Chamberlain University
1 MAXE 203 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 302 — Health Assessment
E X A M 1 R E V I E W : CO M M U N I C AT I O N , H E A LT H H I STO R Y, CU LT U R A L CO N S I D E R AT I O N S &
M E N TA L STAT U S
INSTITUTION Chamberlain University — COURSE NR 302 – Health Assessment
College of Nursing & Public
Health
EXAM VERSION Latest Edition TOTAL QUESTIONS 35 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 1 REVIEW STUDY GUIDE
▸ This document contains verified Q&A for NR 302 Health Assessment Exam 1 Review.
▸ Covers communication techniques (focusing, paraphrasing, open-ended questions), note-taking considerations,
leading questions, cultural competence (interpreter use, yin/yang, magico-religious perspective, American Indian
beliefs, Mexican-American health beliefs), functional assessment, mental status examination, and health history
documentation.
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 1 and for clinical application in health assessment practice.
SECTION I — COMMUNICATION TECHNIQUES Q1–Q6
1. The nurse is interviewing their patient. The nurse states, "Can you tell me exactly what you feel when
you are having difficulty catching your breath?" Which communication technique is the nurse
utilizing?
CORRECT ANSWER: C. Focusing
RATIONALE: Focusing directs the patient to elaborate on a specific topic. It helps narrow the discussion to a key
symptom or concern. This technique is used when more detail is needed about a particular symptom.
2. The nurse is obtaining a family health history when the client reports that a grandparent has type 1
diabetes. Where can the nurse document this information?
CORRECT ANSWER: B. Family Genogram
RATIONALE: Family genograms visually represent family health history across generations. They help identify
patterns of hereditary diseases. Genetic risk factors are best documented in the family history section.
, 3. The nurse is interviewing a patient with acute pain. Which action should be performed first?
CORRECT ANSWER: A. Attempt to reduce the pain and complete the interview later
RATIONALE: Patient comfort is a priority before gathering subjective data. Pain can impair a patient's ability to
provide accurate information. Addressing acute pain first demonstrates compassionate care.
4. The nurse says to the client, "It sounds like you do not like your new job because it is more stressful
than you anticipated." Which type of communication is the nurse utilizing?
CORRECT ANSWER: B. Paraphrasing
RATIONALE: Paraphrasing restates the patient's message in the nurse's own words. It demonstrates active listening
and confirms understanding. This technique helps validate the patient's feelings.
5. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which
statement is true regarding note-taking?
CORRECT ANSWER: A. Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
RATIONALE: Note-taking breaks eye contact and shifts attention away from the patient. It can interrupt the patient's
narrative flow. It impedes observation of nonverbal behavior.
6. During an interview, the nurse states, "You mentioned shortness of breath. Tell me more about that."
Which verbal skill is used with this statement?
CORRECT ANSWER: D. Open-ended question
RATIONALE: Open-ended questions ask for narrative information. They state the topic in general terms without
limiting the response. They are used to begin the interview and introduce new topics.
SECTION II — INTERVIEW SKILLS & LEADING QUESTIONS Q7–Q13
7. A nurse is taking complete health histories on all of the patients attending a wellness workshop. On
the history form, one of the written questions asks, "You don't smoke, drink, or take drugs, do you?"
This question is an example of:
CORRECT ANSWER: C. using biased or leading questions.
RATIONALE: Leading questions imply one answer is "better" than another. They can make patients feel guilty when
admitting the other answer. They force the patient to answer in a way corresponding to implied values.
1 MAXE 203 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 302 — Health Assessment
E X A M 1 R E V I E W : CO M M U N I C AT I O N , H E A LT H H I STO R Y, CU LT U R A L CO N S I D E R AT I O N S &
M E N TA L STAT U S
INSTITUTION Chamberlain University — COURSE NR 302 – Health Assessment
College of Nursing & Public
Health
EXAM VERSION Latest Edition TOTAL QUESTIONS 35 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 1 REVIEW STUDY GUIDE
▸ This document contains verified Q&A for NR 302 Health Assessment Exam 1 Review.
▸ Covers communication techniques (focusing, paraphrasing, open-ended questions), note-taking considerations,
leading questions, cultural competence (interpreter use, yin/yang, magico-religious perspective, American Indian
beliefs, Mexican-American health beliefs), functional assessment, mental status examination, and health history
documentation.
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 1 and for clinical application in health assessment practice.
SECTION I — COMMUNICATION TECHNIQUES Q1–Q6
1. The nurse is interviewing their patient. The nurse states, "Can you tell me exactly what you feel when
you are having difficulty catching your breath?" Which communication technique is the nurse
utilizing?
CORRECT ANSWER: C. Focusing
RATIONALE: Focusing directs the patient to elaborate on a specific topic. It helps narrow the discussion to a key
symptom or concern. This technique is used when more detail is needed about a particular symptom.
2. The nurse is obtaining a family health history when the client reports that a grandparent has type 1
diabetes. Where can the nurse document this information?
CORRECT ANSWER: B. Family Genogram
RATIONALE: Family genograms visually represent family health history across generations. They help identify
patterns of hereditary diseases. Genetic risk factors are best documented in the family history section.
, 3. The nurse is interviewing a patient with acute pain. Which action should be performed first?
CORRECT ANSWER: A. Attempt to reduce the pain and complete the interview later
RATIONALE: Patient comfort is a priority before gathering subjective data. Pain can impair a patient's ability to
provide accurate information. Addressing acute pain first demonstrates compassionate care.
4. The nurse says to the client, "It sounds like you do not like your new job because it is more stressful
than you anticipated." Which type of communication is the nurse utilizing?
CORRECT ANSWER: B. Paraphrasing
RATIONALE: Paraphrasing restates the patient's message in the nurse's own words. It demonstrates active listening
and confirms understanding. This technique helps validate the patient's feelings.
5. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which
statement is true regarding note-taking?
CORRECT ANSWER: A. Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
RATIONALE: Note-taking breaks eye contact and shifts attention away from the patient. It can interrupt the patient's
narrative flow. It impedes observation of nonverbal behavior.
6. During an interview, the nurse states, "You mentioned shortness of breath. Tell me more about that."
Which verbal skill is used with this statement?
CORRECT ANSWER: D. Open-ended question
RATIONALE: Open-ended questions ask for narrative information. They state the topic in general terms without
limiting the response. They are used to begin the interview and introduce new topics.
SECTION II — INTERVIEW SKILLS & LEADING QUESTIONS Q7–Q13
7. A nurse is taking complete health histories on all of the patients attending a wellness workshop. On
the history form, one of the written questions asks, "You don't smoke, drink, or take drugs, do you?"
This question is an example of:
CORRECT ANSWER: C. using biased or leading questions.
RATIONALE: Leading questions imply one answer is "better" than another. They can make patients feel guilty when
admitting the other answer. They force the patient to answer in a way corresponding to implied values.
