Deck 2: Communication Techniques And The Patient Interview

Question 1

Which statement is an example of the use of reflection?

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?"

Answer 1

"It sounds as if you're angry that the pain has returned."

Question 2

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

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.

Answer 2

Face the patient, and use nonverbal cues to supplement and reinforce messages.

Question 3

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

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

Answer 3

participating in a tug-of-war.

Question 4

The nurse's role during the nursing assessment interview includes all of the following,EXCEPT

A) embracing a nonjudgmental attitude.
B) assisting the patient in effectively using the health care system.
C) establishing a mutually respectful dialogue in a safe environment.
D) outlining appropriate plans for the patient.

Question 5

A nurse engaged in active listening is paying close attention to

A) verbal communication only.
B) all sensory data resulting from the patient's messages.
C) selecting an appropriate listening response.
D) preparing responses to the patient's comments.

Question 6

Which of the following can interfere with establishing the patient's trust during the initial 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 7

In an interview with a patient who is visually impaired,it is important for the nurse to

A) speak loudly and distinctly.
B) touch the patient frequently to emphasize the nurse's presence.
C) use a tone of voice, volume, and inflection appropriate to the message.
D) use simple phrases and closed questions.

Question 8

Patients often respond to questions that begin with the word why by

A) sharing important and useful information.
B) trying to explain or defend themselves.
C) establishing a closer relationship with the nurse.
D) becoming confused.

Question 9

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

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 10

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

Question 11

A patient is most likely to perceive that a nurse is unwilling to share information or that the nurse feels superior to the patient when the nurse

A) interrupts the patient.
B) uses medical jargon.
C) is talkative.
D) asks multiple questions.

Question 12

The statement,"Perhaps you and I can talk further about your diabetes and identify your specific concerns," is an example of a communication technique that conveys the message that the

A) nurse has the primary responsibility in problem solving.
B) patient should take the lead in the planning process.
C) nurse and patient will work together in addressing the patient's health concerns.
D) nurse will supply the necessary information and instructions for the patient.

Question 13

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

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

Question 14

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

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 15

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

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

Question 16

A patient asks you if the information she has shared with you will be kept confidential.Your best response is to assure her that you will

A) not share any information she has told you under any circumstances.
B) share only critical medical information with physicians.
C) share information with members of her care team for her benefit.
D) share the information only with her primary nurse.

Question 17

The statement "Everything will be fine," made by a nurse to parents of an infant being prepared for surgery will most likely

A) decrease the parents' anxiety.
B) reassure the parents.
C) communicate the nurse's understanding and concern.
D) relieve the nurse's anxiety.

Question 18

Which of the following is an open-ended question?

A) Is your breathing better than the last time you were here?
B) Have you had this type of wheezing and coughing episode before?
C) How do you typically deal with an asthma attack?
D) Did you take medication for your asthma?

Question 19

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

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 20

Your patient informs you that she would like to stop his two-pack-a-day cigarette habit but has heard complaints about the clinic's antismoking program.Which of the following would be an appropriate response?

A) "Why do you smoke that much?"
B) "What a good idea, I'm sure that the clinic's program will help you."
C) "Tell me more about your concerns about stopping smoking."
D) "Try the support group for smokers instead; it has had great success in helping people stop smoking."

Question 21

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

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.

Question 22

During which stage of the interview process is trust established between the nurse and patient?

A) joining stage
B) working stage
C) termination stage
D) summary stage

Question 23

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

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

Question 24

Factors affecting communication during the interview process include which of the following? Select all that apply.

A) Setting
B) Distance
C) Verbal cues
D) Personal space
E) Nonverbal cues
F) Active listening

Question 25

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.

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

Question 26

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.

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 27

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

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

Question 28

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) "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 29

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

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 30

When interviewing an elderly patient,all of the following techniques will be helpful,EXCEPT

A) allowing extra time for the interview.
B) scheduling more than one interview.
C) speaking loudly and slowly.
D) interviewing a family member or caregiver as well as the patient.

Question 31

A patient tells the nurse that when the physician examined him,the physician did not seem to know what she was doing.The nurse responds,"The physicians at this hospital are very knowledgeable." The nurse's response is an example of which of the following?

A) defending
B) advising
C) engaging in talkativeness
D) offering false reassurance

Question 32

A nursing instructor has completed a lecture on effective communication techniques.When quizzing the students on effective communication techniques,which responses by the students would indicate that further teaching is needed? Select all that apply.

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

Question 33

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

Question 34

If a patient is excessively talkative during the patient interview,the nurse may find it necessary to provide some direction as to how to behave.This communication technique is called ____________________.

Question 35

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?

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

Question 36

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

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 37

The purpose of rephrasing what a patient has said is to

A) reach a nursing diagnosis.
B) promote further dialogue.
C) end the interview.
D) correct patient errors.