Summary NR
602 -
Midterm
Study Guide.
The Nurse is interviewing their patient. The nurse states "Can you tell me exactly what
you feel when you are having difficulty catching your breath?" Which of the following
communication techniques is the nurse utilizing?
A) Attending to cues
B) Paraphrasing
C) Focusing
,D) Summarazing - CORRECT ANSWERS--C) Focusing
The nurse is obtaining a family health history when the client reports that a grandparent
has type 1 diabetes. Where can the nurse document this information?
A) Present health/ illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model - CORRECT ANSWERS--B) Family Genogram
The Nurse is interviewing a patient with acute pain. Which of the following actions by
the nurse should be preformed first?
A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview - CORRECT ANSWERS--A) Attempt to
reduce the pain and complete the interview later
The nurse is interviewing her patient. The nurse says to the client "It sounds like you do
not like your new job because it is more stressful than you anticipated." Which of the
following types of communication is the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening - CORRECT ANSWERS--B) Paraphrasing
In an interview, the nurse may find it necessary to take notes to aid his or her memory
later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse
records what is said.
C) Note-taking allows the nurse to shift attention away from the patient, resulting in an
increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which may
increase his or her level of comfort. - CORRECT ANSWERS--A) Note-taking may
impede the nurse's observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be aware
that note-taking during the interview has disadvantages. It breaks eye contact too often,
and it shifts attention away from the patient, which diminishes his or her sense of
importance. It also may interrupt the patient's narrative flow, and it impedes the
observation of the patient's nonverbal behavior.
During an interview, the nurse states, "You mentioned shortness of breath. Tell me
more about that." Which verbal skill is used with this statement?
, A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question - CORRECT ANSWERS--D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states the topic to
be discussed but only in general terms. The nurse should use it to begin the interview,
to introduce a new section of questions, and whenever the person introduces a new
topic.
A nurse is taking complete health histories on all of the patients attending a wellness
workshop. On the history form, one of the written questions asks, "You don't smoke,
drink, or take drugs, do you?" This question is an example of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics. - CORRECT ANSWERS--C)
using biased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You don't
smoke, do you?" implies that one answer is "better" than another. If the person wants to
please someone, he or she is either forced to answer in a way corresponding to their
implied values or is made to feel guilty when admitting the other answer.
During an interview, a parent of a hospitalized child is sitting in an open position. As the
interviewer begins to discuss his son's treatment, however, he suddenly crosses his
arms against his chest and crosses his legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - CORRECT ANSWERS--D)
uncomfortable talking about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large
muscle groups shows relaxation, physical comfort, and a willingness to share
information. A closed position with the arms and legs crossed tends to look defensive
and anxious. Note any change in posture. If a person in a relaxed position suddenly
tenses, it suggests possible discomfort with the new topic.
The nurse is interviewing a patient who has a hearing impairment. What techniques
would be most beneficial in communicating with this patient?
A) Determine the communication method he prefers.
602 -
Midterm
Study Guide.
The Nurse is interviewing their patient. The nurse states "Can you tell me exactly what
you feel when you are having difficulty catching your breath?" Which of the following
communication techniques is the nurse utilizing?
A) Attending to cues
B) Paraphrasing
C) Focusing
,D) Summarazing - CORRECT ANSWERS--C) Focusing
The nurse is obtaining a family health history when the client reports that a grandparent
has type 1 diabetes. Where can the nurse document this information?
A) Present health/ illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model - CORRECT ANSWERS--B) Family Genogram
The Nurse is interviewing a patient with acute pain. Which of the following actions by
the nurse should be preformed first?
A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview - CORRECT ANSWERS--A) Attempt to
reduce the pain and complete the interview later
The nurse is interviewing her patient. The nurse says to the client "It sounds like you do
not like your new job because it is more stressful than you anticipated." Which of the
following types of communication is the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening - CORRECT ANSWERS--B) Paraphrasing
In an interview, the nurse may find it necessary to take notes to aid his or her memory
later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse
records what is said.
C) Note-taking allows the nurse to shift attention away from the patient, resulting in an
increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which may
increase his or her level of comfort. - CORRECT ANSWERS--A) Note-taking may
impede the nurse's observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be aware
that note-taking during the interview has disadvantages. It breaks eye contact too often,
and it shifts attention away from the patient, which diminishes his or her sense of
importance. It also may interrupt the patient's narrative flow, and it impedes the
observation of the patient's nonverbal behavior.
During an interview, the nurse states, "You mentioned shortness of breath. Tell me
more about that." Which verbal skill is used with this statement?
, A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question - CORRECT ANSWERS--D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states the topic to
be discussed but only in general terms. The nurse should use it to begin the interview,
to introduce a new section of questions, and whenever the person introduces a new
topic.
A nurse is taking complete health histories on all of the patients attending a wellness
workshop. On the history form, one of the written questions asks, "You don't smoke,
drink, or take drugs, do you?" This question is an example of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics. - CORRECT ANSWERS--C)
using biased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You don't
smoke, do you?" implies that one answer is "better" than another. If the person wants to
please someone, he or she is either forced to answer in a way corresponding to their
implied values or is made to feel guilty when admitting the other answer.
During an interview, a parent of a hospitalized child is sitting in an open position. As the
interviewer begins to discuss his son's treatment, however, he suddenly crosses his
arms against his chest and crosses his legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - CORRECT ANSWERS--D)
uncomfortable talking about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large
muscle groups shows relaxation, physical comfort, and a willingness to share
information. A closed position with the arms and legs crossed tends to look defensive
and anxious. Note any change in posture. If a person in a relaxed position suddenly
tenses, it suggests possible discomfort with the new topic.
The nurse is interviewing a patient who has a hearing impairment. What techniques
would be most beneficial in communicating with this patient?
A) Determine the communication method he prefers.
