Question 1

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

Accepted Answer

The nurse can minimize the risk of aggression through nonthreatening interventions such as limit setting and refocusing.Position yourself near an easily accessible exit.Do not turn your back on the patient,and never allow the patient to walk behind you or come between you and the exit.Consider leaving the door to the room open and letting a colleague know where you are.

Question 2

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

Accepted Answer

Stage I or the joining stage is the time when trusts develops between the nurse and patient.

Question 3

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

Accepted Answer

Members of the LGBT community have an increased risk of developing anxiety and depression.

Question 4

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

Accepted Answer

All of the stated factors can affect communication during the interview process.The setting should be one in which the patient is comfortable and where confidentiality is maintained.The nurse must maintain an appropriate distance and always use active listening.

Question 5

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

The electronic stethoscope can assist the nurse in obtaining lung,bowel,and cardiac sounds.Temperature,blood type,and urine specific gravity can not be measured with the electronic stethoscope.

Question 6

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

Nursing responses that are considered judgmental include: "You shouldn't feel that way," "That sounds like a very good point," and "That is bad to say about yourself." Judgmental comments by a nurse give approval or disapproval.Telling a patient what is right or wrong is moralizing.This may limit the patient's freedom to verbalize or behave in certain ways that might not please the nurse.

Question 7

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

Accepted Answer

Effective communication techniques for interviewing include restating,reflecting,clarifying,and sequencing.Additional techniques include making observations,interpreting,and summarizing.

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

It is very important to show empathy and to allow the patient to cry.Offering tissues indicates to the patient that it is okay to cry and conveys a message of thoughtfulness.When the patient has regained composure,proceed with the interview.

Question 9

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

Telenursing is best defined as the use of technology,both audio and audiovisual,to conduct nursing practice.It is used by nurses of all educational backgrounds and clinical experiences.Though it can be used for research,administration,and education purposes,telenursing as it is described here is limited to the practice arena.

Question 10

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

Accepted Answer

Interviewing the older patient may require additional time for question interpretation and patient responses.It may be necessary to schedule more than one interview because the patient may have multisystem changes or complaints,a weakened physical condition,or a cognitive impairment.It may be necessary to interview an older patient's family member or caregiver to assess the patient's past and present health or illness status.Speaking loudly and slowly is not helpful.

Question 11

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?

Accepted Answer

By stating,"The physicians at this hospital are very knowledgeable," the nurse is using an ineffective communication technique known as defending.

Question 12

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.

Accepted Answer

The instructor would recognize that further teaching is needed if the students selected probing and defending.Nontherapeutic communication techniques can change,distort,or block communication.

Question 13

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

Accepted Answer

The answer of During the interview,it is best to place...

Question 14

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 ____________________.

Accepted Answer

The answer of If a patient is excessively talkative during...

Question 15

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

The nurse would recognize that the distance between herself and the audience would be considered public distance.Public distance allows for twelve feet or more between the presenter and the audience.

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

When interviewing a patient who is speech impaired or aphasic,all questions should be directed to the patient even if someone else is speaking for the patient.It is important to ask simple questions that require yes and no answers and allow additional time for patient responses.Even when all questions in the interview are asked and answered using closed questions,allow the patient the opportunity to contribute to the information gathering.

Question 17

The purpose of rephrasing what a patient has said is to

Accepted Answer

Restating involves repeating or rephrasing the main idea expressed by the patient and lets the patient know that you are paying attention.It promotes further dialogue and provides the patient with an opportunity to explain or elaborate on an issue or concern.

Quiz 2: Communication Techniques And The Patient Interview