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Chapter 03: The Interview(FREE)

Chapter 03: The Interview


Jarvis: Physical Examination & Health Assessment, 7th Edition


MULTIPLE CHOICE


1. The nurse is conducting an interview with a woman who has recently learned
that she is pregnant and who has come to the clinic today to begin prenatal care.
The woman states that she and her husband are excited about the pregnancy but
have a few questions. She looks nervously at her hands during the interview
and sighs loudly. Considering the concept of communication, which statement
does the nurse know to be most accurate? The woman is:


a. Excited about her pregnancy but nervous about the labor.



b. Exhibiting verbal and nonverbal behaviors that do not match.



c. Excited about her pregnancy, but her husband is not and this is upsetting to

her.

,d. Not excited about her pregnancy but believes the nurse will negatively
respond to her if she states this.



ANS: B


Communication is all behaviors, conscious and unconscious, verbal and
nonverbal. All behaviors have meaning. Her behavior does not imply that she is
nervous about labor, upset by her husband, or worried about the nurse’s
response.


DIF: Cognitive Level: Analyzing (Analysis) REF: p. 28


MSC: Client Needs: Psychosocial Integrity


2. Receiving is a part of the communication process. Which receiver is most
likely to misinterpret a message sent by a health care professional?


a. Well-adjusted adolescent who came in for a sports physical



b. Recovering alcoholic who came in for a basic physical examination



c. Man whose wife has just been diagnosed with lung cancer



d. Man with a hearing impairment who uses sign language to communicate

and who has an interpreter with him

,ANS: C


The receiver attaches meaning determined by his or her experiences, culture,
self-concept, and current physical and emotional states. The man whose wife
has just been diagnosed with lung cancer may be experiencing emotions that
affect his receiving.


DIF: Cognitive Level: Analyzing (Analysis) REF: p. 28


MSC: Client Needs: Psychosocial Integrity


3. The nurse makes which adjustment in the physical environment to promote
the success of an interview?


a. Reduces noise by turning off televisions and radios



b. Reduces the distance between the interviewer and the patient to 2 feet or
less


c. Provides a dim light that makes the room cozy and helps the patient relax



d. Arranges seating across a desk or table to allow the patient some personal
space



ANS: A

, The nurse should reduce noise by turning off the television, radio, and other
unnecessary equipment, because multiple stimuli are confusing. The
interviewer and patient should be approximately 4 to 5 feet apart; the room
should be well-lit, enabling the interviewer and patient to see each other clearly.
Having a table or desk in between the two people creates the idea of a barrier;
equal-status seating, at eye level, is better.


DIF: Cognitive Level: Applying (Application) REF: p. 29


MSC: Client Needs: Psychosocial Integrity


4. 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?


a. Note-taking may impede the nurse’s observation of the patient’s nonverbal
behaviors.


b. Note-taking allows the patient to continue at his or her own pace as the
nurse records what is said.


c. Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.


d. Note-taking allows the nurse to break eye contact with the patient, which
may increase his or her level of comfort.

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