Question 1

A client is coming into the clinic for the first time. In order for the nurse to allow the client the most comfort during the interview, the nurse should:

Accepted Answer

Sitting next to the client, a metre apart, allows for a comfortable conversational distance and allows the client to feel more at ease. Sitting behind a desk or standing at a counter can create a barrier and lead to a more formal and impersonal interaction. Standing at the side of the client's chair may be uncomfortable for the client as it can invade personal space.

Question 2

A client comes to the emergency department with injuries to her upper shoulders and back area. When questioned about how the injuries occurred, the client becomes less talkative and states that she "fell". The client has a history of frequent ED visits, always with believable excuses about how her injuries occurred. The nurse begins to suspect that this client is a victim of abuse. This is an example of the nurse making which of the following?

Accepted Answer

Observation of cues.

Question 3

A nursing student is meeting an assigned client for the first time. In order to begin the establishment of rapport, the best statement by the student is:

Accepted Answer

The answer of A nursing student is meeting an assigned...

Question 4

Wanting to know more about the client's pain experience, the nurse continues to explore different questioning techniques. Open-ended questions allow the patient to:

Accepted Answer

Open-ended questions allow the patient to elaborate on their response and provide more detailed information about their pain experience. This can help the nurse to gain a better understanding of the nature, location, and severity of the pain. Asking closed-ended questions or using leading questions can restrict the patient's answers and limit the amount of information the nurse receives.

Question 5

During an assessment interview, the nurse understands that the client has decided not to take the physician's advice about an elective surgical procedure. The client shares that, "This is just not part of what I have in mind for my life's goals". This would fall into which of Gordon's functional health patterns?

Accepted Answer

The client's decision is based on their personal values and beliefs, which falls under Gordon's value/belief pattern.

Question 6

A client comes into the emergency department with a non-life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families and other people in the waiting room. The best way for the nurse to conduct an interview with this client is to:

Accepted Answer

Drawing curtains around the client and nurse provides the most privacy possible in a busy emergency department. This allows for a thorough interview of the client's medical history, current medications, allergies, and other relevant information that will assist the healthcare team in providing the best possible care for the client.

Question 7

A nurse has been assigned a new client who cannot speak English. In order that the client receives accurate information, the nurse should:

Accepted Answer

The best choice would be to use the translation services supplied by the hospital as they are trained professionals who are proficient in both English and the client's native language. This will ensure accurate communication and prevent misunderstandings. Family members or housekeeping staff may not have the same level of proficiency in both languages and may not be able to accurately convey information. Gestures may also be misinterpreted and result in confusion.

Question 8

The nurse has just completed an admission interview with a new client. Which response by the nurse is an example of a remark used during the closing phase of the interview?

Accepted Answer

A is an example of a remark used during the closing phase of the interview because it signals the end of the interview and provides an opportunity for the client to ask any final questions before moving onto the next step of the assessment process. B, C, and D are all examples of open-ended questions used to gather more information during the interview.

Question 9

A client has been admitted for acute dehydration, secondary to nausea and diarrhoea. When is the best time for the nurse to conduct this client's interview?

Accepted Answer

The best time for the nurse to conduct the client's interview is after the client has settled in and been oriented. The client is admitted for acute dehydration, which means the client is severely dehydrated and needs to be rehydrated before any further procedures can be initiated. Conducting the interview at this time will increase the client's discomfort and may interfere with the rehydration process. It is best to wait until the client is settled and oriented, which will also give the client time to rest and provide a clearer picture of the client's condition.

Question 10

The nurse is taking a health history from a client who has complications from chronic asthma. The nurse is asking closed questions so as to:

Accepted Answer

The answer of The nurse is taking a health history...

Quiz 12: Assessing