Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
TEST BANK
Health Assessment in Nursing
Janet R. Weber, Jane H. Kelley
5th Edition
Page 1
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
1. A nurse on a postsurgical unit is admitting a client following the client's
cholecystectomy (gall bladder removal). What is the overall purpose of assessment for
this client?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments
D) Making clinical judgments
2. A client has presented to the emergency department (ED) with complaints of
abdominal pain. Which member of the care team would most likely be responsible for
collecting the subjective data on the client during the initial comprehensive assessment?
A) Gastroenterologist
B) ED nurse
C) Admissions clerk
D) Diagnostic technician
B) ED nurse
3. The nurse has completed an initial assessment of a newly admitted client and is
applying the nursing process to plan the client's care. What principle should the nurse
apply when using the nursing process?
A) Each step is independent of the others.
B) It is ongoing and continuous.
C) It is used primarily in acute care settings.
D) It involves independent nursing actions.
B) It is ongoing and continuous.
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
perform a comprehensive health assessment. Which of the following actions should the
nurse perform first?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the client's diagnosis.
D) Validate information with the client.
A) Review the client's medical record.
5. Which of the following client situations would the nurse interpret as requiring an
emergency assessment?
A) A pediatric client with severe sunburn
B) A client needing an employment physical
C) A client who overdosed on acetaminophen
D) A distraught client who wants a pregnancy test
C) A client who overdosed on acetaminophen
6. In response to a client's query, the nurse is explaining the differences between the
physician's medical exam and the comprehensive health assessment performed by the
Page 2
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
nurse. The nurse should describe the fact that the nursing assessment focuses on
which aspect of the client's situation?
A) Current physiologic status
B) Effect of health on functional status
C) Past medical history
D) Motivation for adherence to treatment
B) Effect of health on functional status
7. After teaching a group of students about the phases of the nursing process, the
instructor determines that the teaching was successful when the students identify which
phase as being foundational to all other phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
A) Reassess previously detected problems
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which client would the nurse determine to be in most need of an
emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
10. A nurse has completed gathering some basic data about a client who has multiple
health problems that stem from heavy alcohol use. The nurse has then reflected on her
personal feelings about the client and his circumstances. The nurse does this primarily
to accomplish which of the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care
B) Avoid biases and judgments
11. The nurse is collecting data from a client who has recently been diagnosed with type
1 diabetes and who will begin an educational program. The nurse is collecting
subjective and objective data. Which of the following would the nurse categorize as
objective data?
A) Family history
Page 3
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
B) Occupation
C) Appearance
D) History of present health concern
C) Appearance
12. An older adult client has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem?
A) Encourage the client to increase oral fluid intake.
B) Provide the client with a bedtime protein snack.
C) Assist the client with personal hygiene.
D) Measure the client's blood glucose four times daily.
D) Measure the client's blood glucose four times daily.
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
following clients. For which clients would the nurse most likely expect to facilitate a
referral?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) An adult presenting for an influenza vaccination
D) A teenager seeking information about contraception
B) A 50-year-old client newly diagnosed with diabetes
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
of the following as the major method used by nurses early in the history of the
profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
A) Natural senses
15. When describing the expansion of the depth and scope of nursing assessment over
the past several decades, which of the following would the nurse identify as being the
primary force?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians
16. A group of nurses are reviewing information about the potential opportunities for
nurses who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify?
A) Expansion of health care networks
B) Decrease in client participation in care
C) The shrinking cost of medical care
D) Public mistrust of physicians
A) Expansion of health care networks
Page 4
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
17. A nurse has documented the findings of a comprehensive assessment of a new
client. What is the primary rationale that the nurse should identify for accurate and
thorough documentation?
A) Guaranteeing a continual assessment process
B) Identifying abnormal data
C) Assuring valid conclusions from analyzed data
D) Allowing for drawing inferences and identifying problems
C) Assuring valid conclusions from analyzed data
18. A nurse has received a report on a client who will soon be admitted to the medical
unit from the emergency department. When preparing for the assessment phase of the
nursing process, which of the following should the nurse do first?
A) Collect objective data.
B) Validate important data.
C) Collect subjective data.
D) Document the data.
C) Collect subjective data.
19. A community health nurse is assessing an older adult client in the client's home.
When the nurse is gathering subjective data, which of the following would the nurse
identify?
A) The client's feelings of happiness
B) The client's posture
C) The client's affect
D) The client's behavior
A) The client's feelings of happiness
20. A nurse on the hospital's subacute medical unit is planning to perform a client's
focused assessment. Which of the following statements should inform the nurse's
practice?
A) The focused assessment should be done before the physical exam.
B) The focused assessment replaces the comprehensive database.
C) The focused assessment addresses a particular client problem.
D) The focused assessment is done after gathering subjective data.
C) The focused assessment addresses a particular client problem.
21. The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply.
A) I feel so tired sometimes.
B) Weight: 145 lbs
C) Lungs clear to auscultation
D) Client complains of a headache
E) My father died of a heart attack.
F) Pupils equal, round, and reactive to light
A, D, E
22. The nurse has been applying the nursing process in the care of an adult client who
is being treated for acute pancreatitis. Place the nurse's actions in their proper
sequence from first to last.
Page 5
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
A) Identifying outcomes
B) Determining client's nursing problem
C) Collecting information about the client
D) Determining outcome achievement
E) Carrying out interventions
C, B, A, E, D
C) Collecting information about the client
B) Determining client's nursing problem
A) Identifying outcomes
E) Carrying out interventions
D) Determining outcome achievement
23. A nurse is completing an assessment that will involve gathering subjective and
objective data. Which of the following assessment techniques will best allow the nurse
to collect objective data?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening
A) Inspection
24. The nurse is performing a health assessment on a community-dwelling client who is
recovering from hip replacement surgery. Which of the following actions should the
nurse prioritize during assessment?
A) Focus the assessment on the client as a member of her age group.
B) Interpret the information about the client in context.
C) Corroborate the client's statements with trusted sources.
D) Gather information from a variety of sources.
B) Interpret the information about the client in context.
25. A client comes to the health care provider's office for a visit. The client has been
seen in this office on occasion for the past 5 years and arrives today complaining of a
fever and sore throat. Which type of assessment would the nurse most likely perform?
A) Comprehensive assessment
B) Ongoing assessment
C) Focused assessment
D) Emergency assessment
C) Focused assessment
26. A nurse has assessed a client who was admitted to the medical unit to treat acute
complications of type 1 diabetes. During the assessment, the client admitted that his
blood sugar monitoring when he is at home is a bit sporadic. How should the nurse best
respond to this assessment finding?
Page 6
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
A) Identify a nursing diagnosis of Ineffective Health Maintenance.
B) Identify a collaborative problem that should involve the occupational therapist.
C) Make a referral to the unit's social work department.
D) Reassess the client's blood glucose level.
A) Identify a nursing diagnosis of Ineffective Health Maintenance.
27. The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse should
begin by assessing which of the following?
A) The client's motivation for change
B) The client's medical comorbidities
C) The client's learning style
D) The client's prognosis for recovery
A) The client's motivation for change
28. A nurse will complete an initial comprehensive assessment of a 60-year-old client
who is new to the clinic. What goal should the nurse identify for this type of
assessment?
A) Identify the most appropriate forms of medical intervention for the client.
B) Determine the most likely prognosis for the client's health problem.
C) Identify the status of the client's airway, breathing, and circulation.
D) Establish a baseline for the comparison of future health changes.
D) Establish a baseline for the comparison of future health changes.
29. A nurse who provides care in a hospital setting is creating a plan of nursing care for
a client who has a diagnosis of chronic renal failure. The nurse's plan specifies frequent
ongoing assessments. The frequency of these nursing assessments should be primarily
determined by what variable?
A) The client's age
B) The unit's protocols
C) The client's acuity
D) The nurse's potential for liability
C) The client's acuity
30. A client who is new to the facility has a recent history of chronic pain that is
attributed to fibromyalgia. The nurse has reviewed the available health records and
suspects that pain management will be a major focus of nursing care. How can the
nurse best validate this assumption?
A) Review the client's medication administration record for analgesic use.
B) Ask the client about the most recent experiences of pain.
C) Meet with the client's spouse and daughter to discuss the client's pain.
D) Collaborate with the physician who is treating the client.
B) Ask the client about the most recent experiences of pain.
Page 7
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
CHAP 2
1. A nurse is preparing to assess a client who is new to the clinic. When beginning the
collection of the client database, which of the following actions should the nurse
prioritize?
A) Establishing a trusting relationship
B) Determining the client's strengths
C) Identifying potential health problems
D) Making clinical inferences
A) Establishing a trusting relationship
2. A nurse is interpreting and validating information from an older adult client who has
been experiencing a functional decline. The nurse is in which phase of the interview?
A) Introductory
B) Working
C) Summary
D) Closing
B) Working
3. A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy,
and the nurse is collecting subjective data prior to surgery. Which statement by the
nurse could be construed as judgmental?
A) "How often do your adult children typically visit you?"
B) "Your husband's death must have been very difficult for you."
C) "You must quit smoking because it affects others, not only you."
D) "How would you describe your feelings about getting older?"
C) "You must quit smoking because it affects others, not only you."
4. A nurse is interviewing a 22-year-old client of the campus medical clinic. Which
nonverbal behavior should the nurse adopt to best facilitate communication during this
phase of assessment?
A) Standing while the client is seated
B) Using a moderate amount of eye contact
C) Sitting across the room from the client
D) Minimizing facial expressions
B) Using a moderate amount of eye contact
5. A nurse is providing feedback to a colleague after observing the colleague's interview
of a newly admitted client. Which of the following would the nurse identify as an
example of a closed-ended question or statement?
A) "Tell me about your relationship with your children?"
B) "Tell me what you eat in a normal day?"
C) "Are you allergic to any medications?"
D) "What is your typical day like?"
C) "Are you allergic to any medications?"
6. A client has presented to the emergency department and is having difficulty
describing her vague sensation of physical discomfort and unease. How can the nurse
best elicit meaningful assessment data about the nature of the client's complaint?
A) Ignore the complaint for now and return to it later in the assessment.
Page 8
TEST BANK
Health Assessment in Nursing
Janet R. Weber, Jane H. Kelley
5th Edition
Page 1
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
1. A nurse on a postsurgical unit is admitting a client following the client's
cholecystectomy (gall bladder removal). What is the overall purpose of assessment for
this client?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments
D) Making clinical judgments
2. A client has presented to the emergency department (ED) with complaints of
abdominal pain. Which member of the care team would most likely be responsible for
collecting the subjective data on the client during the initial comprehensive assessment?
A) Gastroenterologist
B) ED nurse
C) Admissions clerk
D) Diagnostic technician
B) ED nurse
3. The nurse has completed an initial assessment of a newly admitted client and is
applying the nursing process to plan the client's care. What principle should the nurse
apply when using the nursing process?
A) Each step is independent of the others.
B) It is ongoing and continuous.
C) It is used primarily in acute care settings.
D) It involves independent nursing actions.
B) It is ongoing and continuous.
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
perform a comprehensive health assessment. Which of the following actions should the
nurse perform first?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the client's diagnosis.
D) Validate information with the client.
A) Review the client's medical record.
5. Which of the following client situations would the nurse interpret as requiring an
emergency assessment?
A) A pediatric client with severe sunburn
B) A client needing an employment physical
C) A client who overdosed on acetaminophen
D) A distraught client who wants a pregnancy test
C) A client who overdosed on acetaminophen
6. In response to a client's query, the nurse is explaining the differences between the
physician's medical exam and the comprehensive health assessment performed by the
Page 2
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
nurse. The nurse should describe the fact that the nursing assessment focuses on
which aspect of the client's situation?
A) Current physiologic status
B) Effect of health on functional status
C) Past medical history
D) Motivation for adherence to treatment
B) Effect of health on functional status
7. After teaching a group of students about the phases of the nursing process, the
instructor determines that the teaching was successful when the students identify which
phase as being foundational to all other phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
A) Reassess previously detected problems
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which client would the nurse determine to be in most need of an
emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
10. A nurse has completed gathering some basic data about a client who has multiple
health problems that stem from heavy alcohol use. The nurse has then reflected on her
personal feelings about the client and his circumstances. The nurse does this primarily
to accomplish which of the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care
B) Avoid biases and judgments
11. The nurse is collecting data from a client who has recently been diagnosed with type
1 diabetes and who will begin an educational program. The nurse is collecting
subjective and objective data. Which of the following would the nurse categorize as
objective data?
A) Family history
Page 3
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
B) Occupation
C) Appearance
D) History of present health concern
C) Appearance
12. An older adult client has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem?
A) Encourage the client to increase oral fluid intake.
B) Provide the client with a bedtime protein snack.
C) Assist the client with personal hygiene.
D) Measure the client's blood glucose four times daily.
D) Measure the client's blood glucose four times daily.
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
following clients. For which clients would the nurse most likely expect to facilitate a
referral?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) An adult presenting for an influenza vaccination
D) A teenager seeking information about contraception
B) A 50-year-old client newly diagnosed with diabetes
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
of the following as the major method used by nurses early in the history of the
profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
A) Natural senses
15. When describing the expansion of the depth and scope of nursing assessment over
the past several decades, which of the following would the nurse identify as being the
primary force?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians
16. A group of nurses are reviewing information about the potential opportunities for
nurses who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify?
A) Expansion of health care networks
B) Decrease in client participation in care
C) The shrinking cost of medical care
D) Public mistrust of physicians
A) Expansion of health care networks
Page 4
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
17. A nurse has documented the findings of a comprehensive assessment of a new
client. What is the primary rationale that the nurse should identify for accurate and
thorough documentation?
A) Guaranteeing a continual assessment process
B) Identifying abnormal data
C) Assuring valid conclusions from analyzed data
D) Allowing for drawing inferences and identifying problems
C) Assuring valid conclusions from analyzed data
18. A nurse has received a report on a client who will soon be admitted to the medical
unit from the emergency department. When preparing for the assessment phase of the
nursing process, which of the following should the nurse do first?
A) Collect objective data.
B) Validate important data.
C) Collect subjective data.
D) Document the data.
C) Collect subjective data.
19. A community health nurse is assessing an older adult client in the client's home.
When the nurse is gathering subjective data, which of the following would the nurse
identify?
A) The client's feelings of happiness
B) The client's posture
C) The client's affect
D) The client's behavior
A) The client's feelings of happiness
20. A nurse on the hospital's subacute medical unit is planning to perform a client's
focused assessment. Which of the following statements should inform the nurse's
practice?
A) The focused assessment should be done before the physical exam.
B) The focused assessment replaces the comprehensive database.
C) The focused assessment addresses a particular client problem.
D) The focused assessment is done after gathering subjective data.
C) The focused assessment addresses a particular client problem.
21. The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply.
A) I feel so tired sometimes.
B) Weight: 145 lbs
C) Lungs clear to auscultation
D) Client complains of a headache
E) My father died of a heart attack.
F) Pupils equal, round, and reactive to light
A, D, E
22. The nurse has been applying the nursing process in the care of an adult client who
is being treated for acute pancreatitis. Place the nurse's actions in their proper
sequence from first to last.
Page 5
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
A) Identifying outcomes
B) Determining client's nursing problem
C) Collecting information about the client
D) Determining outcome achievement
E) Carrying out interventions
C, B, A, E, D
C) Collecting information about the client
B) Determining client's nursing problem
A) Identifying outcomes
E) Carrying out interventions
D) Determining outcome achievement
23. A nurse is completing an assessment that will involve gathering subjective and
objective data. Which of the following assessment techniques will best allow the nurse
to collect objective data?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening
A) Inspection
24. The nurse is performing a health assessment on a community-dwelling client who is
recovering from hip replacement surgery. Which of the following actions should the
nurse prioritize during assessment?
A) Focus the assessment on the client as a member of her age group.
B) Interpret the information about the client in context.
C) Corroborate the client's statements with trusted sources.
D) Gather information from a variety of sources.
B) Interpret the information about the client in context.
25. A client comes to the health care provider's office for a visit. The client has been
seen in this office on occasion for the past 5 years and arrives today complaining of a
fever and sore throat. Which type of assessment would the nurse most likely perform?
A) Comprehensive assessment
B) Ongoing assessment
C) Focused assessment
D) Emergency assessment
C) Focused assessment
26. A nurse has assessed a client who was admitted to the medical unit to treat acute
complications of type 1 diabetes. During the assessment, the client admitted that his
blood sugar monitoring when he is at home is a bit sporadic. How should the nurse best
respond to this assessment finding?
Page 6
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
A) Identify a nursing diagnosis of Ineffective Health Maintenance.
B) Identify a collaborative problem that should involve the occupational therapist.
C) Make a referral to the unit's social work department.
D) Reassess the client's blood glucose level.
A) Identify a nursing diagnosis of Ineffective Health Maintenance.
27. The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse should
begin by assessing which of the following?
A) The client's motivation for change
B) The client's medical comorbidities
C) The client's learning style
D) The client's prognosis for recovery
A) The client's motivation for change
28. A nurse will complete an initial comprehensive assessment of a 60-year-old client
who is new to the clinic. What goal should the nurse identify for this type of
assessment?
A) Identify the most appropriate forms of medical intervention for the client.
B) Determine the most likely prognosis for the client's health problem.
C) Identify the status of the client's airway, breathing, and circulation.
D) Establish a baseline for the comparison of future health changes.
D) Establish a baseline for the comparison of future health changes.
29. A nurse who provides care in a hospital setting is creating a plan of nursing care for
a client who has a diagnosis of chronic renal failure. The nurse's plan specifies frequent
ongoing assessments. The frequency of these nursing assessments should be primarily
determined by what variable?
A) The client's age
B) The unit's protocols
C) The client's acuity
D) The nurse's potential for liability
C) The client's acuity
30. A client who is new to the facility has a recent history of chronic pain that is
attributed to fibromyalgia. The nurse has reviewed the available health records and
suspects that pain management will be a major focus of nursing care. How can the
nurse best validate this assumption?
A) Review the client's medication administration record for analgesic use.
B) Ask the client about the most recent experiences of pain.
C) Meet with the client's spouse and daughter to discuss the client's pain.
D) Collaborate with the physician who is treating the client.
B) Ask the client about the most recent experiences of pain.
Page 7
, Test Bank - Health Assessment in Nursing 5th Edition (Weber, 2014)
CHAP 2
1. A nurse is preparing to assess a client who is new to the clinic. When beginning the
collection of the client database, which of the following actions should the nurse
prioritize?
A) Establishing a trusting relationship
B) Determining the client's strengths
C) Identifying potential health problems
D) Making clinical inferences
A) Establishing a trusting relationship
2. A nurse is interpreting and validating information from an older adult client who has
been experiencing a functional decline. The nurse is in which phase of the interview?
A) Introductory
B) Working
C) Summary
D) Closing
B) Working
3. A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy,
and the nurse is collecting subjective data prior to surgery. Which statement by the
nurse could be construed as judgmental?
A) "How often do your adult children typically visit you?"
B) "Your husband's death must have been very difficult for you."
C) "You must quit smoking because it affects others, not only you."
D) "How would you describe your feelings about getting older?"
C) "You must quit smoking because it affects others, not only you."
4. A nurse is interviewing a 22-year-old client of the campus medical clinic. Which
nonverbal behavior should the nurse adopt to best facilitate communication during this
phase of assessment?
A) Standing while the client is seated
B) Using a moderate amount of eye contact
C) Sitting across the room from the client
D) Minimizing facial expressions
B) Using a moderate amount of eye contact
5. A nurse is providing feedback to a colleague after observing the colleague's interview
of a newly admitted client. Which of the following would the nurse identify as an
example of a closed-ended question or statement?
A) "Tell me about your relationship with your children?"
B) "Tell me what you eat in a normal day?"
C) "Are you allergic to any medications?"
D) "What is your typical day like?"
C) "Are you allergic to any medications?"
6. A client has presented to the emergency department and is having difficulty
describing her vague sensation of physical discomfort and unease. How can the nurse
best elicit meaningful assessment data about the nature of the client's complaint?
A) Ignore the complaint for now and return to it later in the assessment.
Page 8
