Exam 3: The Interview

A female nurse is interviewing a man who has recently immigrated.During the course of the interview,he leans forward and then finally moves his chair close enough that his knees are nearly touching the nurse's knees.The nurse begins to feel uncomfortable with his proximity.Which statement most closely reflects what the nurse should do next?

During a visit to the clinic,a patient states,"The doctor just told me he thought I ought to stop smoking.He doesn't understand how hard I've tried.I just don't know the best way to do it.What should I do?" The nurse's most appropriate response in this case would be:

A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead.As the nurse works through the interview,one of the standard questions has to do with alcohol,tobacco,and drug use.When the nurse asks him about tobacco use,he states,"I quit smoking after my wife died 7 years ago." However,the nurse notices an open pack of cigarettes in his shirt pocket.Using confrontation,the nurse could say:

The nurse asks,"I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here." This question is found at the __________ phase of the interview process.

During a prenatal check,a patient begins to cry as the nurse asks her about previous pregnancies.She states that she is remembering her last pregnancy,which ended in miscarriage.The nurse's best response to her crying would be:

During an interview,a woman says,"I have decided that I can no longer allow my children to live with their father's violence,but I just can't seem to leave him." Using interpretation,the nurse's best response would be:

A mother brings her 28-month-old daughter into the clinic for a well-child visit.At the beginning of the visit,the nurse focuses attention away from the toddler,but as the interview progresses,the toddler begins to "warm up" and is smiling shyly at the nurse.The nurse will be most successful in interacting with the toddler if which is done next?

A pregnant woman states,"I just know labor will be so painful that I won't be able to stand it.I know it sounds awful,but I really dread going into labor." The nurse responds by stating,"Oh,don't worry about labor so much.I have been through it,and although it is painful,many good medications are available to decrease the pain." Which statement is true regarding this response? The nurse's reply was a:

A patient has finished giving the nurse information about the reason he is seeking care.When reviewing the data,the nurse finds that some information about past hospitalizations is missing.At this point,which statement by the nurse would be most appropriate to gather these data?

When taking a history from a newly admitted patient,the nurse notices that he often pauses and expectantly looks at the nurse.What would be the nurse's best response to this behavior?

As the nurse enters a patient's room,the nurse finds her crying.The patient states that she has just found out that the lump in her breast is cancer and says,"I'm so afraid of,um,you know." The nurse's most therapeutic response would be to say in a gentle manner:

During a follow-up visit,the nurse discovers that a patient has not been taking his insulin on a regular basis.The nurse asks,"Why haven't you taken your insulin?" Which statement is an appropriate evaluation of this question?

During an interview,the nurse would expect that most of the interview will take place at what distance?

A man arrives at the clinic for his annual wellness physical.He is experiencing no acute health problems.Which question or statement by the nurse is most appropriate when beginning the interview?

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:

During the interview portion of data collection,the nurse collects __________ data.

During an interview,the nurse states,"You mentioned having shortness of breath.Tell me more about that." Which verbal skill is used with this statement?

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 changed posture would suggest that the parent is:

The nurse is nearing the end of an interview.Which statement is appropriate at this time?

In using verbal responses to assist the patient's narrative,some responses focus on the patient's frame of reference and some focus on the health care provider's perspective.An example of a verbal response that focuses on the health care provider's perspective would be: