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NURS 5220- Exam #1: Module 1: Chapter 1,
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During an initial interview with your patient, you ask the patient, "Can you describe that for me?" Which
statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B.The question is asking for specific information.
C. The patient has discretion about the extent of the answer.
D. The answer can lead the interviewer away from the purpose of the interview. - ANSWER C: The open-
ended question gives the patient discretion about the extent of an answer. This is an example of a
question carefully formulated to illicit an enhanced patient response.
The answer can lead the interviewer away from the purpose of the interview.
Because an adolescent is often reluctant to talk during an interview, it is best to:
A. tell the patient that you must have straight answers to your questions.
B. ensure confidentiality regarding the information discussed.
C. inform the patient that adolescents have trouble expressing their feelings.
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D. obtain the history from a parent or other family member. - ANSWER C: CorrectAdolescents may be
reluctant to talk and have a clear need for confidentiality. All adolescent patients should be given the
opportunity to discuss their concerns with you privately. It is wise to let parents or other caregivers
know you will be asking them to step out of the room to provide this important opportunity for the
adolescent.
For which age group is a functional assessment most critical?
A. Children
B. Adolescents
C. Adults
D. Older adults - ANSWER D: CorrectQuite simply, functional assessment is an attempt to understand a
patient's ability to achieve the basic activities of daily living. This assessment should be made for all
older adults and for any person limited by disease or disability, acute or chronic.
Which of the following will best facilitate an interview with a deaf person?
A. Speaking loudly
B. Using gestures
C. Sitting or standing at eye level
D. Sitting to the side of the patient - ANSWER c: CorrectPersons with impaired hearing often read, write,
sign, and/or read lips, but you must speak slowly and enunciate each word clearly and in full view.
Sitting or standing at eye level allows for full view.
Which of the following questions may lead to an inaccurate response?
A. "Where do you feel the pain?"
B. "How does this situation make you feel?"
C. "What happened after you noticed your injury?"
D. "That was a horrible experience, wasn't it?" - ANSWER D: CorrectAnswer d is an example of a leading
question. The leading question is the most risky because it may limit the information provided to what
,NURS 5220- Exam #1: Module 1: Chapter 1,
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the patient thinks you want to know. Questions a, b, and c are examples of direct and open-ended
questions.
Ms. Carol Turner, a 38-year-old woman, brings her 1-year-old son in for health care. Which of the
following requests made would be most appropriate at the beginning of an interview?
A. "Mom, please place your son in your lap."
B. "Carol, please place your son in your lap."
C. "Ms. Turner, please place your son in your lap."
D. "Sweetie, please place your son in your lap." - ANSWER C: CorrectAnswer c best displays courtesy and
respect for the parent. Initially, the examiner should address the patient or caregiver properly (e.g., as
Mr., Miss, Mrs., Ms., or the manner of address preferred by the patient) and repeat the patient's name
at appropriate times. Do not use a surrogate term for a person's name; for example, when the patient is
a child, do not address the parent as "Mother" or "Father."
During an interview, a patient describes abdominal pain that often awakens him at night. Which of the
following responses by the interviewer would facilitate the interviewing process?
A. "Constipation can cause abdominal pain."
B. "Do you need a sleeping medication?"
C. "Pain is always worse at night, isn't it?"
D. "Tell me what you mean by 'often.'" - ANSWER D: CorrectAnswer d is an example of clarifying or
seeking additional information by using the open-ended question. Answers a, b, and c are examples of
yes or no or leading questions.
When you repeat a patient's answer, you are:
A. testing the patient's knowledge.
B. teaching the patient new medical terms.
C. discouraging an emotional outburst.
, NURS 5220- Exam #1: Module 1: Chapter 1,
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D. encouraging more detail. - ANSWER D: CorrectWhen you repeat a patient's answer, you are engaging
in reflecting. Reflecting encourages patients to provide more detail.
While interviewing an angry patient, you start to become annoyed and are beginning to dislike the
patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient. - ANSWER D: CorrectWhen dealing with
the angry patient, it is appropriate to confront or acknowledge the anger and explore the potential
issue. Answer d is the best example in the scenario given.
Which of the following behaviors is most important in establishing a connection with the patient?
A. Documenting data from the history using direct patient quotes
B. Phrasing questions so that they are clear and explicit
C. Avoiding the trap of giving advice during an interview
D. Listening intently while observing nonverbal cues - ANSWER D: CorrectEstablishing a connection with
the patient is essential to good communication. Being a skilled listener and being alert to patients'
nonverbal communication help establish meaningful connection.
During an interview, the patient describes problems associated with an illness and begins to cry. The
best action in this situation is to:
A. stop the interview and reschedule for another time.
B. allow the patient to cry, then resume when the patient is ready.
C. change the topic to something less upsetting.