Question 1

The interview portion of data collection collects:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.

Accepted Answer

The interview is the first,and really the most important part of data collection,collecting subjective data-what the person says about himself or herself.

Question 2

The nurse is performing a health interview on a patient,named Salil,who has 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?
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?"

Accepted Answer

In a situation where there is a language barrier and no interpreter available,use simple words avoiding medical jargon.Avoid using contractions and pronouns.Use nouns repeatedly and discuss one topic at a time.

Question 3

A man arrives at the clinic for an annual wellness physical.He is experiencing no acute health problems.Which of the following statements by the nurse is most appropriate when beginning the interview?
A)"How is your family?"
B)"Why are you here today?"
C)"Tell me about your hypertension?"
D)"How has your health been since your last visit?"

Accepted Answer

Open-ended questions are used for narrative information.Use this type of questioning to begin the interview,to introduce a new section of questions,and whenever the person introduces a new topic.

Question 4

A female nurse is interviewing a male patient who is near the same age as the nurse.During the interview,the patient makes an overtly sexual comment.The nurse's best reaction would be:
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."

Accepted Answer

The nurse's response must make it clear that she is a health professional who can best care for the person by maintaining a professional relationship.At the same time,the nurse should communicate that she accepts the person and understands the person's need to be self-assertive but that sexual advances cannot be tolerated.

Question 5

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

Accepted Answer

Whenever possible,use a trained interpreter,preferably one who knows medical terminology.In general,an older,more mature interpreter is preferred to a younger,less experienced one,and the same sex is preferred when possible.

Question 6

During an interview,the nurse would expect that most of the interview will take place at which distance?
A)Intimate zone
B)Personal distance
C)Social distance
D)Public distance

Accepted Answer

Social distance,4 to 12 feet,is usually the distance category for most of the interview.Public distance,over 12 feet,is too much distance;the intimate zone is inappropriate,and the personal distance will be used for the physical assessment.

Question 7

The nurse is interviewing a recent male immigrant from Mexico.During the course of the interview,he leans forward and then finally moves his chair close enough that his knees are nearly touching.The nurse begins to feel uncomfortable with his proximity.Which statement most closely reflects what the nurse should do next?
A)Try to relax-these behaviors are culturally appropriate for this person.
B)Discreetly move one's chair back until the distance is more comfortable and then continue with the interview.
C)These behaviors 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 his proximity and ask him to move away.

Accepted Answer

Both the patient's and one's own sense of spatial distance are significant throughout the interview and physical examination,with culturally appropriate distance zones varying widely.For example,you may find yourself backing away from people of Mexican-American,Indian,or Middle Eastern origins who invade your personal space with regularity in an attempt to bring you closer into the space that is comfortable to them.

Question 8

During a follow-up visit,the nurse discovers that a patient has not been taking his insulin on a regular basis.The nurse asks,"Why haven't you taken your insulin?" Which of the following is an appropriate evaluation of this question?
A)It may put the patient on the defensive.
B)It is an innocent search for 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 behavior.

Accepted Answer

The adult's use of "why" questions usually implies blame and condemnation and puts the person on the defensive.

Question 9

Which of the following is appropriate for the nurse to say near the end of the interview?
A)"Did we forget something?"
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."

Accepted Answer

This question gives the person the final opportunity for self-expression.No new topic should be introduced.

Question 10

Which of the following statements illustrate the use of open-ended questions? Select all that apply.
A)Elicits cold facts
B)Elicits feelings,opinions,and ideas
C)Builds and enhances rapport
D)Leaves interactions neutral
E)Calls for short one- to two-word answers
F)Used when narrative information is needed.

Accepted Answer

Options 2,3,and 6 illustrate features of open-ended questions,which enhance communication during an interview.

Question 11

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

Accepted Answer

A beginning examiner usually feels horrified when the patient starts crying.When you say something that "makes the person cry," do not think you have hurt the person.You have just hit on a topic that is important.Do not go on to a new topic.Just let the person cry and express his or her feelings fully.You can offer a tissue and wait until the crying subsides to talk.

Quiz 4: The Interview

The interview portion of data collection collects:

The nurse is performing a health interview on a patient,named Salil,who has 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?

A man arrives at the clinic for an annual wellness physical.He is experiencing no acute health problems.Which of the following statements by the nurse is most appropriate when beginning the interview?

A female nurse is interviewing a male patient who is near the same age as the nurse.During the interview,the patient makes an overtly sexual comment.The nurse's best reaction would be:

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?

During an interview,the nurse would expect that most of the interview will take place at which distance?

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

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

Which of the following statements illustrate the use of open-ended questions? Select all that apply.

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