Health Assessment Practice Exam 1 Examples Questions And Answers Solved

A nurse is caring for a client is using active listening skills. Which of the following action should the nurse take? a. sit side-by-side with the client b. have a pen and paper handy c. use intermittent eye contact d. lean back in the chair - correct answers c. use intermittent eye contact A nurse is caring for a client who is about to have a colonoscopy. The client states, "I am so nervous about what the doctor might find during the test." The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" With this question, the nurse is using which of the following communication techniques? a. clarification b. summarizing c. confrontation d. providing information - correct answers a. clarification A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following should the nurse identify as an interpersonal variable? (select all that apply.) a. education b. feedback c. gender d. perception e. time - correct answers a. education c. gender d. perception A nurse is developing a therapeutic relationship with a client. The nurse should perform which of the following actions during the working phase of a therapeutic relationship? a. determine the reason the client sought care. b. instruct the client about methods to achieve goals. c. discuss the client's new skill sets d. review the client's demographic information. - correct answers b. instruct the client about methods to achieve goals A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take? a. focus on the client's present circumstances instead of his personal stories b. verbalize understanding of how the client feels c. offer the client personal thoughts and beliefs d. use attentive listening with the client. - correct answers d. use attentive listening with the client A nurse asks a client how he is feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses should the nurse make? a. "please explain what you mean by the word 'nervous.'" b. "what is making you feel nervous?" c. "Would a backrub ease your nervousness?" d. "you shouldn't feel nervous" - correct answers a. "please explain what you mean by the word 'nervous.'" rationale: the nurse is using a clarifying statement to understand the meaning of the client's statement A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures? a. nurses should focus on client's cultures, rather than their ethnicity, when providing care. b. nonverbal communication is important in few cultures c. culture plays no role in determining when a client will seek medical care d. nurses should expect clients to adapt to the care provided regardless of culture - correct answers a. nurses should focus on clients' cultures, rather than their ethnicity, when providing care. A nurse in a mental health facility is preparing to interview a client who has schizophrenia. Which of the following actions should the nurse take? a. sit on the other side of a table from the client b. place the client in a chair higher than the nurse c. start the interview with a question the client can answer with a "yes" or "no" d. sit beside the client rather than facing him. - correct answers d. sit beside the client rather than facing him A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion? a. "What brought you to the hospital?" b. "Would you tell me about all of your medical issues?" c. "Do you want to talk about your health concerns?" d. "Would it help to discuss your feelings about this hospitalization?" - correct answers a. "what brought you to the hospital?" A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication? a. nonverbal communication conveys less truth than what the client states verbally. b. the client's sociocultural background influences nonverbal communication c. nonverbal communication is a poor reflection of what the client feels. d. the client enacts nonverbal communication consciously - correct answers b. the client's sociocultural background influences nonverbal communication A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make? a. "of course people care. your family comes to visit every day." b. "why do you feel that way?" c. "tell me who you think doesn't care about you?" d. "I care about you, and I am concerned that you feel so sad." - correct answers d. "I care about you, and I am concerned that you feel so sad." A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? a. elicit information from the client b. encourage the client to use self-exploration c. review the client's progress toward personal objectives d. talk with others who have information about the client. - correct answers a. elicit information from the client A nurse is admitting a client from a long-term care facility. The nurse should use close-ended questions when assessing which of the following factors? a. when determining if the client is eating a well-balanced diet b. when asking the client about his receptiveness to transfer c. when asking the client how he completes his ADLs d. when asking if the client took his medications this morning - correct answers d. when asking if the client took his medications this morning A nurse is caring for a client who is terminally ill and exhibiting signs of impending death. The client's medical record states the client is a practicing Roman Catholic. Which of the following nursing actions is appropriate? a. offer to make arrangements for the Sacrament of the Sick b. Prepare to stay with the client's body after death until family arrives c. arrange for a member of the client's faith to bathe the body after dead d. post a sign on the client's door stating, "no talking" - correct answers a. offer to make arrangements for the Sacrament of the Sick A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process? a. planning b. evaluation c. assessment d. implementation - correct answers c. assessment A nurse is interviewing a female client who is Hispanic. The client's partner answers the questions and states, "She speaks only a little English." Which of the following actions should the nurse take? a. arrange to complete the assessment with only the client and a translator present b. ask the client's partner to translate questions and answers for the client c. ask a male student nurse to translate for the client d. use an internet website ending in .com to translate for the client - correct answers a. arrange to complete the assessment with only the client and a translator present A nurse interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take? a. maintain a non-judgemental attitude b. avoid displaying an emotional response c. offer sympathetic support d. verbalize disapproval of the client's substance abuse - correct answers a. maintain a non-judgemental attitude A nurse is providing dietary teaching for a client who is Asian-American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?