Question 1

The interview portion of data collection obtains:

Accepted Answer

A) physical data. 
B) historical data. 
C) objective data. 
D) subjective data.

Question 2

Receiving is a vital part of the communication process.Which one of the receivers listed below is most likely to misinterpret a message sent by a health care provider?

Accepted Answer

A) A well-adjusted adolescent in for a sports-related physical examination 
B) A recovering alcoholic in for a basic physical examination 
C) A man whose wife has just been diagnosed with lung cancer 
D) A hearing-impaired man who uses sign language to communicate and has an interpreter with him

Question 3

The nurse has just started an assessment of the newborn child of a woman of Vietnamese origin.Considering the mother's cultural background,which of the following statements about this examination is true? The mother:

Accepted Answer

A) will be offended if the infant's fontanelles are examined. 
B) will be offended if the infant's diaper area is touched during the examination. 
C) would prefer to have the results of the examination communicated directly to her husband. 
D) would prefer to receive written report about her child's growth and development,rather than a verbal one.

Question 4

A woman is describing the problems she is having with her 2-year-old son."He won't go to sleep at night,and during the day he has several fits.I get so upset when that happens." The nurse's best verbal response would be:

Accepted Answer

A) "Go on,I'm listening." 
B) "Fits? Tell me what you mean by this." 
C) "Yes,it can be upsetting when a child has a fit." 
D) "Don't be upset when he has a fit;every 2-year-old has fits."

Question 5

During an examination of a 3-year-old child,the nurse needs to take her blood pressure.What could the nurse do to gain the child's full cooperation?

Accepted Answer

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.

Question 6

The nurse is conducting an interview with a woman who has recently learned that she is pregnant and has come to the clinic to begin prenatal care.The woman states that she and her husband are excited about the pregnancy but have a few questions.She looks nervously at her hands during the interview and sighs audibly.Which of the following statements does the nurse know is most accurate,considering the concept of communication? The woman:

Accepted Answer

A) is excited about her pregnancy but nervous about labour. 
B) is exhibiting verbal and nonverbal behaviours that do not match. 
C) is excited about her pregnancy but her husband is not,and this is upsetting to her. 
D) is not excited about her pregnancy but believes the nurse will respond negatively to her if she states this.

Question 7

Because the physical environment in which an interview takes place is an important consideration for the success of the interview,the interviewer should:

Accepted Answer

A) reduce noise by turning off televisions and radios. 
B) keep a distance of about 0.6 m (2 ft)or closer between himself or herself and the patient. 
C) ensure dim lighting that makes the room cozier and will help the patient relax. 
D) arrange seating across a desk or table to allow the patient some personal space.

Question 8

Mrs.H.has just entered the emergency department after being battered by her husband.The nurse will need to get some information from her before beginning treatment.Which of the following is the best choice for an opening statement with this patient?

Accepted Answer

A) "Nancy,my name is Mrs.C." 
B) "Hello,Mrs.H. ,my name is Mrs.C.It sure is cold today!" 
C) "Mrs.H. ,my name is Mrs.C.You sure look like you're in pain.Can I get you anything?" 
D) "Mrs.H. ,my name is Mrs.C.I'll need to ask you a few questions about what happened."

Question 9

The nurse is conducting a health interview with a patient named Salil.There is a language barrier,and no interpreter is available.Which of the following is the best example of an appropriate question for the nurse to ask in this situation?

Accepted Answer

A) "Does Salil take medicine?" 
B) "Do you sterilize the bottles?" 
C) "Do you have nausea and vomiting?" 
D) "He has been taking his medicine,hasn't he?"

Question 10

In an interview,the nurse may find it necessary to take notes to aid his or her memory later.Which of the following statements is true regarding note taking?

Accepted Answer

A) Taking notes may impede the nurse's observation of the patient's nonverbal behaviours. 
B) Taking notes allows the patient to continue at his or her own pace as the nurse records what is being said. 
C) Taking notes allows the nurse to shift attention away from the patient,thus increasing the patient's comfort level. 
D) Taking notes allows the nurse to break eye contact with the patient,which may help increase the patient's level of comfort.

Question 11

The nurse enters a patient's room and finds her crying because the patient has just found out that the lump in her breast is cancerous.The patient says,"I'm so afraid of,um,you know." The nurse's most therapeutic response would be to say,in a gentle manner:

Accepted Answer

A) "You're afraid you might lose your breast?" 
B) "No,I'm not sure what you are talking about." 
C) "I'll 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."

Question 12

During a follow-up visit,the nurse discovers that the patient has not been taking his insulin regularly.The nurse asks,"Why haven't you taken your insulin?" Which of the following is an appropriate evaluation of this question?

Accepted Answer

A) It may put the patient on the defensive. 
B) It is an innocent attempt to get information. 
C) It would have been better to discuss this with his wife. 
D) It is the best way to discover the reasons for his behaviour.

Question 13

A female patient does not speak English well,and the nurse needs to choose an interpreter.Which of the following would be the most appropriate choice?

Accepted Answer

A) A trained interpreter 
B) A male family member 
C) A female family member 
D) A volunteer university student from the foreign language studies department

Question 14

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

Accepted Answer

A) An older adult has a longer story to tell. 
B) An older adult is usually lonely and likes to have someone to talk to. 
C) Older adults lose much of their mental abilities and require more time to complete an interview. 
D) As a person ages,he or she is unable to hear well,so interviewers usually need to frequently repeat what they say.

Question 15

A female nurse is interviewing a male patient who is close in age to the nurse.During the interview,the patient makes an overtly sexual comment.The nurse's best response would be:

Accepted Answer

A) "Stop that immediately!" 
B) "Oh,you are too funny.Let's keep going with the interview." 
C) "Do you really think I'd be interested?" 
D) "It makes me uncomfortable when you talk that way.Please don't."

Question 16

During her prenatal checkup,a patient begins to cry as the nurse asks her about previous pregnancies.The patient says that she is remembering her last pregnancy,which ended in miscarriage.The nurse's best response to her crying would be:

Accepted Answer

A) "I'm so sorry for making you cry!" 
B) "I can see that you are sad remembering this.It is all right to cry." 
C) "Why don't I step out for a few minutes until you're feeling better?" 
D) "I can see that you feel sad about this;why don't we talk about something else?"

Question 17

The nurse is interviewing a recent immigrant from Mexico.During the course of the interview,the man leans forward and then finally moves his chair close enough that his knees are nearly touching the nurse's.The nurse begins to feel uncomfortable with his proximity.Which of the following statements describes the most appropriate response by the nurse?

Accepted Answer

A) Try to relax;this behaviour is culturally appropriate for this person. 
B) Discreetly move the chair back to a more comfortable distance,and then continue with the interview. 
C) These behaviours are indicative of sexual aggression,and the nurse should confront this person about them. 
D) The nurse should laugh but tell him that he or she is uncomfortable with the proximity and ask the person to move away.

Question 18

A pregnant woman states,"I just know labour will be so painful that I won't be able to stand it.I know it sounds awful,but I really dread going into labour." The nurse responds by stating,"Oh,don't worry about labour so much.I have been through it myself,and yes,it is painful,but there are many good medications to decrease the pain." Which of the following statements about this response is true?

Accepted Answer

A) It was a therapeutic response.By sharing something personal,the nurse gives hope to this woman. 
B) It was a nontherapeutic response.By providing false reassurance,the nurse actually cut off further discussion of the woman's fears. 
C) It was a therapeutic response.By providing information about the medications available,the nurse is giving reassurance to the woman. 
D) It was a nontherapeutic response.The nurse is essentially giving the message to the woman that labour cannot be tolerated without medication.

Question 19

During an interview,a woman says,"I have decided that I can no longer allow my children to live with their father's violence.I just can't seem to be able to leave him,though." Using interpretation,the nurse's best response would be:

Accepted Answer

A) "You're going to leave him?" 
B) "If you're afraid for your children,why can't 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."

Question 20

Which of the following is appropriate for the nurse to say near the end of the interview?

Accepted Answer

A) "Did we forget anything?" 
B) "Is there anything else you would like to mention?" 
C) "I need to go on to the next patient.I'll be back." 
D) "While I'm here,let's talk about your upcoming surgery."

Exam 4: The Interview