Question 1

While conducting the client's health history, the nurse makes little eye contact with the client and focuses intently upon the computer while documenting the client's information. The nurse faces the computer with legs crossed. Which behavior is this nurse exhibiting?

Accepted Answer

A)  A lack of empathy. 
B)  A lack of genuineness. 
C)  A lack of concreteness. 
D)  A lack of positive regard.

Question 2

Which are the reasons for the nurse conducting a focused interview after the initial interview is complete?

Accepted Answer

A)  To clarify data. 
B)  To gather missing information. 
C)  To validate nursing diagnoses. 
D)  To collect data from the medical record. 
E)  To review current health concerns.

Question 3

The nurse is providing care to a client who lost a pregnancy in the 14th week due to spontaneous abortion. The client is tearful during the assessment process. The nurse states, "These things always happen for a reason. You can always get pregnant again." Which barrier to communication does the nurse's statement represent?

Accepted Answer

A)  False reassurance. 
B)  Change of subject. 
C)  Cross-examination. 
D)  Unwanted advice.

Question 4

The student nurse and the experienced nurse are meeting with an elderly Vietnamese client who is unable to speak English. Which actions indicate that the student nurse requires further education?

Accepted Answer

A)  The student nurse looks intently at the translator during the interview. 
B)  The student nurse is sitting directly beside the client and both of them are facing the translator. 
C)  The student nurse asks one question at a time. 
D)  The student nurse has requested that the client bring his daughter to the interview to translate for him. 
E)  The student nurse states, "Please tell him to void in this specimen container and to use a clean-catch technique when acquiring the urine."

Question 5

The nurse is interviewing the client. The nurse says to the client, "It sounds like you don't like your new job because it's more stressful than you anticipated." Which communication technique is the nurse using in this interaction with the client?

Accepted Answer

A)  Listening. 
B)  Attending. 
C)  Questioning. 
D)  Paraphrasing.

Question 6

When conducting a client health history, the nurse asks that all calls go to voice mail during the interview process. Which professional characteristic is the nurse exhibiting to establish a nurse-client relationship with this action?

Accepted Answer

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

Question 7

The nurse is preparing to conduct a health history for a pediatric client. Which companion can provide legal consent for treatment for this client without written or verbal parental consent?

Accepted Answer

A)  An adolescent step-sibling of the child. 
B)  A grandparent who lives with the child. 
C)  An adult natural sibling of the child. 
D)  A step-parent to the child.

Question 8

When conducting a focused interview for an older adult client, which interventions by the nurse are appropriate?

Accepted Answer

A)  Establishing rapport. 
B)  Insisting adult children stay in the room. 
C)  Using a paper robe for infection control purposes. 
D)  Ensuring background noise is at a minimum. 
E)  Addressing the client as "honey."

Question 9

The nurse is conducting a health history for a client newly admitted to the hospital. Which question by the nurse is open-ended?

Accepted Answer

A)  "Are you in pain?" 
B)  "Do you have difficulty sleeping?" 
C)  "Are you married?" 
D)  "When was your last tetanus shot?"

Question 10

While conducting a health history interview, the nurse restates the client's basic message to test whether it was appropriately understood. Which interactional skill is the nurse using with this technique?

Accepted Answer

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

Exam 7: Interviewing and Communication Techniques