NURS 5220- Exam #1: Module 1: Chapter 1,
2, 3, 5, 6, 8
During55an55initial55interview55with55your55patient,55you55ask55the55patient,55"Can55you55
describe55that55for55me?"55Which55statement55best55describes55the55question?
A.55It55is55the55most55risky55type55of55question55because55the55patient55can55say55anythi
ng.
B.The55question55is55asking55for55specific55information.
C.55The55patient55has55discretion55about55the55extent55of55the55answer.
D.55The55answer55can55lead55the55interviewer55away55from55the55purpose55of55the55inter
view.55-55answer--C:55The55open-
ended55question55gives55the55patient55discretion55about55the55extent55of55an55answer.55
This55is55an55example55of55a55question55carefully55formulated55to55illicit55an55enhanced55
patient55response.
The55answer55can55lead55the55interviewer55away55from55the55purpose55of55the55intervie
w.
Because55an55adolescent55is55often55reluctant55to55talk55during55an55interview,55it55is55b
est55to:
A.55tell55the55patient55that55you55must55have55straight55answers55to55your55questions.
B.55ensure55confidentiality55regarding55the55information55discussed.55
C.55inform55the55patient55that55adolescents55have55trouble55expressing55their55feelings.
D.55obtain55the55history55from55a55parent55or55other55family55member.55-55answer--
C:55CorrectAdolescents55may55be55reluctant55to55talk55and55have55a55clear55need55for55
confidentiality.55All55adolescent55patients55should55be55given55the55opportunity55to55disc
uss55their55concerns55with55you55privately.55It55is55wise55to55let55parents55or55other55care
givers55know55you55will55be55asking55them55to55step55out55of55the55room55to55provide55th
is55important55opportunity55for55the55adolescent.
For55which55age55group55is55a55functional55assessment55most55critical?
,A.55Children
B.55Adolescents
C.55Adults
D.55Older55adults55-55answer--
D:55CorrectQuite55simply,55functional55assessment55is55an55attempt55to55understand55a5
5patient's55ability55to55achieve55the55basic55activities55of55daily55living.55This55assessme
nt55should55be55made55for55all55older55adults55and55for55any55person55limited55by55disea
se55or55disability,55acute55or55chronic.
Which55of55the55following55will55best55facilitate55an55interview55with55a55deaf55person?
A.55Speaking55loudly
B.55Using55gestures
C.55Sitting55or55standing55at55eye55level55
D.55Sitting55to55the55side55of55the55patient55-55answer--
c:55CorrectPersons55with55impaired55hearing55often55read,55write,55sign,55and/
or55read55lips,55but55you55must55speak55slowly55and55enunciate55each55word55clearly55a
nd55in55full55view.55Sitting55or55standing55at55eye55level55allows55for55full55view.
Which55of55the55following55questions55may55lead55to55an55inaccurate55response?
A.55"Where55do55you55feel55the55pain?"
B.55"How55does55this55situation55make55you55feel?"
C.55"What55happened55after55you55noticed55your55injury?"
D.55"That55was55a55horrible55experience,55wasn't55it?"55-55answer--
D:55CorrectAnswer55d55is55an55example55of55a55leading55question.55The55leading55questi
on55is55the55most55risky55because55it55may55limit55the55information55provided55to55what55
the55patient55thinks55you55want55to55know.55Questions55a,55b,55and55c55are55examples55
of55direct55and55open-ended55questions.
Ms.55Carol55Turner,55a5538-year-old55woman,55brings55her551-year-
old55son55in55for55health55care.55Which55of55the55following55requests55made55would55be5
5most55appropriate55at55the55beginning55of55an55interview?
A.55"Mom,55please55place55your55son55in55your55lap."
B.55"Carol,55please55place55your55son55in55your55lap."
C.55"Ms.55Turner,55please55place55your55son55in55your55lap."55
D.55"Sweetie,55please55place55your55son55in55your55lap."55-55answer--
C:55CorrectAnswer55c55best55displays55courtesy55and55respect55for55the55parent.55Initiall
y,55the55examiner55should55address55the55patient55or55caregiver55properly55(e.g.,55as55M
r.,55Miss,55Mrs.,55Ms.,55or55the55manner55of55address55preferred55by55the55patient)55and5
5repeat55the55patient's55name55at55appropriate55times.55Do55not55use55a55surrogate55ter
m55for55a55person's55name;55for55example,55when55the55patient55is55a55child,55do55not55a
ddress55the55parent55as55"Mother"55or55"Father."
,During55an55interview,55a55patient55describes55abdominal55pain55that55often55awakens55
him55at55night.55Which55of55the55following55responses55by55the55interviewer55would55facil
itate55the55interviewing55process?
A.55"Constipation55can55cause55abdominal55pain."
B.55"Do55you55need55a55sleeping55medication?"
C.55"Pain55is55always55worse55at55night,55isn't55it?"
D.55"Tell55me55what55you55mean55by55'often.'"55-55answer--
D:55CorrectAnswer55d55is55an55example55of55clarifying55or55seeking55additional55informat
ion55by55using55the55open-
ended55question.55Answers55a,55b,55and55c55are55examples55of55yes55or55no55or55leadin
g55questions.
When55you55repeat55a55patient's55answer,55you55are:
55
A.55testing55the55patient's55knowledge.
B.55teaching55the55patient55new55medical55terms.
C.55discouraging55an55emotional55outburst.
D.55encouraging55more55detail.55-55answer--
D:55CorrectWhen55you55repeat55a55patient's55answer,55you55are55engaging55in55reflectin
g.55Reflecting55encourages55patients55to55provide55more55detail.
While55interviewing55an55angry55patient,55you55start55to55become55annoyed55and55are55
beginning55to55dislike55the55patient.55The55best55way55to55resolve55this55is55to:
A.55spend55the55least55amount55of55time55possible55with55the55patient.
B.55displace55your55annoyance55toward55the55patient55on55an55inanimate55object.
C.55ignore55the55feelings55and55remain55neutral55in55your55interactions.
D.55express55concern55and55explore55the55problem55with55the55patient.55-55answer--
D:55CorrectWhen55dealing55with55the55angry55patient,55it55is55appropriate55to55confront55
or55acknowledge55the55anger55and55explore55the55potential55issue.55Answer55d55is55the5
5best55example55in55the55scenario55given.
Which55of55the55following55behaviors55is55most55important55in55establishing55a55connecti
on55with55the55patient?
A.55Documenting55data55from55the55history55using55direct55patient55quotes
B.55Phrasing55questions55so55that55they55are55clear55and55explicit
C.55Avoiding55the55trap55of55giving55advice55during55an55interview
D.55Listening55intently55while55observing55nonverbal55cues55-55answer--
D:55CorrectEstablishing55a55connection55with55the55patient55is55essential55to55good55co
mmunication.55Being55a55skilled55listener55and55being55alert55to55patients'55nonverbal55c
ommunication55help55establish55meaningful55connection.
During55an55interview,55the55patient55describes55problems55associated55with55an55illness
55and55begins55to55cry.55The55best55action55in55this55situation55is55to:
, A.55stop55the55interview55and55reschedule55for55another55time.
B.55allow55the55patient55to55cry,55then55resume55when55the55patient55is55ready.55
C.55change55the55topic55to55something55less55upsetting.
D.55continue55the55interview55while55the55patient55cries55in55order55to55get55through55it55
quickly.55-55answer--
B:CorrectPeople55will55cry.55Let55the55emotion55proceed55at55the55patient's55pace.55Res
ume55your55questioning55only55when55the55patient55is55ready.55If55you55suspect55a55pati
ent55is55holding55back,55give55permission.55Offer55a55tissue55or55simply55say,55"It55seem
s55like55you're55feeling55bad.55It's55okay55to55cry."55Name55the55emotion.55Be55direct55ab
out55such55a55tender55circumstance,55but55gently,55not55too55aggressively55or55insistentl
y.
Which55statement55best55describes55the55chief55complaint?
A.General55health55and55illness
B.55The55reason55the55individual55is55seeking55care55
C.55Information55to55make55the55diagnosis
D.55Concerns55about55confidentiality55and55trust55-55answer--
B:55CorrectThe55chief55complaint55is55the55main55reason55the55person55is55seeking55car
e55or55the55chief55concern.55The55other55answers55are55parts55of55the55history55and55ph
ysical55or55review55of55symptoms.
A55woman55presents55to55a55women's55health55clinic55stating55that55she55has55had55a55p
ositive55home55pregnancy55test55and55desires55prenatal55care.55You55would55conduct55a
(n):
A.55complete55history.55
B.55focused55history.
C.55problem-oriented55history.
D.55interim55history.55-55answer--
A:CorrectThe55examiner55would55conduct55a55complete55history55because55the55comple
te55history55allows55the55examiner55to55become55thoroughly55familiar55with55the55patient.
55Most55often,55this55history55is55recorded55the55first55time55you55see55the55patient.55The
55other55answers55are55used55when55something55is55already55known55about55the55patie
nt55or55an55established55relationship55exists.
You55are55responding55to55a55patient55who55has55behaved55toward55you55in55a55seducti
ve55manner.55Which55of55the55following55is55most55appropriate?
A.55Respond55in55a55manner55that55acknowledges55that55the55patient55is55embarrassed.
B.55Remain55calm,55firm,55and55direct55regarding55the55professional55nature55of55the55rel
ationship.55
C.55Be55courteous.
D.55Ignore55the55patient's55behavior.55-55answer--
B:CorrectThis55type55of55patient55is55seeking55additional55attention.55Avert55it55courteou
sly55and55firmly,55delivering55the55immediate55message55that55the55relationship55is55and5
2, 3, 5, 6, 8
During55an55initial55interview55with55your55patient,55you55ask55the55patient,55"Can55you55
describe55that55for55me?"55Which55statement55best55describes55the55question?
A.55It55is55the55most55risky55type55of55question55because55the55patient55can55say55anythi
ng.
B.The55question55is55asking55for55specific55information.
C.55The55patient55has55discretion55about55the55extent55of55the55answer.
D.55The55answer55can55lead55the55interviewer55away55from55the55purpose55of55the55inter
view.55-55answer--C:55The55open-
ended55question55gives55the55patient55discretion55about55the55extent55of55an55answer.55
This55is55an55example55of55a55question55carefully55formulated55to55illicit55an55enhanced55
patient55response.
The55answer55can55lead55the55interviewer55away55from55the55purpose55of55the55intervie
w.
Because55an55adolescent55is55often55reluctant55to55talk55during55an55interview,55it55is55b
est55to:
A.55tell55the55patient55that55you55must55have55straight55answers55to55your55questions.
B.55ensure55confidentiality55regarding55the55information55discussed.55
C.55inform55the55patient55that55adolescents55have55trouble55expressing55their55feelings.
D.55obtain55the55history55from55a55parent55or55other55family55member.55-55answer--
C:55CorrectAdolescents55may55be55reluctant55to55talk55and55have55a55clear55need55for55
confidentiality.55All55adolescent55patients55should55be55given55the55opportunity55to55disc
uss55their55concerns55with55you55privately.55It55is55wise55to55let55parents55or55other55care
givers55know55you55will55be55asking55them55to55step55out55of55the55room55to55provide55th
is55important55opportunity55for55the55adolescent.
For55which55age55group55is55a55functional55assessment55most55critical?
,A.55Children
B.55Adolescents
C.55Adults
D.55Older55adults55-55answer--
D:55CorrectQuite55simply,55functional55assessment55is55an55attempt55to55understand55a5
5patient's55ability55to55achieve55the55basic55activities55of55daily55living.55This55assessme
nt55should55be55made55for55all55older55adults55and55for55any55person55limited55by55disea
se55or55disability,55acute55or55chronic.
Which55of55the55following55will55best55facilitate55an55interview55with55a55deaf55person?
A.55Speaking55loudly
B.55Using55gestures
C.55Sitting55or55standing55at55eye55level55
D.55Sitting55to55the55side55of55the55patient55-55answer--
c:55CorrectPersons55with55impaired55hearing55often55read,55write,55sign,55and/
or55read55lips,55but55you55must55speak55slowly55and55enunciate55each55word55clearly55a
nd55in55full55view.55Sitting55or55standing55at55eye55level55allows55for55full55view.
Which55of55the55following55questions55may55lead55to55an55inaccurate55response?
A.55"Where55do55you55feel55the55pain?"
B.55"How55does55this55situation55make55you55feel?"
C.55"What55happened55after55you55noticed55your55injury?"
D.55"That55was55a55horrible55experience,55wasn't55it?"55-55answer--
D:55CorrectAnswer55d55is55an55example55of55a55leading55question.55The55leading55questi
on55is55the55most55risky55because55it55may55limit55the55information55provided55to55what55
the55patient55thinks55you55want55to55know.55Questions55a,55b,55and55c55are55examples55
of55direct55and55open-ended55questions.
Ms.55Carol55Turner,55a5538-year-old55woman,55brings55her551-year-
old55son55in55for55health55care.55Which55of55the55following55requests55made55would55be5
5most55appropriate55at55the55beginning55of55an55interview?
A.55"Mom,55please55place55your55son55in55your55lap."
B.55"Carol,55please55place55your55son55in55your55lap."
C.55"Ms.55Turner,55please55place55your55son55in55your55lap."55
D.55"Sweetie,55please55place55your55son55in55your55lap."55-55answer--
C:55CorrectAnswer55c55best55displays55courtesy55and55respect55for55the55parent.55Initiall
y,55the55examiner55should55address55the55patient55or55caregiver55properly55(e.g.,55as55M
r.,55Miss,55Mrs.,55Ms.,55or55the55manner55of55address55preferred55by55the55patient)55and5
5repeat55the55patient's55name55at55appropriate55times.55Do55not55use55a55surrogate55ter
m55for55a55person's55name;55for55example,55when55the55patient55is55a55child,55do55not55a
ddress55the55parent55as55"Mother"55or55"Father."
,During55an55interview,55a55patient55describes55abdominal55pain55that55often55awakens55
him55at55night.55Which55of55the55following55responses55by55the55interviewer55would55facil
itate55the55interviewing55process?
A.55"Constipation55can55cause55abdominal55pain."
B.55"Do55you55need55a55sleeping55medication?"
C.55"Pain55is55always55worse55at55night,55isn't55it?"
D.55"Tell55me55what55you55mean55by55'often.'"55-55answer--
D:55CorrectAnswer55d55is55an55example55of55clarifying55or55seeking55additional55informat
ion55by55using55the55open-
ended55question.55Answers55a,55b,55and55c55are55examples55of55yes55or55no55or55leadin
g55questions.
When55you55repeat55a55patient's55answer,55you55are:
55
A.55testing55the55patient's55knowledge.
B.55teaching55the55patient55new55medical55terms.
C.55discouraging55an55emotional55outburst.
D.55encouraging55more55detail.55-55answer--
D:55CorrectWhen55you55repeat55a55patient's55answer,55you55are55engaging55in55reflectin
g.55Reflecting55encourages55patients55to55provide55more55detail.
While55interviewing55an55angry55patient,55you55start55to55become55annoyed55and55are55
beginning55to55dislike55the55patient.55The55best55way55to55resolve55this55is55to:
A.55spend55the55least55amount55of55time55possible55with55the55patient.
B.55displace55your55annoyance55toward55the55patient55on55an55inanimate55object.
C.55ignore55the55feelings55and55remain55neutral55in55your55interactions.
D.55express55concern55and55explore55the55problem55with55the55patient.55-55answer--
D:55CorrectWhen55dealing55with55the55angry55patient,55it55is55appropriate55to55confront55
or55acknowledge55the55anger55and55explore55the55potential55issue.55Answer55d55is55the5
5best55example55in55the55scenario55given.
Which55of55the55following55behaviors55is55most55important55in55establishing55a55connecti
on55with55the55patient?
A.55Documenting55data55from55the55history55using55direct55patient55quotes
B.55Phrasing55questions55so55that55they55are55clear55and55explicit
C.55Avoiding55the55trap55of55giving55advice55during55an55interview
D.55Listening55intently55while55observing55nonverbal55cues55-55answer--
D:55CorrectEstablishing55a55connection55with55the55patient55is55essential55to55good55co
mmunication.55Being55a55skilled55listener55and55being55alert55to55patients'55nonverbal55c
ommunication55help55establish55meaningful55connection.
During55an55interview,55the55patient55describes55problems55associated55with55an55illness
55and55begins55to55cry.55The55best55action55in55this55situation55is55to:
, A.55stop55the55interview55and55reschedule55for55another55time.
B.55allow55the55patient55to55cry,55then55resume55when55the55patient55is55ready.55
C.55change55the55topic55to55something55less55upsetting.
D.55continue55the55interview55while55the55patient55cries55in55order55to55get55through55it55
quickly.55-55answer--
B:CorrectPeople55will55cry.55Let55the55emotion55proceed55at55the55patient's55pace.55Res
ume55your55questioning55only55when55the55patient55is55ready.55If55you55suspect55a55pati
ent55is55holding55back,55give55permission.55Offer55a55tissue55or55simply55say,55"It55seem
s55like55you're55feeling55bad.55It's55okay55to55cry."55Name55the55emotion.55Be55direct55ab
out55such55a55tender55circumstance,55but55gently,55not55too55aggressively55or55insistentl
y.
Which55statement55best55describes55the55chief55complaint?
A.General55health55and55illness
B.55The55reason55the55individual55is55seeking55care55
C.55Information55to55make55the55diagnosis
D.55Concerns55about55confidentiality55and55trust55-55answer--
B:55CorrectThe55chief55complaint55is55the55main55reason55the55person55is55seeking55car
e55or55the55chief55concern.55The55other55answers55are55parts55of55the55history55and55ph
ysical55or55review55of55symptoms.
A55woman55presents55to55a55women's55health55clinic55stating55that55she55has55had55a55p
ositive55home55pregnancy55test55and55desires55prenatal55care.55You55would55conduct55a
(n):
A.55complete55history.55
B.55focused55history.
C.55problem-oriented55history.
D.55interim55history.55-55answer--
A:CorrectThe55examiner55would55conduct55a55complete55history55because55the55comple
te55history55allows55the55examiner55to55become55thoroughly55familiar55with55the55patient.
55Most55often,55this55history55is55recorded55the55first55time55you55see55the55patient.55The
55other55answers55are55used55when55something55is55already55known55about55the55patie
nt55or55an55established55relationship55exists.
You55are55responding55to55a55patient55who55has55behaved55toward55you55in55a55seducti
ve55manner.55Which55of55the55following55is55most55appropriate?
A.55Respond55in55a55manner55that55acknowledges55that55the55patient55is55embarrassed.
B.55Remain55calm,55firm,55and55direct55regarding55the55professional55nature55of55the55rel
ationship.55
C.55Be55courteous.
D.55Ignore55the55patient's55behavior.55-55answer--
B:CorrectThis55type55of55patient55is55seeking55additional55attention.55Avert55it55courteou
sly55and55firmly,55delivering55the55immediate55message55that55the55relationship55is55and5
