Advanced Health Assessment and Diagnostic Reasoning 3rd
n n n n n n
edition Rhoads
n n
TEST BANKn
Chaptern1nInterview nand nHistorynTakingnStrategies
MULTIPLEn CHOICE
1. Then nursen isn conductingn ann interview n withn anwomannwhonhasn recentlyn learned nthat n shen isn pregn
ant nand nwhon hasncomentonthenclinicn todayntonbeginnprenataln care.n Thenwomannstatesnthat nshenandnher
n husband n aren excitedn aboutnthen pregnancyn butnhaven anfew nquestions.n Shenlooksn nervouslyn at nhern ha
ndsn duringn then interview n andn sighsn loudly.n Consideringn then concept nofncommunication,n whichn stat
ement n doesn then nursen known ton ben most naccurate?n Then womann is:
a. Excited nabout nhernpregnancyn but nnervousnabout nthenlabor.
b. Exhibitingnverbalnand nnonverbalnbehaviorsnthat ndonnot nmatch.
c. Excited nabout nhernpregnancy,n but nhernhusband nisnnot nandnthisnisnupsettingn tonher.nd
.
Not nexcited naboutnhernpregnancynbutnbelievesnthennursenwillnnegativelyn respond
n ton hern if n shen statesn this.
ANS:n B
Communicationnisnallnbehaviors,nconsciousnand nunconscious,nverbalnand nnonverbal.n Allnbehaviorsn h
aven meaning.n Hern behaviorn doesn not n implyn that nshen isn nervousn about n labor,n upset n byn hern husband,n
orn worried n about n then nursesn response.
2. Receivingnisnanpart nof nthencommunicationn process.n Whichn receivern isnmost nlikelyn ton
misinterpret n an messagen sent n byn an healthn caren professional?
a. Well-adjusted nadolescent nwhoncameninnfornansportsnphysical
b. Recoveringnalcoholicnwhoncameninnfornanbasicnphysicalnexamination
c. Mann whosenwifen hasnjust nbeenndiagnosed nwithn lungn cancern
d.
Mann withn anhearingn impairment nwhon usesn signn languagen toncommunicaten and nwhonhasnann interprete
rn withn him
ANS:n C
Then receivern attachesnmeaningn determined nbyn hisnornhernexperiences,nculture,nself-
concept,nand n current n physicaln and nemotionaln states.nThen mann whosen wifen hasn just n beenn diagnosed n
withn lungn cancern mayn ben experiencingn emotionsn that n affect n hisn receiving.
3. Thennursen makesn whichn adjustment ninn thenphysicaln environment ntonpromoten thensuccessn of nann i
nterview?
a. Reducesnnoisenbyn turningnoff ntelevisionsnand nradios
b. Reducesnthen distancen betweenn then interviewern and nthen patient nton 2n feet norn less
c. Providesn andimnlight nthat nmakesn then roomn cozyn and nhelpsn then patient n relax
d. Arrangesn seatingn acrossn andesknorn tablen ton allow n then patient nsomen personaln spacen
ANS:n A
Then nursen should n reducen noisen byn turningn offnthentelevision,n radio,n andn othern unnecessaryn equipme
nt,n becausen multiplen stimulin aren confusing.n Then interviewern and n patient n should nben approximatelyn4
n ton 5n feet napart;nthen roomnshould nben well-
lit,nenablingn then interviewernand npatient n ton seeneachn othernclearly.n Havingn an tablen orn deskninn betwee
nn then twon peoplen createsn then idean of nan barrier;n equal-statusn seating,n at n eyen level,n isn better.
,4. Inn ann interview,n then nursen mayn find nit nnecessaryn ton takennotesn ton aid nhisnornhernmemoryn later.n
Whichn statement n isn trueregardingn note-taking?
a. Note-
takingnmayn impedenthennursesnobservationnof nthenpatientsnnonverbalnbehaviors.n b.
Note-
takingn allowsn then patient ntoncontinuenat nhisnornhern ownnpacen asnthen nursen record
sn what n isn said.
c.
Note-
takingnallowsnthennursentonshift nattentionnawaynfromnthenpatient,n resultingn inn ann in
creased n comfort n level.
d.
Note-
takingnallowsnthennursentonbreakneyencontact nwithn thenpatient,nwhichnmayn increase
n hisn orn hern leveln of n comfort.
ANS:n A
Thenusen ofnhistorynformsnand nnote-
takingn mayn benunavoidable.nHowever,n thennursenmust nbenawaren that nnote-
takingnduringnthen interview n hasndisadvantages.nIt nbreaksn eyen contactntoon oftenn and nshiftsnthenattenti
onn awaynfromn then patient,n whichndiminishesn hisn orn hern sensen of nimportance.nNotetakingn mayn alson i
nterrupt n then patientsn narrativen flow,n and n it n impedesn then observationn of nthe
patientsn nonverbaln behavior.
5. Then nursen asks,n I n wouldnliken tonasknyoun somenquestionsn aboutnyournhealthnandnyournusualn dailyn a
ctivitiesn son that n wen cann bettern plann yourn stayn here.n Thisn questionn isn found n at n then
n phasen of n then interview n process.
a. Summary
b. Closing
c. Body
d. Openingnornintroduction
n ANS:n D
Whenn gatheringn ancompleten history,n thennursenshould ngiven thenreasonn forntheninterview n duringn then o
peningn orn introductionn phasen of nthen interview,n not n duringn orn at n then end n of nthen interview.
6. A n womann hasn just nentered nthenemergencyn department naftern beingnbattered nbynhernhusband.n Thenn
ursen needsn ton get nsomen informationn fromn hern tonbeginn treatment.nWhat nisn then best n choicen forn ann op
eningn phasen of n then interview n withn thisn patient?
a. Hello,nNancy,nmynnamenisnMrs.nC.
b. Hello,n Mrs.n H.,n myn namen isnMrs.n C.n It nsuren isncold ntoday!
c. Mrs.n H.,nmyn namenisnMrs.n C.n How n arenyou?
d. Mrs.n H.,nmyn namenisnMrs.n C.n Illn need nton asknyoun anfew n questionsnabout nwhat nhappened.n
ANS:n D
Addressn thenpersonn bynusingn hisnorn hernsurname.n Then nursen should nintroducenhimn ornherself nand n giv
en then reasonn forn then interview.n Friendlyn smalln talkn isn not n needed n ton build n rapport.
7. Duringnanninterview,nthennursenstates,nYounmentioned nhavingnshortnessnof nbreath.n Tellnmen
moren about n that.n Whichn verbaln skilln isn used n withn thisn statement?
a. Reflection
b. Facilitation
c. Direct nquestion
d. Open-
ended nquestionn ANS:n D
,Then open-
ended n questionn asksn forn narrativen information.n It nstatesnthentopicntonben discussed nbut nonlyn inngener
aln terms.n Then nursen should nusen it ntonbeginnthen interview,n tonintroducenannew n sectionn of nquestions,n a
nd n whenevern then personn introducesn an new n topic.
8. A n patient nhasn finished ngivingn thennurseninformationn about nthenreasonn henisn seekingn care.n Whenn r
eviewingn then data,nthennursen findsnthat nsomen informationn aboutnpast nhospitalizationsn isn missing.n A
t n thisn point,n whichn statement n byn then nursen would n ben most n appropriaten ton gathern thesen data?
a. Mr.nY.,nat nyournage,nsurelynyounhavenbeennhospitalized nbefore!
b. Mr.n Y.,nI njust nneed npermissionntonget nyournmedicalnrecordsnfromnCountynMedical.nc
.
Mr.nY.,nyounmentioned nthat nyounhavenbeennhospitalized nonnseveralnoccasions.n
Would n youn telln men moren about n that?
d.
Mr.n Y.,nI njust nneed ntongetnsomenadditionalninformationnabout nyournpast nhospitalizations.nW
henn wasn then last n timen youn weren admitted n forn chest n pain?
ANS:n D
Then nursen should n usen direct n questionsn afternthenpersonsn openingn narrativen tonfilln inn anyn detailsn henor
n shen left nout.nThen nursenalson should nusen direct nquestionsn whennspecificnfactsn arenneeded,nsuchn asnwhe
nn askingn about n past n healthn problemsn orn duringn then review n of nsystems.
9. Innusingn verbaln responsesn ton assist nthenpatientsnnarrative,n somenresponsesnfocusnonnthenpatientsnf
ramen of nreferencen and n somen focusn onnthen healthncaren providersn perspective.n Annexamplen of nanverb
aln responsen that n focusesn onn then healthn caren providersn perspectiven would n be:
a. Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
n ANS:n D
Whennthen healthn caren providern usesn thenresponsen of nconfrontation,nthenframen of nreferencen shiftsn fro
mn then patientsn perspectiven ton thenperspectiven of nthen healthncaren provider,n andnthen healthncaren provid
ern startsn ton expressn hisn orn hern ownnthoughtsn andnfeelings.n Empathy,n reflection,n andn facilitationn resp
onsesn focusn onn then patientsn framen of n reference.
10. Whenn takingn anhistoryn fromn annewlynadmittednpatient,nthen nursennoticesn that nhenoftennpausesn a
nd n expectantlyn looksn at n then nurse.n What n would n ben then nursesn best n responsen ton thisn behavior?
a. Bensilent,nand nallow n himntoncontinuenwhennhenisnready.n
b.
Smilenat n himnand n say,n Dont nworryn aboutnalln of nthis.n Imnsuren wencannfindnoutnwhynyour
en havingn thesen pains.
c.n Leann backn inn thenchairn andnask,n Younaren lookingn atnmen kindnofnfunny;ntheren isnt nanythingn wrong,n is
here
d.
Stand nupn andnsay,nIncannseenthatnthisninterview n isnuncomfortablenfornyou.nWen
cann continuen it n anothern time.
ANS:n A
Silent nattentivenessn communicatesn that n then personnhasntimen tonthinknandnton organizen what nhen orn sh
en wishesn ton sayn without nann interruptionn fromn then nurse.n Healthn professionalsn most n oftenninterrupt n
thisnthinkingnsilence.n Thenothernresponsesnarennot nconduciventonidealn communication.
, 11. A n womann isn discussingn then problemsn shen isn havingn withn hern 2-year-
old n son.n Shen says,n Henwontngontonsleepn at nnight,nandnduringn thendaynhenhasnseveraln fits.nI ngetnsonupset
nwhenn that nhappens.n Then nursesn best n verbaln responsen would n be:
a. Gon on,n Imn listening.
b. Fits?nTellnmenwhat nyounmeannbynthis.
c. Yes,n it ncann ben upsettingn whenn anchild n hasn anfit.
d. Dont nben upset nwhenn henhasnanfit;n everyn 2nyearnold nhasnfits.n
ANS:n B
Then nursen should n usen clarificationn whenn then personsn word nchoicen isn ambiguousn orn confusingn (e.g.,
nTellnmenwhat nyounmeannbyn fits.).n Clarificationnisnalsonused ntonsummarizenthenpersonsnwordsn orn ton si
mplifyn then wordsn tonmaken themn clearer;n then nursen shouldn thenn asknif nhenorn shenisn onn then right n track.
12. A n 17-year-old n singlen mothern isn describingn how n difficult n it n isn ton raisen an3-year-
old n child n byn herself.n Duringn thencoursenof ntheninterview n shenstates,n Incant nbelieven myn boyfriend nle
ft nmen ton donthisn byn myself!n What nanterriblen thingn tondon tonme!n Whichn of nthesen responsesn bynthen n
ursen usesn empathy?
a. Youn feelnalone.
b. Youncant nbelievenhenleft nyounalone?
c. It n must n ben son hard n ton facen thisn alln alone.
d. I n would nbenangry,n too;n raisingn anchild nalonen isnnon picnic.n
ANS:n C
Ann empatheticn responsen recognizesn then feelingn and n putsn itn intonwords.nItnnamesn thenfeeling,n allowsn
itsnexpression,nand nstrengthensnrapport.n Othernempatheticn responsesnare,nThisnmust nbenveryn hard nforn
you,n I n understand,n ornsimplyn placingn yournhand nonnthen personsnarm.n Simplyn reflectingn then personsn
wordsn orn agreeingn withn then personn isn not n ann empatheticn response.
13. A n mann hasn beenn admittedntonthenobservationn unit nfornobservationn aftern beingn treated n forn an larg
en cut n onn hisn forehead.nAsnthennursen worksn throughn then interview,n onen ofnthenstandard nquestionsnhas
n ton donwithnalcohol,n tobacco,nandndrugn use.nWhennthennursen asksnhimn about ntobacconuse,nhenstates,nI
nquit nsmokingnafternmyn wifendiedn7nyearsnago.n However,nthennursennoticesnannopennpackn ofncigarette
sn inn hisn shirt n pocket.n Usingn confrontation,n then nursen could n say:
a. Mr.n K.,nI n know n that nyoun aren lying.
b. Mr.n K.,ncomenon,ntelln menhown muchnyoun smoke.
c. Mr.n K.,nI n didntnrealizen yournwifenhadndied.nItnmust nbendifficult nfornyounatnthisn time.n P
leasen telln men moren about n that.
d.
Mr.n K.,n youn havensaid nthat nyoundontnsmoke,n butnInseenthatnyounhavenannopennpacknof ncigare
ttesn inn yourn pocket.
ANS:n D
Inn then casen of nconfrontation,n ancertainn action,n feeling,n orn statement n hasnbeenn observed,nandn thennurs
ennown focusesnthen patientsnattentionnonnit.nThennursenshould ngiven honest nfeedbacknabout nwhat n isn see
nn orn felt.n Confrontationn mayn focusn onnandiscrepancy,n orn thennursen mayn confront nthen patient n whenn p
artsn of nthen storyn aren inconsistent.n Then othern statementsn aren not n appropriate.
14. Then nursen hasn used ninterpretationn regardingn anpatientsnstatement nornactions.n Aftern usingn thisn t
echnique,n it n would n ben best n forn then nursen to:
a. Apologize,nbecausenusingninterpretationn cannbendemeaningnfornthenpatient.
n n n n n n
edition Rhoads
n n
TEST BANKn
Chaptern1nInterview nand nHistorynTakingnStrategies
MULTIPLEn CHOICE
1. Then nursen isn conductingn ann interview n withn anwomannwhonhasn recentlyn learned nthat n shen isn pregn
ant nand nwhon hasncomentonthenclinicn todayntonbeginnprenataln care.n Thenwomannstatesnthat nshenandnher
n husband n aren excitedn aboutnthen pregnancyn butnhaven anfew nquestions.n Shenlooksn nervouslyn at nhern ha
ndsn duringn then interview n andn sighsn loudly.n Consideringn then concept nofncommunication,n whichn stat
ement n doesn then nursen known ton ben most naccurate?n Then womann is:
a. Excited nabout nhernpregnancyn but nnervousnabout nthenlabor.
b. Exhibitingnverbalnand nnonverbalnbehaviorsnthat ndonnot nmatch.
c. Excited nabout nhernpregnancy,n but nhernhusband nisnnot nandnthisnisnupsettingn tonher.nd
.
Not nexcited naboutnhernpregnancynbutnbelievesnthennursenwillnnegativelyn respond
n ton hern if n shen statesn this.
ANS:n B
Communicationnisnallnbehaviors,nconsciousnand nunconscious,nverbalnand nnonverbal.n Allnbehaviorsn h
aven meaning.n Hern behaviorn doesn not n implyn that nshen isn nervousn about n labor,n upset n byn hern husband,n
orn worried n about n then nursesn response.
2. Receivingnisnanpart nof nthencommunicationn process.n Whichn receivern isnmost nlikelyn ton
misinterpret n an messagen sent n byn an healthn caren professional?
a. Well-adjusted nadolescent nwhoncameninnfornansportsnphysical
b. Recoveringnalcoholicnwhoncameninnfornanbasicnphysicalnexamination
c. Mann whosenwifen hasnjust nbeenndiagnosed nwithn lungn cancern
d.
Mann withn anhearingn impairment nwhon usesn signn languagen toncommunicaten and nwhonhasnann interprete
rn withn him
ANS:n C
Then receivern attachesnmeaningn determined nbyn hisnornhernexperiences,nculture,nself-
concept,nand n current n physicaln and nemotionaln states.nThen mann whosen wifen hasn just n beenn diagnosed n
withn lungn cancern mayn ben experiencingn emotionsn that n affect n hisn receiving.
3. Thennursen makesn whichn adjustment ninn thenphysicaln environment ntonpromoten thensuccessn of nann i
nterview?
a. Reducesnnoisenbyn turningnoff ntelevisionsnand nradios
b. Reducesnthen distancen betweenn then interviewern and nthen patient nton 2n feet norn less
c. Providesn andimnlight nthat nmakesn then roomn cozyn and nhelpsn then patient n relax
d. Arrangesn seatingn acrossn andesknorn tablen ton allow n then patient nsomen personaln spacen
ANS:n A
Then nursen should n reducen noisen byn turningn offnthentelevision,n radio,n andn othern unnecessaryn equipme
nt,n becausen multiplen stimulin aren confusing.n Then interviewern and n patient n should nben approximatelyn4
n ton 5n feet napart;nthen roomnshould nben well-
lit,nenablingn then interviewernand npatient n ton seeneachn othernclearly.n Havingn an tablen orn deskninn betwee
nn then twon peoplen createsn then idean of nan barrier;n equal-statusn seating,n at n eyen level,n isn better.
,4. Inn ann interview,n then nursen mayn find nit nnecessaryn ton takennotesn ton aid nhisnornhernmemoryn later.n
Whichn statement n isn trueregardingn note-taking?
a. Note-
takingnmayn impedenthennursesnobservationnof nthenpatientsnnonverbalnbehaviors.n b.
Note-
takingn allowsn then patient ntoncontinuenat nhisnornhern ownnpacen asnthen nursen record
sn what n isn said.
c.
Note-
takingnallowsnthennursentonshift nattentionnawaynfromnthenpatient,n resultingn inn ann in
creased n comfort n level.
d.
Note-
takingnallowsnthennursentonbreakneyencontact nwithn thenpatient,nwhichnmayn increase
n hisn orn hern leveln of n comfort.
ANS:n A
Thenusen ofnhistorynformsnand nnote-
takingn mayn benunavoidable.nHowever,n thennursenmust nbenawaren that nnote-
takingnduringnthen interview n hasndisadvantages.nIt nbreaksn eyen contactntoon oftenn and nshiftsnthenattenti
onn awaynfromn then patient,n whichndiminishesn hisn orn hern sensen of nimportance.nNotetakingn mayn alson i
nterrupt n then patientsn narrativen flow,n and n it n impedesn then observationn of nthe
patientsn nonverbaln behavior.
5. Then nursen asks,n I n wouldnliken tonasknyoun somenquestionsn aboutnyournhealthnandnyournusualn dailyn a
ctivitiesn son that n wen cann bettern plann yourn stayn here.n Thisn questionn isn found n at n then
n phasen of n then interview n process.
a. Summary
b. Closing
c. Body
d. Openingnornintroduction
n ANS:n D
Whenn gatheringn ancompleten history,n thennursenshould ngiven thenreasonn forntheninterview n duringn then o
peningn orn introductionn phasen of nthen interview,n not n duringn orn at n then end n of nthen interview.
6. A n womann hasn just nentered nthenemergencyn department naftern beingnbattered nbynhernhusband.n Thenn
ursen needsn ton get nsomen informationn fromn hern tonbeginn treatment.nWhat nisn then best n choicen forn ann op
eningn phasen of n then interview n withn thisn patient?
a. Hello,nNancy,nmynnamenisnMrs.nC.
b. Hello,n Mrs.n H.,n myn namen isnMrs.n C.n It nsuren isncold ntoday!
c. Mrs.n H.,nmyn namenisnMrs.n C.n How n arenyou?
d. Mrs.n H.,nmyn namenisnMrs.n C.n Illn need nton asknyoun anfew n questionsnabout nwhat nhappened.n
ANS:n D
Addressn thenpersonn bynusingn hisnorn hernsurname.n Then nursen should nintroducenhimn ornherself nand n giv
en then reasonn forn then interview.n Friendlyn smalln talkn isn not n needed n ton build n rapport.
7. Duringnanninterview,nthennursenstates,nYounmentioned nhavingnshortnessnof nbreath.n Tellnmen
moren about n that.n Whichn verbaln skilln isn used n withn thisn statement?
a. Reflection
b. Facilitation
c. Direct nquestion
d. Open-
ended nquestionn ANS:n D
,Then open-
ended n questionn asksn forn narrativen information.n It nstatesnthentopicntonben discussed nbut nonlyn inngener
aln terms.n Then nursen should nusen it ntonbeginnthen interview,n tonintroducenannew n sectionn of nquestions,n a
nd n whenevern then personn introducesn an new n topic.
8. A n patient nhasn finished ngivingn thennurseninformationn about nthenreasonn henisn seekingn care.n Whenn r
eviewingn then data,nthennursen findsnthat nsomen informationn aboutnpast nhospitalizationsn isn missing.n A
t n thisn point,n whichn statement n byn then nursen would n ben most n appropriaten ton gathern thesen data?
a. Mr.nY.,nat nyournage,nsurelynyounhavenbeennhospitalized nbefore!
b. Mr.n Y.,nI njust nneed npermissionntonget nyournmedicalnrecordsnfromnCountynMedical.nc
.
Mr.nY.,nyounmentioned nthat nyounhavenbeennhospitalized nonnseveralnoccasions.n
Would n youn telln men moren about n that?
d.
Mr.n Y.,nI njust nneed ntongetnsomenadditionalninformationnabout nyournpast nhospitalizations.nW
henn wasn then last n timen youn weren admitted n forn chest n pain?
ANS:n D
Then nursen should n usen direct n questionsn afternthenpersonsn openingn narrativen tonfilln inn anyn detailsn henor
n shen left nout.nThen nursenalson should nusen direct nquestionsn whennspecificnfactsn arenneeded,nsuchn asnwhe
nn askingn about n past n healthn problemsn orn duringn then review n of nsystems.
9. Innusingn verbaln responsesn ton assist nthenpatientsnnarrative,n somenresponsesnfocusnonnthenpatientsnf
ramen of nreferencen and n somen focusn onnthen healthncaren providersn perspective.n Annexamplen of nanverb
aln responsen that n focusesn onn then healthn caren providersn perspectiven would n be:
a. Empathy.
b. Reflection.
c. Facilitation.
d. Confrontation.
n ANS:n D
Whennthen healthn caren providern usesn thenresponsen of nconfrontation,nthenframen of nreferencen shiftsn fro
mn then patientsn perspectiven ton thenperspectiven of nthen healthncaren provider,n andnthen healthncaren provid
ern startsn ton expressn hisn orn hern ownnthoughtsn andnfeelings.n Empathy,n reflection,n andn facilitationn resp
onsesn focusn onn then patientsn framen of n reference.
10. Whenn takingn anhistoryn fromn annewlynadmittednpatient,nthen nursennoticesn that nhenoftennpausesn a
nd n expectantlyn looksn at n then nurse.n What n would n ben then nursesn best n responsen ton thisn behavior?
a. Bensilent,nand nallow n himntoncontinuenwhennhenisnready.n
b.
Smilenat n himnand n say,n Dont nworryn aboutnalln of nthis.n Imnsuren wencannfindnoutnwhynyour
en havingn thesen pains.
c.n Leann backn inn thenchairn andnask,n Younaren lookingn atnmen kindnofnfunny;ntheren isnt nanythingn wrong,n is
here
d.
Stand nupn andnsay,nIncannseenthatnthisninterview n isnuncomfortablenfornyou.nWen
cann continuen it n anothern time.
ANS:n A
Silent nattentivenessn communicatesn that n then personnhasntimen tonthinknandnton organizen what nhen orn sh
en wishesn ton sayn without nann interruptionn fromn then nurse.n Healthn professionalsn most n oftenninterrupt n
thisnthinkingnsilence.n Thenothernresponsesnarennot nconduciventonidealn communication.
, 11. A n womann isn discussingn then problemsn shen isn havingn withn hern 2-year-
old n son.n Shen says,n Henwontngontonsleepn at nnight,nandnduringn thendaynhenhasnseveraln fits.nI ngetnsonupset
nwhenn that nhappens.n Then nursesn best n verbaln responsen would n be:
a. Gon on,n Imn listening.
b. Fits?nTellnmenwhat nyounmeannbynthis.
c. Yes,n it ncann ben upsettingn whenn anchild n hasn anfit.
d. Dont nben upset nwhenn henhasnanfit;n everyn 2nyearnold nhasnfits.n
ANS:n B
Then nursen should n usen clarificationn whenn then personsn word nchoicen isn ambiguousn orn confusingn (e.g.,
nTellnmenwhat nyounmeannbyn fits.).n Clarificationnisnalsonused ntonsummarizenthenpersonsnwordsn orn ton si
mplifyn then wordsn tonmaken themn clearer;n then nursen shouldn thenn asknif nhenorn shenisn onn then right n track.
12. A n 17-year-old n singlen mothern isn describingn how n difficult n it n isn ton raisen an3-year-
old n child n byn herself.n Duringn thencoursenof ntheninterview n shenstates,n Incant nbelieven myn boyfriend nle
ft nmen ton donthisn byn myself!n What nanterriblen thingn tondon tonme!n Whichn of nthesen responsesn bynthen n
ursen usesn empathy?
a. Youn feelnalone.
b. Youncant nbelievenhenleft nyounalone?
c. It n must n ben son hard n ton facen thisn alln alone.
d. I n would nbenangry,n too;n raisingn anchild nalonen isnnon picnic.n
ANS:n C
Ann empatheticn responsen recognizesn then feelingn and n putsn itn intonwords.nItnnamesn thenfeeling,n allowsn
itsnexpression,nand nstrengthensnrapport.n Othernempatheticn responsesnare,nThisnmust nbenveryn hard nforn
you,n I n understand,n ornsimplyn placingn yournhand nonnthen personsnarm.n Simplyn reflectingn then personsn
wordsn orn agreeingn withn then personn isn not n ann empatheticn response.
13. A n mann hasn beenn admittedntonthenobservationn unit nfornobservationn aftern beingn treated n forn an larg
en cut n onn hisn forehead.nAsnthennursen worksn throughn then interview,n onen ofnthenstandard nquestionsnhas
n ton donwithnalcohol,n tobacco,nandndrugn use.nWhennthennursen asksnhimn about ntobacconuse,nhenstates,nI
nquit nsmokingnafternmyn wifendiedn7nyearsnago.n However,nthennursennoticesnannopennpackn ofncigarette
sn inn hisn shirt n pocket.n Usingn confrontation,n then nursen could n say:
a. Mr.n K.,nI n know n that nyoun aren lying.
b. Mr.n K.,ncomenon,ntelln menhown muchnyoun smoke.
c. Mr.n K.,nI n didntnrealizen yournwifenhadndied.nItnmust nbendifficult nfornyounatnthisn time.n P
leasen telln men moren about n that.
d.
Mr.n K.,n youn havensaid nthat nyoundontnsmoke,n butnInseenthatnyounhavenannopennpacknof ncigare
ttesn inn yourn pocket.
ANS:n D
Inn then casen of nconfrontation,n ancertainn action,n feeling,n orn statement n hasnbeenn observed,nandn thennurs
ennown focusesnthen patientsnattentionnonnit.nThennursenshould ngiven honest nfeedbacknabout nwhat n isn see
nn orn felt.n Confrontationn mayn focusn onnandiscrepancy,n orn thennursen mayn confront nthen patient n whenn p
artsn of nthen storyn aren inconsistent.n Then othern statementsn aren not n appropriate.
14. Then nursen hasn used ninterpretationn regardingn anpatientsnstatement nornactions.n Aftern usingn thisn t
echnique,n it n would n ben best n forn then nursen to:
a. Apologize,nbecausenusingninterpretationn cannbendemeaningnfornthenpatient.
