Question 1

During the interview,it is best to place your chair approximately ____________________ feet from the patient.

Accepted Answer

6
six
Rationale: The amount of space a person considers appropriate for interaction is a significant factor in the interview process and is determined in part by cultural influences.Social distance is approximately 4 to 12 feet and is considered appropriate for the interview process.It allows for good eye contact and for ease in hearing and in seeing the patient's nonverbal cues.
Explanation:The amount of space a person considers appropriate for interaction is a significant factor in the interview process and is determined in part by cultural influences.Social distance is approximately 4 to 12 feet and is considered appropriate for the interview process.It allows for good eye contact and for ease in hearing and in seeing the patient's nonverbal cues.

Question 2

You should minimize the risk of aggression from a patient with a history of violence by doing all of the following,EXCEPT

Accepted Answer

A)  positioning your chair between the patient's chair and the door. 
B)  using limit setting and refocusing. 
C)  leaving the door to the interview room open. 
D)  confronting the patient. 
A)  positioning your chair between the patient's chair and the door. 
B)  using limit setting and refocusing. 
C)  leaving the door to the interview room open. 
D)  confronting the patient. D

Question 3

Members of the LGBT community have an increased risk for which of the following mental health disorders?

Accepted Answer

A)  schizophrenia and depression 
B)  anxiety and depression 
C)  bipolar disorder and eating disorders 
D)  personality disorders and eating disorders 
A)  schizophrenia and depression 
B)  anxiety and depression 
C)  bipolar disorder and eating disorders 
D)  personality disorders and eating disorders B

Question 4

In many rural areas,advance practice nurses are using telenursing to elicit a patient's history.Which physical exam skill would the nurse be able to perform with the use of an electronic stethoscope? Select all that apply.

Accepted Answer

A)  Lung sounds 
B)  Temperature 
C)  Bowel sounds 
D)  Cardiac sounds 
E)  Urine specific gravity
F) Blood type 
A)  Lung sounds 
B)  Temperature 
C)  Bowel sounds 
D)  Cardiac sounds 
E)  Urine specific gravity
F) Blood type

Question 5

Which action taken by an interviewer is most likely to encourage a patient to continue talking?

Accepted Answer

A)  sitting quietly and patiently in silence 
B)  saying "uh-huh" or "go on" 
C)  avoiding eye contact while straightening your clothes 
D)  talking on the phone 
A)  sitting quietly and patiently in silence 
B)  saying "uh-huh" or "go on" 
C)  avoiding eye contact while straightening your clothes 
D)  talking on the phone

Question 6

Effective communication techniques the nurse can use during the interview process include which of the following? Select all that apply.

Accepted Answer

A)  Restating 
B)  Reflecting 
C)  Clarifying 
D)  Probing 
E)  Sequencing
F) Defending 
A)  Restating 
B)  Reflecting 
C)  Clarifying 
D)  Probing 
E)  Sequencing
F) Defending

Question 7

Your patient has been readily answering your interview questions and now has become silent.This onset of silence most likely indicates that the patient is

Accepted Answer

A)  anxious or embarrassed. 
B)  tired and wants to end the interview. 
C)  uncooperative. 
D)  waiting for you to talk. 
A)  anxious or embarrassed. 
B)  tired and wants to end the interview. 
C)  uncooperative. 
D)  waiting for you to talk.

Question 8

During your interview with the parents of a critically injured 9-year-old boy,the mother begins to cry.Your best response is to say

Accepted Answer

A)  "I'll leave you alone for a few minutes while you get a hold of yourself." 
B)  "I'm sure that your son is receiving the best of care; our trauma team is highly trained." 
C)  "I can see that you are upset; your husband can provide the rest of the information." 
D)  "It's OK to cry; let's sit here together for a few minutes." 
A)  "I'll leave you alone for a few minutes while you get a hold of yourself." 
B)  "I'm sure that your son is receiving the best of care; our trauma team is highly trained." 
C)  "I can see that you are upset; your husband can provide the rest of the information." 
D)  "It's OK to cry; let's sit here together for a few minutes."

Question 9

A patient comments that she feels "like a baby" when she starts crying during a discussion of her cancer surgery scheduled for the next day.Which communication technique is most likely to reassure her that her response is common given her situation?

Accepted Answer

A)  informing 
B)  presenting reality 
C)  normalizing 
D)  clarifying 
A)  informing 
B)  presenting reality 
C)  normalizing 
D)  clarifying

Question 10

A nurse preceptor wants to determine if a new graduate understands the concept of telenursing.Which of the following definitions given by the new graduate would indicate to the preceptor that the new graduate has some understanding of telenursing? "Telenursing is best defined as

Accepted Answer

A)  the use of the telephone to transmit the nursing report." 
B)  the use of technology, both audio and audiovisual, to conduct nursing practice." 
C)  nursing courses offered in a distance learning format via the Internet." 
D)  the concept of passing gossip within a health care facility, with one nurse telling another about policy changes." 
A)  the use of the telephone to transmit the nursing report." 
B)  the use of technology, both audio and audiovisual, to conduct nursing practice." 
C)  nursing courses offered in a distance learning format via the Internet." 
D)  the concept of passing gossip within a health care facility, with one nurse telling another about policy changes."

Question 11

The nurse is planning to give a lecture on the importance of examining a patient for signs of Intimate Partner Violence (IPV).Recognizing that there will be over 100 health care providers attending the lecture,the nurse recognizes that the appropriate distance between herself and the audience would be considered which of the following?

Accepted Answer

A)  intimate distance 
B)  personal distance 
C)  social distance 
D)  public distance 
A)  intimate distance 
B)  personal distance 
C)  social distance 
D)  public distance

Question 12

Listening responses are communication techniques that enable the nurse to do all of the following,EXCEPT

Accepted Answer

A)  communicate empathy, concern, and attentiveness. 
B)  accurately receive, process, and respond to patient messages. 
C)  understand the context of the patient's experiences. 
D)  offer judgment about the appropriateness of the patient's responses. 
A)  communicate empathy, concern, and attentiveness. 
B)  accurately receive, process, and respond to patient messages. 
C)  understand the context of the patient's experiences. 
D)  offer judgment about the appropriateness of the patient's responses.

Question 13

During a physical examination,a nurse responds to the patient's behavior and concerns.Which responses by the nurse are considered judgmental? Select all that apply.

Accepted Answer

A)  "You shouldn't feel that way." 
B)  "Tell me more about your feelings." 
C)  "That sounds like a very good point." 
D)  "That is bad to say about yourself." 
E)  "What made you come to that conclusion?"
F) "What do you think the results of the test will be?" 
A)  "You shouldn't feel that way." 
B)  "Tell me more about your feelings." 
C)  "That sounds like a very good point." 
D)  "That is bad to say about yourself." 
E)  "What made you come to that conclusion?"
F) "What do you think the results of the test will be?"

Question 14

Which of the following occurs during the working stage of the interview process?

Accepted Answer

A)  Goals are established. 
B)  The bulk of the patient data is collected. 
C)  Information is summarized and validated. 
D)  Progress toward goals is evaluated. 
A)  Goals are established. 
B)  The bulk of the patient data is collected. 
C)  Information is summarized and validated. 
D)  Progress toward goals is evaluated.

Question 15

When interviewing a patient who is hearing impaired,the nurse should implement which approach?

Accepted Answer

A)  Use clock hours to indicate the position of items in relation to the patient. 
B)  Face the patient, and use nonverbal cues to supplement and reinforce messages. 
C)  Ask simple questions that require yes or no answers. 
D)  Speak loudly and slowly to facilitate lip reading. 
A)  Use clock hours to indicate the position of items in relation to the patient. 
B)  Face the patient, and use nonverbal cues to supplement and reinforce messages. 
C)  Ask simple questions that require yes or no answers. 
D)  Speak loudly and slowly to facilitate lip reading.

Question 16

A patient who is aphasic,has asked his wife to serve as an intermediary for the interview with his nurse.The nurse should conduct the interview by directing

Accepted Answer

A)  all questions to the patient. 
B)  questions requiring yes or no answers to the patient and all others to the wife. 
C)  questions related to the health history to the wife and current health issues to the patient. 
D)  all questions to the wife. 
A)  all questions to the patient. 
B)  questions requiring yes or no answers to the patient and all others to the wife. 
C)  questions related to the health history to the wife and current health issues to the patient. 
D)  all questions to the wife.

Question 17

The use of probing questions can increase the patient's anxiety or cause him to withdraw.When this happens,the nurse most often experiences feelings of

Accepted Answer

A)  being pursued or attacked. 
B)  participating in a tug-of-war. 
C)  being overwhelmed. 
D)  being confused. 
A)  being pursued or attacked. 
B)  participating in a tug-of-war. 
C)  being overwhelmed. 
D)  being confused.

Question 18

Which statement is an example of the use of reflection?

Accepted Answer

A)  "Tell me more about it." 
B)  "It sounds as if you're angry that the pain has returned." 
C)  "Did this pain occur after you ate lunch?" 
D)  "Is this pain similar to, or different from, the pain you experienced before surgery?" 
A)  "Tell me more about it." 
B)  "It sounds as if you're angry that the pain has returned." 
C)  "Did this pain occur after you ate lunch?" 
D)  "Is this pain similar to, or different from, the pain you experienced before surgery?"

Question 19

Which of the following can interfere with establishing the patient's trust during the initial interview?

Accepted Answer

A)  greeting the patient by first name 
B)  conducting the interview in a private room 
C)  stating the purpose of the interview 
D)  establishing a time frame for the interview 
A)  greeting the patient by first name 
B)  conducting the interview in a private room 
C)  stating the purpose of the interview 
D)  establishing a time frame for the interview

Question 20

An example of an action response that stimulates the patient to make some change in thinking and behaving is

Accepted Answer

A)  clarifying. 
B)  sequencing. 
C)  focusing. 
D)  restating. 
A)  clarifying. 
B)  sequencing. 
C)  focusing. 
D)  restating.

Exam 2: Communication Techniques And The Patient Interview

During the interview,it is best to place your chair approximately ____________________ feet from the patient.

You should minimize the risk of aggression from a patient with a history of violence by doing all of the following,EXCEPT

Members of the LGBT community have an increased risk for which of the following mental health disorders?

In many rural areas,advance practice nurses are using telenursing to elicit a patient's history.Which physical exam skill would the nurse be able to perform with the use of an electronic stethoscope? Select all that apply.

Which action taken by an interviewer is most likely to encourage a patient to continue talking?

Effective communication techniques the nurse can use during the interview process include which of the following? Select all that apply.

Your patient has been readily answering your interview questions and now has become silent.This onset of silence most likely indicates that the patient is

During your interview with the parents of a critically injured 9-year-old boy,the mother begins to cry.Your best response is to say

A patient comments that she feels "like a baby" when she starts crying during a discussion of her cancer surgery scheduled for the next day.Which communication technique is most likely to reassure her that her response is common given her situation?

A nurse preceptor wants to determine if a new graduate understands the concept of telenursing.Which of the following definitions given by the new graduate would indicate to the preceptor that the new graduate has some understanding of telenursing? "Telenursing is best defined as

Listening responses are communication techniques that enable the nurse to do all of the following,EXCEPT

During a physical examination,a nurse responds to the patient's behavior and concerns.Which responses by the nurse are considered judgmental? Select all that apply.

Which of the following occurs during the working stage of the interview process?

When interviewing a patient who is hearing impaired,the nurse should implement which approach?

A patient who is aphasic,has asked his wife to serve as an intermediary for the interview with his nurse.The nurse should conduct the interview by directing

The use of probing questions can increase the patient's anxiety or cause him to withdraw.When this happens,the nurse most often experiences feelings of

Which statement is an example of the use of reflection?

Which of the following can interfere with establishing the patient's trust during the initial interview?

An example of an action response that stimulates the patient to make some change in thinking and behaving is

Critical Thinking And The Nursing Process

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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