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3. 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. - THE
CORRECT ANSWER-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.
,4. 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. - THE
CORRECT ANSWER-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.
5. 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.
B) Avoid using facial and hand gestures because most hearing-
impaired people find this degrading.
,C) Request a sign language interpreter before meeting with him
to help facilitate the communication.
D) Speak loudly and with exaggerated facial movement when
talking with him because this helps with lip reading. - THE
CORRECT ANSWER-A) Determine the communication method he
prefers.
Pages: 40-41 The nurse should ask the deaf person the
preferred way to communicate—by signing, lip reading, or
writing. If the person prefers lip reading, then the nurse should
be sure to face him or her squarely and have good lighting on
the nurse's face. The nurse should not exaggerate lip
movements because this distorts words. Similarly, shouting
distorts the reception of a hearing aid the person may wear. The
nurse should speak slowly and should supplement his or her
voice with appropriate hand gestures or pantomime.
6. The nurse is performing a health interview on a patient who
has a language barrier, and no interpreter is available. Which is
the best example of an appropriate question for the nurse to ask
in this situation?
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?" - THE
CORRECT ANSWER-A) "Do you take medicine?"
Page: 46 In a situation where there is a language barrier and no
interpreter available, use simple words avoiding medical
, jargon. Avoid using contractions and pronouns. Use nouns
repeatedly and discuss one topic at a time.
7. A female patient does not speak English well, and the nurse
needs to choose an interpreter. Which of the following would be
the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language
studies department - THE CORRECT ANSWER-A) A trained interpreter
Page: 46 whenever possible, the nurse should use a trained
interpreter, preferably one who knows medical terminology. In
general, an older, more mature interpreter is preferred to a
younger, less experienced one, and the same gender is preferred
when possible.
8. The nurse is conducting an interview. Which of these
statements is true regarding open-ended questions? Select all
that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.