Question 1

The nurse is interviewing a client who is in acute pain. Which action by the nurse is the priority?

Accepted Answer

A)   Interview the family for the information.
B)   Attempt to reduce the pain and complete the interview later.
C)   Proceed very quickly with the interview.
D)   Document why the interview could not be completed. B

Question 2

The nurse is interviewing the client. The nurse states, "Can you tell me exactly how you feel when you are having difficulty catching your breath?" Which communication technique is the nurse specifically using during this client interaction?

Accepted Answer

A)   Focusing.
B)   Attending.
C)   Paraphrasing.
D)   Summarizing. A

Question 3

The nurse is conducting a health history interview for a client being seen in a community clinic. When the nurse exhibits a willingness to help, which client behavior is expected in return?

Accepted Answer

A)   Cooperation.
B)   Non-compliance.
C)   Attitude.
D)   Anger. A

Question 4

While interviewing the client during the focused interview, the client begins to cry softly. Which interventions by the nurse are appropriate?

Accepted Answer

A)   The nurse states, "It's all right, I think we're done with the interview."
B)   The nurse places the tissues within arm's reach of the client.
C)   The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview.
D)   The nurse states, "I don't like these questions any more than you do, but we need to get on with the interview so you can go home and cry later."
E)   The nurse states, "I can see you are upset. It's all right to cry."

Question 5

The nurse recently gave birth to a stillborn infant. During the pre-interaction stage, the nurse learns that the client has had five elective abortions performed while she was in high school and college. Which nursing actions are appropriate to help the nurse prepare emotionally for the initial interview with this client?

Accepted Answer

A)   The nurse speaks with one of her nursing peers and sets up a time to role-play the interview.
B)   The nurse writes in her journal regarding her fears about meeting with the client.
C)   The nurse makes an appointment to meet with her counselor prior to the interview.
D)   The nurse should remain very quiet during the interview so that the initial interview will only last for a brief time.
E)   The nurse creates a list of her own goals to accomplish during the interview with this client.

Question 6

Who is the best source for providing information for the disoriented older adult client?

Accepted Answer

A)   A sibling of the client who does not speak fluent English.
B)   The adult child of the client who is on the phone.
C)   The client's spouse at the bedside.
D)   The older adult client's healthcare provider.

Question 7

The nurse is providing education to an adult client recently diagnosed with asthma. The client smokes one pack of cigarettes each day. The nurse states, "Now that you have to quit smoking your friends will no longer complain that you smell like cigarettes." Which communication barrier does the nurse's statement represent?

Accepted Answer

A)   False reassurance.
B)   Cross-examination.
C)   Unwanted advice.
D)   Technical terms.

Question 8

What is occurring when the nurse unknowingly hinders the flow of information during the health history process?

Accepted Answer

A)   Therapeutic interaction.
B)   Non-therapeutic interaction.
C)   False assurance.
D)   Cross-examination.

Question 9

The nurse is conducting a health history interview. By making direct eye contact with the client, which interactional skill is the nurse using with this client?

Accepted Answer

A)   Attending.
B)   Paraphrasing.
C)   Focusing.
D)   Reflecting.

Question 10

The nurse is conducting a health history interview for a client who is experiencing symptoms of asthma. The nurse asks the client, "When did your symptoms begin?" Which interactional skill is the nurse using by asking this question?

Accepted Answer

A)   Attending.
B)   Leading.
C)   Focusing.
D)   Questioning.

Question 11

The nurse is caring for a client who is admitted to the emergency department (ED) with abdominal pain. The client speaks very little English and requires an emergency appendectomy. The nurse has enlisted the hospital interpreter to explain the procedure and help with informed consent. Which action by the nurse is the most appropriate when the interpreter arrives?

Accepted Answer

A)   Asking the interpreter to translate as closely as possible the same words used by the professional staff.
B)   Including the family in the process and exchange of information to ensure complete understanding.
C)   Addressing the questions to the interpreter, so nothing is missed.
D)   Asking the interpreter to use a familiar dialect to enhance understanding.

Question 12

While conducting the health history the nurse states, "I need this information to plan dietary changes that will benefit your type 1 diabetes mellitus." This statement is an example of which professional characteristic in establishing a nurse-client relationship?

Accepted Answer

A)   Positive regard.
B)   Empathy.
C)   Genuineness.
D)   Concreteness.

Question 13

The nurse is assisting the client onto the examination table. The nurse states, "take your time" but is looking at her watch and appears annoyed. Which professional characteristic in the nurse-client relationship does this nurse lack?

Accepted Answer

A)   Positive regard.
B)   Empathy.
C)   Genuineness.
D)   Concreteness.

Question 14

Which professional characteristic implies that the nurse respects the client's ability to understand and recognizes the client's right to know the details of the plan of care?

Accepted Answer

A)   Positive regard.
B)   Empathy.
C)   Genuineness.
D)   Concreteness.

Question 15

The nurse is preparing to conduct an initial client interview. Rank the nursing statements in the order in which they would most likely occur. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list.
Response
A) "We're almost done; do you have any questions for me?" Response
B) "May I call you Anne?" Response
C) "When you said you had been having trouble with your belly, what did you mean?" Response
D) "So, can you tell me about what's been going on with your health?"

Accepted Answer

The answer of The nurse is preparing to conduct an...

Question 16

A client tells the nurse about two abortions performed during college. The nurse responds, "What did you major in while you were in college?" This response is evidence of which type of barrier to communication?

Accepted Answer

A)   Changing the subject.
B)   False reassurance.
C)   Cross-examination.
D)   Use of technical terms.

Question 17

Which is an appropriate secondary source of information when conducting a health history to obtain accurate information?

Accepted Answer

A)   The client's spouse.
B)   The client's healthcare provider.
C)   The client's medical record.
D)   The client's adult child.

Question 18

An adolescent client is admitted to the emergency department with a possible urinary tract infection. The nurse asks, "When did you notice that urinating was painful?" Which barrier to communication does this exhibit?

Accepted Answer

A)   Providing false reassurance.
B)   Passing judgment.
C)   Giving unwanted advice.
D)   Using a technical term.

Question 19

The nurse is admitting a young client of Cuban descent to the hospital. Which action by the nurse is culturally sensitive to this client?

Accepted Answer

A)   Allowing all family members to be present during the admission.
B)   Ensuring that the father of the young client is provided with adequate amounts of information regarding the young client's care.
C)   Requesting that all family members wait in the waiting room.
D)   Ensuring that the mother of the young client is provided with adequate amounts of information regarding the young client's care.

Question 20

The nurse is interviewing the client. Which technique should the nurse use to decode the client's messages?

Accepted Answer

A)   Listen actively and attentively.
B)   Develop and transmit an idea.
C)   Use words to convey the message.
D)   Use body language to convey the message.

Exam 7: Interviewing and Communication Techniques

The nurse is interviewing a client who is in acute pain. Which action by the nurse is the priority?

The nurse is interviewing the client. The nurse states, "Can you tell me exactly how you feel when you are having difficulty catching your breath?" Which communication technique is the nurse specifically using during this client interaction?

The nurse is conducting a health history interview for a client being seen in a community clinic. When the nurse exhibits a willingness to help, which client behavior is expected in return?

While interviewing the client during the focused interview, the client begins to cry softly. Which interventions by the nurse are appropriate?

Who is the best source for providing information for the disoriented older adult client?

What is occurring when the nurse unknowingly hinders the flow of information during the health history process?

The nurse is conducting a health history interview. By making direct eye contact with the client, which interactional skill is the nurse using with this client?

The nurse is conducting a health history interview for a client who is experiencing symptoms of asthma. The nurse asks the client, "When did your symptoms begin?" Which interactional skill is the nurse using by asking this question?

While conducting the health history the nurse states, "I need this information to plan dietary changes that will benefit your type 1 diabetes mellitus." This statement is an example of which professional characteristic in establishing a nurse-client relationship?

The nurse is assisting the client onto the examination table. The nurse states, "take your time" but is looking at her watch and appears annoyed. Which professional characteristic in the nurse-client relationship does this nurse lack?

Which professional characteristic implies that the nurse respects the client's ability to understand and recognizes the client's right to know the details of the plan of care?

A client tells the nurse about two abortions performed during college. The nurse responds, "What did you major in while you were in college?" This response is evidence of which type of barrier to communication?

Which is an appropriate secondary source of information when conducting a health history to obtain accurate information?

An adolescent client is admitted to the emergency department with a possible urinary tract infection. The nurse asks, "When did you notice that urinating was painful?" Which barrier to communication does this exhibit?

The nurse is admitting a young client of Cuban descent to the hospital. Which action by the nurse is culturally sensitive to this client?

The nurse is interviewing the client. Which technique should the nurse use to decode the client's messages?