TESTBANK FOR HEALTH ASSESSMENT IN NURSING 7TH EDITION BY WEBER WITH CORRECT ANSWERS PROVIDED

lOMoARcPSD|10095011




TESTBANK FOR HEALTH ASSESSMENT IN NURSING 7TH
EDITION BY WEBER WITH CORRECT ANSWERS PROVIDED

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Chapter 02

1. When beginning the collection of the client data base, which of the following
would be most important for the nurse to do?
A. Establish a trusting relationship
B. Determine the client's strengths
C. Identify health problems
D. Make inferences


Answer: A


Rationale: It is essential for the nurse to develop trust and rapport with the
client to elicit accurate and meaningful information. This trust is the focus of the
interview and must be developed in the initial phase of the interview.
Determining the client's strengths, identifying health problems, and making
inferences occur during the working phase of the interview.
Question Format: Multiple Choice
Chapter: 2
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation
Reference: p. 10, Phases of the Interview




2. During which of the following phases of the interview process will the nurse
assure the client that all personal data the client discusses with the nurse will be
kept confidential?
A. Preintroductory
B. Introductory
C. Working
D. Summary and closing


Answer: B

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Rationale: The introductory phase includes the nurse’s introduction to the client,
explaining to the client about the type of questions that will be asked, and
assuring the client of confidentiality in all areas that are discussed during the
interview. The preintroductory phase occurs before the nurse meets the client.
During the working phase the nurse obtains biographical data, reasons for
seeking care, history of the present concern, past medical history, family history,
and review of body systems (ROS). During the summary and closing phase, the
nurse summarizes information obtained during the working phase and validates
problems and goals with the client.
Question Format: Multiple Choice
Chapter: 2
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 10, Phases of the Interview




3. Which statement by the nurse could be construed as judgmental?
A. "How often do your adult children visit?"
B. "Your husband's death must have been difficult for you."
C. "You must quit smoking because it is offensive to others."
D. "How do you feel about getting older?"


Answer: C


Rationale: Saying that smoking is offensive to others and telling the client that
she must quit forces a sense of guilt on the client. The statement may be seen
as "preaching" without focusing on assisting the client to attain optimal health.
Asking how often the adult children visit or how the client feels about getting
older focuses on information gathering. The statement about the husband's
death being difficult acknowledges the client's feelings.
Question Format: Multiple Choice
Chapter: 2
Cognitive Level: Apply
Client Needs: Psychosocial Integrity

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Integrated Process: Communication and Documentation
Reference: p. 11, Communication During the Interview




4. A nurse is interviewing a client. Which nonverbal behavior by the nurse would
best facilitate communication?
A. Standing while the client is seated
B. Using a moderate amount of eye contact
C. Sitting across the room from the client
D. Minimizing facial expressions


Answer: B


Rationale: The nurse needs to avoid extremes in eye contact. Excessive eye
contact may make the client uncomfortable; too little eye contact might lead the
client to believe that the nurse is hiding something. A moderate amount
communicates interest and focus. The nurse should be at the same level of the
client. Standing while the client is seated puts the nurse as superior, possibly
making the client feel inferior. The nurse should be within 2 to 3 feet of the
client during the interview. The nurse should keep facial expressions neutral and
friendly.
Question Format: Multiple Choice
Chapter: 2
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Reference: p. 11, Communication During the Interview




5. After teaching a group of students about verbal communication techniques,
the instructor determines that the teaching was successful when the students
identify which of the following as an example of a closed-ended
question/statement?
A. "What is your relationship with your children?"
B. "Tell me what you eat in a normal day."