UPDATE | WITH COMPLETE SOLUTION
How can you enhance patient responses? Answer - Used open ended
questions, facilitate, reflect, clarify, empathize
What can cause tension in the clinical setting? Answer - Curiosity about you,
anxiety, silence, depression, crying, physical intimacy, emotional intimacy,
seduction, anger, financial consideration
How can you as a nurse property react to a patient who is acting in a seductive
manner? Answer - Set professional boundaries, avoid touch, let them know
that it is inappropriate, ask them not to say such things
How can you comfortably set up for an interview? Answer - Removal of
physical barriers, good lighting, privacy, relatively quiet, and have discreet
access to a class, provide comfort for all involved
What is intimate partner violence defined as? Answer - A range of abusive
behaviors perpetrated by someone who is or was involved in an intimate
relationship with the victim
What is symptom analysis in the history and interviewing process? Answer -
Questions specifying the onset, location, duration, intensity, characteristics,
and aggravating and alleviating factors
,What does the CAGE questionnaires analyze? Answer - Questionnaire for
discussing the use of alcoholism, which includes cutting down, annoyance by
criticism, guilty, and eye openers
What does the family history include? Answer - History of blood relatives in
the immediate or extended family with illnesses that have features similar to
the patient's concern
How can one define a chief concern? Answer - A brief statement of the reason
the patient is seeking care
What is included in a person's personal and social history? Answer - Work,
marriage, sexual, and spiritual experiences; the patient's use of alcohol,
tobacco, and drugs
What is a functional assessment? Answer - Questions concerning the ability to
take care of one'a daily needs that are part of the review of systems
What is a patient's past medical history? Answer - The patient's state of overall
health before the present problem; if the patient had diabetes, history of
hypertension, obesity, cancer, good health, etc
What is the history of present illness? Answer - A step-by-step evaluation of
the circumstances that surround the primary reason for the patient's visit
What is a review of systems? Answer - The presence or absence of health-
related issues in each body system
What is your goal when you do the ROS? Answer - To identify the presence or
absence of health issues in each system
,What systems should one ask questions about during the ROS? Answer -
General health status, hair, skin, nails, head & neck, eyes, ears, nose, mouth &
throat, lymph nodes, breasts, circulatory system, GI system, endocrine
function, genitourinary system, etc
How might a nurse react to a patient who is being seductive? Answer - Do not
respond to it; be courteous, calm, firm, and direct from the start; send a
message that the relationship is professional and will remain that way
How might a nurse react to a depressed patient? Answer - Do not neglect their
depression, allow the interview to continue but come back with gentle
questions to indicate you think there may be more to the story than what has
been discussed
How might a nurse comfort or help an anxious patient? Answer - Avoid
overload of information, pace the conversation with a calm demeanor, avoid
allowing the anxiety to become contagious
How can a nurse appropriately avoid excessive flattery? Answer - Be aware
that it could be a manipulation tactic in the end of patient and do not be taken
in by it
How might a nurse calm financial concerns? Answer - Be aware that the
patient may be concerned about the cost of healthcare; be prepared to discuss
it with the patient
How can a nurse adequately direct silence? Answer - Be patient; allow for
moments of silence; silence lets the patient reflect
, Which of the following will best facilitate the interview when obtaining a
history from a dead patient who can read lips?
a. Speaking loudly
b. Using gestures
c. Speaking slowly
d. Sitting to the side of the patient Answer - C. Speaking slowly
Approximately what percentage of patients interviewed have a sexual
orientation other than heterosexual?
a. 2%
b. 5%
c. 10%
d. 20% Answer - C. 10%
During a history, the patient indicates that he has N uncle and a brother with
sickle cell disease. Which of the following is an appropriate method by which to
document this information?
A. Document this as a chief complaint
B. Include it in the family history
C. Include this in past medical history
D. Incorporate this information in the social history Answer - B. Include it in
the family history
Which approach is recommended at the onset of an interview?
A. Ask questions in a structured manner
B. Introduce yourself, giving details of your background and qualifications