Exam 4: The Interview

During an interview with a patient,at which distance would the nurse expect that most of the interview will take place?

Critique the following statement made by the nurse: "I know it may be hard,but you should do what the doctor ordered because he/she is the expert in this field."

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

A man has been admitted to the observation unit after having been 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 packet of cigarettes in his shirt pocket.If using confrontation as a response,the nurse could say:

When observing a patient's verbal and nonverbal communication,the nurse notices a discrepancy.Which of the following statements about this situation is true?

The nurse is interviewing a patient who has a hearing impairment.What technique would be most beneficial in communicating with this patient?

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.Which of the following should the nurse do next to be most successful in interacting with the toddler?

Which of the following statements describe open-ended questions? (Select all that apply. )

When using interpretation as a response to a patient's statement or actions,it would be best for the nurse to:

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

During an interview,a parent of a hospitalized child is sitting with an "open" posture.As the interviewer begins to discuss his son's treatment,however,the father suddenly crosses his arms against his chest and crosses his legs.This would suggest that he is:

A patient has finished describing to the nurse the reason he is seeking care.When reviewing the data,the nurse finds that information about past hospitalizations is incomplete.Which of the following statements by the nurse would be most appropriate to obtain the missing data?

A nurse is taking complete health histories from all the patients attending a wellness workshop.One of the questions on the history form is,"You don't smoke,drink,or take drugs,do you?" This question is an example of:

A 16-year-old boy has just been admitted for overnight observation after being in an automobile accident.What is the nurse's best approach to communicating with him?

A man arrives at the clinic for an annual wellness physical examination.He is not experiencing any acute health problems.Which of the following statements by the nurse is most appropriate when beginning the interview?

A First Nations woman has come to the clinic for diabetes follow-up teaching.During the interview,the nurse notices that the patient never makes eye contact and speaks mostly looking down at the floor.Which of the following statements about this situation is true?

At which phase of the interview could the following statement be made? "Mr.S. ,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."

Some verbal responses that assist the patient's narrative 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:

A 17-year-old single mother is describing how difficult it is to raise a 2-year-old by herself.During the course of the interview,she states,"I can't believe my boyfriend left me to do this by myself! What a terrible thing to do to me!" Which of the following responses by the nurse uses empathy?

During a clinic visit,the patient states,"The doctor just told me I should 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: