Question 1

The nurse is interviewing and taking a client's history. What would be the purpose of the interview?&#10;A) To give valuable information to the nurse&#10;B) To cause the client to reflect on past disease history&#10;C) To meet a requirement in the history and physical process&#10;D) To elicit a collaborative exchange of information

Accepted Answer

A.This is incorrect. Although the nurse might get some information, it is not the sole purpose of the interview.
B.This is incorrect. Although the client may reflect on past disease history, this is not the sole purpose of the interview.
C.This is incorrect. Completing a process is not the purpose of the interview.
D.This is correct. Interviewing is a collaborative exchange of information.

Question 2

The nurse is using both linear and circular questioning during an interview. Which is an example of a circular question?&#10;A) &#34;Have you tried a different diet and monitored the change it brought?&#34;&#10;B) &#34;What brings you here today?&#34;&#10;C) &#34;When did the rash first begin?&#34;&#10;D) &#34;When does the pain get worse?&#34;

Accepted Answer

A.This is correct. The nurse is trying to get the client to see the linkage of the illness to diet and encourage change. This is a circular question.
B.This is incorrect. The nurse is seeking to determine what the problem is, as the client has identified it. Linear questions seek to inform the nurse and are often investigative in nature.
C.This is incorrect. The nurse is seeking potential causes for the illness. Linear questions seek to inform the nurse and are often investigative in nature.
D.This is incorrect. The nurse is seeking to determine what causes the pain. Linear questions seek to inform the nurse and are often investigative in nature.

Question 3

The nurse is interviewing a family about an illness, and the client has brought in his parents as well as two siblings. Because there are so many people to interview in a limited time, what is the best action of the nurse?

A) Ask the siblings to leave.
B) Ask the parents to leave.
C) Instruct the client to identify two family members to stay.
D) Allow all family members to speak, but limit the time each person has to speak.

Allow all family members to speak, but limit the time each person has to speak.

Accepted Answer

A.This is incorrect. The siblings, being of similar age, may know key information about the client.
B.This is incorrect. The parents, having known the client since birth, may have key information about the client.
C.This is incorrect. It puts the client in an awkward situation and limits key information.
D.This is correct. All members may hold key information about the client, but for the sake of time, their comments may have to be limited.

Question 4

The nurse uses the &#34;one-question&#34; technique. Which of the following is correct about this technique?&#10;A) Identifies one question to be the priority concern of the interview&#10;B) Allows each family member to ask only one question&#10;C) Allows each family member to answer only one question&#10;D) Allows the nurse to ask each family member a unique question

Accepted Answer

A.This is correct. This technique prioritizes a central question as a priority concern for the interview.
B.This is incorrect. Allowing each family member to ask only one question is restrictive.
C.This is incorrect. Allowing each family member to answer only one question is restrictive.
D.This is incorrect. This would restrict probing questions by the nurse.

Question 5

A family is talking with the nurse about how hard it is to care for the client with a specific illness. This would indicate that the nurse knows which of the following?&#10;A) The family is beginning to resent the client.&#10;B) It is important for families to tell their illness story to someone they think cares about them.&#10;C) The client's health is declining.&#10;D) The family member's health is declining.

Accepted Answer

A.This is incorrect. There is no indication that the family is resenting the client, but it is indicated that they want their stress to be acknowledged.
B.This is correct. Telling the illness story is therapeutic for the family.
C.This is incorrect. There is no indication that the client's health is declining.
D.This is incorrect. There is no indication that the family member's health is declining.

Question 6

The nurse asks a client, &#34;What kind of dietary changes have you made since your diagnosis?&#34; What would be the purpose of this question?&#10;A) To identify which foods the client is eating&#10;B) To identify which foods the client used to eat&#10;C) To both assess and intervene in the client's dietary habits&#10;D) To educate the client

Accepted Answer

A.This is incorrect. Although it may identify the foods the client is eating, the overall purpose is greater than just listing foods.
B.This is incorrect. Although it may identify the foods the client used to eat, the overall purpose is greater than just listing foods.
C.This is correct. This question both assesses the food habits of the client and provides an opportunity to intervene if necessary changes have not been made.
D.This is incorrect. This question does not educate.

Question 7

The nurse is interviewing the family of a client with cancer. Which finding would be unexpected?&#10;A) Feelings of hopelessness&#10;B) Feelings that they cannot cope with the diagnosis&#10;C) Feelings that they are being defeated by the disease&#10;D) Feelings that something has finally brought the family together

Accepted Answer

A.This is incorrect. It is common for clients with life-threatening diseases and their families to feel hopeless.
B.This is incorrect. It is common for clients with life-threatening diseases and their families to feel as though they cannot cope.
C.This is incorrect. It is common for clients with life-threatening diseases and their families to feel defeated by the disease.
D.This is correct. It would be unusual for them to find relief through the life-threatening diagnosis.

Question 8

The nurse asks the family of a client with a life-threatening disease, "What do you think your great-grandfather who immigrated to America would have thought about your successful business?" For what reason would the practitioner ask this question?

A) To acknowledge the family's culture
B) To help them see the strength of their heritage
C) To explain the family history of the illness
D) To build rapport with the family

Accepted Answer

A.This is incorrect. The question does not acknowledge the family's culture.
B.This is correct. The question is designed to help them see the strength of their heritage.
C.This is incorrect. The question does not explain the family history of the illness.
D.This is incorrect. The question does not seek to build rapport.

Question 9

The nurse tries to build rapport with the family of a client with a terminal diagnosis, but that bond does not seem to be developing, and the family seems silent and withdrawn whenever difficult conversations are needed. What is the best course of action?

A) Ask the client's family why they think there is no rapport.
B) Continue to try to build rapport.
C) Consider having another provider work with the family.
D) Document that the family is not working well with the nurse.

Accepted Answer

A.This is incorrect. The client's family should not be put in the position of having to explain why rapport is not developing.
B.This is incorrect. Sometimes a different course of action must be taken rather than just continuing to try to build rapport when continued attempts fail.
C.This is correct. A different provider may be able to build a bond with the family.
D.This is incorrect. This should not be documented as being the fault of the family.

Question 10

The client's family makes a complaint about the nurse. What is the best course of action when this occurs?&#10;A) The nurse should listen to the family's comments, thank them, and reflect on the comments.&#10;B) The nurse should ask to be taken off the case.&#10;C) The nurse should present the other side of the issues to the physician.&#10;D) The nurse should file a complaint against the family.

Accepted Answer

A.This is correct. In order to collaborate, all parties should be open to criticism. The nurse should reflect on practice issues when they are presented.
B.This is incorrect. Once the family has made their complaint and the nurse has apologized, the relationship can move forward in an improved way.
C.This is incorrect. The nurse should simply take the criticism and not escalate the situation unless the physician asks for information.
D.This is incorrect. The nurse should not attempt to retaliate or take revenge on the family.

Question 11

The nurse is interviewing a client suffering from chronic pain. Circular questions include which of the following? Select all that apply.&#10;A) Where is the pain?&#10;B) When are you pain-free?&#10;C) Have you found relief with any self-care practices?&#10;D) When is the pain most severe?

Accepted Answer

The answer of The nurse is interviewing a client suffering...

Question 12

The nurse asks the family, &#34;In the brief time we have today, what would you like to focus on?&#34; What method is being used?&#10;A) Linear questioning&#10;B) Circular questioning&#10;C) One-question questioning&#10;D) Closed questioning

Accepted Answer

The answer of The nurse asks the family, &#34;In the...

Question 13

The nurse asks the client's mother, &#34;What do you see as the problem?&#34; This is an example of which type of questioning?&#10;A) Linear questioning&#10;B) Circular questioning&#10;C) One-question questioning&#10;D) Closed questioning

Accepted Answer

The answer of The nurse asks the client's mother, &#34;What...

Question 14

Which type of question would a nurse use for an intervention?&#10;A) Linear&#10;B) Circular&#10;C) Closed&#10;D) Factual

Accepted Answer

The answer of Which type of question would a nurse...

Question 15

The husband of an ill client states that he does the housework. Which is the most therapeutic response from the nurse?&#10;A) &#34;You need to do that. Your wife is sick.&#34;&#10;B) &#34;Men do not usually do that-you are very special.&#34;&#10;C) &#34;You will need to do all the housework as her illness progresses.&#34;&#10;D) &#34;It sounds like you are being very helpful.&#34;

Accepted Answer

The answer of The husband of an ill client states...

Deck 8: How to Use Questions in Family Interviewing