Health Assessment
Showing posts with label Health Assessment. Show all posts
Showing posts with label Health Assessment. Show all posts

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

The nurse is interviewing a male 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 doing so will help him lip read.

A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger persons. What is the reason for this?

A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger persons. What is the reason for this?



a. An aged person has a longer story to tell.


b. An aged person is usually lonely and likes to have someone with whom to talk.


c. Aged persons lose much of their mental abilities and require longer time to complete an interview.


d. As a person ages, he or she is unable to hear; thus the interviewer usually needs to repeat much of what is said.



Answer: A

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

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



a.


Use periods of silence to communicate respect for him.


b.


Be totally honest with him, even if the information is unpleasant.


c.


Tell him that everything that is discussed will be kept totally confidential.


d.


Use slang language when possible to help him open up.A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurses best approach to communicating with him?




Answer: B

During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the childs full cooperation?

During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the childs full cooperation?



a. Tell the child that the blood pressure cuff is going to give her arm a big hug.


b. Tell the child that the blood pressure cuff is asleep and cannot wake up.


c. Give the blood pressure cuff a name and refer to it by this name during the assessment.


d. Tell the child that by using the blood pressure cuff, we can see how strong her muscles are



Answer: D

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 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. Tickle the toddler, and get her to laugh.


b. Stoop down to her level, and ask her about the toy she is holding.


c. Continue to ignore her until it is time for the physical examination.


d. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view.



Answer: B

During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his sons treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:

During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his sons treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:



a. Simply changing positions.


b. More comfortable in this position.


c. Tired and needs a break from the interview.


d. Uncomfortable talking about his sons treatment



Answer: D

When observing a patients verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should:

When observing a patients verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should:



a. Ask someone who knows the patient well to help interpret this discrepancy.


b. Focus on the patients verbal message, and try to ignore the nonverbal behaviors.


c. Try to integrate the verbal and nonverbal messages and then interpret them as an average.


d. Focus on the patients nonverbal behaviors, because these are often more reflective of a patients true feelings.



Answer: D

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 dont smoke, drink, or take drugs, do you? This question is an example of:

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 dont 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.


Answer: C


As the nurse enters a patients 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, Im so afraid of, um, you know. The nurses most therapeutic response would be to say in a gentle manner:

As the nurse enters a patients 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, Im so afraid of, um, you know. The nurses most therapeutic response would be to say in a gentle manner:



a. Youre afraid you might lose your breast?


b. No, Im not sure what you are talking about.


c. Ill wait here until you get yourself under control, and then we can talk.


d. I can see that you are very upset. Perhaps we should discuss this later.



Answer: A

During a visit to the clinic, a patient states, The doctor just told me he thought I ought to stop smoking. He doesnt understand how hard Ive tried. I just dont know the best way to do it. What should I do? The nurses most appropriate response in this case would be:

During a visit to the clinic, a patient states, The doctor just told me he thought I ought to stop smoking. He doesnt understand how hard Ive tried. I just dont know the best way to do it. What should I do? The nurses most appropriate response in this case would be:



a. Id quit if I were you. The doctor really knows what he is talking about.


b. Would you like some information about the different ways a person can quit smoking?


c. Stopping your dependence on cigarettes can be very difficult. I understand how you feel.


d. Why are you confused? Didnt the doctor give you the information about the smoking cessation program we offer?



Answer: B

A pregnant woman states, I just know labor will be so painful that I wont be able to stand it. I know it sounds awful, but I really dread going into labor. The nurse responds by stating, Oh, dont 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 nurses reply was a:

A pregnant woman states, I just know labor will be so painful that I wont be able to stand it. I know it sounds awful, but I really dread going into labor. The nurse responds by stating, Oh, dont 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 nurses reply was a:



a. Therapeutic response. By sharing something personal, the nurse gives hope to this woman.


b. Nontherapeutic response. By providing false reassurance, the nurse actually cut off further discussion of the womans fears.


c. Therapeutic response. By providing information about the medications available, the nurse is giving information to the woman.


d. Nontherapeutic response. The nurse is essentially giving the message to the woman that labor cannot be tolerated without medication.



Answer: B

During an interview, a woman says, I have decided that I can no longer allow my children to live with their fathers violence, but I just cant seem to leave him. Using interpretation, the nurses best response would be:

During an interview, a woman says, I have decided that I can no longer allow my children to live with their fathers violence, but I just cant seem to leave him. Using interpretation, the nurses best response would be:



a. You are going to leave him?


b. If you are afraid for your children, then why cant you leave?


c. It sounds as if you might be afraid of how your husband will respond.


d. It sounds as though you have made your decision. I think it is a good one.


Answer: C


The nurse has used interpretation regarding a patients statement or actions. After using this technique, it would be best for the nurse to:

The nurse has used interpretation regarding a patients statement or actions. After using this technique, it would be best for the nurse to:



a. Apologize, because using interpretation can be demeaning for the patient.


b. Allow time for the patient to confirm or correct the inference.


c. Continue with the interview as though nothing has happened.


d. Immediately restate the nurses conclusion on the basis of the patients nonverbal response


Answer: B

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:

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:



a. Mr. K., I know that you are lying.


b. Mr. K., come on, tell me how much you smoke.


c. Mr. K., I didnt realize your wife had died. It must be difficult for you at this time. Please tell me more about that.


d. Mr. K., you have said that you dont smoke, but I see that you have an open pack of cigarettes in your pocket.



Answer: D


A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, I cant believe my boyfriend left me to do this by myself! What a terrible thing to do to me! Which of these responses by the nurse uses empathy?

A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, I cant believe my boyfriend left me to do this by myself! What a terrible thing to do to me! Which of these responses by the nurse uses empathy?




a. You feel alone.


b. You cant believe he left you alone?


c. It must be so hard to face this all alone.


d. I would be angry, too; raising a child alone is no picnic.



Answer: C

A woman is discussing the problems she is having with her 2-year-old son. She says, He wont go to sleep at night, and during the day he has several fits. I get so upset when that happens. The nurses best verbal response would be:

A woman is discussing the problems she is having with her 2-year-old son. She says, He wont go to sleep at night, and during the day he has several fits. I get so upset when that happens. The nurses best verbal response would be:



a. Go on, Im listening.


b. Fits? Tell me what you mean by this.


c. Yes, it can be upsetting when a child has a fit.


d. Dont be upset when he has a fit; every 2 year old has fits.



Answer: B

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 nurses best response to this behavior?

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 nurses best response to this behavior?



a. Be silent, and allow him to continue when he is ready.


b. Smile at him and say, Dont worry about all of this. Im sure we can find out why youre having these pains.


c. Lean back in the chair and ask, You are looking at me kind of funny; there isnt anything wrong, is there?


d. Stand up and say, I can see that this interview is uncomfortable for you. We can continue it another time.



Answer: A

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

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



a. Empathy.


b. Reflection.


c. Facilitation.


d. Confrontation.



Answer: D

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?

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?



a. Mr. Y., at your age, surely you have been hospitalized before!


b. Mr. Y., I just need permission to get your medical records from County Medical.


c. Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?


d. Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?



Answer: D
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