The nurse is caring for a client exhibiting slurred speech after suffering from a cerebrovascular
accident. The nurse is unable to completely understand the client. What is the nurse's best
action? - Answers Ask the client to repeat the statement or question.
Nonverbal communication is a very important aspect in nurse-client relationships. What can the
nurse do to help gain trust in clients? Select all that apply. - Answers -Make sure that dress and
appearance are professional
-Do not use facial expressions such as rolling the eyes or looking bored or disgusted
-Use gestures intentionally to illustrate points, especially for clients who cannot communicate
verbally
A clinic nurse has reviewed a new client's available health record and will now begin taking the
client's health history. Which of the following questions should the nurse ask first when
obtaining the health history? - Answers "What is your major health concern at this time?"
A nurse is discussing with a client the client's personal health history. Which of the following
would be an appropriate question to ask at this time? - Answers "What diseases did you have as
a child?"
A nurse completes an initial assessment and discusses findings with the client. What is the next
best action of the nurse? - Answers Develop a plan of care with the client.
The nurse has been assigned to a group of clients on a medical surgical unit. What is the best
action of the nurse prior to receiving a report on these clients? - Answers Conduct a brief review
of the client's charts.
Which type of question is asked first by the nurse in order to attain a full description of the
client's symptoms? - Answers open-ended questions to allow full freedom of response
While interviewing a client, the nurse asks, "What happens when you have low blood glucose?"
This type of response to the client is used for what purpose? - Answers To clarify
The nurse is beginning a health history interview with an adult client who expresses anger at the
nurse. The best approach for dealing with an angry client is for the nurse to - Answers allow the
client to verbalize his or her feelings.
A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of
the client's data, which of the following actions should the nurse prioritize? - Answers
Establishing a trusting relationship
, A graduate nurse working on a medical-surgical unit is admitting a client who does not speak
English. No interpreters are available. The client's spouse is present and speaks English. What
should the nurse remember about the use of interpreters when communicating with clients? -
Answers Friends and family who are unfamiliar with medical terminology may misinterpret
information
A nurse is collecting data on a client's chief complaint, which is a spell of numbness and tingling
on her left side. Which of the following questions would be best for eliciting information related
to associated factors? - Answers "What other symptoms occurred during the spell?"
A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is
an appropriate action by the nurse when interacting with this client? - Answers Provide simple
and organized information.
The nurse learns that a client is unable to sleep because of high anxiety. On which category of
health patterns should the nurse focus? - Answers coping-stress-tolerance
A client is unable to recall the last time an immunization was received. Which part of the client's
health should the nurse realize is being the most impacted by this practice? - Answers health
maintenance
Mrs. T. comes for her regular visit to the clinic. Her regular provider is on vacation, but the client
did not want to wait. The nurse has heard about this client many times from colleagues and is
aware that she is very talkative. Which of the following is a helpful technique to improve the
quality of the interview for both provider and client? - Answers Briefly summarize what the client
says in the first 5 minutes and then try to have her focus on one aspect of what she discussed.
The nurse has interviewed a Hispanic client with limited English skills for the first time. The
nurse observes that the client is reluctant to reveal personal information and believes in a hot-
cold syndrome of disease causation. The nurse should - Answers indicate acceptance of the
client's cultural differences.
A nursing instructor is talking about nonverbal communication with the nursing class. The
instructor explains that facial expressions should be what? - Answers Relaxed
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? - Answers rephrasing
A nurse draws a genogram to help organize and illustrate a client's family history. Which shape
is a standard format of representing a deceased female relative? - Answers Circle with a cross
How would the nursing instructor explain the goal of guided questioning to his or her students? -
Answers Facilitating the client's fullest communication