2025/ 2026 UPDATE) HEALTH
ASSESSMENT I REVIEW |
QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
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 of the following communication techniques is the nurse
utilizing?
A) Attending to cues
B) Paraphrasing
C) Focusing
D) Summarazing - ANSWER C) Focusing
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?
A) Present health/ illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model - ANSWER B) Family Genogram
The Nurse is interviewing a patient with acute pain. Which of the
following actions by the nurse should be preformed first?
A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview - ANSWER A) Attempt to
reduce the pain and complete the interview later
The nurse is interviewing her patient. 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 of the following types of communication is the
nurse utilizing?
,A) Questioning
B) Paraphrasing
C) Attending
D) Listening - ANSWER B) Paraphrasing
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. - ANSWER A) Note-
taking may impede the nurse's observation of the patient's nonverbal
behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable.
But be aware that note-taking during the interview has disadvantages. It
breaks eye contact too often, and it shifts attention away from the patient,
which diminishes his or her sense of importance. It also may interrupt the
patient's narrative flow, and it impedes the observation of the patient's
nonverbal behavior.
During an interview, the nurse states, "You mentioned shortness of
breath. Tell me more about that." Which verbal skill is used with this
statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question - ANSWER D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states
the topic to be discussed but only in general terms. The nurse should use
it to begin the interview, to introduce a new section of questions, and
whenever the person introduces a new topic.
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:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics. - ANSWER C)
using biased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking,
"You don't smoke, do you?" implies that one answer is "better" than
another. If the person wants to please someone, he or she is either forced
to answer in a way corresponding to their implied values or is made to
feel guilty when admitting the other answer.
During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss his son's treatment,
however, he suddenly crosses his arms against his chest and crosses his
legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - ANSWER D)
uncomfortable talking about his son's treatment.
Page: 37 Note the person's position. An open position with the extension
of large muscle groups shows relaxation, physical comfort, and a
willingness to share information. A closed position with the arms and legs
crossed tends to look defensive and anxious. Note any change in posture.
If a person in a relaxed position suddenly tenses, it suggests possible
discomfort with the new topic.
The nurse is interviewing a patient who has a hearing impairment. What
techniques would be most beneficial in communicating with this patient?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired
people find this degrading.
C) Request a sign language interpreter before meeting with him to help
facilitate the communication.
, D) Speak loudly and with exaggerated facial movement when talking
with him because this helps with lip reading. - ANSWER A) Determine
the communication method he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers
lip reading, then the nurse should be sure to face him or her squarely and
have good lighting on the nurse's face. The nurse should not exaggerate
lip movements because this distorts words. Similarly, shouting distorts
the reception of a hearing aid the person may wear. The nurse should
speak slowly and should supplement his or her voice with appropriate
hand gestures or pantomime.
The nurse is performing a health interview on a patient who has a
language barrier, and no interpreter is available. Which is the best
example of an appropriate question for the nurse to ask in this situation?
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?" - ANSWER A)
"Do you take medicine?"
Page: 46 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.
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 - ANSWER A) A trained interpreter
Page: 46 whenever possible, the nurse should 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 gender is preferred when possible.