust and rapport with the client to elicit accurate and meaningful information. This trust is the focus of
the interview and must be developed in the initial phase of the interview. Determining the client's
strengths, identifying health problems, and making inferences occur during the working phase of the
interview.
A nurse is interviewing an adult client who had a miscarriage 3 weeks ago. The woman is crying and is
having difficulty talking. The nurse moves closer and places a hand on the woman's hand. What type of
communication is this? - (ANSWER)Active listening; is the ability to focus on the client and their
perspectives. It requires the nurse to constantly decode messages including thoughts, words, opinions,
and emotions. For example, if a client is sad, it is appropriate for a nurse to place a hand over the client's
and to show a facial expression of compassion. The purpose of restatement is to have the client
elaborate on what was originally stated by the client. Reflection uses summarizing by the nurse to find
the true meaning of a client's words. Encouraging elaboration encourages the client to explain or go into
more detail in the client's responses.
When interviewing a client who does not speak English, the nurse enlists the assistance of a "culture
broker," based on the understanding of what as this person's primary function? - (ANSWER)to interpret
the language and culture
If misunderstanding or difficulty in communicating is evident, the nurse will seek help from an expert
who is thoroughly familiar not only with the client's language, culture, and related health care practices
but also with the health care setting and system of the dominant culture, often called a culture broker.
The role of a culture broker is not to evaluate the client's health practices, teach the client about health
care, or make the client feel comfortable and safe.
, NUR 3066 EXAM 2 COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED AND
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When recording the client's chief concerns during the health history, it is recommended that the
interviewer do which of the following? - (ANSWER)Quote the client's words.
When recording the client's chief concern, it is preferable to quote the client's exact words whenever
possible.
Prior to a client interview, the nurse collects information from the client's medical record, such as prior
surgeries, home medications, allergies, and past treatments. What phase of the interview process is
this? - (ANSWER)Pre-interaction
Before meeting with the client, the nurse collects data from the medical record, including the previous
history of medical illnesses or surgeries, current medication list, and problem list. The nurse uses this
information to conduct an interview, already knowing about some of the past problems and responses
to treatments. The beginning phase of the interview process is when introductions are exchanged and
the nurse explains the purpose of the interview process. The working phase of the interview process is
when data is collected from the client, either in subjective or objective form. The closing phase of the
interview process is when the nurse summarizes the interview, assessing for any issues or concerns that
need to be addressed either at that time, or in the future.
When recording the client's chief concerns during the health history, it is recommended that the
interviewer do which of the following? - (ANSWER)Quote the client's words
To assess the client's self-concept and self-care responsibilities, the nurse will ask which of the following
question(s)? - (ANSWER)The nurse is aware that how clients perceive themselves, their self-concept and
self-care, includes an investigation of all behaviors attempted by the client to promote health. Questions
about family problems and what gives the family hope during times of trouble are not directly related to
the client's perception of self or what actions the client takes to promote health.
During a health history, a client states "I want to know why my feet are swelling" whereas the primary
diagnosis is arthritis. What should the nurse do with the client's statement? - (ANSWER)Write is as the
chief complaint